ArticleBMC geriatrics2022
Defining ICD-10 surrogate variables to estimate the modified frailty index: a Delphi-based approach.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07166861 (Supporting Practices In Respecting Elders Phase 2), which is not on this map. Cited by 13 papers.
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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.
Supporting Practices In Respecting Elders Phase 2
Who cites it
13 citing papers in PubMed.
- Frailty and health resource utilization in 5450 adults with acute myeloid leukaemia: A population-based study from Ontario, Canada.British journal of haematology · 2026Article
- A Multi-State Cohort Study of Hospital Utilization and Treatment Modality for Malignant Gastrointestinal Obstructions.Journal of surgical oncology · 2026Article
- Clinical and Economic Outcomes of Dronedarone Versus Amiodarone Among Patients With Atrial Fibrillation.Journal of the American Heart Association · 2026Observational
- The association of malnutrition with clinical and financial outcomes of traumatic injuries in older adults: A national retrospective analysis.Surgery open science · 2025Article
- Quick Cuts: Surgeon Tendency to Operate in Emergency General Surgery.The Journal of surgical research · 2025Article
- Association of frailty with perioperative outcomes after mastectomy with and without immediate breast reconstruction.Surgery open science · 2025Article
- Prospective Study of the Association Between Frailty and Health Care Utilization in Patients With Advanced CKD.Kidney international reports · 2025Article
- Predictive ability of frailty scores in surgically managed patients with traumatic spinal injuries: a TQIP analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Comparative Analysis of Frailty Scores for Predicting Adverse Outcomes in Hip Fracture Patients: Insights from the United States National Inpatient Sample.Journal of personalized medicine · 2024Article
- International Classification of Diseases-10th Revision Surrogates of the Modified Frailty Index and 12-Month Referral to the Hospital in an Older Population from Germany.Journal of clinical medicine · 2023Article
- Comparing the Clinical Frailty Scale and an International Classification of Diseases-10 Modified Frailty Index in Predicting Long-Term Survival in Critically Ill Patients.Critical care explorations · 2022Article
- External validation of the hospital frailty risk score among older adults receiving mechanical ventilation.Scientific reports · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are currently no validated globally and freely available tools to estimate the modified frailty index (mFI). The widely available and non-proprietary International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) coding could be used as a surrogate for the mFI. We aimed to establish an appropriate set of the ICD-10 codes for comorbidities to be used to estimate the eleven-variable mFI.
methodsA three-stage, web-based, Delphi consensus-building process among a panel of intensivists and geriatricians using iterative rounds of an online survey, was conducted between March and July 2021. The consensus was set a priori at 75% overall agreement. Additionally, we assessed if survey responses differed between intensivists and geriatricians. Finally, we ascertained the level of agreement.
resultsA total of 21 clinicians participated in all 3 Delphi surveys. Most (86%, 18/21) had more than 5-years' experience as specialists. The agreement proportionately increased with every Delphi survey. After the third survey, the panel had reached 75% consensus in 87.5% (112/128) of ICD-10 codes. The initially included 128 ICD-10 variables were narrowed down to 54 at the end of the 3 surveys. The inter-rater agreements between intensivists and geriatricians were moderate for surveys 1 and 3 (κ = 0.728, κ = 0.780) respectively, and strong for survey 2 (κ = 0.811).
conclusionsThis quantitative Delphi survey of a panel of experienced intensivists and geriatricians achieved consensus for appropriate ICD-10 codes to estimate the mFI. Future studies should focus on validating the mFI estimated from these ICD-10 codes.
trial registrationNot applicable.
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