Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project
Gonzalez-Colaço Harmand, Magali
Sinclair, Alan J.
Van der Cammen, Tischa
Fried, Linda P
Gutiérrez-Robledo, Luis Miguel
Rodríguez Artalejo, Fernando
AffiliationHospital Universitario de Getafe, Madrid
King’s College, London
Universidad de Valencia
World Health Organization
University of Illinois
Centre for Research in Epidemiology and Population Health, , France
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
Universidad Autónoma de Madrid
University of Foggia
Pan American Health Organization/World Health Organization
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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.
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.
PublisherOxford University Press
PubMed Central IDPMC3598366
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