Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study
Frailty is a frequent condition among kidney transplant candidates (KTc) that confers poor outcomes after transplantation. We aimed to establish frailty prevalence in a representative sample of KTc in Spain. We conducted a multicenter cross-sectional study including 1194 KTc ≥50 years. Frailty was a...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repositorio: | Docusalut |
| Idioma: | inglés |
| OAI Identifier: | oai:docusalut.com:20.500.13003/25396 |
| Acceso en línea: | https://hdl.handle.net/20.500.13003/25396 |
| Access Level: | acceso abierto |
| Palabra clave: | Frailty Kidney Transplantation Waiting Lists Fragilidad Trasplante de Riñón Listas de Espera FRAIL candidate frailty kidney transplant waiting list |
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Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter StudyPérez-Sáez, María JoséMelilli, EdoardoArias, MartaFranco, AntonioMartínez, RocíoSancho, AsunciónMolina, MaríaFacundo, CarmePolanco, NataliaLópez, VerónicaMazuecos, AuxiliadoraCabello Pelegrin, SheilaGonzález García, María ElenaSuárez, María LuisaAuyanet, IngridEspi, JordiGarcía Falcón, TeresaRuiz, Juan CarlosGaleano, CristinaArtamendi, MartaRodríguez-Ferrero, María LuisaPortolés, José MaríaSantana, María AuxiliadoraMartín-Moreno, Paloma LeticiaArhda, NisrineCalvo, MartaMendiluce, AliciaMacía, ManuelPérez-Tamajón, María Lourdesde Teresa, JavierGascó, BlancaSoriano, SagrarioTabernero, Guadalupede la Vara, LourdesRamos, Ana MaríaMartínez, RafaelMontero de Espinosa, EnriqueZalve, José LuisPascual, JulioRodríguez-Mañas, LeocadioGutiérrez-Dalmau, AlexMoreso, FrancescFrailtyKidney TransplantationWaiting ListsFragilidadTrasplante de RiñónListas de EsperaFRAILcandidatefrailtykidney transplantwaiting listFrailty is a frequent condition among kidney transplant candidates (KTc) that confers poor outcomes after transplantation. We aimed to establish frailty prevalence in a representative sample of KTc in Spain. We conducted a multicenter cross-sectional study including 1194 KTc ≥50 years. Frailty was assessed by the FRAIL scale. Mean age was 64.2 years; 38.4% were female. Median Charlson comorbidity index (CCI) was 6 [4-7] and the total number of medications was 9 [7-12]. We found that 8.2% of patients were frail and 41.5% were pre-frail. Frailty was more frequent among females (60.2% of frail vs. 32.8% of robust; p < 0.001), hemodialysis patients (74.5% of frail vs. 67.1% of robust; p = 0.02), and those with a high burden of disease (54.6% of frail patients with CCI >6 vs. 29.3% of robust; p < 0.001). The multivariable analysis confirmed that frailty was associated with the female sex (OR 3.9 [2.5-6.2]); higher CCI (>6 OR 2.9 [1.6-54]); and the number of medications (OR -per medication- 1.13 [1.07-1.2]). Almost 50% of KTc in Spain are pre-frail or frail. Frailty is more prevalent between women and patients with high comorbidity burden. Identifying those candidates at risk is essential to establish risks and implement strategies to minimize them.Frontiers20252025-06-2420252025-06-24research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/25396reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/253962026-06-22T12:44:07Z |
| dc.title.none.fl_str_mv |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| title |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| spellingShingle |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study Pérez-Sáez, María José Frailty Kidney Transplantation Waiting Lists Fragilidad Trasplante de Riñón Listas de Espera FRAIL candidate frailty kidney transplant waiting list |
| title_short |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| title_full |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| title_fullStr |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| title_full_unstemmed |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| title_sort |
Frailty Prevalence and Characterization Among Kidney Transplant Candidates in Spain: A Multicenter Study |
| dc.creator.none.fl_str_mv |
Pérez-Sáez, María José Melilli, Edoardo Arias, Marta Franco, Antonio Martínez, Rocío Sancho, Asunción Molina, María Facundo, Carme Polanco, Natalia López, Verónica Mazuecos, Auxiliadora Cabello Pelegrin, Sheila González García, María Elena Suárez, María Luisa Auyanet, Ingrid Espi, Jordi García Falcón, Teresa Ruiz, Juan Carlos Galeano, Cristina Artamendi, Marta Rodríguez-Ferrero, María Luisa Portolés, José María Santana, María Auxiliadora Martín-Moreno, Paloma Leticia Arhda, Nisrine Calvo, Marta Mendiluce, Alicia Macía, Manuel Pérez-Tamajón, María Lourdes de Teresa, Javier Gascó, Blanca Soriano, Sagrario Tabernero, Guadalupe de la Vara, Lourdes Ramos, Ana María Martínez, Rafael Montero de Espinosa, Enrique Zalve, José Luis Pascual, Julio Rodríguez-Mañas, Leocadio Gutiérrez-Dalmau, Alex Moreso, Francesc |
| author |
Pérez-Sáez, María José |
| author_facet |
Pérez-Sáez, María José Melilli, Edoardo Arias, Marta Franco, Antonio Martínez, Rocío Sancho, Asunción Molina, María Facundo, Carme Polanco, Natalia López, Verónica Mazuecos, Auxiliadora Cabello Pelegrin, Sheila González García, María Elena Suárez, María Luisa Auyanet, Ingrid Espi, Jordi García Falcón, Teresa Ruiz, Juan Carlos Galeano, Cristina Artamendi, Marta Rodríguez-Ferrero, María Luisa Portolés, José María Santana, María Auxiliadora Martín-Moreno, Paloma Leticia Arhda, Nisrine Calvo, Marta Mendiluce, Alicia Macía, Manuel Pérez-Tamajón, María Lourdes de Teresa, Javier Gascó, Blanca Soriano, Sagrario Tabernero, Guadalupe de la Vara, Lourdes Ramos, Ana María Martínez, Rafael Montero de Espinosa, Enrique Zalve, José Luis Pascual, Julio Rodríguez-Mañas, Leocadio Gutiérrez-Dalmau, Alex Moreso, Francesc |
| author_role |
author |
| author2 |
Melilli, Edoardo Arias, Marta Franco, Antonio Martínez, Rocío Sancho, Asunción Molina, María Facundo, Carme Polanco, Natalia López, Verónica Mazuecos, Auxiliadora Cabello Pelegrin, Sheila González García, María Elena Suárez, María Luisa Auyanet, Ingrid Espi, Jordi García Falcón, Teresa Ruiz, Juan Carlos Galeano, Cristina Artamendi, Marta Rodríguez-Ferrero, María Luisa Portolés, José María Santana, María Auxiliadora Martín-Moreno, Paloma Leticia Arhda, Nisrine Calvo, Marta Mendiluce, Alicia Macía, Manuel Pérez-Tamajón, María Lourdes de Teresa, Javier Gascó, Blanca Soriano, Sagrario Tabernero, Guadalupe de la Vara, Lourdes Ramos, Ana María Martínez, Rafael Montero de Espinosa, Enrique Zalve, José Luis Pascual, Julio Rodríguez-Mañas, Leocadio Gutiérrez-Dalmau, Alex Moreso, Francesc |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
|
| dc.subject.none.fl_str_mv |
Frailty Kidney Transplantation Waiting Lists Fragilidad Trasplante de Riñón Listas de Espera FRAIL candidate frailty kidney transplant waiting list |
| topic |
Frailty Kidney Transplantation Waiting Lists Fragilidad Trasplante de Riñón Listas de Espera FRAIL candidate frailty kidney transplant waiting list |
| description |
Frailty is a frequent condition among kidney transplant candidates (KTc) that confers poor outcomes after transplantation. We aimed to establish frailty prevalence in a representative sample of KTc in Spain. We conducted a multicenter cross-sectional study including 1194 KTc ≥50 years. Frailty was assessed by the FRAIL scale. Mean age was 64.2 years; 38.4% were female. Median Charlson comorbidity index (CCI) was 6 [4-7] and the total number of medications was 9 [7-12]. We found that 8.2% of patients were frail and 41.5% were pre-frail. Frailty was more frequent among females (60.2% of frail vs. 32.8% of robust; p < 0.001), hemodialysis patients (74.5% of frail vs. 67.1% of robust; p = 0.02), and those with a high burden of disease (54.6% of frail patients with CCI >6 vs. 29.3% of robust; p < 0.001). The multivariable analysis confirmed that frailty was associated with the female sex (OR 3.9 [2.5-6.2]); higher CCI (>6 OR 2.9 [1.6-54]); and the number of medications (OR -per medication- 1.13 [1.07-1.2]). Almost 50% of KTc in Spain are pre-frail or frail. Frailty is more prevalent between women and patients with high comorbidity burden. Identifying those candidates at risk is essential to establish risks and implement strategies to minimize them. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 2025-06-24 2025 2025-06-24 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/20.500.13003/25396 |
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https://hdl.handle.net/20.500.13003/25396 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 http://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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Frontiers |
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Frontiers |
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reponame:Docusalut instname:Conselleria de Salut i Consum del Govern de les Illes Balears |
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Conselleria de Salut i Consum del Govern de les Illes Balears |
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