The prevalence of frailty among older adults with maintenance hemodialysis: a systematic

Abstract Background To evaluate the epidemiological data on the prevalence of frailty and prefrailty in individuals aged 60 years or older on MHD patients. Methods PubMed, Web of Science, Embase, CNKI, WanFang, CBM, and VIP were searched from inception to February 2023 using combinations of subject...

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Main Authors: Juanjuan Li, Wenyi Xiao, Lijuan Wang, Miao Zhang, Yurong Ge
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nephrology
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Online Access:https://doi.org/10.1186/s12882-024-03921-3
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author Juanjuan Li
Wenyi Xiao
Lijuan Wang
Miao Zhang
Yurong Ge
author_facet Juanjuan Li
Wenyi Xiao
Lijuan Wang
Miao Zhang
Yurong Ge
author_sort Juanjuan Li
collection DOAJ
description Abstract Background To evaluate the epidemiological data on the prevalence of frailty and prefrailty in individuals aged 60 years or older on MHD patients. Methods PubMed, Web of Science, Embase, CNKI, WanFang, CBM, and VIP were searched from inception to February 2023 using combinations of subject words and free words. The methodological quality of all the selected studies was assessed using the Joanna Briggs Institute Critical Appraisal of Epidemiological Studies Checklist and Newcastle‒Ottawa Cohort Quality Assessment Scale. Random effects meta-analysis was used to pool estimates from different studies. Subgroup analysis and meta-regression were performed to explore potential sources of heterogeneity. Results Of the 4,190 documents retrieved, 16 observational studies involving 2,446 participants from 8 countries were included in this systematic review. Among older adults receiving MHD, the overall prevalence of frailty and prefrailty was 41% (95% CI = 34–49%) and 37% (95% CI = 26–48%), respectively, with considerable heterogeneity. The pooled prevalence of frailty was greater among individuals aged > 70 years (45%) than among those aged ≤ 70 years (37%). However, subgroup analyses indicated that the confidence intervals for the age group overlap substantially. Conclusion Our research showed that the prevalence of frailty and prefrailty in older patients with MHD are high. Trial registration The PROSPERO registration number for this study was CRD42023442569.
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spelling doaj-art-95c87dc92d8d4177bc141e07a39099b52025-01-12T12:11:31ZengBMCBMC Nephrology1471-23692025-01-0126111010.1186/s12882-024-03921-3The prevalence of frailty among older adults with maintenance hemodialysis: a systematicJuanjuan Li0Wenyi Xiao1Lijuan Wang2Miao Zhang3Yurong Ge4College of Nursing, Ningxia Medical UniversityCollege of Nursing, Ningxia Medical UniversityCollege of Nursing, Ningxia Medical UniversityCollege of Nursing, Ningxia Medical UniversityDepartment of Medical Education, People’s Hospital of Ningxia Hui Autonomous RegionAbstract Background To evaluate the epidemiological data on the prevalence of frailty and prefrailty in individuals aged 60 years or older on MHD patients. Methods PubMed, Web of Science, Embase, CNKI, WanFang, CBM, and VIP were searched from inception to February 2023 using combinations of subject words and free words. The methodological quality of all the selected studies was assessed using the Joanna Briggs Institute Critical Appraisal of Epidemiological Studies Checklist and Newcastle‒Ottawa Cohort Quality Assessment Scale. Random effects meta-analysis was used to pool estimates from different studies. Subgroup analysis and meta-regression were performed to explore potential sources of heterogeneity. Results Of the 4,190 documents retrieved, 16 observational studies involving 2,446 participants from 8 countries were included in this systematic review. Among older adults receiving MHD, the overall prevalence of frailty and prefrailty was 41% (95% CI = 34–49%) and 37% (95% CI = 26–48%), respectively, with considerable heterogeneity. The pooled prevalence of frailty was greater among individuals aged > 70 years (45%) than among those aged ≤ 70 years (37%). However, subgroup analyses indicated that the confidence intervals for the age group overlap substantially. Conclusion Our research showed that the prevalence of frailty and prefrailty in older patients with MHD are high. Trial registration The PROSPERO registration number for this study was CRD42023442569.https://doi.org/10.1186/s12882-024-03921-3Maintenance hemodialysisOlder adultsFrailtyMeta-analysis
spellingShingle Juanjuan Li
Wenyi Xiao
Lijuan Wang
Miao Zhang
Yurong Ge
The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
BMC Nephrology
Maintenance hemodialysis
Older adults
Frailty
Meta-analysis
title The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
title_full The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
title_fullStr The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
title_full_unstemmed The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
title_short The prevalence of frailty among older adults with maintenance hemodialysis: a systematic
title_sort prevalence of frailty among older adults with maintenance hemodialysis a systematic
topic Maintenance hemodialysis
Older adults
Frailty
Meta-analysis
url https://doi.org/10.1186/s12882-024-03921-3
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