Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

Abstract

Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of development), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recommendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy aging” become more and more important, these guidelines are also expected to increase in clinical usefulness.

Validation of the Korean Academy of Geriatric Dentistry screening questionnaire and oral frailty diagnostic criteria in community-dwelling older adults

“…The relationship between oral health and the incidence and progression of frailty is well-established, prompting the inclusion of oral health criteria in several diagnostic tools and clinical guidelines for frailty [22][23][24]. Typically, these criteria, indices, or guidelines have relied heavily on questions posed by clinicians to patients during clinical visits or on self-reported questionnaires.…”

Evidence-Based Approaches in the Prevention and Management of Frailty in the Elderly

“…Kırılganlığın önlenmesi ve yönetimi ile ilgili yayınlanmış kılavuzlarda bulunan kanıt seviyeleri ve öneriler tablo 2, 3, 4 ve 5'te verilmiştir (39)(40)(41)(42).…”