Evidence map›Paper›PMID 38083820›Full record

ArticleACR open rheumatology2024

Psychometric Properties of Frailty Instruments in Adults With Rheumatoid Arthritis: A Systematic Review.

Courtney N Loecker, Myra S Schmaderer, Katherine D Wysham, Bunny Pozehl, Lani Zimmerman, Bryant R England

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
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

6 authors at 3 institutions in 1 country.

Courtney N LoeckerUniversity of Nebraska Medical Center College of Nursing, Lincoln.ORCID https://orcid.org/0000-0002-2754-5233
Myra S SchmadererUniversity of Nebraska Medical Center College of Nursing, Lincoln.ORCID https://orcid.org/0000-0003-1003-0871
Katherine D WyshamUS Department of Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle.ORCID https://orcid.org/0000-0001-8707-7649
Bunny PozehlUniversity of Nebraska Medical Center College of Nursing, Omaha.ORCID https://orcid.org/0000-0002-7157-8817
Lani ZimmermanUniversity of Nebraska Medical Center College of Nursing, Lincoln.ORCID https://orcid.org/0000-0003-3310-8221
Bryant R EnglandUS Department of Veterans Affairs Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID https://orcid.org/0000-0002-9649-3588
University of Nebraska–Lincoln · USUnited States Department of Veterans Affairs · USUniversity of Nebraska Medical Center · US

Funding

Improving the Management of Rheumatoid Arthritis-Associated Lung Disease in Veterans Using Real-World DataIK2CX002203 · VA · OMAHA VA MEDICAL CENTER · PI Bryant R England · 2021 to 2026
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Quantifying the Impact of Frailty on Osteoporosis and Fractures in Veterans with Rheumatoid ArthritisIK2CX002351 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI Katherine D Wysham · 2022 to 2026
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CSRD VA IK2 CX002203CSRD VA IK2 CX002351
6 · The paper itself

Abstract

objectiveExamine psychometric properties of frailty instruments used in adults with rheumatoid arthritis (RA) to inform selection of frailty instruments for clinical and research use.

methodsA systematic review was registered in PROSPERO. Studies measuring frailty in adults with RA published before May 25, 2022, were searched in six electronic databases. Level of evidence of psychometric properties were synthesized and graded for each frailty instrument using Consensus-Based Standards for the Selection of Health Measurement Instruments methodology.

resultsThere were 22 articles included in the review, and psychometric properties of 16 frailty instruments were examined. RA cohorts were predominantly female with moderate RA disease activity, mean age was 60.1 years, and frailty prevalence ranged widely from 10% to 85%. Construct validity was the only psychometric property routinely examined for frailty instruments in RA, and nearly all (14/16) performed favorably in this domain. Frailty correlated most frequently with older age, higher RA disease activity, and worse physical function. Internal consistency, measurement error, and content validity were examined infrequently. Reliability and responsiveness data were not reported. Six frailty instruments were rated highest in adults with RA: three adaptations of Fried's Criteria, 32-Item and 45-Item Frailty Indexes, and the Comprehensive Rheumatologic Assessment of Frailty.

conclusionSix frailty instruments possessed the highest-rated psychometric properties in RA. These instruments demonstrated construct validity of frailty with important outcomes in RA. Frailty assessment shows promise to inform risk stratification in RA, but studies are needed to evaluate reliability, responsiveness, and validity to support accuracy of frailty measurement in adults with RA who may have disease-related features that differentially impact outcomes.

Identifiers

PMID38083820
PMCPMC10867294
OpenAlexW4389609261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.