Evidence map›Paper›PMID 39954270›Full record

Observational studyThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Multivariate Profiling of Physical Resilience in Older Adults After Total Knee Replacement Surgery: Results From a Prospective Observational Study.

Qian-Li Xue, Thomas Laskow, Mallak K Alzahrani, Ravi Varadhan, Jeremy D Walston, Jennifer A Schrack, Anne B Newman, Frederick Sieber, Karen Bandeen-Roche

Abstract readObservational Study
In one paragraph

Observational study in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Clinical predictors of resilience following total knee arthroplasty: the PRIME-KNEE study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. 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

9 authors.

Qian-Li XueDepartment of Medicine Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0001-8818-7444
Thomas LaskowDepartment of Medicine Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0003-0173-1588
Mallak K AlzahraniDepartment of Medicine Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Ravi VaradhanCenter on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.ORCID 0000-0002-8434-1034
Jeremy D WalstonDepartment of Medicine Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Jennifer A SchrackCenter on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.ORCID 0000-0001-9244-9267
Anne B NewmanDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-0106-1150
Frederick SieberDepartment of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Karen Bandeen-RocheCenter on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
ConProject-001UH3AG056933 · NIA · JOHNS HOPKINS UNIVERSITY · PI BANDEEN-ROCHE, KAREN J., VARADHAN, RAVI · 2019 to 2021
$7.0M
Characterizing Resiliencies to Physical Stressors in Older Adults: A Dynamical Physiological Systems ApproachUH2AG056933 · NIA · JOHNS HOPKINS UNIVERSITY · PI BANDEEN-ROCHE, KAREN J., VARADHAN, RAVI · 2017 to 2018
$3.5M
NIA NIH HHS P30 AG021334NIA NIH HHS UH2 AG056933NIA NIH HHS UH3 AG056933NIH HHSUnited States of America
6 · The paper itself

Abstract

backgroundAs individuals age, their ability to cope with and recover from health challenges becomes vital for maintaining independence and quality of life. This study aims to develop a multivariate phenotype of physical resilience based on individual recovery dynamics before and after a physical stressor.

methodsThis prospective observational study included 104 individuals aged ≥60 who underwent elective total knee replacement (TKR) for degenerative joint disease between December 2, 2019 and January 4, 2023. A multivariate resilience phenotype was derived from physical function assessments over 12 months after TKR using the Short Physical Performance Battery, the Pittsburgh Fatigability Scale Physical Subscale, the Knee Injury and Osteoarthritis Outcome Quality of Life Score, and the 36-Item Short Form Health Survey Physical Component Score. Validation was performed using markers (ie, frailty and self-reported health) and determinants (eg, the Charlson Comorbidity Index (CCI)) of recovery potential.

resultsDistinct resilience profiles were identified across the 4 measures, showing varied baseline levels and/or change rates over 12 months. By combining and analyzing resilience profiles across measures, 2 distinct groups emerged: 33.7% were classified as nonresilient and 66.4% as resilient. The nonresilient group had a higher prevalence of frailty (37.1% vs 10.1%, p < .01), poor or fair self-reported health (48.6% vs 5.8%, p < .01), and moderate or severe comorbidity burden (CCI > 2; 28.6% vs 10.1%, p = .03).

conclusionsRecovery trajectories after TKR revealed varying resilience levels that could not be fully explained by baseline health status. Understanding individual resilience can enhance patient care by promoting recovery and overall well-being.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeResilience, PsychologicalAgedAged, 80 and overFemaleFrailtyHumansMaleMiddle AgedProspective StudiesQuality of LifeRecovery of FunctionFrailtyLatent variable modelingPhysiologic reserveRobustnessStressor

Identifiers

PMID39954270
PMCPMC12061853

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.