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Relationship between the Gerontopole Frailty Screening Tool and the frailty phenotype in primary care

Relationship between the Gerontopole Frailty Screening Tool and the frailty phenotype in primary care
Relationship between the Gerontopole Frailty Screening Tool and the frailty phenotype in primary care
Introduction
Frailty is characterized by increased vulnerability to stressors that poses the older subject at risk of adverse health-related outcomes, including hospitalization, disability and mortality. Early identification of community-dwelling frail older subjects is important in order to implement preventive strategies against negative health-related outcomes, in particular disability. Validated brief screening tools are needed to detect frail community-dwelling elders.

Materials and methods
The aim of the present study, promoted by the European Union Geriatric Medicine Society (EUGMS) working group on “Frailty in older persons”, is to determine the agreement between the Gérontopôle Frailty Screening Tool (GFST) (administered by the general practitioner) and the Fried’ criteria for frailty phenotype as reference measure (administered by a blinded assessor). The study is performed in older primary care patients in nine European countries after translation of the GFST into eight languages.

Results
The sample (n = 109 older patients,) included 37.6%, 56.9%, and 5.5% robust, pre-frail or frail, and disabled individuals, respectively. The GFST showed a sensitivity of 71.0%, a specificity of 70.2%, a positive predictive value of 75.9% and a negative predictive value of 64.7% at the identification of non-disabled frail elders. The positive and negative likelihood ratios were 2.38 and 0.41, respectively. In logistic regression models only slow gait speed (odds ratio [OR]: 19.65, 95% confidence interval [95% CI]: 4.69–82.35) and mobility issues (OR: 18.04, 95% CI: 3.11–104.78) were significantly associated with the condition of frailty in the absence of disability.

Conclusions
Our findings demonstrate an overall moderate agreement between the GFST and the frailty phenotype.
prevention, disability, frailty, screening, general practitioners, community
1878-7649
518-522
Cherubini, A.
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Demougeot, L.
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Cruz Jentoft, A.
2e7e34c6-6c70-45f0-bcbd-bc2838e82ecf
Curgunlu, A.
3be8b170-2ac5-49da-b50b-420111b72585
Michel, J.-P.
1b7ea2d9-073e-4567-b030-6072dbe31f88
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Aihie Sayer, A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Strandberg, T.
3e34e6af-4ec8-4de5-9bf1-b6c5dd3186d0
Topinkova, E.
2f740e62-42b7-4642-a6b5-c60f157faf47
van Asselt, D.Z.B.
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Vellas, B.
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Zekry, D.
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Cesari, M.
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Cherubini, A.
d5bf21fa-0629-49c1-865b-461debf45d60
Demougeot, L.
5bc9b637-9b2e-4b6a-89e6-014d38637321
Cruz Jentoft, A.
2e7e34c6-6c70-45f0-bcbd-bc2838e82ecf
Curgunlu, A.
3be8b170-2ac5-49da-b50b-420111b72585
Michel, J.-P.
1b7ea2d9-073e-4567-b030-6072dbe31f88
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Aihie Sayer, A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Strandberg, T.
3e34e6af-4ec8-4de5-9bf1-b6c5dd3186d0
Topinkova, E.
2f740e62-42b7-4642-a6b5-c60f157faf47
van Asselt, D.Z.B.
3b5c65e1-7aad-4aaf-b3fb-eea3651e98b7
Vellas, B.
83b0a24b-b082-47da-b1f2-7a2e968e9891
Zekry, D.
8a790122-5b48-422b-b88b-cedccbaf069d
Cesari, M.
72dd9f44-8a23-4e30-96e3-b0e3dddf1035

Cherubini, A., Demougeot, L., Cruz Jentoft, A., Curgunlu, A., Michel, J.-P., Roberts, H., Aihie Sayer, A., Strandberg, T., Topinkova, E., van Asselt, D.Z.B., Vellas, B., Zekry, D. and Cesari, M. (2015) Relationship between the Gerontopole Frailty Screening Tool and the frailty phenotype in primary care. European Geriatric Medicine, 6 (6), 518-522. (doi:10.1016/j.eurger.2015.09.003).

Record type: Article

Abstract

Introduction
Frailty is characterized by increased vulnerability to stressors that poses the older subject at risk of adverse health-related outcomes, including hospitalization, disability and mortality. Early identification of community-dwelling frail older subjects is important in order to implement preventive strategies against negative health-related outcomes, in particular disability. Validated brief screening tools are needed to detect frail community-dwelling elders.

Materials and methods
The aim of the present study, promoted by the European Union Geriatric Medicine Society (EUGMS) working group on “Frailty in older persons”, is to determine the agreement between the Gérontopôle Frailty Screening Tool (GFST) (administered by the general practitioner) and the Fried’ criteria for frailty phenotype as reference measure (administered by a blinded assessor). The study is performed in older primary care patients in nine European countries after translation of the GFST into eight languages.

Results
The sample (n = 109 older patients,) included 37.6%, 56.9%, and 5.5% robust, pre-frail or frail, and disabled individuals, respectively. The GFST showed a sensitivity of 71.0%, a specificity of 70.2%, a positive predictive value of 75.9% and a negative predictive value of 64.7% at the identification of non-disabled frail elders. The positive and negative likelihood ratios were 2.38 and 0.41, respectively. In logistic regression models only slow gait speed (odds ratio [OR]: 19.65, 95% confidence interval [95% CI]: 4.69–82.35) and mobility issues (OR: 18.04, 95% CI: 3.11–104.78) were significantly associated with the condition of frailty in the absence of disability.

Conclusions
Our findings demonstrate an overall moderate agreement between the GFST and the frailty phenotype.

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More information

Accepted/In Press date: 26 September 2015
e-pub ahead of print date: 20 October 2015
Published date: December 2015
Keywords: prevention, disability, frailty, screening, general practitioners, community
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 384962
URI: http://eprints.soton.ac.uk/id/eprint/384962
ISSN: 1878-7649
PURE UUID: f6a19348-269b-4806-a9ef-b5af765c5d1c
ORCID for H. Roberts: ORCID iD orcid.org/0000-0002-5291-1880

Catalogue record

Date deposited: 14 Jan 2016 12:25
Last modified: 26 Nov 2019 01:49

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Contributors

Author: A. Cherubini
Author: L. Demougeot
Author: A. Cruz Jentoft
Author: A. Curgunlu
Author: J.-P. Michel
Author: H. Roberts ORCID iD
Author: A. Aihie Sayer
Author: T. Strandberg
Author: E. Topinkova
Author: D.Z.B. van Asselt
Author: B. Vellas
Author: D. Zekry
Author: M. Cesari

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