Korean J Fam Pract.  2021 Aug;11(4):223-235. 10.21215/kjfp.2021.11.4.223.

Clinical Practice Guideline for Frailty Applicable in Primary Care Setting

Affiliations
  • 1Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea
  • 2Department of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 3Department of Family Medicine, College of Medicine, Kyung Hee University, Korea
  • 4Department of Family Medicine, Korea University College of Medicine, Korea
  • 5Department of Family Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
  • 6Department of Family Medicine, Bundang Jesaeng Hospital, Seongnam, Korea
  • 7Department of Family Medicine, Haengbokhankajung Clinic, Korea
  • 8Department of Family Medicine, Korea University Guro Hospital, Korea
  • 9Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
  • 10Department of Family Medicine, Myongji Hospital, Goyang, Korea
  • 11Department of Family Medicine, SMG-SNU Boramae Medical Center, Korea
  • 12Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Korea
  • 13Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul, Korea
  • 14Department of Internal Medicine, School of Medicine, University of Nevada, Las Vegas, USA, Korea
  • 15Department of Family Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 16Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea

Abstract

With aging becoming a global issue, the interest in healthy aging has increased as well. Healthy aging focuses on maintaining the functions and wellbeing of the elderly rather than merely treating their medical conditions. Thus, the management of frailty, which is characterized by the accumulation of functional declines, is important for achieving healthy aging. To develop clinical practice guidelines for frailty management applicable in primary care settings, the adaptation method was used and completed in the following three phases: (1) preparation (organizing committees and establishing scope of development); (2) literature screening and evaluation (selection of clinical practice guidelines for adaptation and evaluation using the Korean Appraisal of Guidelines for Research and Evaluation II); and (3) confirmation of recommendations (three rounds of Delphi consensus, and internal and external reviews). A total of 16 recommendations were made through the guideline development process. For diagnosis and assessment, five recommendations related to screening, diagnosis, and assessment of frailty were included. Intervention and monitoring included 11 recommendations regarding polypharmacy, physical activities, nutrition and oral health, vitamins and hormones, cognitive function, fall, social frailty, and monitoring. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, applicable in primary care settings. With the growing importance of aging and healthy aging, the clinical usefulness of these guidelines is also expected to increase.

Keyword

Frailty; Practice Guideline; Aging; Primary Health Care
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