ArticleJournal of the American Geriatrics Society2022
From research to bedside: Incorporation of a CGA-based frailty index among multiple comanagement services.
Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- The frailty index based on laboratory test data as a tool to investigate the impact of frailty on health outcomes: a systematic review and meta-analysis.Age and ageing · 2023Pooled it
- Integrating frailty into decision-making for disease-modifying therapies in Alzheimer's disease: a proposed expert-opinion based approach.The journal of prevention of Alzheimer's disease · 2026Review
- Comprehensive Geriatric Assessment in the Management of Frailty and Multimorbidity in Older Adults: A Systematic Literature Review.Journal of frailty, sarcopenia and falls · 2026Review
- The impact of pre- versus postoperative geriatric consultation in elderly patients with hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Factors associated with early follow-up attendance after geriatric hip fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- FI-CGA and eFI-CGA in Frailty Care: a Scoping Review.Canadian geriatrics journal : CGJ · 2026Review
- Electronic frailty index based on comprehensive geriatric assessment in primary care: feasibility, validity, and reliability.BMC geriatrics · 2026Article
- From frailty to decision: impact of comprehensive geriatric assessment on surgical planning and outcomes in older adults with gastrointestinal malignancies.Frontiers in oncology · 2026Article
- Surgical consent by healthcare proxies does not delay surgery in older adult patients with hip fracture.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Novel Electronic Health Record Strategies to Identify Frailty Among Hospitalized Older Adults with Multiple Chronic Conditions.Journal of general internal medicine · 2025Article
- Preparing Physicians to Care for Older Adults: Strategies for Making Your Educational Program More "Age-Friendly".Medical science educator · 2025Article
- Frailty integration in medical specialties: Current evidence and suggested strategies from the Clin-STAR frailty interest group.Journal of the American Geriatrics Society · 2025Review
- The pictorial fit-frail scale: a novel tool for frailty assessment in critically ill older adults.BMC geriatrics · 2025Article
- Short-term Frailty Index Fluctuations in Older Adults: Noise or Signal?The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Beyond Mortality: Severely Frail Femur Fracture Patients Can Regain Independence after Surgery.Journal of clinical medicine · 2024Article
- Reliability of the Frailty Index Among Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Strategies to Assess and Manage Frailty among Patients Diagnosed with Primary Malignant Brain Tumors.Current treatment options in oncology · 2024Review
- Teaching Frailty to Medical Residents: A Needs Assessment Among Geriatrics Faculty.The Journal of frailty & aging · 2024Article
- Comparison of Claims-Based Frailty Indices in U.S. Veterans 65 and Older for Prediction of Long-Term Institutionalization and Mortality.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Feasibility of implementing a telephone-based frailty assessment.Journal of the American Geriatrics Society · 2022Article
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Authors and funding
14 authors at 4 institutions in 2 countries.
Funding
Abstract
The comprehensive geriatric assessment (CGA) is the core tool used by geriatricians across diverse clinical settings to identify vulnerabilities and estimate physiologic reserve in older adults. In this paper, we demonstrate the iterative process at our institution to identify and develop a feasible, acceptable, and sustainable bedside CGA-based frailty index tool (FI-CGA) that not only quantifies and grades frailty but also provides a uniform way to efficiently communicate complex geriatric concepts such as reserve and vulnerability with other teams. We describe our incorporation of the FI-CGA into the electronic health record (EHR) and dissemination among clinical services. We demonstrate that an increasing number of patients have documented FI-CGA in their initial assessment from 2018 to 2020, while additional comanagement services were established (Figure 2). The acceptability and sustainability of the FI-CGA, and its routine use by geriatricians in our division, were demonstrated by a survey where the majority of clinicians report using the FI-CGA when assessing a new patient and that the FI-CGA informs their clinical management. Finally, we demonstrate how we refined and updated the FI-CGA, we provide examples of applications of the FI-CGA across the institution and describe areas of ongoing process improvement and challenges for the use of this tailored yet standardized tool across diverse inpatient and outpatient services. The process outlined can be used by other geriatric departments to introduce and incorporate an FI-CGA.
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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.