The Japan Frailty Scale is a promising screening test for frailty and pre-frailty in Japanese elderly people

Egashira, Ryuichiro; Sato, Tomoharu; Miyake, Akimitsu; Takeuchi, Mariko; Nakano, Mai; Saito, Hitomi; Moriguchi, Misaki; Tonari, Satoko; Hagihara, Keisuke

doi:10.1016/j.gene.2022.146775

Cited by 10 publications

(13 citation statements)

References 88 publications

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“…Previously, we developed a new simple frailty screening scale (Japan Frailty Scale: JFS) based on the aging concept of Kampo medicine [( 56 ) submitted data]. The JFS showed high sensitivity as a screening tool for pre-frailty or frailty in elderly persons.…”

Section: Discussionmentioning

confidence: 99%

A multidimensional physical scale is a useful screening test for mild depression associated with childcare in Japanese child-rearing women

et al. 2022

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IntroductionMaternal depression is one of the important problems of postpartum women. For its early detection and appropriate treatment, it is necessary to identify women at high risk for depression quickly and easily.Materials and methodsA simple screening scale for depression from physical aspects, the multidimensional physical scale (MDPS), which is a 17-item, self-report, three-step scale (0, 1, 2) according to the theory of Kampo medicine, was developed. The aim of the present study was to develop (n = 785) and validate (n = 350) the MDPS that was designed to rate the risk of depression. The Beck Depression Inventory–Second Edition was used for determination of depression. In the development cohort, the final model was determined using multi-regression logistic analysis.ResultsThe components of the MDPS for mothers (MDPS-M) were developed, containing the total score of MDPS (0–34 points) and resumption of menstruation or not (–3, 0 points). Receiver-operating characteristic curve analysis of the MDPS-M (–3 to 34) for identifying a high risk of depression showed moderately good discrimination [area under the curve (AUC) = 0.74, 95% confidence interval (CI): 0.70–0.78]. At the cutoff value of MDPS-M (9/10), its sensitivity, specificity, positive predictive value, and negative predictive value were 84.9, 45.7, 36.7, and 89.2%, respectively. External validation of the MDPS-M showed moderately good discrimination (AUC = 0.74, 95% CI: 0.68–0.79) using the same analysis as the development cohort.ConclusionThese results indicate that the MDPS-M is a useful, simple, clinical scale for early identification of mothers at high risk of depression in primary care.

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Section: Discussionmentioning

confidence: 99%

A multidimensional physical scale is a useful screening test for mild depression associated with childcare in Japanese child-rearing women

et al. 2022

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“…Although some frailty screening instruments have been used in China, most of these scales were translated from other languages, which may make them culturally inaccurate. More recently, researchers from non-native English-speaking countries have developed their own localized frailty screening tools [ 26 , 45 , 46 ]. This study developed and validated a frailty screening scale in a Chinese context to screen older adults on the basis of the frailty definition and the ICOPE framework.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas, social frailty is similar to social isolation, which was considered as the external cause of frailty [ 25 ]. Most recently, a Japan frailty scale (JFS) was developed based on the aging concept of Kampo medicine; this was a new attempt in assessing frailty [ 26 ]. Similarly, the significant association of traditional Chinese medicine (TCM) constitution and frailty status was also observed in Chinese older adults [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of the Chinese Frailty Screening Scale: A Study among Community-Dwelling Older Adults in Shanghai

Wang

Chen

et al. 2022

IJERPH

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Background: Based on intrinsic capacity (IC) as defined by the World Health Organization, an accelerated decline may be an important precursor of frailty among older adults; however, there is a lack of validated instruments that both screen for frailty and monitor IC. This study aims to develop a comprehensive and acculturative frailty screening scale to determine healthy aging among older Chinese adults. Setting and participants: A cross-sectional and a cohort study both based on community-dwelling older adults aged 65 and older. Methods: This study mainly consisted of two parts. First, the selection and revision of 20 items related to frailty based on a literature review, expert consultation, and stakeholder analysis; second, a cross-sectional study was conducted to simplify the scale and test the reliability and validity of the new frailty screening tool. The fatigue, resistance, ambulation, illness, and loss of weight (FRAIL) scale, the Tilburg frailty indictor (TFI), and a 49-item Frailty Index (FI) were investigated as criteria. Additionally, a cohort study in Shanghai was conducted to verify the predictive validity of the new screening scale. The disability measured by the activity of daily living (ADL), instrumental activity of daily living (IADL) and all-cause mortality were documented as outcomes. Results: A 10-item Chinese frailty screening scale (CFSS-10) was successfully developed and validated. It presented a Cronbach’s α of 0.63 and an intraclass correlation coefficient of 0.73, which indicated good reliability. Taking the other frailty tools as criteria, Kappa values of 0.54–0.58 and an area under the curve of 0.87–0.91 showed good validity. The results of the log-binomial and Poisson models showed a high score, which predicted a higher risk of disability and all-cause mortality. An optimal cut-off point of 5 gave an excellent prediction of one-year disability. Conclusions: The CFSS-10 has good validity and reliability as a quick and acculturative frailty screening scale for community-dwelling older adults in Shanghai. It may also supplement existing frailty screening tools.

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“…[45][46][47] With the initiation of anticoagulant, regular bleeding risk assessment with HAS-BLED score helps to mitigate modifiable bleeding risk factors, schedule high bleeding risk patients for early review and follow-up, and to improve oral anticoagulant uptake. 48 The comprehensive geriatric assessment, including disability assessment (ADL scale), 49 frailty screening (FRAIL scale), 50 gait abnormality and fall risk assessment (TUGT scale), 51 fall scale screening, cognitive function assessment (Mini-Cog scale), 52 renal function [eGFR, CKD-EPI (Scr/Cys-c) formula], nutritional status, diet and weight, depressive status, comorbidities, and combined with multiple drugs, is recommended.…”

Section: Risk Assessment For the Elderly Patientsmentioning

confidence: 99%

2024 Chinese Expert Consensus Guidelines on the Diagnosis and Treatment of Atrial Fibrillation in the Elderly, Endorsed by Geriatric Society of Chinese Medical Association (Cardiovascular Group) and Chinese Society of Geriatric Health Medicine (Cardiovascular branch): Executive Summary

Wang,

Guo,

Qin

et al. 2024

Thromb Haemost

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The consensus guidelines of the Geriatric Society of Chinese Medical Association (GSCMA) on the management of atrial fibrillation (AF) in the elderly was first published in 2011 and updated in 2016, with endorsement by Chinese Society of Geriatric Health Medicine (CSGHM). Since then, many important studies regarding the screening and treatment in the elderly population have been reported, necessitating this updated expert consensus guidelines. The writing committee members comprehensively reviewed updated evidence pertaining to elderly patients with AF, and formulated this 2024 update. The highlighted issues focused on the following: screening for AF, geriatric comprehensive assessment, use of the Atrial fibrillation Better Care (ABC) pathway for the elderly patients, and special clinical settings related to elderly patients with AF. New recommendations addressing smart technology facilitated AF screening, ABC pathway based management and optimal anticoagulation were developed, with a focus on the elderly.

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The Japan Frailty Scale is a promising screening test for frailty and pre-frailty in Japanese elderly people

Cited by 10 publications

References 88 publications

A multidimensional physical scale is a useful screening test for mild depression associated with childcare in Japanese child-rearing women

A multidimensional physical scale is a useful screening test for mild depression associated with childcare in Japanese child-rearing women

Development and Validation of the Chinese Frailty Screening Scale: A Study among Community-Dwelling Older Adults in Shanghai

2024 Chinese Expert Consensus Guidelines on the Diagnosis and Treatment of Atrial Fibrillation in the Elderly, Endorsed by Geriatric Society of Chinese Medical Association (Cardiovascular Group) and Chinese Society of Geriatric Health Medicine (Cardiovascular branch): Executive Summary

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