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Consensus on Components of Frailty Using the Delphi Method: Korean Frailty and Aging Cohort Study
1Jaekyung Choi, MD, PhD, Department of Family Medicine, Konkuk University School of Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Korea, ORCID: https://orcid.org/0000-0002-0875-7505, Tel: +82-2-2030-7683, Fax: +82-2030-5009,
The Journal of Nutrition, Health & Aging
|January 25, 2021
Summary
Experts reached consensus on nine domains and 14 components for assessing frailty, encompassing physical, mental, and social aspects. This establishes a new tool for clinical frailty assessment.
Area of Science:
- Gerontology
- Clinical Medicine
- Public Health
Background:
- Frailty is conceptualized to include physical, mental, and social phenotypes.
- A lack of consensus exists regarding the specific components for frailty assessment.
Purpose of the Study:
- To achieve expert consensus on the essential components for assessing frailty.
- To develop a standardized framework for frailty assessment.
Main Methods:
- A modified Delphi process was employed with geriatric and gerontologic experts.
- Data from the Korean Frailty and Aging Cohort Study informed the component selection.
- Expert opinions were systematically collected and consensus was established.
Main Results:
- Consensus was reached on nine domains and 14 components for frailty assessment.
- Agreement was found on the inclusion of physical, mental, and social frailty phenotypes.
- A broad phenotype for frailty assessment was accepted by the expert panel.
Conclusions:
- The Delphi process successfully established consensus on frailty assessment components for clinical settings.
- A new, consensus-driven tool for frailty assessment has been developed.
- This consensus provides a foundation for standardized frailty evaluation in healthcare.
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