ArticleBMC family practice2013
Identifying frailty: do the Frailty Index and Groningen Frailty Indicator cover different clinical perspectives? a cross-sectional study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Diagnostic Accuracy of Frailty Screening Instruments Validated for Use among Older Adults Attending Emergency Departments: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review.BMC geriatrics · 2016Pooled it
- Selection of an Appropriate Tool for Assessing Geriatric Frailty in Clinical Practice: A Narrative Review.Clinical interventions in aging · 2026Review
- Frailty and comorbidity in older adults with and without diabetes and chronic leg ulcer: A cross-sectional study.International wound journal · 2025Article
- Article
- Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care.Biological research for nursing · 2024Article
- Evaluation of a new two-step frailty assessment of head and neck patients in a prospective cohort.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Frailty and Metabolic Vulnerability in Heart Failure: A Community Cohort Study.Journal of the American Heart Association · 2024Article
- Functioning and recovery during stroke rehabilitation: a comparison between pre-stroke frail and non-frail patients.European geriatric medicine · 2023Article
- HR+/HER2- Advanced Breast Cancer Treatment in the First-Line Setting: Expert Review.Current oncology (Toronto, Ont.) · 2023Review
- Clinical and Therapeutic Considerations for Older Adults with Head and Neck Cancer.Clinical interventions in aging · 2023Review
- Groningen Frailty Indicator-Chinese (GFI-C) for pre-frailty and frailty assessment among older people living in communities: psychometric properties and diagnostic accuracy.BMC geriatrics · 2022Article
- Practitioner perceptions of the feasibility of common frailty screening instruments within general practice settings: a mixed methods study.BMC primary care · 2022Article
- Review
- Identifying Frail Patients by Using Electronic Health Records in Primary Care: Current Status and Future Directions.Frontiers in public health · 2022Review
- Mapping instruments for assessing and stratifying frailty among community-dwelling older people: a scoping review.BMJ open · 2021Article
- The prevalence of frailty and post-treatment outcomes in elderly women with pelvic floor disorders.International urogynecology journal · 2021Observational
- Association of Postoperative Clinical Outcomes With Sarcopenia, Frailty, and Nutritional Status in Older Patients With Colorectal Cancer: Protocol for a Prospective Cohort Study.JMIR research protocols · 2021Article
- Understanding Frailty Screening: a Domain Mapping Exercise.Canadian geriatrics journal : CGJ · 2021Review
- Frailty in Glioblastoma Is Independent From Chronological Age.Frontiers in neurology · 2021Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly identification of frailty is important for proactive primary care. Currently, however, there is no consensus on which measure to use. Therefore, we examined whether a Frailty Index (FI), based on ICPC-coded primary care data, and the Groningen Frailty Indicator (GFI) questionnaire identify the same older people as frail.
methodsWe conducted a cross-sectional, observational study of 1,580 patients aged ≥ 60 years in a Dutch primary care center. Patients received a GFI questionnaire and were surveyed on their baseline characteristics. Frailty-screening software calculated their FI score. The GFI and FI scores were compared as continuous and dichotomised measures.
resultsFI data were available for 1549 patients (98%). 663 patients (42%) returned their GFI questionnaire. Complete GFI and FI scores were available for 638 patients (40.4%), mean age 73.4 years, 52.8% female. There was a positive correlation between the GFI and the FI (Pearson's correlation coefficient 0.544). Using dichotomised scores, 84.3% of patients with a low FI score also had a low GFI score. In patients with a high FI score, 55.1% also had a high GFI score. A continuous FI score accurately predicted a dichotomised GFI score (AUC 0.78, 95% CI 0.74 to 0.82). Being widowed or divorced was an independent predictor of both a high GFI score in patients with a low FI score, and a high FI score in patients with a low GFI score.
conclusionsThe FI and the GFI moderately overlap in identifying frailty in community-dwelling older patients. To provide optimal proactive primary care, we suggest an initial FI screening in routine healthcare data, followed by a GFI questionnaire for patients with a high FI score or otherwise at high risk as the preferred two-step frailty screening process in primary care.
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