Evidence map›Paper›PMID 40463639›Full record

ArticleCanadian geriatrics journal : CGJ2025

Perceptions of Frailty in Long-Term Care.

Kayla Atchison, Pauline Wu, Ann M Toohey, Daniel Gaetano, Jacqueline McMillan, Jenna Naylor, Sharon Kaasalainen, Michelle N Grinman, Vivian Ewa, Jessica Simon and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Kayla AtchisonDepartment of Medicine, University of Calgary, Calgary, AB.
Pauline WuDepartment of Medicine, University of Calgary, Calgary, AB.
Ann M TooheyDepartment of Community Health Sciences, University of Calgary, Calgary, AB.
Daniel GaetanoDepartment of Medicine, University of Calgary, Calgary, AB.
Jacqueline McMillanDepartment of Medicine, University of Calgary, Calgary, AB.
Jenna NaylorBrenda Strafford Centre on Aging, University of Calgary, Calgary, AB.
Sharon KaasalainenDepartment of Family Medicine, McMaster University, Hamilton, ON.
Michelle N GrinmanDepartment of Medicine, University of Calgary, Calgary, AB.
Vivian EwaDepartment of Medicine, University of Calgary, Calgary, AB.
Jessica SimonDepartment of Medicine, University of Calgary, Calgary, AB.
James SilviusDepartment of Medicine, University of Calgary, Calgary, AB.
Aynharan SinnarajahDepartment of Medicine, Queen's University, Kingston, ON.
Beth GorchynskiAgeCare, Calgary, AB.
David B HoganDepartment of Medicine, University of Calgary, Calgary, AB.
Jayna Holroyd-LeducDepartment of Medicine, University of Calgary, Calgary, AB.
Zahra GoodarziDepartment of Medicine, University of Calgary, Calgary, AB.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: An early palliative approach to care may best suit the care needs of older persons with frailty living in long-term care (LTC). The study objective was to evaluate the barriers and facilitators to care for frailty in the LTC setting. Methods: Semi-structured interviews were completed with physicians, nurse practitioners, registered nurses, allied health-care providers, care partners, and residents with care experience in LTC. Framework analysis methods that leveraged behaviour change theories were used to analyze the interview data and produce practice-oriented findings. Results: Twenty-eight interviews were completed. Seven themes were identified: resident characteristics related to frailty; frailty detection and diagnosis; frailty treatment and care planning; frailty and prognosis conversations; palliative and end-of-life care; communication amongst LTC collaborators; and the LTC environment. All codes were labelled as barriers or facilitators and assigned to a primary domain within the Theoretical Domains Framework. Conclusions: The lack of clinical recognition of frailty in the LTC setting was a key barrier to clinical pathway implementation. There is a need for frailty to be linked to prognosis and care decisions, for frailty to be directly addressed through individualized treatments, and for an early palliative approach to care to be accessible to residents. Identifying barriers to care for frailty is a critical step toward clinical care pathway implementation which may improve care and outcomes for residents of LTC.

Indexed as

frailtylong-term carepalliative care

Identifiers

PMID40463639
PMCPMC12094099

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.