Evidence map›Paper›PMID 41526796›Full record

ArticleEuropean geriatric medicine2026

Improving care for older patients living with frailty: a collaborative approach to creating the DANFRAIL quality database.

Lone Winther Lietzen, Søren Kabell Nissen, Karen Andersen-Ranberg, Mette Theil, Louise Moeldrup Nielsen, Sacha Methe Elbeck, Erik Riiskjær, Anne Mette Falstie-Jensen, Thomas Johannesson Hjelholt

Abstract read
In one paragraph

Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

9 authors.

Lone Winther LietzenDepartment of Geriatrics, Aarhus University Hospital, Aarhus, Denmark. lonlie@rm.dk.ORCID http://orcid.org/0000-0002-9520-406X
Søren Kabell NissenDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.ORCID http://orcid.org/0000-0003-3722-908X
Karen Andersen-RanbergDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.ORCID http://orcid.org/0000-0003-1970-7076
Mette TheilThe Danish Dietetic Association, Copenhagen, Denmark.
Louise Moeldrup NielsenResearch Center for Care and Rehabilitation, VIA University College, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-3362-6275
Sacha Methe ElbeckLocal Government Denmark, Copenhagen, Denmark.
Erik RiiskjærPatient and Relatives' Representative in the DANFRAIL Steering Committee, Aarhus, Denmark.ORCID http://orcid.org/0009-0008-6193-7629
Anne Mette Falstie-JensenThe Danish Healthcare Quality Institute (DHQI), Aarhus, Denmark.ORCID http://orcid.org/0000-0002-8188-5116
Thomas Johannesson HjelholtDepartment of Geriatrics, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-0112-5801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder patients living with frailty are particularly vulnerable to adverse outcomes during hospitalization and transitions in care. Comprehensive Geriatric Assessment (CGA) has been shown to improve outcomes for these patients. To address the increasing demand for geriatric methodology and improve care quality, the nationwide quality database DANFRAIL was established with a cross-sectoral and interdisciplinary focus, first of its kind worldwide.

methodsDANFRAIL aims to monitor and enhance quality of care for older patients with frailty across healthcare settings in Denmark. Thus, development involved a co-creation process with expert clinicians and patient representatives from all sectors, guided by a specialist team from the Danish Healthcare Quality Institute. The indicator set, derived from CGA domains, was refined through consensus meetings and public consultation.

resultsThe initial indicator set includes 6 process indicators and 2 result indicators, focusing on key aspects of care for older patients living with frailty. The public consultation revealed concerns about implementation, workload, registration requirements, and data integration across sectors. Adjustments were made to address these issues and ensure the feasibility of data collection and use.

conclusionDANFRAIL represents a significant step towards improving the quality of care for older patients living with frailty in Denmark. Grounded in the principles of CGA, the database offers a structured, data-driven framework to monitor and enhance care delivery across sectors. By supporting continuous quality improvement and better health outcomes, DANFRAIL sets a national standard for caring for older people in vulnerable situations and may serve as an exemplary approach for international adoption.

Indexed as

Databases, FactualFrail ElderlyFrailtyGeriatric AssessmentQuality ImprovementQuality Indicators, Health CareAgedAged, 80 and overDenmarkHumansCo-design healthcareComprehensive geriatric assessmentFrailtyIndicator setOlderQuality indicators

Identifiers

PMID41526796
PMCPMC13109215

What OpenQuestion holds

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LicenceCC BY
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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.