Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study

Abstract

Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman’s correlation coefficients were categorized as weak (rs ≤ 0.40), moderate (0.41 ≤ rs ≥ 0.69) or robust (0.70 ≤ rs ≥ 1.00), with a strong indirect correlation between the domains using the toilet, transferring and wandering on the Frail-VIG scale with an r (s) value −0.810 (p < 0.001), −0.831 (p < 0.001) and −0.805 (p < 0.001), respectively, and a moderate indirect correlation for the domains of eating −0.718 (p < 0.001), dressing −0.770 (p < 0.001) and urination −0.704 (<0.001). The Frail-VIG index above 0.35 points, that is, from moderate to severe, does not affect ADLs except in the nutritional dimension in a palliative oncological population in home hospitalization. The preliminary outcomes obtained should be considered to determine the impact of nutritional status with regard to ADLs in palliative oncological patients in a home hospitalization unit.

Translation and cross‐cultural adaptation of coping with rheumatic stressors instrument into Turkish language

“…In various chronic diseases, usage of patient‐reported outcomes is valuable because they have a huge impact on daily activities. For this reason, the transcultural adaptation of different tools is required for their use in different cultures and languages 6,7 . In this study we aimed to perform (a) the translation and cross‐cultural adaptation of the CORS into Turkish and (b) its cognitive debriefing to test the conceptual equivalence of the translated version among patients with RA, and patients with non‐radiographic and radiographic axSpA to be used in Turkey.…”

Interrater Reliability of the Spanish (Colombia) Version of the Post-COVID-19 Functional Status Scale

“…Concerning functional limitations, a significant impact of the disease on the adequate performance and independence of activities of daily living has been identified, with the appearance of disability and reduced quality of life, with impairments that can persist for up to 1 to 6 months [11], for which scales such as the Barthel scale have frequently been used [12]. An adequate understanding of what is happening at the functional level in patients is essential for making clinical and epidemiological intervention decisions, and also because COVID-19 develops medium-and long-term sequelae, such as cognitive and physical sequelae, that affect patient's functioning and quality of life, the rehabilitation interventions are fully considered to improve the functional status of the patient.…”