Evidence map›Paper›PMID 37555816›Full record

ArticleRheumatology (Oxford, England)2024

Comparison of two frailty definitions in women with systemic lupus erythematosus.

Sarah B Lieber, Musarrat Nahid, Alexandra Legge, Mangala Rajan, Robyn A Lipschultz, Myriam Lin, M Carrington Reid, Lisa A Mandl

Abstract readComparative Study
In one paragraph

Article in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah B LieberDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA.ORCID 0000-0002-6176-9740
Musarrat NahidDepartment of Medicine, Weill Cornell Medicine, New York, NY, USA.
Alexandra LeggeDivision of Rheumatology, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Mangala RajanDepartment of Medicine, Weill Cornell Medicine, New York, NY, USA.
Robyn A LipschultzNew York University Grossman School of Medicine, New York, NY, USA.
Myriam LinRutgers New Jersey Medical School, Newark, NJ, USA.
M Carrington ReidDepartment of Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0001-8117-662X
Lisa A MandlDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA.ORCID 0000-0001-6085-8664

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid, ELAINE WETHINGTON · 2003 to 2026
$15.2M
Institutional Career Development CoreKL2TR002385 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI YUAN-SHAN ZHU · 2017 to 2026
$13.3M
Reid Aging and Pain Research Training ProgramK24AG053462 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI REID, MANNEY CARRINGTON · 2016 to 2025
$1.8M
NCATS NIH HHS KL2 TR002385NCATS NIH HHS KL2TR002385NIA NIH HHS K24 AG053462NIA NIH HHS P30 AG022845NIH HHS K24AG053462
6 · The paper itself

Abstract

objectivesFrailty is a risk factor for adverse health in SLE. The Fried phenotype (FP) and the SLICC Frailty Index (SLICC-FI) are common frailty metrics reflecting distinct approaches to frailty assessment. We aimed to (1) compare frailty prevalence according to both metrics in women with SLE and describe differences between frail and non-frail participants using each method and (2) evaluate for cross-sectional associations between each metric and self-reported disability.

methodsWomen aged 18-70 years with SLE were enrolled. FP and SLICC-FI were measured, and agreement calculated using a kappa statistic. Physician-reported disease activity and damage, Patient Reported Outcome Measurement Information System (PROMIS) computerized adaptive tests, and Valued Life Activities (VLA) self-reported disability were assessed. Differences between frail and non-frail participants were evaluated cross-sectionally, and the association of frailty with disability was determined for both metrics.

resultsOf 67 participants, 17.9% (FP) and 26.9% (SLICC-FI) were frail according to each metric (kappa = 0.41, P < 0.01). Compared with non-frail women, frail women had greater disease damage, worse PROMIS scores, and greater disability (all P < 0.01 for FP and SLICC-FI). After age adjustment, frailty remained associated with a greater odds of disability [FP: odds ratio (OR) 4.7, 95% CI 1.2, 18.8; SLICC-FI: OR 4.6, 95% CI 1.3, 15.8].

conclusionFrailty is present in 17.9-26.9% of women with SLE. These metrics identified a similar, but non-identical group of women as frail. Further studies are needed to explore which metric is most informative in this population.

Indexed as

FrailtyLupus Erythematosus, SystemicAdolescentAdultAgedCross-Sectional StudiesDisability EvaluationFemaleHumansMiddle AgedPrevalenceSelf ReportSeverity of Illness IndexYoung Adultdisabilityfrailtypatient-reported outcome measuresSLE

Identifiers

PMID37555816
PMCPMC11065438

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.