{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:43:46Z","timestamp":1785545026388,"version":"3.56.0"},"reference-count":31,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With the advent of antiretroviral therapy, the life expectancy of people living with HIV has increased significantly, leading to a growing prevalence of frailty and its associated adverse outcomes. However, frailty prediction models developed for the general older population may not apply to people living with HIV due to their distinct immunologic, inflammatory, and comorbidity profiles. To the best of our knowledge, no systematic review to date has comprehensively evaluated frailty prediction models specifically developed for people living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review aims to identify and critically appraise existing prediction models for frailty in people living with HIV, critically appraise their methodological quality, and summarize their predictive performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Research will be located by searching electronic databases, including PubMed, Web of Science, and other major databases. Two independent reviewers will conduct the screening of titles and abstracts, evaluate full texts, and extract data. The extraction process will adhere to the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS) and the Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis Or Diagnosis (TRIPOD) statement. A systematic evaluation of the included studies will be performed to assess their risk of bias and applicability, using the Prediction model Risk Of Bias Assessment Tool (PROBAST). If appropriate, meta-analyses will be used to synthesize quantitative data related to the predictive performance of these models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This protocol was registered with PROSPERO (CRD420261332573) in June 2025. The systematic literature search was conducted on July 20, 2025, with screening completed in October 2025, identifying five eligible studies; data analysis is scheduled for April 2026, with manuscript submission expected by June 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review will provide the first comprehensive synthesis of frailty prediction models for people living with HIV. By identifying robust models and methodological gaps, the findings are expected to inform clinical decision-making and guide future model development and validation efforts in HIV care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/89842","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:50:05Z","timestamp":1775037005000},"page":"e89842-e89842","source":"Crossref","is-referenced-by-count":0,"title":["Prediction Models for Frailty in People Living With HIV: Protocol for a Systematic Review and Meta-Analysis of Prognostic Models"],"prefix":"10.2196","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1214-2240","authenticated-orcid":false,"given":"Yeye","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1531-7698","authenticated-orcid":false,"given":"Meilian","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8982-4550","authenticated-orcid":false,"given":"Zhiyun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1038\/s41572-023-00452-3","article-title":"HIV infection","volume":"9","author":"Bekker","journal-title":"Nat Rev Dis Primers"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/QCO.0000000000000798","article-title":"Frailty in people living with HIV: an update","volume":"35","author":"Jones","journal-title":"Curr Opin Infect Dis"},{"key":"R3","unstructured":"UNAIDS data 2024. Joint United Nations Programme on HIV\/AIDS; 2024. URL: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2024-unaids-global-aids-update_en.pdf [Accessed 28-03-2026]"},{"issue":"5","key":"R4","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1097\/QAI.0000000000003515","article-title":"HIV Treatment outcomes after 10 years on ART in the TREAT Asia Observational Database and Australian HIV Observational Database","volume":"97","author":"Jiamsakul","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"4","key":"R5","doi-asserted-by":"publisher","first-page":"e281","DOI":"10.1016\/S2352-3018(22)00009-1","article-title":"How health systems can adapt to a population ageing with HIV and comorbid disease","volume":"9","author":"Kiplagat","journal-title":"Lancet HIV"},{"issue":"3","key":"R6","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1097\/COH.0000000000000677","article-title":"Frailty: the current challenge for aging people with HIV","volume":"16","author":"Falutz","journal-title":"Curr Opin HIV AIDS"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Proietti M Cesari M . Frailty: what is it. In: Veronese N , editor. Frailty and Cardiovascular Diseases: Research into an Elderly Population. Springer International Publishing; 2020:1-7. [doi: 10.1007\/978-3-030-33330-0_1]","DOI":"10.1007\/978-3-030-33330-0_1"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/2690296","article-title":"Association between frailty and mortality, falls, and hospitalization among patients with hypertension: a systematic review and meta-analysis","volume":"2021","author":"Hu","journal-title":"Biomed Res Int"},{"issue":"12","key":"R9","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/j.jamda.2015.06.018","article-title":"Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis","volume":"16","author":"Kojima","journal-title":"J Am Med Dir Assoc"},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"49","DOI":"10.14283\/jfa.2022.45","article-title":"Frailty and aging in HIV- status post 13 years of national awareness","volume":"12","author":"Eke","journal-title":"J Frailty Aging"},{"issue":"5","key":"R11","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1097\/QAI.0000000000002810","article-title":"Predictors of transition to frailty in middle-aged and older people with HIV: A Prospective Cohort Study","volume":"88","author":"Lorenz","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"4","key":"R12","doi-asserted-by":"publisher","first-page":"190","DOI":"10.5770\/cgj.22.387","article-title":"An emerging concern-high rates of frailty among middle-aged and older individuals living with HIV","volume":"22","author":"McMillan","journal-title":"Can Geriatr J"},{"issue":"5","key":"R13","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofac129","article-title":"Prevalence of frailty and prefrailty in people with human immunodeficiency virus aged 50 or older: a systematic review and meta-analysis","volume":"9","author":"Yamada","journal-title":"Open Forum Infect Dis"},{"issue":"2","key":"R14","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1684\/pnv.2019.0795","article-title":"Frailty phenotype in older people living with HIV: concepts, prevention and issues","volume":"17","author":"Retornaz","journal-title":"Geriatr Psychol Neuropsychiatr Vieil"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b375","article-title":"Prognosis and prognostic research: what, why, and how?","volume":"338","author":"Moons","journal-title":"BMJ"},{"issue":"3","key":"R16","doi-asserted-by":"publisher","first-page":"M146","DOI":"10.1093\/gerona\/56.3.m146","article-title":"Frailty in older adults: evidence for a phenotype","volume":"56","author":"Fried","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2001.58","article-title":"Accumulation of deficits as a proxy measure of aging","volume":"1","author":"Mitnitski","journal-title":"ScientificWorldJournal"},{"key":"R18","unstructured":"International Association of Gerontology and Geriatrics. Vellas B Cesari M Li J , editors. White Book on Frailty. Toulouse: G\u00e9rontop\u00f4le: University Hospital Toulouse; 2016."},{"issue":"1","key":"R19","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s11904-014-0247-3","article-title":"Understanding frailty, aging, and inflammation in HIV infection","volume":"12","author":"Leng","journal-title":"Curr HIV\/AIDS Rep"},{"issue":"5","key":"R20","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1080\/21505594.2016.1245269","article-title":"Assessment of geriatric syndromes and physical function in people living with HIV","volume":"8","author":"Greene","journal-title":"Virulence"},{"issue":"5","key":"R21","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1097\/QAI.0000000000003688","article-title":"Approaches to optimally target frailty screening among people with HIV in clinical care: findings from the Centers for AIDS Research Network of Integrated Clinical Systems (CNICS)","volume":"99","author":"Crane","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"6","key":"R22","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1097\/QAD.0000000000003501","article-title":"Development of Frail RISC-HIV: a Risk Score for Predicting Frailty Risk in the Short-term for Care of People with HIV","volume":"37","author":"Ruderman","journal-title":"AIDS"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.934475","article-title":"Editorial: review articles, systematic reviews, meta-analysis, and the Updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 Guidelines","volume":"27","author":"Parums","journal-title":"Med Sci Monit"},{"issue":"10","key":"R24","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001744","article-title":"Critical appraisal and data extraction for systematic reviews of prediction modelling studies: the CHARMS checklist","volume":"11","author":"Moons","journal-title":"PLoS Med"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2024-082505","article-title":"PROBAST+AI: an updated quality, risk of bias, and applicability assessment tool for prediction models using regression or artificial intelligence methods","volume":"388","author":"Moons","journal-title":"BMJ"},{"issue":"22","key":"R26","doi-asserted-by":"publisher","first-page":"2654","DOI":"10.1097\/CM9.0000000000003383","article-title":"Chinese guidelines for the diagnosis and treatment of human immunodeficiency virus infection\/acquired immunodeficiency syndrome (2024 edition)","volume":"137","author":"Acquired Immunodeficiency Syndrome Professional Group, Society of Infectious Diseases, Chinese Medical Association; Chinese Center for Disease Control and Prevention","journal-title":"Chin Med J (Engl)"},{"key":"R27","unstructured":"Consolidated guidelines on differentiated HIV testing services. Geneva: World Health Organization; 2024. URL: https:\/\/www.who.int\/publications\/i\/item\/9789240096394 [Accessed 08-05-2026]"},{"issue":"11","key":"R28","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1111\/hiv.13542","article-title":"Major revision version 12.0 of the European AIDS Clinical Society guidelines 2023","volume":"24","author":"Ambrosioni","journal-title":"HIV Med"},{"issue":"5","key":"R29","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1111\/hiv.13208","article-title":"UK guideline for the use of HIV post-exposure prophylaxis 2021","volume":"23","author":"Cresswell","journal-title":"HIV Med"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6460","article-title":"A guide to systematic review and meta-analysis of prediction model performance","volume":"356","author":"Debray","journal-title":"BMJ"},{"issue":"15","key":"R31","doi-asserted-by":"publisher","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group","volume":"283","author":"Stroup","journal-title":"JAMA"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.researchprotocols.org\/2026\/1\/e89842","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:24:34Z","timestamp":1785536674000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2026\/1\/e89842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":31,"URL":"https:\/\/doi.org\/10.2196\/89842","relation":{},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,26]]},"article-number":"v15i1e89842"}}