Evidence map›Paper›PMID 38831274›Full record

ArticleBMC geriatrics2024

Frailty identification and management among Brazilian healthcare professionals: a survey.

Paula Schmidt Azevedo, Ruth Caldeira de Melo, Juli Thomaz de Souza, Rachael Frost, James P Gavin, Katie Robinson, Paulo José Fortes Villas Boas, Marcos Ferreira Minicucci, Ivan Aprahamian, Patrick Alexander Wachholz and 2 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
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

12 authors.

Paula Schmidt AzevedoBotucatu Medical School, São Paulo State University (Unesp), District of Rubião Junior, no number, Botucatu, SP, 18618-970, Brazil.
Ruth Caldeira de MeloSchool of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
Juli Thomaz de SouzaBotucatu Medical School, São Paulo State University (Unesp), District of Rubião Junior, no number, Botucatu, SP, 18618-970, Brazil.
Rachael FrostResearch Department of Primary Care and Population Health, University College London, London, UK.
James P GavinSchool of Health Sciences, University of Southampton, Southampton, UK.
Katie RobinsonAcademic Unit of Injury, Recovery and Inflammation Sciences (IRIS), University of Nottingham, Nottingham, UK.
Paulo José Fortes Villas BoasBotucatu Medical School, São Paulo State University (Unesp), District of Rubião Junior, no number, Botucatu, SP, 18618-970, Brazil.
Marcos Ferreira MinicucciBotucatu Medical School, São Paulo State University (Unesp), District of Rubião Junior, no number, Botucatu, SP, 18618-970, Brazil.
Ivan AprahamianFaculty of Medicine of Jundiaí, Jundiaí, São Paulo, Brazil.
Patrick Alexander WachholzBotucatu Medical School, São Paulo State University (Unesp), District of Rubião Junior, no number, Botucatu, SP, 18618-970, Brazil.
Kathryn Hinslif-SmithLeicester School of Nursing and Midwifery, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.
Adam Lee GordonAcademic Unit of Injury, Recovery and Inflammation Sciences (IRIS), University of Nottingham, Nottingham, UK. adam.gordon@nottingham.ac.uk.

Funding

British Council Newton Fund FAPESP (2017-RLWK8-10028)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior CAPES-PRINT-UNESPCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (Finance Code 001)Global Engagement Funds (2019/20, University College of London)
6 · The paper itself

Abstract

backgroundNational and international guidelines on frailty assessment and management recommend frailty screening in older people. This study aimed to determine how Brazilian healthcare professionals (HCPs) identify and manage frailty in practice.

methodsAn anonymous online survey on the assessment and management of frailty was circulated virtually through HCPs across Brazil.

resultsMost of the respondants used non-specific criteria such as gait speed (45%), handgrip strength (37.6%), and comprehensive geriatric assessment (33.2%). The use of frailty-specific criteria was lower than 50%. The most frequently used criteria were the Frailty Index (19.1%), Frailty Phenotype (13.2%), and FRAIL (12.5%). Only 43.5% felt confident, and 40% had a plan to manage frailty. In the multivariate-adjusted models, training was the most crucial factor associated with assessing frailty, confidence, and having a management plan (p < 0.001 for all). Those with fewer years of experience were more likely to evaluate frailty (p = 0.009). Being a doctor increased the chance of using a specific tool; the opposite was true for dietitians (p = 0.03). Those who assisted more older people had a higher likelihood of having a plan (p = 0.011).

conclusionFrailty assessment was heterogeneous among healthcare professions groups, predominantly using non-specific criteria. Training contributed to frailty assessment, use of specific criteria, confidence, and having a management plan. This data informs the need for standardized screening criteria and management plans for frailty, in association with increasing training at the national level for all the HCPs who assist older people.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentHealth PersonnelAdultAgedAged, 80 and overBrazilDisease ManagementFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBrazilFrailtyFrailty criteriaHealthcare professionalsOlder peopleSurvey

Identifiers

PMID38831274
PMCPMC11149253

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.