How clinical practitioners assess frailty in their daily practice: an international survey

Olivier Bruyère, Fanny Buckinx, Charlotte Beaudart, Jean Yves Reginster, Juergen Bauer, Tommy Cederholm, Antonio Cherubini, Cyrus Cooper, Alfonso Jose Cruz-Jentoft, Francesco Landi, Stefania Maggi, René Rizzoli, Avan Aihie Sayer, Cornel Sieber, Bruno Vellas, Matteo Cesari, on behalf of ESCEO and the EUGMS frailty working group

Research output: Contribution to journalArticle

Abstract

Introduction: Various operational definitions have been proposed to assess the frailty condition among older individuals. Our objective was to assess how practitioners measure the geriatric syndrome of frailty in their daily routine. Methods: An online survey was sent to national geriatric societies affiliated to the European Union Geriatric Medicine Society (EUGMS) and to members of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Results: A total of 388 clinicians from 44 countries answered to the survey. Most of them were medical doctors (93%), and their primary field of practice was geriatrics (83%). Two hundred and five clinicians (52.8%) always assessed frailty in their daily practice, 38.1% reported to “sometimes” measure it, and 9.1% never assess it. A substantial proportion of clinicians (64.9%) diagnose frailty using more than one instrument. The most widely used tool was the gait speed test, adopted by 43.8% of the clinicians, followed by clinical frailty scale (34.3%), the SPPB test (30.2%), the frailty phenotype (26.8%) and the frailty index (16.8%). Conclusion: A variety of tools is used to assess frailty of older patients in clinical practice highlighting the need for standardisation and guidelines.

Original languageEnglish
Pages (from-to)905-912
Number of pages8
JournalAging clinical and experimental research
Volume29
Issue number5
DOIs
Publication statusPublished - Oct 1 2017

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Keywords

  • Clinical practice
  • Frailty
  • Standardisation
  • Survey

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

Cite this

Bruyère, O., Buckinx, F., Beaudart, C., Reginster, J. Y., Bauer, J., Cederholm, T., Cherubini, A., Cooper, C., Cruz-Jentoft, A. J., Landi, F., Maggi, S., Rizzoli, R., Sayer, A. A., Sieber, C., Vellas, B., Cesari, M., & on behalf of ESCEO and the EUGMS frailty working group (2017). How clinical practitioners assess frailty in their daily practice: an international survey. Aging clinical and experimental research, 29(5), 905-912. https://doi.org/10.1007/s40520-017-0806-8