Evidence map›Paper›PMID 37870484›Full record

ArticleJournal of Crohn's & colitis2024

Frailty Screening is Associated with Hospitalization and Decline in Quality of Life and Functional Status in Older Patients with Inflammatory Bowel Disease.

Vera E R Asscher, Mar Rodriguez Gírondo, Jesse Fens, Sanne N Waars, Rogier J L Stuyt, A Martine C Baven-Pronk, Nidhi Srivastava, Rutger J Jacobs, Jeoffrey J L Haans, Lennart J Meijer and 15 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of Crohn's & colitis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% of its field
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

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

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
  2. Review
  3. Review
  4. Observational
  5. Article
  6. 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

25 authors at 7 institutions in 1 country.

Vera E R AsscherDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.ORCID 0000-0002-2447-3123
Mar Rodriguez GírondoDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.
Jesse FensDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Sanne N WaarsDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Rogier J L StuytDepartment of Gastroenterology and Hepatology, HagaZiekenhuis, The Hague, the Netherlands.
A Martine C Baven-PronkDepartment of Gastroenterology and Hepatology, Groene Hart Ziekenhuis, Gouda, the Netherlands.
Nidhi SrivastavaDepartment of Gastroenterology and Hepatology, Haaglanden Medical Centre, The Hague, the Netherlands.
Rutger J JacobsDepartment of Gastroenterology and Hepatology, Alrijne Hospital, Leiden and Leiderdorp, the Netherlands.
Jeoffrey J L HaansDepartment of Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Lennart J MeijerDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Jacqueline D Klijnsma-SlagboomDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Marijn H DuinDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Milou E R PetersDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Felicia V Y L Lee-KongDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Nanda E ProvoostDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Femke TijdemanDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Kenan T van DijkDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Monse W M WielandDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Mirre G M VerstegenDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Melissa E van der MeijsDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Annemijn D I MaanDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Floor J van DeudekomDepartment of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.
Andrea E van der Meulen-de JongDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Simon P MooijaartDepartment of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.ORCID 0000-0003-3106-3568
P W Jeroen MaljaarsDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Leiden University · NLAlrijne Ziekenhuis · NLGroene Hart Ziekenhuis · NLHaga Hospital · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsOur goals were to study frailty screening in association with hospitalization and decline in quality of life [QoL] and functional status in older patients with inflammatory bowel diseases [IBD].

methodsThis was a prospective multicentre cohort study in IBD patients ≥65 years old using frailty screening [G8 Questionnaire]. Outcomes were all-cause, acute, and IBD-related hospitalization, any infection, any malignancy, QoL [EQ5D-3L], and functional decline (Instrumental Activities of Daily Living [IADL]) during 18 months of follow-up. Confounders were age, IBD type, biochemical disease activity [C-reactive protein ≥10 mg/L and/or faecal calprotectin ≥250 µg/g], and comorbidity [Charlson Comorbidity Index].

resultsOf 405 patients, with a median age of 70 years, 196 [48%] were screened as being at risk for frailty. All-cause hospitalizations occurred 136 times in 96 patients [23.7%], and acute hospitalizations 103 times in 74 patients [18.3%]. Risk of frailty was not associated with all-cause (adjusted hazard ratio [aHR] 1.5, 95% confidence interval [CI] 0.9-2.4), but was associated with acute hospitalizations [aHR 2.2, 95% CI 1.3-3.8]. Infections occurred in 86 patients [21.2%] and these were not associated with frailty. A decline in QoL was experienced by 108 [30.6%] patients, and a decline in functional status by 46 patients [13.3%]. Frailty screening was associated with a decline in QoL (adjusted odds ratio [aOR] 2.1, 95% CI 1.3-3.6) and functional status [aOR 3.7, 95% CI 1.7-8.1].

conclusionsFrailty screening is associated with worse health outcomes in older patients with IBD. Further studies are needed to assess the feasibility and effectiveness of its implementation in routine care.

Indexed as

FrailtyFunctional StatusHospitalizationInflammatory Bowel DiseasesQuality of LifeActivities of Daily LivingAgedAged, 80 and overFemaleFrail ElderlyGeriatric AssessmentHumansMaleProspective StudiesSurveys and QuestionnairesCrohn’s diseaseelderlyfunctional declinegeriatric screeningulcerative colitis

Identifiers

PMID37870484
PMCPMC11037105
OpenAlexW4387866285

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.