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
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Lamin A expression in circulating osteoprogenitors as a potential biomarker for frailty: The Nepean Osteoporosis and Frailty (NOF) Study.
Ahmed Al Saedi,Piumali Gunawardene,Sandra Bermeo,Sara Vogrin,Derek Boersma,Steven Phu,Lakshman Singh,Pushpa Suriyaarachchi,Gustavo Duque,Gustavo Duque +9 more
TL;DR: Low levels of lamin A expression in COP cells are associated with disability and frailty, and this novel method has the potential to become a risk stratifier, biomarker, or therapeutic target in frail older persons.
Journal ArticleDOI
How to Improve the Functional Capacity of Frail and Pre-Frail Elderly People? Health, Nutritional Status and Exercise Intervention. The EXERNET-Elder 3.0 Project
Ángel Iván Fernández-García,Alba Gómez-Cabello,Ana Moradell,David Navarrete-Villanueva,Jorge Pérez-Gómez,Ignacio Ara,Raquel Pedrero-Chamizo,Jorge Subías-Perié,Borja Muniz-Pardos,José A. Casajús,Germán Vicente-Rodríguez +10 more
TL;DR: The methodology used in the EXERNET-Elder 3.0 project, a multicomponent exercise training program called Elder-fit on frailty, fitness, body composition and quality of life, and also to analyse a possible dietary intake interaction according to health and metabolic status is presented.
Journal ArticleDOI
The Pictorial Fit-Frail Scale: Developing a Visual Scale to Assess Frailty.
Olga Theou,Melissa K. Andrew,Sally Suriani Ahip,Emma Squires,Lisa McGarrigle,Joanna M Blodgett,Judah Goldstein,Kathryn Hominick,Judith Godin,Glen Hougan,Joshua J. Armstrong,Lindsay M. K. Wallace,Shariff-Ghazali Sazlina,Paige Moorhouse,Sherri Fay,Renuka Visvanathan,Kenneth Rockwood +16 more
TL;DR: The Pictorial Fit-Frail Scale (PFFS) is comprehensive, feasible, and appears generalizable across countries, and has face and content validity.
Journal ArticleDOI
Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey
Janice Du Mont,Janice Du Mont,Daisy Kosa,Sheila Macdonald,Shannon Elliot,Mark J. Yaffe,Mark J. Yaffe +6 more
TL;DR: A large and diverse group of multidisciplinary, intersectoral collaborators was deemed necessary to address the complex needs of abused older adults, each having important roles and responsibilities to fulfill within a model comprehensive elder abuse intervention.
Journal ArticleDOI
A Systematic Review and Meta-Analysis of Preoperative Frailty Instruments Derived From Electronic Health Data.
Jamal Alkadri,Dima Hage,Leigh H Nickerson,Lia R Scott,Julia F Shaw,Sylvie D Aucoin,Daniel I. McIsaac,Daniel I. McIsaac +7 more
TL;DR: Frailty status derived from electronic data provides prognostic value as it is associated with adverse outcomes, even after adjustment for typical risk factors, and future research is required to evaluate multidimensional instruments and their head-to-head performance and to assess their feasibility and clinical impact.
References
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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.
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