Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project

2.50
Hdl Handle:
http://hdl.handle.net/10547/593503
Title:
Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project
Authors:
Rodríguez-Mañas, Leocadio; Féart, Catherine; Mann, Giovanni; Viña, Jose; Chatterji, Somnath; Chodzko-Zajko, Wojtek; Gonzalez-Colaço Harmand, Magali; Bergman, Howard; Carcaillon, Laure; Nicholson, Caroline; Scuteri, Angelo; Sinclair, Alan; Pelaez, Martha; Van der Cammen, Tischa; Beland, François; Bickenbach, Jerome; Delamarche, Paul; Ferrucci, Luigi; Fried, Linda P; Gutiérrez-Robledo, Luis Miguel; Rockwood, Kenneth; Rodríguez Artalejo, Fernando; Serviddio, Gaetano; Vega, Enrique
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.
Affiliation:
Hospital Universitario de Getafe, Madrid; Université Bordeaux; King’s College, London; Universidad de Valencia; World Health Organization; University of Illinois; McGill University; Centre for Research in Epidemiology and Population Health, Villejuif, France; INRCA/IRCCS, Roma; University of Bedfordshire; Health Foundation of South Florida; Erasmus University Medical Center; Lady Davis Hôpital Général Juif, Montreal; Leiter Unit Disability Policy Schweizer, Nottwill, Switzerland; University of Rennes; National institute on Aging, National Institutes of Health; Columbia University Medical Center; Instituto de Geriatría, México city; Dalhousie University; Universidad Autónoma de Madrid; University of Foggia; Pan American Health Organization/World Health Organization
Citation:
Rodríguez-Mañas, L. et al (2013) 'Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project' J. Gerontol. A 68 (1):62-7 Biol. Sci. Med. Sci.
Publisher:
Oxford University Press
Journal:
The journals of gerontology. Series A, Biological sciences and medical sciences
Issue Date:
Jan-2013
URI:
http://hdl.handle.net/10547/593503
DOI:
10.1093/gerona/gls119
PubMed ID:
22511289
PubMed Central ID:
PMC3598366
Additional Links:
http://biomedgerontology.oxfordjournals.org/content/68/1/62.short; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598366/
Type:
Article
Language:
en
ISSN:
1758-535X
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorRodríguez-Mañas, Leocadioen
dc.contributor.authorFéart, Catherineen
dc.contributor.authorMann, Giovannien
dc.contributor.authorViña, Joseen
dc.contributor.authorChatterji, Somnathen
dc.contributor.authorChodzko-Zajko, Wojteken
dc.contributor.authorGonzalez-Colaço Harmand, Magalien
dc.contributor.authorBergman, Howarden
dc.contributor.authorCarcaillon, Laureen
dc.contributor.authorNicholson, Carolineen
dc.contributor.authorScuteri, Angeloen
dc.contributor.authorSinclair, Alanen
dc.contributor.authorPelaez, Marthaen
dc.contributor.authorVan der Cammen, Tischaen
dc.contributor.authorBeland, Françoisen
dc.contributor.authorBickenbach, Jeromeen
dc.contributor.authorDelamarche, Paulen
dc.contributor.authorFerrucci, Luigien
dc.contributor.authorFried, Linda Pen
dc.contributor.authorGutiérrez-Robledo, Luis Miguelen
dc.contributor.authorRockwood, Kennethen
dc.contributor.authorRodríguez Artalejo, Fernandoen
dc.contributor.authorServiddio, Gaetanoen
dc.contributor.authorVega, Enriqueen
dc.date.accessioned2016-01-15T09:48:48Zen
dc.date.available2016-01-15T09:48:48Zen
dc.date.issued2013-01en
dc.identifier.citationRodríguez-Mañas, L. et al (2013) 'Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project' J. Gerontol. A 68 (1):62-7 Biol. Sci. Med. Sci.en
dc.identifier.issn1758-535Xen
dc.identifier.pmid22511289en
dc.identifier.doi10.1093/gerona/gls119en
dc.identifier.urihttp://hdl.handle.net/10547/593503en
dc.description.abstractBackground. 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.en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttp://biomedgerontology.oxfordjournals.org/content/68/1/62.shorten
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598366/en
dc.rightsArchived with thanks to The journals of gerontology. Series A, Biological sciences and medical sciencesen
dc.subjectfrailtyen
dc.subjectconsensus definitionen
dc.subjectolder peopleen
dc.subjectbiomarkersen
dc.subject.meshAgeden
dc.subject.meshDelphi Techniqueen
dc.subject.meshExpert Testimonyen
dc.subject.meshFocus Groupsen
dc.subject.meshFrail Elderlyen
dc.subject.meshGeriatric Assessmenten
dc.subject.meshHumansen
dc.titleSearching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference projecten
dc.typeArticleen
dc.contributor.departmentHospital Universitario de Getafe, Madriden
dc.contributor.departmentUniversité Bordeauxen
dc.contributor.departmentKing’s College, Londonen
dc.contributor.departmentUniversidad de Valenciaen
dc.contributor.departmentWorld Health Organizationen
dc.contributor.departmentUniversity of Illinoisen
dc.contributor.departmentMcGill Universityen
dc.contributor.departmentCentre for Research in Epidemiology and Population Health, Villejuif, Franceen
dc.contributor.departmentINRCA/IRCCS, Romaen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentHealth Foundation of South Floridaen
dc.contributor.departmentErasmus University Medical Centeren
dc.contributor.departmentLady Davis Hôpital Général Juif, Montrealen
dc.contributor.departmentLeiter Unit Disability Policy Schweizer, Nottwill, Switzerlanden
dc.contributor.departmentUniversity of Rennesen
dc.contributor.departmentNational institute on Aging, National Institutes of Healthen
dc.contributor.departmentColumbia University Medical Centeren
dc.contributor.departmentInstituto de Geriatría, México cityen
dc.contributor.departmentDalhousie Universityen
dc.contributor.departmentUniversidad Autónoma de Madriden
dc.contributor.departmentUniversity of Foggiaen
dc.contributor.departmentPan American Health Organization/World Health Organizationen
dc.identifier.journalThe journals of gerontology. Series A, Biological sciences and medical sciencesen
dc.identifier.pmcidPMC3598366en

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