Rheumatoid arthritis

Prevalence of frailty and pre-frailty in patients with rheumatoid arthritis: a systematic literature review and meta-analysis

Clin Exp RheumatolPublished Systematic review and meta-analysis

Authors' conclusion

(Pre-)frailty is common in RA patients. Large part of the variation is explained by clinical and methodological heterogeneity.

Study context

Population
Patients with RA, studies 2001–2021 (weighted average age 58.0 years)25/1,363 studies included
Outcome
Prevalence of (pre-)frailty in RA patients
Methodological detailsrandom effects models, conference abstracts included, two independent reviewers
  • Random effects models
  • Conference abstracts included
  • Two independent reviewers

Pooled result

As reported in the abstract

Pooled prevalence (Fried criteria meta-analysis)

Pre-frailty pooled prevalence

52.8%

95% CI 42.7–62.8; I2=99%

Frailty pooled prevalence

24.0%

95% CI 19.4–28.6; I2=96%

Further pooled results

Prevalence ranges across all included studies (systematic literature review (SLR))

Pre-frailty prevalence range (median 35.8%)
20.4%-71%
Frailty prevalence range (median 23.1%)
1.2%-75.1%

Prevalence by age and by instrument

(Pre-)frailty highly prevalent in all age groups
Prevalence generally higher with instruments including psychological and social domains vs solely physical domain

Original publication

Prevalence of frailty and pre-frailty in patients with rheumatoid arthritis: a systematic literature review and meta-analysis. Clin Exp Rheumatol. Published 12 July 2022. doi:10.55563/clinexprheumatol/1kr7bs

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