The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty
To develop Clinical Practice Guidelines for the screening, assessment and management of the geriatric condition of frailty. An adapted Grading of Recommendations, Assessment, Development, and Evaluation approach was used to develop the guidelines. This process involved detailed evaluation of the cur...
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| Published in | Journal of the American Medical Directors Association Vol. 18; no. 7; p. 564 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.07.2017
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| Subjects | |
| Online Access | Get more information |
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| Abstract | To develop Clinical Practice Guidelines for the screening, assessment and management of the geriatric condition of frailty.
An adapted Grading of Recommendations, Assessment, Development, and Evaluation approach was used to develop the guidelines. This process involved detailed evaluation of the current scientific evidence paired with expert panel interpretation. Three categories of Clinical Practice Guidelines recommendations were developed: strong, conditional, and no recommendation.
Strong recommendations were (1) use a validated measurement tool to identify frailty; (2) prescribe physical activity with a resistance training component; and (3) address polypharmacy by reducing or deprescribing any inappropriate/superfluous medications. Conditional recommendations were (1) screen for, and address modifiable causes of fatigue; (2) for persons exhibiting unintentional weight loss, screen for reversible causes and consider food fortification and protein/caloric supplementation; and (3) prescribe vitamin D for individuals deficient in vitamin D. No recommendation was given regarding the provision of a patient support and education plan.
The recommendations provided herein are intended for use by healthcare providers in their management of older adults with frailty in the Asia Pacific region. It is proposed that regional guideline support committees be formed to help provide regular updates to these evidence-based guidelines. |
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| AbstractList | To develop Clinical Practice Guidelines for the screening, assessment and management of the geriatric condition of frailty.
An adapted Grading of Recommendations, Assessment, Development, and Evaluation approach was used to develop the guidelines. This process involved detailed evaluation of the current scientific evidence paired with expert panel interpretation. Three categories of Clinical Practice Guidelines recommendations were developed: strong, conditional, and no recommendation.
Strong recommendations were (1) use a validated measurement tool to identify frailty; (2) prescribe physical activity with a resistance training component; and (3) address polypharmacy by reducing or deprescribing any inappropriate/superfluous medications. Conditional recommendations were (1) screen for, and address modifiable causes of fatigue; (2) for persons exhibiting unintentional weight loss, screen for reversible causes and consider food fortification and protein/caloric supplementation; and (3) prescribe vitamin D for individuals deficient in vitamin D. No recommendation was given regarding the provision of a patient support and education plan.
The recommendations provided herein are intended for use by healthcare providers in their management of older adults with frailty in the Asia Pacific region. It is proposed that regional guideline support committees be formed to help provide regular updates to these evidence-based guidelines. |
| Author | Woo, Jean Landi, Francesco Chan, Piu Rodriguez-Mañas, Leocadio Morley, John E Rockwood, Kenneth Lien, Christopher Ng, Tze Pin Arai, Hidenori Vellas, Bruno Hua Poi, Philip Jun Wong, Chek Hooi de la Vega, Shelley Lim, Wee Shiong Chen, Liang-Kung Flicker, Leon Leung, Edward Kamaruzzaman, Shahrul Bahyah Binti Wong, Wei Chin Won, Chang Cao, Li Cesari, Matteo Dong, Birong Dent, Elsa Fried, Linda P |
| Author_xml | – sequence: 1 givenname: Elsa surname: Dent fullname: Dent, Elsa email: elsa.dent@adelaide.edu.au organization: Center for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Brisbane, Australia. Electronic address: elsa.dent@adelaide.edu.au – sequence: 2 givenname: Christopher surname: Lien fullname: Lien, Christopher organization: Department of Geriatric Medicine, Changi General Hospital, Singapore, Singapore – sequence: 3 givenname: Wee Shiong surname: Lim fullname: Lim, Wee Shiong organization: Department of Geriatric Medicine, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore, Singapore – sequence: 4 givenname: Wei Chin surname: Wong fullname: Wong, Wei Chin organization: Department of Geriatric Medicine, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore, Singapore – sequence: 5 givenname: Chek Hooi surname: Wong fullname: Wong, Chek Hooi organization: Geriatric Education and Research Institute, Singapore, Singapore – sequence: 6 givenname: Tze Pin surname: Ng fullname: Ng, Tze Pin organization: Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore – sequence: 7 givenname: Jean surname: Woo fullname: Woo, Jean organization: The S H Ho Center for Gerontology and Geriatrics, The Chinese University of Hong Kong, Hong Kong, China – sequence: 8 givenname: Birong surname: Dong fullname: Dong, Birong organization: Geriatrics Center Huaxi Hospital, Sichuan University, Chengdu, China – sequence: 9 givenname: Shelley surname: de la Vega fullname: de la Vega, Shelley organization: University of the Philippines College of Medicine, Manila, Philippines; Institute on Aging, National Institutes of Health, University of the Philippines, Manila, Philippines – sequence: 10 givenname: Philip Jun surname: Hua Poi fullname: Hua Poi, Philip Jun organization: Division of Geriatrics, University of Malaya Medical Center, Kuala Lumpur, Malaysia – sequence: 11 givenname: Shahrul Bahyah Binti surname: Kamaruzzaman fullname: Kamaruzzaman, Shahrul Bahyah Binti organization: Division of Geriatrics, University of Malaya Medical Center, Kuala Lumpur, Malaysia – sequence: 12 givenname: Chang surname: Won fullname: Won, Chang organization: Department of Family Medicine, Kyung Hee University School of Medicine, Seoul, South Korea – sequence: 13 givenname: Liang-Kung surname: Chen fullname: Chen, Liang-Kung organization: Center for Geriatrics and Gerontology, Taipei Veterans General Hospital; Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan – sequence: 14 givenname: Kenneth surname: Rockwood fullname: Rockwood, Kenneth organization: Dalhousie University, Halifax, Nova Scotia, Canada – sequence: 15 givenname: Hidenori surname: Arai fullname: Arai, Hidenori organization: National Center for Geriatrics and Gerontology, Obu, Japan – sequence: 16 givenname: Leocadio surname: Rodriguez-Mañas fullname: Rodriguez-Mañas, Leocadio organization: Department of Geriatrics, Hospital Universitario de Getafe, Madrid, Spain – sequence: 17 givenname: Li surname: Cao fullname: Cao, Li organization: Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China – sequence: 18 givenname: Matteo surname: Cesari fullname: Cesari, Matteo organization: CHU Toulouse, Toulouse, France – sequence: 19 givenname: Piu surname: Chan fullname: Chan, Piu organization: Department of Geriatrics, Neurology, and Neurobiology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 20 givenname: Edward surname: Leung fullname: Leung, Edward organization: Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong – sequence: 21 givenname: Francesco surname: Landi fullname: Landi, Francesco organization: Catholic University of Sacred Heart, Rome, Italy – sequence: 22 givenname: Linda P surname: Fried fullname: Fried, Linda P organization: Mailman School of Public Health, Columbia University Medical Center, New York, NY – sequence: 23 givenname: John E surname: Morley fullname: Morley, John E organization: Divisions of Geriatric Medicine and Endocrinology, Saint Louis University, St. Louis, MO – sequence: 24 givenname: Bruno surname: Vellas fullname: Vellas, Bruno organization: CHU Toulouse, Toulouse, France – sequence: 25 givenname: Leon surname: Flicker fullname: Flicker, Leon organization: Western Australia Center for Health and Aging, University of Western Australia, Perth, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28648901$$D View this record in MEDLINE/PubMed |
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