Evidence map›Paper›PMID 39158949›Full record

Observational studyClinical transplantation2024

Prospective Cohort Study Examining the Ability of Performance-Based and Self-Reported Frailty Measures to Predict 30-Day Rehospitalizations After Kidney Transplantation.

Elizabeth C Lorenz, Byron H Smith, Girish Mour, Hani M Wadei, Cassie C Kennedy, Carrie A Schinstock, Walter K Kremers, Andrea L Cheville, Nathan K LeBrasseur, Andrew D Rule

Abstract readObservational Study
In one paragraph

Observational study in Clinical transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Associations of Pretransplant Patient-Reported Outcomes Measurement Information System Physical Function Score With Kidney Transplant Outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  3. Article
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.

Elizabeth C LorenzSection of Nephrology, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0003-1012-9409
Byron H SmithDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-9318-2437
Girish MourDivision of Nephrology and Hypertension, Mayo Clinic, Scottsdale, Arizona, USA.ORCID 0000-0003-3764-0047
Hani M WadeiDivision of Nephrology and Hypertension, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0003-4886-0897
Cassie C KennedyDivision of Pulmonary, Critical Care, and Sleep Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-3219-165X
Carrie A SchinstockDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-3274-3277
Walter K KremersDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-5714-3473
Andrea L ChevilleDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-7668-6115
Nathan K LeBrasseurDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-2002-0418
Andrew D RuleDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-0338-7784

Funding

Improving frailty and long-term outcomes after kidney transplantationK23DK123313 · NIDDK · MAYO CLINIC ROCHESTER · PI LORENZ, ELIZABETH C. · 2019 to 2023
$795k
NIDDK NIH HHS DK 123313NIDDK NIH HHS K23 DK123313
6 · The paper itself

Abstract

Performance-based measures of frailty are associated with healthcare utilization after kidney transplantation (KT) but require in-person assessment. A promising alternative is self-reported frailty. The goal of this study was to examine the ability of performance-based and self-reported frailty measures to predict 30-day rehospitalizations after KT. We conducted a prospective, observational cohort study involving 272 adults undergoing KT at Mayo Clinic in Minnesota, Florida, or Arizona. We simultaneously measured frailty before KT using the physical frailty phenotype (PFP), the short physical performance battery (SPPB), and self-report (the Patient-Reported Outcomes Measurement Information System [PROMIS] 4-item physical function short form v2.0). Both the PFP and self-reported frailty were independently associated with more than a 2-fold greater odds of 30-day rehospitalizations, while the SPPB was not. To our knowledge, this is the first study to assess the prognostic value of all three of the above frailty measures in patients undergoing KT. The PFP is more prognostic than the SPPB when assessing the risk of 30-day rehospitalizations; self-reported frailty can complement the PFP but not replace it. However, the 4-item survey assessing self-reported frailty represents a simple way to identify patients undergoing KT surgery who would benefit from interventions to lower the risk of rehospitalizations.

Indexed as

FrailtyKidney TransplantationPatient ReadmissionSelf ReportAdultAgedFemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedPostoperative ComplicationsPrognosisProspective StudiesRisk Factorsfrailtykidney transplantationrehospitalizations

Identifiers

PMID39158949
PMCPMC11346310

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.