Increased mortality after kidney transplantation in mildly frail recipients
Pérez-Sáez, María José ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Arias Cabrales, Carlos E ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Redondo-Pachón, Dolores ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Burballa, Carla ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Buxeda, Anna ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Bach Pascual, Anna ![ORCID Identifier](/img/uab/orcid.ico)
(Hospital del Mar (Barcelona, Catalunya))
Faura, Anna
(Hospital del Mar (Barcelona, Catalunya))
Junyent, Ernestina (Hospital del Mar (Barcelona, Catalunya))
Marco, Ester
(Parc de Salut MAR de Barcelona)
Rodríguez-Mañas, Leocadio
(Hospital Universitario de Getafe (Madrid))
Crespo, Marta
(Hospital del Mar (Barcelona, Catalunya))
Pascual Santos, Julio
(Hospital del Mar (Barcelona, Catalunya))
Universitat Autònoma de Barcelona
Date: |
2022 |
Abstract: |
Physical Frailty Phenotype (PFP) is the most used frailty instrument among kidney transplant recipients, classifying patients as pre-frail if they have 1-2 criteria and as frail if they have ≥3. However, different definitions of robustness have been used among renal patients, including only those who have 0 criteria, or those with 0-1 criteria. Our aim was to determine the impact of one PFP criterion on transplant outcomes. We undertook a retrospective study of 296 kidney transplant recipients who had been evaluated for frailty by PFP at the time of evaluating for transplantation. Only 30. 4% of patients had 0 criteria, and an additional 42. 9% showed one PFP criterion. As PFP score increased, a higher percentage of women and cerebrovascular disease were found. Recipients with 0-1 criteria had lower 1-year mortality after transplant than those with ≥2 (1. 8% vs 10. 1%), but this difference was already present when we only considered those who scored 0 (mortality 1. 1%) and 1 (mortality 2. 4%) separately. The multivariable analysis confirmed that one PFP criterion was associated to a higher risk of patient death after kidney transplantation [hazard ratio 3. 52 (95% confidence interval 1. 03-15. 9)]. Listed kidney transplant candidates frequently show only one PFP frailty criterion. This has an independent impact on patient survival after transplantation. |
Grants: |
Instituto de Salud Carlos III PI19/00037 Instituto de Salud Carlos III CM19/00004
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Rights: |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. ![Creative Commons](/img/licenses/by-nc.ico) |
Language: |
Anglès |
Document: |
Article ; recerca ; Versió publicada |
Subject: |
Frailty phenotype ;
Fried ;
Survival ;
Transplant |
Published in: |
Clinical Kidney Journal, Vol. 15 (june 2022) , p. 2089-2096, ISSN 2048-8513 |
DOI: 10.1093/ckj/sfac159
PMID: 36325004
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Record created 2022-11-10, last modified 2024-05-10