Evidence map›Paper›PMID 29331967›Full record

ArticleBMJ open2018

Understanding frailty: a qualitative study of European healthcare policy-makers' approaches to frailty screening and management.

Holly Gwyther, Rachel Shaw, Eva-Amparo Jaime Dauden, Barbara D'Avanzo, Donata Kurpas, Maria Bujnowska-Fedak, Tomasz Kujawa, Maura Marcucci, Antonio Cano, Carol Holland

Erratum issuedAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Article
  7. Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Holly GwytherAston Research Centre for Healthy Ageing (ARCHA), Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK.
Rachel ShawAston Research Centre for Healthy Ageing (ARCHA), Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK.
Eva-Amparo Jaime DaudenDepartment of Pediatrics, Obstetrics and Gynecology, University of Valencia, Valencia, Spain.
Barbara D'AvanzoLaboratory of Quality Assessment of Geriatric Therapies and Services, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Donata KurpasFamily Medicine Department, Wroclaw Medical University, Wroclaw, UK.
Maria Bujnowska-FedakFamily Medicine Department, Wroclaw Medical University, Wroclaw, UK.
Tomasz KujawaFamily Medicine Department, Wroclaw Medical University, Wroclaw, UK.
Maura MarcucciDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Antonio CanoDepartment of Pediatrics, Obstetrics and Gynecology, University of Valencia, Valencia, Spain.
Carol HollandFaculty of Health and Medicine, Centre for Ageing Research, Furness College, Lancaster University, Lancaster, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo elicit European healthcare policy-makers' views, understanding and attitudes about the implementation of frailty screening and management strategies and responses to stakeholders' views.

designThematic analysis of semistructured qualitative interviews.

settingEuropean healthcare policy departments.

participantsSeven European healthcare policy-makers representing the European Union (n=2), UK (n=2), Italy (n=1), Spain (n=1) and Poland (n=1). Participants were sourced through professional networks and the European Commission Authentication Service website and were required to be in an active healthcare policy or decision-making role.

resultsSeven themes were identified. Our findings reveal a 'knowledge gap', around frailty and

conclusionsThere is potential for frailty to be managed in a more integrated and person-centred manner, overcoming the challenges associated with niche ownership within the healthcare system. There is also a need to raise its profile and develop a common understanding of its malleability among stakeholders, as well as consistency in how and when it is measured.

Indexed as

Administrative PersonnelAttitude of Health PersonnelFrail ElderlyHealth PolicyPolicy MakingAgedAged, 80 and overDecision MakingDelivery of Health CareEuropeEuropean UnionFrailtyHealth Knowledge, Attitudes, PracticeHealth ResourcesHumansOrganizational Cultureageingfrailtygeriatric medicineseniors

Identifiers

PMID29331967
PMCPMC5781160

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.