A Systematic Review of Clinical Practice Guidelines for Identification and Management of Frailty.

Mehta, P; Lemon, G; Hight, L; Allan, A; Li, C; Pandher, SK; Brennan, J; Arumugam, A; Walker, X; Waters, DL

A Systematic Review of Clinical Practice Guidelines for Identification and Management of Frailty.

Mehta, P

Lemon, G Hight, L Allan, A Li, C Pandher, SK Brennan, J Arumugam, A Walker, X Waters, DL

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Publisher:: SPRINGER FRANCE
Publication Type:: Journal Article
Citation:: J Nutr Health Aging, 2021, 25, (3), pp. 382-391
Issue Date:: 2021

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Field	Value	Language
dc.contributor.author	Mehta, P https://orcid.org/0000-0002-9307-9648
dc.contributor.author	Lemon, G
dc.contributor.author	Hight, L
dc.contributor.author	Allan, A
dc.contributor.author	Li, C
dc.contributor.author	Pandher, SK
dc.contributor.author	Brennan, J
dc.contributor.author	Arumugam, A
dc.contributor.author	Walker, X
dc.contributor.author	Waters, DL
dc.date.accessioned	2021-02-21T20:02:43Z
dc.date.available	2021-02-21T20:02:43Z
dc.date.issued	2021
dc.identifier.citation	J Nutr Health Aging, 2021, 25, (3), pp. 382-391
dc.identifier.issn	1279-7707
dc.identifier.issn	1760-4788
dc.identifier.uri	http://hdl.handle.net/10453/146260
dc.description.abstract	OBJECTIVE: This study aims to appraise and summarize consistent recommendations from clinical practice guidelines (CPGs) for identification and management of frailty to maintain and improve functional independence of elderly population. METHODS: A systematic search of Ovid MEDLINE, Embase, PubMed, PsycINFO, and CINAHL electronic databases using database-specific search terms in two broad areas "guidelines" and "frailty", and a manual search of websites with the key phrase "frailty guideline" was performed. The inclusion criteria included CPGs focusing on identifying and managing frailty in population >65 years old, published in English since January 2010. Three reviewers independently assessed guideline quality using the AGREE II instrument. Data extraction was performed, followed by compilation and comparison of all recommendations to identify the key consistent recommendations. RESULTS: Six CPGs met the inclusion criteria; however, only three CPGs had high methodological quality in accordance with AGREE II appraisal. The average AGREE II scores of all six CPGs were: 84.5%, 68%, 46.5%, 81.5%, 56.3%, and 60.2% for domains 1-6 (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, and editorial independence) respectively. A total of 54 recommendations were identified, with 12 key recommendations suggested frequently by the CPGs. CONCLUSION: The AGREE II instrument identified strengths and weaknesses of the CPGs, but failed to assess clinical implications and feasibility of the guidelines. Further research is needed to improve clinical relevance of CPGs in the identification and management of frailty. The feasibility in implementing these guidelines with regards to cost-effectiveness of frailty screening warrants further investigation.
dc.language	eng
dc.publisher	SPRINGER FRANCE
dc.relation.ispartof	J Nutr Health Aging
dc.relation.isbasedon	10.1007/s12603-020-1549-3
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1103 Clinical Sciences, 1111 Nutrition and Dietetics
dc.subject.classification	Nutrition & Dietetics
dc.title	A Systematic Review of Clinical Practice Guidelines for Identification and Management of Frailty.
dc.type	Journal Article
utslib.citation.volume	25
utslib.location.activity	France
utslib.for	1103 Clinical Sciences
utslib.for	1111 Nutrition and Dietetics
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	open_access	*
utslib.copyright.embargo	2021-12-08T00:00:00+1000Z
dc.date.updated	2021-02-21T20:02:33Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	25
utslib.citation.issue	3

Abstract:

OBJECTIVE: This study aims to appraise and summarize consistent recommendations from clinical practice guidelines (CPGs) for identification and management of frailty to maintain and improve functional independence of elderly population. METHODS: A systematic search of Ovid MEDLINE, Embase, PubMed, PsycINFO, and CINAHL electronic databases using database-specific search terms in two broad areas "guidelines" and "frailty", and a manual search of websites with the key phrase "frailty guideline" was performed. The inclusion criteria included CPGs focusing on identifying and managing frailty in population >65 years old, published in English since January 2010. Three reviewers independently assessed guideline quality using the AGREE II instrument. Data extraction was performed, followed by compilation and comparison of all recommendations to identify the key consistent recommendations. RESULTS: Six CPGs met the inclusion criteria; however, only three CPGs had high methodological quality in accordance with AGREE II appraisal. The average AGREE II scores of all six CPGs were: 84.5%, 68%, 46.5%, 81.5%, 56.3%, and 60.2% for domains 1-6 (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, and editorial independence) respectively. A total of 54 recommendations were identified, with 12 key recommendations suggested frequently by the CPGs. CONCLUSION: The AGREE II instrument identified strengths and weaknesses of the CPGs, but failed to assess clinical implications and feasibility of the guidelines. Further research is needed to improve clinical relevance of CPGs in the identification and management of frailty. The feasibility in implementing these guidelines with regards to cost-effectiveness of frailty screening warrants further investigation.

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http://hdl.handle.net/10453/146260