Evidence map›Paper›PMID 37578673›Full record

SynthesisInternational urology and nephrology2024

The prevalence and influencing factors of frailty in patients with chronic kidney disease: a systematic review and meta-analysis.

Bo-Han Li, Ni Sang, Meng-Yao Zhang, Zhi-Rou Liu, Ruo-Xuan Fang, Wen-Jing Liu, De-Guang Wang, Guo-Cui Wu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Association Between Frailty and Cognitive Impairment in Chronic Kidney Disease: A Systematic Review and Meta-Analysis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Pooled it
  2. Observational
  3. Review
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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.

Bo-Han Li *School of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.
Ni Sang *School of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.ORCID http://orcid.org/0000-0002-4806-3444
Meng-Yao Zhang *School of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.ORCID http://orcid.org/0000-0001-7164-9278
Zhi-Rou Liu *School of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.ORCID http://orcid.org/0000-0002-2870-1939
Ruo-Xuan FangSchool of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.ORCID http://orcid.org/0000-0001-5347-0637
Wen-Jing LiuSchool of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China.ORCID http://orcid.org/0000-0002-0917-6729
De-Guang WangDepartment of Nephrology, The Second Hospital of Anhui Medical University, Hefei, 230601, Anhui, China. wangdeguang@ahmu.edu.cn.ORCID http://orcid.org/0000-0003-4799-3241
Guo-Cui WuSchool of Nursing, Anhui Medical University, 15 Feicui Road, Hefei, 230032, Anhui, China. gcwu82@126.com.ORCID http://orcid.org/0000-0003-0508-0612

Funding

a grant from the Seedling cultivation programme of the School of Nursing, Anhui Medical University in 2023 hlqm12023043the provincial project of Undergraduate Innovation and Entrepreneurship Training Program of Anhui Medical University in 2021 S202110366100
6 · The paper itself

Abstract

backgroundTo investigate the prevalence and influencing factors of frailty and pre-frailty in chronic kidney disease (CKD) patients and thereby provide a scientific basis for effective avoidance of frailty in patients with CKD.

methodsPubMed, EMBASE, Web of Science, EBSCO, Cochrane Library, CNKI, VIP, CBMdisc, and Wanfang databases were searched for relevant studies published till December 31, 2021. The summary results were described as odds ratios (ORs) or standardized mean differences (SMDs) with 95% confidence intervals (CIs). A meta-analysis was performed using StataSE12.0.

resultsFifteen published studies, which enrolled a total of 3294 CKD patients, met the inclusion criteria. The combined prevalence of frailty in CKD patients was 38.1% (95% CI 29.7-46.5%) and pre-frailty was 37.9% (95% CI 32.7-43.1%). The main factors influencing frailty in CKD patients were age (SMD 0.524, 95% CI 0.326-0.723), diastolic blood pressure (SMD - 0.294, 95% CI - 0.518 to - 0.071), body mass index (BMI) (SMD - 0.267, 95% CI - 0.471 to - 0.064), grip strength (SMD - 0.929, 95% CI - 1.233 to - 0.626), hemoglobin level (SMD - 0.346, 95% CI - 0.448 to - 0.243), serum albumin level (SMD - 0.533, 95% CI - 0.655 to - 0.411), Charlson Comorbidity Index (SMD 0.421, 95% CI 0.150-0.692), multiple medications (SMD 0.625, 95% CI 0.354-0.895), Mini-Mental State Examination (MMSE) score (SMD - 0.563, 95% CI - 0.846 to - 0.280), and female (OR 2.391, 95% CI 1.236-4.627).

conclusionFrailty is common in CKD patients. The prevalence of frailty among CKD patients was related to age, diastolic blood pressure, BMI, grip strength, hemoglobin and serum albumin levels, Charlson Comorbidity Index, multiple medications, MMSE score, and female.

Indexed as

FrailtyRenal Insufficiency, ChronicFemaleHemoglobinsHumansPrevalenceSerum AlbuminHemoglobinsSerum AlbuminChronic kidney diseaseFrailtyInfluencing factorsMeta-analysis

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.