Should we screen for frailty in primary care settings? A fresh perspective on the frailty evidence base: A narrative review
Rachel Ambagtsheer
Justin Beilby
Renuka Visvanathan
Elsa Dent
Solomon Yu
Annette Braunack-Mayer
10.25905/5c414cfc08b1f
https://torrens.figshare.com/articles/journal_contribution/Should_we_screen_for_frailty_in_primary_care_settings_A_fresh_perspective_on_the_frailty_evidence_base_A_narrative_review/7582145
<p>With older adults living
longer, health service providers have increasingly turned their attention
towards frailty and its significant consequences for health and well-being.
Consequently, frailty screening has gained momentum as a possible health policy
answer to the question of what can be done to prevent frailty's onset and
progression. However, who should be screened for frailty, where and when
remains a subject of extensive debate. The purpose of this narrative review is
to explore the dimensions of this question with reference to Wilson and
Jungner's time-tested and widely accepted principles for acceptable screening
within community settings. Although the balance of the emerging evidence to support
frailty screening is promising, significant gaps in the evidence base remain.
Consequently, when assessed against Wilson and Jungner's principles, extensive population
screening does not appear to be supported by the evidence. However,
screening for the purpose of case-finding may prove useful among older
adults.</p><p><br></p><p>Preventative Medicine. 2018 Dec 27;119:63-69.</p>
2019-01-18 03:50:18
Aged, 80 and over
Aged
Frailty
Geriatric assessment
Mass screening
Primary health care
Family practice
General practice
Aged Health Care