Conflating Disability, Frailty, and Multimorbidity in Adult Spinal Deformity Patients

Frailty was rare (6%) in this multicenter cohort of patients. Conflation of disability and frailty is a real risk due to overlap in measures of both conditions. Disability and frailty do not form discrete categories but rather exist along a continuum, underscoring the need to abandon categorical labels in favor of continuous measures for both clinical assessment and research settings.

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Publication Details

Journal
Spine
Published
2025-09-16
DOI
https://doi.org/10.1097/brs.0000000000005508
Primary Topic
Scoliosis diagnosis and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Conflating Disability, Frailty, and Multimorbidity in Adult Spinal Deformity Patients

Lawrence G. Lenke, Justin S. Smith, Renaud Lafage, Pierce D. Nunley et al.
Spine
Scoliosis diagnosis and treatment
article

Conflating Disability, Frailty, and Multimorbidity in Adult Spinal Deformity Patients

Lawrence G. Lenke, Justin S. Smith, Renaud Lafage, Pierce D. Nunley, Christopher Pearson Ames, Jeffrey M. Hills, Alex Soroceanu, Francis Lovecchio, Breton Line, Themistocles Stavros Protopsaltis, Eric O. Klineberg, Michael P. Kelly, Jeffrey Lynn Gum, Gregory M. Mundis, Richard A. Hostin, Shay R. Bess, Munish Chandra Gupta, Khaled M. Kebaish, Virginie Lafage, Han Jo Kim, David Kojo Hamilton, Frank J. Schwab, Robert K. Eastlack, Christopher I. Shaffrey, Peter G. Passias
article en

Abstract

Frailty was rare (6%) in this multicenter cohort of patients. Conflation of disability and frailty is a real risk due to overlap in measures of both conditions. Disability and frailty do not form discrete categories but rather exist along a continuum, underscoring the need to abandon categorical labels in favor of continuous measures for both clinical assessment and research settings.

SpineVol. 51(5)
Hospital for Special Surgery (US), Northwell Health (US), Johns Hopkins University (US), University of Calgary (CA), Duke University (US), University of California, San Francisco (US), Norton Healthcare (US), Washington University in St. Louis (US), Lenox Hill Hospital (US), University of California San Diego (US), Spine Institute of Louisiana (US), Rocky Mountain Hospital for Children (US), University of Pittsburgh Medical Center (US), Scripps Clinic (US), Duke University Hospital (US), Rocky Mountain MS Center (US), New York University Langone Orthopedic Hospital (US), The University of Texas at San Antonio (US), University of Virginia (US), Columbia University (US), University of California, Davis (US)
Openalex Percentile: Top 60%
Scoliosis diagnosis and treatment
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