Ángel Rodríguez-Laso1, Rónán O'Caoimh2, Lucia Galluzzo3, Laure Carcaillon-Bentata4, Nathalie Beltzer4, Jurate Macijauskiene5, Olatz Albaina Bacaicoa6, Marius Ciutan7, Anne Hendry8, Luz López-Samaniego9, Aaron Liew2. 1. Fundación para la Investigación Biomédica del Hospital Universitario de Getafe, Getafe, Spain. 2. Health Service Executive of Ireland (Social Care Division) and National University of Ireland (Discipline of Medicine), Galway, Ireland. 3. Dipartimento Malattie Cardiovascolari, Dismetaboliche e Invecchiamento, Istituto Superiore di Sanità, Rome, Italy. 4. Santé Publique France, Saint-Maurice, France. 5. Geriatrijos Klinika, Lietuvos Sveikatos Mokslų Universitetas, Kaunas, Lithuania. 6. Centro de Excelencia en Investigación en Cronicidad (KRONIKGUNE), Barakaldo, Spain. 7. Scoala Nationala de Sanatate Publica Management si Perfectionare in Domeniul Sanitar Bucuresti, Bucharest, Romania. 8. NHS Lanarkshire, United Kingdom. 9. Fundación Progreso y Salud, Consejería de Salud de la Junta de Andalucía, Seville, Spain.
Abstract
INTRODUCTION: Little is known about programmes or interventions for the screening, monitoring and surveillance of frailty at population level. METHODS: Three systematic searches and an opportunistic grey literature review from the countries participating in the ADVANTAGE Joint Action were performed. RESULTS: Three studies reported local interventions to screen for frailty, two of them using a two-step screening and assessment method and one including monitoring activities. Another paper reviewed both providers' and participants' experiences of screening activities. Three on-going European projects and population-screening programmes in primary care await evaluation. An electronic Frailty Index for use with patients' primary care records has been recently validated. No study described systematic processes for the surveillance of frailty. CONCLUSIONS: There is insufficient evidence for the effectiveness of population-level screening, monitoring and surveillance of frailty. Development and evaluation of community-based two-step programmes including those that incorporate electronic health records, particularly in primary care, are now needed.
INTRODUCTION: Little is known about programmes or interventions for the screening, monitoring and surveillance of frailty at population level. METHODS: Three systematic searches and an opportunistic grey literature review from the countries participating in the ADVANTAGE Joint Action were performed. RESULTS: Three studies reported local interventions to screen for frailty, two of them using a two-step screening and assessment method and one including monitoring activities. Another paper reviewed both providers' and participants' experiences of screening activities. Three on-going European projects and population-screening programmes in primary care await evaluation. An electronic Frailty Index for use with patients' primary care records has been recently validated. No study described systematic processes for the surveillance of frailty. CONCLUSIONS: There is insufficient evidence for the effectiveness of population-level screening, monitoring and surveillance of frailty. Development and evaluation of community-based two-step programmes including those that incorporate electronic health records, particularly in primary care, are now needed.
Authors: Kadjo Yves Cedric Adja; Jacopo Lenzi; Duygu Sezgin; Rónán O'Caoimh; Mara Morini; Gianfranco Damiani; Alessandra Buja; Maria Pia Fantini Journal: Front Public Health Date: 2020-11-12