+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Implications of frailty screening in clinical practice

Implications of frailty screening in clinical practice

Current Opinion in Clinical Nutrition and Metabolic Care 20(1): 4-10

Many frailty screening instruments have been proposed due to the lack of consensus on a unified operational definition of frailty. This review reports on recent frailty screening tools in addition to revisiting the frailty concept. Although there are two representative frailty models, both have issues that prevent them from being implemented in clinical settings despite their remarkable advantages. Due to their different characteristics, these models are thought to be complementary rather than substitutive. The recent introduction of frailty identification into primary care and specific clinical settings has led to both a focus on its importance and the development of new screening methods. The phenotype model is rather faithfully based on biological change with aging, while the deficit model comprehensively captures risk of disability. Most of the current frailty screening tools are based on these models. Screening tools based on the former model primarily capture declines in physical functions, whereas screening tools based on the latter model involve questionnaires that examine functional impairments in multiple domains. Implementation of a model in a clinical setting depends on both the model characteristics and the clinical settings.

(PDF emailed within 0-6 h: $19.90)

Accession: 058069212

Download citation: RISBibTeXText

PMID: 27763893

DOI: 10.1097/MCO.0000000000000341

Related references

Frailty Screening and Interventions: Considerations for Clinical Practice. Clinics in Geriatric Medicine 34(1): 25-38, 2018

Frailty, what are we talking about? Implications for the daily clinical practice. Revista Espanola de Geriatria Y Gerontologia 52(4): 179-181, 2017

Moving Frailty Toward Clinical Practice: NIA Intramural Frailty Science Symposium Summary. Journal of the American Geriatrics Society 2019, 2019

Translating Frailty Research Into Clinical Practice: Insights From the Successful Aging and Frailty Evaluation Clinic. Journal of the American Medical Directors Association 2019, 2019

Measuring frailty in clinical practice: a comparison of physical frailty assessment methods in a geriatric out-patient clinic. Bmc Geriatrics 17(1): 264, 2018

Diagnostic test accuracy of self-reported frailty screening instruments in identifying community-dwelling older people at risk of frailty and pre-frailty: a systematic review protocol. Jbi Database of Systematic Reviews and Implementation Reports 15(10): 2464-2468, 2018

Ethical and Legal Implications of Frailty Screening. Journal of Frailty and Aging 7(4): 224-232, 2018

Coronary artery calcium screening: implications for clinical practice. Future Cardiology 1(2): 215-223, 2005

Identifying frailty: do the Frailty Index and Groningen Frailty Indicator cover different clinical perspectives? a cross-sectional study. Bmc Family Practice 14: 64, 2013

Screening of frailty in family practice by the modified SEGA grid. Revue Medicale de Liege 73(10): 513-518, 2018

Screening for Frailty in Hospitalized Older Adults: Reliability and Feasibility of the Maastricht Frailty Screening Tool for Hospitalized Patients (MFST-HP). Research in Gerontological Nursing 9(5): 243-251, 2017

Screening for two or three autoantibodies in persons at risk for RA: implications of current data for clinical practice. Rheumatology 2019, 2019

Frailty in primary care: a review of its conceptualization and implications for practice. Bmc Medicine 10: 4, 2012

An evaluation of screening questions for childhood abuse in 2 community samples: implications for clinical practice. Archives of Internal Medicine 166(18): 2020-2026, 2006

The effect of Hispanic ethnicity on interpretation of maternal serum screening-implications for clinical practice. American Journal of Human Genetics 61(4 SUPPL ): A148, 1997