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Perceived frailty and measured frailty among adults undergoing hemodialysis: a cross-sectional analysis

Overview of attention for article published in BMC Geriatrics, April 2015
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86 Dimensions

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Title
Perceived frailty and measured frailty among adults undergoing hemodialysis: a cross-sectional analysis
Published in
BMC Geriatrics, April 2015
DOI 10.1186/s12877-015-0051-y
Pubmed ID
Authors

Megan L Salter, Natasha Gupta, Allan B Massie, Mara A McAdams-DeMarco, Andrew H Law, Reside Lorie Jacob, Luis F Gimenez, Bernard G Jaar, Jeremy D Walston, Dorry L Segev

Abstract

Frailty, a validated measure of physiologic reserve, predicts adverse health outcomes among adults with end-stage renal disease. Frailty typically is not measured clinically; instead, a surrogate-perceived frailty-is used to inform clinical decision-making. Because correlations between perceived and measured frailty remain unknown, the aim of this study was to assess their relationship. 146 adults undergoing hemodialysis were recruited from a single dialysis center in Baltimore, Maryland. Patient characteristics associated with perceived (reported by nephrologists, nurse practitioners (NPs), or patients) or measured frailty (using the Fried criteria) were identified using ordered logistic regression. The relationship between perceived and measured frailty was assessed using percent agreement, kappa statistic, Pearson's correlation coefficient, and prevalence of misclassification of frailty. Patient characteristics associated with misclassification were determined using Fisher's exact tests, t-tests, or median tests. Older age (adjusted OR [aOR] = 1.36, 95%CI:1.11-1.68, P = 0.003 per 5-years older) and comorbidity (aOR = 1.49, 95%CI:1.27-1.75, P < 0.001 per additional comorbidity) were associated with greater likelihood of nephrologist-perceived frailty. Being non-African American was associated with greater likelihood of NP- (aOR = 5.51, 95%CI:3.21-9.48, P = 0.003) and patient- (aOR = 4.20, 95%CI:1.61-10.9, P = 0.003) perceived frailty. Percent agreement between perceived and measured frailty was poor (nephrologist, NP, and patient: 64.1%, 67.0%, and 55.5%). Among non-frail participants, 34.4%, 30.0%, and 31.6% were perceived as frail by a nephrologist, NP, or themselves. Older adults (P < 0.001) were more likely to be misclassified as frail by a nephrologist; women (P = 0.04) and non-African Americans (P = 0.02) were more likely to be misclassified by an NP. Neither age, sex, nor race was associated with patient misclassification. Perceived frailty is an inadequate proxy for measured frailty among patients undergoing hemodialysis.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 103 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 <1%
Unknown 102 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 16 16%
Student > Bachelor 14 14%
Student > Master 12 12%
Student > Doctoral Student 9 9%
Student > Postgraduate 7 7%
Other 18 17%
Unknown 27 26%
Readers by discipline Count As %
Medicine and Dentistry 44 43%
Nursing and Health Professions 17 17%
Agricultural and Biological Sciences 4 4%
Social Sciences 2 2%
Psychology 2 2%
Other 5 5%
Unknown 29 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 March 2017.
All research outputs
#14,223,874
of 22,803,211 outputs
Outputs from BMC Geriatrics
#2,130
of 3,183 outputs
Outputs of similar age
#139,409
of 265,139 outputs
Outputs of similar age from BMC Geriatrics
#26
of 30 outputs
Altmetric has tracked 22,803,211 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,183 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,139 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 30 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.