Evidence map›Paper›PMID 26927924›Full record

SynthesisBMC geriatrics2016

Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review.

Jennifer L Sutton, Rebecca L Gould, Stephanie Daley, Mark C Coulson, Emma V Ward, Aine M Butler, Stephen P Nunn, Robert J Howard

2 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 97 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03018951 completednot on this map

Developing a Tool to Assess Frailty in Older Adults With a Diagnosis of Functional Mental Illness; Tool Development and Pilot Testing.

TypeobservationalSponsorKing's College LondonRan2016 to 2018Enrolled40ConditionsFrailty, Mental IllnessArmsTool Development meeting, Pilot Test 1 assessment session, Pilot Test 2 assessment session
NCT04835090 unknown statusnot on this mapstarted 2021, after this paper: background citation

Comparison of the State Transition, Psychometric Attributes and Feasibility of Three Frailty Screening Tools in Community-dwelling Elderly

TypeobservationalSponsorNational Taipei University of Nursing and Health SciencesRan2021 to 2021Enrolled110ConditionsFrailtyArmsscreening test
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  12. Article
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  14. FI-CGA and eFI-CGA in Frailty Care: a Scoping Review.Canadian geriatrics journal : CGJ · 2026
    Review
  15. Prevalence of preoperative multidimensional frailty and associated factors in middle-aged and older patients with newly diagnosed breast cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer L SuttonDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Box PO70, De Crespigny Park, London, SE5 8AF, UK. jennifer.1.sutton@kcl.ac.uk.
Rebecca L GouldDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Box PO70, De Crespigny Park, London, SE5 8AF, UK.
Stephanie DaleyCentre for Dementia Studies, Brighton and Sussex Medical School, East Sussex, UK.
Mark C CoulsonDepartment of Psychology, School of Science and Technology, Middlesex University, London, UK.
Emma V WardDepartment of Psychology, School of Science and Technology, Middlesex University, London, UK.
Aine M ButlerDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Box PO70, De Crespigny Park, London, SE5 8AF, UK.
Stephen P NunnDepartment of Psychology, School of Science and Technology, Middlesex University, London, UK.
Robert J HowardDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Box PO70, De Crespigny Park, London, SE5 8AF, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty is widely recognised as a distinct multifactorial clinical syndrome that implies vulnerability. The links between frailty and adverse outcomes such as death and institutionalisation have been widely evidenced. There is currently no gold standard frailty assessment tool; optimizing the assessment of frailty in older people therefore remains a research priority. The objective of this systematic review is to identify existing multi-component frailty assessment tools that were specifically developed to assess frailty in adults aged ≥60 years old and to systematically and critically evaluate the reliability and validity of these tools.

methodsA systematic literature review was conducted using the standardised COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist to assess the methodological quality of included studies.

resultsFive thousand sixty-three studies were identified in total: 73 of which were included for review. 38 multi-component frailty assessment tools were identified: Reliability and validity data were available for 21 % (8/38) of tools. Only 5 % (2/38) of the frailty assessment tools had evidence of reliability and validity that was within statistically significant parameters and of fair-excellent methodological quality (the Frailty Index-Comprehensive Geriatric Assessment [FI-CGA] and the Tilburg Frailty Indicator [TFI]).

conclusionsThe TFI has the most robust evidence of reliability and validity and has been the most extensively examined in terms of psychometric properties. However, there is insufficient evidence at present to determine the best tool for use in research and clinical practice. Further in-depth evaluation of the psychometric properties of these tools is required before they can fulfil the criteria for a gold standard assessment tool.

Indexed as

Aged, 80 and overFrail ElderlyGeriatric AssessmentHumansPsychometricsReproducibility of Results

Identifiers

PMID26927924
PMCPMC4772336

What OpenQuestion holds

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LicenceCC BY
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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.