Consensus on Components of Frailty Using the Delphi Method: Korean Frailty and Aging Cohort Study
- PDF / 325,612 Bytes
- 6 Pages / 612 x 792 pts (letter) Page_size
- 43 Downloads / 255 Views
CONSENSUS ON COMPONENTS OF FRAILTY USING THE DELPHI METHOD: KOREAN FRAILTY AND AGING COHORT STUDY K.J. KIM1, J. CHOI1, J. SHIN1, M. KIM1, C. WON WON2 1. Department of Family Medicine, Konkuk University School of Medicine, Konkuk University Medical Center, Seoul, Korea; 2. Department of Family Medicine, Kyung Hee University Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea. Corresponding author: Jaekyung Choi, MD, PhD, Department of Family Medicine, Konkuk University School of Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Korea, ORCID: https://orcid.org/0000-0002-0875-7505, Tel: +82-2-2030-7683, Fax: +82-2030-5009, E-mail: [email protected]
Abstract: Background: The concept of frailty has been suggested to comprise physical, mental, and social phenotypes. However, there is no general consensus about the appropriate components for assessing frailty. Objectives: The purpose of this study was to reach consensus on components of frailty assessment using the Delphi process. Methods: To achieve consensus on the definition of frailty, a modified Delphi method was used. Geriatric and gerontologic experts were selected from various fields. The detailed components of frailty were composed of data from the Korean Frailty and Aging Cohort Study. Establishing consensus and collecting opinions from experts were conducted using a modified Delphi method. Results: Overall, nine domains with 14 components of frailty assessment were accepted. There was consensus on the necessity of a broad phenotype including physical, mental, and social frailty. Conclusions: Consensus on the components of a frailty assessment in a clinical setting is achieved through the Delphi process to establish a new tool of frailty assessment. Key words: Frailty, assessment, Delphi.
Introduction
feedback, the process was applied to specialists in fields related to frailty. Items considered for frailty were obtained from Korean Frailty and Aging Cohort Study (KFACS) including health status, health behaviors, social functioning, cognitive function, and demographic and socioeconomic factors. Anthropometry, blood and urine testing, dual energy X-ray absorptiometry, and physical performance were assessed by health examination (9). The KFACS was approved by the Institutional Review Board of the Clinical Research Ethics Committee of Kyung Hee University Medical Centre, Seoul, Korea, and complied with the tenets of the Declaration of Helsinki (KMC IRB number: 2015-12-103).
Identifying the frail population by establishing a specific and universal definition of frailty is critical to prevent disabilities and adverse health outcomes for older adults (1). However, a variety of definitions has been suggested, and there is still controversy and no clear consensus regarding the components of frailty (2, 3). Even in the same population, a gap between selected frail populations from different frailty definitions, derived from the detailed components and development background of each definition, was confirmed (4).
Data Loading...
