ArticleGeriatrics & gerontology international2013
The Frailty Instrument for primary care of the Survey of Health, Ageing and Retirement in Europe predicts mortality similarly to a frailty index based on comprehensive geriatric assessment.
Article in Geriatrics & gerontology international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review.BMC geriatrics · 2016Pooled it
- A high intensity vs. casual speed walking intervention to reverse frailty among older adults: a cluster randomized controlled trial.PloS one · 2026Trial
- Longitudinal norms of frailty measured by the frailty index: A cross-national comparison using data from the survey of health, aging, and retirement in Europe (SHARE).The Journal of frailty & aging · 2026Observational
- Physical frailty, depressive symptoms, and cognitive decline before and after Parkinson's disease diagnosis: a population-based prospective study of the SHARE and ELSA cohorts.NPJ Parkinson's disease · 2026Article
- The role of voluntary health insurance in frailty onset and progression among older and aging European adults: a survival analysis, 2013-2022.Frontiers in public health · 2026Article
- Age-period-cohort decomposition and projections of the frailty index among older adults in China.Frontiers in public health · 2026Article
- Common inflammatory proteins linking frailty and area-level deprivation as key drivers of cardiovascular risk in women.Communications medicine · 2025Article
- Cognitive maintenance in older adults in social classes: a secondary analysis of the longitudinal SHARE data.Journal of epidemiology and community health · 2025Article
- The impact of age and frailty on hospitalization and survival in older liver transplant recipients: a longitudinal cohort study.Frontiers in aging · 2025Article
- An Investigation of the Risk Factors Related to Frailty in Older Adults Receiving Home Care Services.Nutrients · 2024Article
- Frailty prevalence in 42 European countries by age and gender: development of the SHARE Frailty Atlas for Europe.GeroScience · 2024Article
- Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol.Frontiers in public health · 2024Article
- Weight variability, physical functioning and incident disability in older adults.Journal of cachexia, sarcopenia and muscle · 2023Article
- The Longitudinal Association Between Frailty, Cognition, and Quality of Life in Older Europeans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2022Article
- The Impact of Socioeconomic Factors and Geriatric Syndromes on Frailty among Elderly People Receiving Home-Based Healthcare: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2022Article
- Implications of the Metabolic Control of Diabetes in Patients with Frailty Syndrome.International journal of environmental research and public health · 2022Article
- Mobility enhancement among older adults 75 + in rural areas: Study protocol of the MOBILE randomized controlled trial.BMC geriatrics · 2022Article
- Patterns of the physical, cognitive, and mental health status of older individuals in a real-life primary care setting and differences in coping styles.Frontiers in medicine · 2022Article
- Assessment of frailty in elderly patients attending a multidisciplinary wound care centre: a cohort study.BMC geriatrics · 2021Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
aimFrailty is an emerging concept in primary care, which potentially can provide healthcare commissioners with a clinical focus for targeting resources at an aging population. However, primary care practitioners need valid instruments that are easy to use. With that purpose in mind, we created a Frailty Instrument (FIt) for primary care based on the Survey of Health, Aging and Retirement in Europe (SHARE). The aim of the present study was to compare the mortality prediction of the five-item SHARE-FIt with that of a 40-item Frailty Index (FIx) based on comprehensive geriatric assessment (CGA).
methodsThe participants were 15,578 women and 12,783 men from the first wave of SHARE. A correspondence analysis was used to assess the degree of agreement between phenotypic classifications. The ability of the continuous frailty measures (FIt score and FIx) to predict mortality (mean follow up of 2.4 years) was compared using receiver-operating characteristic (ROC) plots and areas under the curve (AUC).
resultsIn both sexes, there was significant correspondence between phenotypic categories. The two continuous measures performed equally well as mortality predictors (women: AUC-FIx = 0.79, 95% CI 0.75-0.82, P < 0.001; AUC-FIt = 0.77, 95% CI 0.73-0.81, P < 0.001; men: AUC-FIx = 0.77, 95% CI 0.74-0.79, P < 0.001; AUC-FIt = 0.76, 95% CI 0.74-0.79, P < 0.001). Their equivalent performance was confirmed by statistical comparisons of the AUC.
conclusionsSHARE-FIt is simpler and more usable, and predicts mortality similarly to a more complex FIx based on CGA.
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