SynthesisBMC geriatrics2014
Screening for frailty in primary care: a systematic review of the psychometric properties of the frailty index in community-dwelling older people.
Synthesis in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02643069 (Feasibility and Effectiveness of Frailty Screening and Management Programs Implemented in Different Clinical Settings), which is not on this map. Cited by 61 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility and Effectiveness of Frailty Screening and Management Programs Implemented in Different Clinical Settings (FRAILCLINIC)
Who cites it
61 citing papers in PubMed, 8 syntheses or guidelines pooled it, 126 citations in OpenAlex.
- Measures of Comorbidities and Frailty in Multiple Sclerosis-Systematic Review on Evidence and Applicability of Utilized Scoring Systems in Clinical Routine and Real-World Data.European journal of neurology · 2025Pooled it
- Validated frailty measures using electronic primary care records: a review of diagnostic test accuracy.Age and ageing · 2023Pooled it
- Frailty as a predictor of adverse outcomes in burn patients: a systematic review.BMC geriatrics · 2023Pooled it
- Perspectives of older adults, caregivers, healthcare providers on frailty screening in primary care: a systematic review and qualitative meta-synthesis.BMC geriatrics · 2022Pooled it
- How I See Me-A Meta-Analysis Investigating the Association Between Identities and Pro-environmental Behaviour.Frontiers in psychology · 2021Pooled it
- Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review.JBI database of systematic reviews and implementation reports · 2018Pooled it
- Predicting risk and outcomes for frail older adults: an umbrella review of frailty screening tools.JBI database of systematic reviews and implementation reports · 2017Pooled it
- Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review.BMC geriatrics · 2016Pooled it
- Frailty and health resource utilization in 5450 adults with acute myeloid leukaemia: A population-based study from Ontario, Canada.British journal of haematology · 2026Article
- Association of preoperative frailty with suboptimal weight loss response among patients undergoing metabolic and bariatric surgery.Surgical endoscopy · 2024Article
- A scoping review of the measurement and analysis of frailty in randomised controlled trials.Age and ageing · 2024Article
- Using Existing Clinical Data to Measure Older Adult Inpatients' Frailty at Admission and Discharge: Hospital Patient Register Study.JMIR aging · 2024Article
- Limited incremental predictive value of the frailty index and other vulnerability measures from routine care data for mortality risk prediction in older patients with COVID-19 in primary care.BMC primary care · 2024Article
- Physical Frailty and Functional Status in Kidney Transplantation: A Systematic Review.Canadian journal of kidney health and disease · 2024Article
- 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
- Comparison of a multidomain frailty index from routine health data with the hospital frailty risk score in older patients in an Australian hospital.Australasian journal on ageing · 2023Article
- Comparison of two different frailty scales in the longitudinal Swedish Adoption/Twin Study of Aging (SATSA).Scandinavian journal of public health · 2023Article
- Article
- Variability and agreement of frailty measures and risk of falls, hospital admissions and mortality in TILDA.Scientific reports · 2022Article
- Frailty among Older People during the First Wave of the COVID-19 Pandemic in The Netherlands.International journal of environmental research and public health · 2022Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo better accommodate for the complex care needs of frail, older people, general practitioners must be capable of easily identifying frailty in daily clinical practice, for example, by using the frailty index (FI). To explore whether the FI is a valid and adequate screening instrument for primary care, we conducted a systematic review of its psychometric properties.
methodsWe searched the Cochrane, PubMed and Embase databases and included original studies focusing on the criterion validity, construct validity and responsiveness of the FI when applied in community-dwelling older people. We evaluated the quality of the studies included using the Quality in Prognosis Studies (QUIPS) tool. This systematic review was conducted based on the PRISMA statement.
resultsOf the twenty studies identified, eighteen reported on FIs derived from research data, one reported upon an FI derived from an administrative database of home-care clients, and one reported upon an FI derived from routine primary care data. In general, the FI showed good criterion and construct validity but lacked studies on responsiveness. When compared with studies that used data gathered for research purposes, there are indications that the FI mean score and range might be different in datasets using routine primary care data; however, this finding needs further investigation.
conclusionsOur results suggest that the FI is a valid frailty screening instrument. However, further research using routine Electronic Medical Record data is necessary to investigate whether the psychometric properties of the FI are generalizable to a primary care setting and to facilitate its interpretation and implementation in daily clinical practice.
trial registrationPROSPERO systematic review register number: CRD42013003737.
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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.