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开发英国肌肉减少症注册中心:SarcNet 试点项目的招募和基线特征。

Developing a UK sarcopenia registry: recruitment and baseline characteristics of the SarcNet pilot.

机构信息

AGE Research Group, NIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.

Academic Unit for Ageing and Stroke Research, University of Leeds, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.

出版信息

Age Ageing. 2021 Sep 11;50(5):1762-1769. doi: 10.1093/ageing/afab084.

Abstract

BACKGROUND

sarcopenia registries are a potential method to meet the challenge of recruitment to sarcopenia trials. We tested the feasibility of setting up a UK sarcopenia registry, the feasibility of recruitment methods and sought to characterise the pilot registry population.

METHODS

six diverse UK sites took part, with potential participants aged 65 and over approached via mailshots from local primary care practices. Telephone pre-screening using the SARC-F score was followed by in-person screening and baseline visit. Co-morbidities, medications, grip strength, Short Physical Performance Battery, bioimpedance analysis, Geriatric Depression Score, Montreal Cognitive Assessment, Sarcopenia Quality of Life score were performed and permission sought for future recontact. Descriptive statistics for recruitment rates and baseline measures were generated; an embedded randomised trial examined the effect of a University logo on the primary care mailshot on recruitment rates.

RESULTS

sixteen practices contributed a total of 3,508 letters. In total, 428 replies were received (12% response rate); 380 underwent telephone pre-screening of whom 215 (57%) were eligible to attend a screening visit; 150 participants were recruited (40% of those pre-screened) with 147 contributing baseline data. No significant difference was seen in response rates between mailshots with and without the logo (between-group difference 1.1% [95% confidence interval -1.0% to 3.4%], P = 0.31). The mean age of enrollees was 78 years; 72 (49%) were women. In total, 138/147 (94%) had probable sarcopenia on European Working Group on Sarcopenia 2019 criteria and 145/147 (98%) agreed to be recontacted about future studies.

CONCLUSION

recruitment to a multisite UK sarcopenia registry is feasible, with high levels of consent for recontact.

摘要

背景

肌少症登记处是应对肌少症试验招募挑战的一种潜在方法。我们测试了建立英国肌少症登记处的可行性,以及各种招募方法的可行性,并试图描述试点登记处人群的特征。

方法

六个不同的英国地点参与了这项研究,通过当地初级保健实践的邮件向 65 岁及以上的潜在参与者发出邀请。使用 SARC-F 评分进行电话预筛查,然后进行现场筛查和基线访视。进行了合并症、药物、握力、简短体能状况测试、生物阻抗分析、老年抑郁评分、蒙特利尔认知评估、肌少症生活质量评分,并获得了未来再次联系的许可。生成了招募率和基线测量的描述性统计数据;一项嵌入式随机试验研究了在初级保健邮件中使用大学标志对招募率的影响。

结果

16 家诊所共发出了 3508 封信。共收到 428 封回复(12%的回复率);380 人接受了电话预筛查,其中 215 人(57%)符合参加筛查访视的条件;共招募了 150 名参与者(占预筛查人数的 40%),其中 147 人提供了基线数据。有标志和没有标志的邮件的回复率之间没有显著差异(组间差异 1.1%[95%置信区间-1.0%至 3.4%],P=0.31)。参与者的平均年龄为 78 岁;72 人(49%)为女性。根据 2019 年欧洲肌少症工作组标准,147 人中共有 138 人(94%)患有可能的肌少症,145 人(98%)同意将来再次联系他们参加研究。

结论

在英国建立多地点肌少症登记处是可行的,获得了很高的再次联系同意率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/348c/8437066/4b46d249787d/afab084f1.jpg

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