0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Frailty in Dialysis-Dependent Patients With End-Stage Renal Disease

Nancy G. Kutner, PhD; Rebecca Zhang, MS
JAMA Intern Med. 2013;173(1):78-79. doi:10.1001/2013.jamainternmed.750.
Text Size: A A A
Published online

Extract

In a national cohort of patients starting renal replacement therapy, Bao and colleagues1 classified 73% as frail using a modification of criteria proposed by Fried et al2 in their seminal delineation of a frailty phenotype. Bao et al1(p1071) describe frailty as “extremely common among patients starting dialysis in the United States” and, more generally, as a “clinical syndrome highly prevalent in the population with end-stage renal disease (ESRD).” While we fully support the recognition of frailty and understanding of contributors to frailty as valuable research objectives, the article by Bao et al1 provides a case in point that assignment of frailty classification is very dependent on the particular criteria and operational measures that are applied. In particular, reliance on a patient-reported measure of physical functioning (PF) as a substitute for performance-based measures of weakness and slowness specified in the frailty phenotype validated by Fried et al2 may yield a different picture of the prevalence of “frailty.”

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

January 14, 2013
Yeran Bao, MD; Kirsten L. Johansen, MD
JAMA Intern Med. 2013;173(1):78-79. doi:10.1001/jamainternmed.2013.1411.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Care at the Close of Life EDUCATION GUIDES
Practical Considerations in Dialysis Withdrawal


Hemodialysis

brightcove.createExperiences();