Lupus & antiphospholipid syndrome

Comparison of two frailty definitions in women with systemic lupus erythematosus

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Frailty is present in 17.9-26.9% of women with SLE. These metrics identified a similar, but non-identical group of women as frail.

Study context

Population
Women aged 18–70 years with SLE
Participants
67 women
Exposure
Fried phenotype vs SLICC Frailty Index
Outcome
Frailty prevalence according to each metric

Main finding

Frailty prevalence

Kappa

0.41

P < 0.01

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Association of frailty with disability (age-adjusted)FP frailvs FP non-frailAge-adjusted · After age adjustment4.7 (1.2–18.8)
Association of frailty with disability (age-adjusted)SLICC-FI frailvs SLICC-FI non-frailAge-adjusted · After age adjustment4.6 (1.3–15.8)

Frail vs non-frail women: disease damage, Patient Reported Outcome Measurement Information System (PROMIS) scores, disability

Frail women had greater disease damage, worse PROMIS scores and greater disability (all P < 0.01 for Fried phenotype (FP) and SLICC Frailty Index (SLICC-FI))

Original publication

Comparison of two frailty definitions in women with systemic lupus erythematosus. Rheumatology (Oxford). Published 9 August 2023. doi:10.1093/rheumatology/kead393

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