Evidence map›Paper›PMID 38350846›Full record

ArticleBMC geriatrics2024

Comprehensive geriatric assessment predicts listing for kidney transplant in patients with end-stage renal disease: a retrospective cohort study.

Jay Patel, Michelle Martinchek, Dawson Mills, Sheraz Hussain, Yousef Kyeso, Megan Huisingh-Scheetz, Daniel Rubin, Andrea J Landi, Arielle Cimeno, Maria Lucia L Madariaga

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. FI-CGA and eFI-CGA in Frailty Care: a Scoping Review.Canadian geriatrics journal : CGJ · 2026
    Review
  4. Review
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

10 authors at 2 institutions in 1 country.

Jay PatelPritzker School of Medicine, University of Chicago, 5841 S. Maryland Ave. MC5047, 60637, Chicago, IL, USA. jaypatel7@uchicago.edu.
Michelle MartinchekGeriatrics and Extended Care and New England Geriatrics Research Education and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, MA, USA.
Dawson MillsPritzker School of Medicine, University of Chicago, 5841 S. Maryland Ave. MC5047, 60637, Chicago, IL, USA.
Sheraz HussainDepartment of Medicine, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Yousef KyesoDepartment of Medicine, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Megan Huisingh-ScheetzDepartment of Medicine, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Daniel RubinDepartment of Anesthesia, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Andrea J LandiDepartment of Medicine, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Arielle CimenoDepartment of Surgery, University of Chicago Medicine & Biological Sciences, Chicago, USA.
Maria Lucia L MadariagaDepartment of Surgery, University of Chicago Medicine & Biological Sciences, Chicago, USA.
University of Chicago · USGeriatric Research Education and Clinical Center · US

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S., LYNCH, ELIZABETH B · 2021 to 2025
$24.3M
At-home gait-cadence functional assessment and recovery trajectory for older adults undergoing major abdominal surgeryR03AG078957 · NIA · UNIVERSITY OF CHICAGO · PI RUBIN, DANIEL STEVEN · 2022 to 2023
$328k
NIA NIH HHS R03 AG078957NIMHD NIH HHS P50 MD017349
6 · The paper itself

Abstract

backgroundComprehensive geriatric assessment (CGA) involves a formal broad approach to assess frailty and creating a plan for management. However, the impact of CGA and its components on listing for kidney transplant in older adults has not been investigated.

methodsWe performed a single-center retrospective study of patients with end-stage renal disease who underwent CGA during kidney transplant candidacy evaluation between 2017 and 2021. All patients ≥ 65 years old and those under 65 with any team member concern for frailty were referred for CGA, which included measurements of healthcare utilization, comorbidities, social support, short physical performance battery, Montreal Cognitive Assessment (MoCA), and Physical Frailty Phenotype (FPP), and estimate of surgical risk by the geriatrician.

resultsTwo hundred and thirty patients underwent baseline CGA evaluation; 58.7% (135) had high CGA ("Excellent" or "Good" rating for transplant candidacy) and 41.3% (95) had low CGA ratings ("Borderline," "Fair," or "Poor"). High CGA rating (OR 8.46; p < 0.05), greater number of CGA visits (OR 4.93; p = 0.05), younger age (OR 0.88; p < 0.05), higher MoCA scores (OR 1.17; p < 0.05), and high physical activity (OR 4.41; p < 0.05) were all associated with listing on transplant waitlist.

conclusionsThe CGA is a useful, comprehensive tool to help select older adults for kidney transplantation. Further study is needed to better understand the predictive value of CGA in predicting post-operative outcomes.

Indexed as

FrailtyKidney Failure, ChronicKidney TransplantationAgedGeriatric AssessmentHumansRetrospective StudiesComprehensive geriatric assessmentEnd-stage renal diseaseFrailtyKidney transplant waitlistOlder adults

Identifiers

PMID38350846
PMCPMC10865555
OpenAlexW4391777751

What OpenQuestion holds

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LicenceCC BY
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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.