ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Frailty: an emerging concept for general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.
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Who cites it
81 citing papers in PubMed, 232 citations in OpenAlex.
- From concept to content: assessing the implementation fidelity of a chronic care model for frail, older people who live at home.BMC health services research · 2015Trial
- HCT Pre-App program: a telemedicine-based prehabilitation for allogeneic hematopoietic cell transplant candidates.Blood advances · 2026Article
- Correlation Between the Proportion of Senescence-Associated β-Galactosidase-Stained CD8+ T Cells and Age: A Cross-Sectional Study in Japan.International journal of molecular sciences · 2025Article
- Advanced Glycation End-Products and Metabolomics Are Independently Associated With Frailty: The Longitudinal Doetinchem Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Determinants and risk prediction models for frailty among community-living older adults in eastern China.Frontiers in public health · 2025Article
- Causal relationship between genetically predicted mental disorders and frailty: a bidirectional and multivariable mendelian randomization study.BMC psychiatry · 2024Article
- Article
- Research Progress on Frailty in Elderly People.Clinical interventions in aging · 2024Review
- Use of Artificial Intelligence in the Identification and Management of Frailty: A Scoping Review Protocol.BMJ open · 2023Article
- Identification of frailty in primary care: accuracy of electronically derived measures.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Chronic kidney disease in the elderly and frail patient: perspectives with opinions and comments.Journal of nephrology · 2023Article
- Comparison of two different frailty scales in the longitudinal Swedish Adoption/Twin Study of Aging (SATSA).Scandinavian journal of public health · 2023Article
- What are lay UK public perceptions of frailty: a scoping review.Age and ageing · 2023Article
- Using electronic consultation (eConsult) to identify frailty in provider-to-provider communication: a feasibility and validation study.BMC geriatrics · 2023Review
- Associations between Perception of Help-Seeking Behaviors and Quality of Life among Older People in Rural Communities: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Practitioner perceptions of the feasibility of common frailty screening instruments within general practice settings: a mixed methods study.BMC primary care · 2022Article
- Testing the feasibility of a primary-care exercise intervention to prevent and reverse early frailty and build resilience in community-dwelling older adults.EClinicalMedicine · 2022Article
- Nurses' Contributions in Rural Family Medicine Education: A Mixed-Method Approach.International journal of environmental research and public health · 2022Article
- Diagnosing Frailty in Primary Care Practice.Cureus · 2022Review
- Mortality, Falls, and Fracture Risk Are Positively Associated With Frailty: A SIDIAP Cohort Study of 890 000 Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
21 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ageing of the population in western societies and the rising costs of health and social care are refocusing health policy on health promotion and disability prevention among older people. However, efforts to identify at-risk groups of older people and to alter the trajectory of avoidable problems associated with ageing by early intervention or multidisciplinary case management have been largely unsuccessful. This paper argues that this failure arises from the dominance in primary care of a managerial perspective on health care for older people, and proposes instead the adoption of a clinical paradigm based on the concept of frailty. Frailty, in its simplest definition, is vulnerability to adverse outcomes. It is a dynamic concept that is different from disability and easy to overlook, but also easy to identify using heuristics (rules of thumb) and to measure using simple scales. Conceptually, frailty fits well with the biopsychosocial model of general practice, offers practitioners useful tools for patient care, and provides commissioners of health care with a clinical focus for targeting resources at an ageing population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.