Searching for an Operational Definition of Frailty: A Delphi Method Based Consensus Statement. The Frailty Operative Definition-Consensus Conference Project
Leocadio Rodríguez-Mañas,Catherine Féart,Catherine Féart,Giovanni E. Mann,Jose Viña,Somnath Chatterji,Wojtek Chodzko-Zajko,Magali Gonzalez-Colaço Harmand,Howard Bergman,Laure Carcaillon,Caroline Nicholson,Angelo Scuteri,Alan J. Sinclair,Martha Peláez,Tischa J. M. van der Cammen,François Béland,Jerome Bickenbach,Paul Delamarche,Luigi Ferrucci,Linda P. Fried,Luis Miguel Gutiérrez-Robledo,Kenneth Rockwood,Fernando Rodríguez Artalejo,Gaetano Serviddio,Enrique Vega +24 more
TLDR
There is agreement on the usefulness of defining frailty in clinical settings as well as on its main dimensions, however, additional research is needed before an operative definition of frailty can be established.Abstract:
BACKGROUND: There is no consensus regarding the definition of frailty for clinical uses. METHODS: A modified Delphi process was used to attempt to achieve consensus definition. Experts were selected from different fields and organized into five Focus Groups. A questionnaire was developed and sent to experts in the area of frailty. Responses and comments were analyzed using a pre-established strategy. Statements with an agreement more than or equal to 80% were accepted. RESULTS: Overall, 44% of the statements regarding the concept of frailty and 18% of the statements regarding diagnostic criteria were accepted. There was consensus on the value of screening for frailty and about the identification of six domains of frailty for inclusion in a clinical definition, but no agreement was reached concerning a specific set of clinical/laboratory biomarkers useful for diagnosis. CONCLUSIONS: There is agreement on the usefulness of defining frailty in clinical settings as well as on its main dimensions. However, additional research is needed before an operative definition of frailty can be established.read more
Citations
More filters
Journal ArticleDOI
Predicting 3-Year Survival in Older People with Intellectual Disabilities Using a Frailty Index
TL;DR: To analyze the relationship between frailty and survival in older people with intellectual disabilities (IDs) the aim was to find out if there is a link between age and disability and the likelihood of survival.
Journal ArticleDOI
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Biomarkers and Frailty.
Nigel K Arden,Pascal Richette,Cyrus Cooper,Cyrus Cooper,Olivier Bruyère,Eric Abadie,Jaime Branco,Maria Luisa Brandi,Francis Berenbaum,Cécile Clerc,Elaine M. Dennison,Jean-Pierre Devogelaer,Marc C. Hochberg,Pieter D’Hooghe,Gabriel Herrero-Beaumont,John A. Kanis,Andrea Laslop,Véronique Leblanc,Stefania Maggi,Giuseppe Mautone,Jean-Pierre Pelletier,F Petit-Dop,S. Reiter-Niesert,René Rizzoli,Lucio C. Rovati,Eleonora Tajana Messi,Yannis Tsouderos,Johanne Martel-Pelletier,Jean-Yves Reginster +28 more
TL;DR: A considerable amount of data suggests that magnetic resonance imaging may also assist in delineating different phenotypes of patients with OA, and none is sufficiently validated and recognized to identify patients who should be treated.
Journal ArticleDOI
Prevalence of Psychological Frailty in Japan: NCGG-SGS as a Japanese National Cohort Study.
TL;DR: It is concluded that individuals with psychological frailty had the highest risk of disability and future policies should implement disability prevention strategies among older adults with Psychological frailty.
Journal ArticleDOI
A New Functional Classification Based on Frailty and Disability Stratifies the Risk for Mortality Among Older Adults: The FRADEA Study.
Emiel O. Hoogendijk,Luis Romero,Pedro Manuel Sánchez-Jurado,Teresa Flores Ruano,Jose Viña,Leocadio Rodríguez-Mañas,Pedro Abizanda +6 more
TL;DR: A new functional classification composed of BADL, IADL, and frailty representing the functional continuum is effective in stratifying the risk for mortality in older adults.
Journal ArticleDOI
Frailty Index and Incident Mortality, Hospitalization, and Institutionalization in Alzheimer’s Disease: Data From the ICTUS Study
TL;DR: The FI is a robust predictor of adverse outcomes even after the stage of the underlying dementia is considered, and future work should evaluate the clinical implementation of the FI in the assessment of demented individuals in order to improve the personalization of care.
References
More filters
Journal ArticleDOI
Frailty in Older Adults Evidence for a Phenotype
Linda P. Fried,Catherine M. Tangen,Jeremy D. Walston,Anne B. Newman,Calvin H. Hirsch,John S. Gottdiener,Teresa E. Seeman,Russell P. Tracy,Willem J. Kop,B Gregory Burke,Mary Ann McBurnie +10 more
TL;DR: This study provides a potential standardized definition for frailty in community-dwelling older adults and offers concurrent and predictive validity for the definition, and finds that there is an intermediate stage identifying those at high risk of frailty.
Journal Article
Cardiovascular Health Study Collaborative Research Group : Frailty in older adults : evidence for a phenotype
Book
the delphi method: techniques and applications
Harold A. Linstone,Murray Turoff +1 more
TL;DR: The present model clarifies some of the conceptual problems associated with cross-impact analysis, and supplies a relatively sound basis for revising probability estimates in the limited case where interactions can be approximated by relative probabilities.
Journal ArticleDOI
The Delphi Technique: Making Sense of Consensus
Chia-Chien Hsu,Brian A. Sandford +1 more
TL;DR: The Delphi technique is well suited as a method for consensus-building by using a series of questionnaires delivered using multiple iterations to collect data from a panel of selected subjects.
Journal ArticleDOI
Classificação Internacional de Funcionalidade (CIF)
TL;DR: The present article has the objective of updating rehabilitation health professionals on the International Classification of Functioning Disability and Health (ICF) developed by the World Health Organization.
Related Papers (5)
Frailty Consensus: A Call to Action
John E. Morley,Bruno Vellas,G. Abellan Van Kan,Stefan D. Anker,Juergen M. Bauer,Roberto Bernabei,Matteo Cesari,Wm. Cameron Chumlea,Wolfram Doehner,Jonathan Evans,Linda P. Fried,Jack M. Guralnik,Paul R. Katz,Theodore K. Malmstrom,Roger McCarter,Luis Miguel Francisco Gutierrez Robledo,Kenneth Rockwood,Stephan von Haehling,Maurits Vandewoude,Jeremy D. Walston +19 more