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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Updated: Mar 25, 2026

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Variations in Frailty Perceptions between Patients and Physicians.

Teck Soon Seah1, Yan Tong Chin1, Johnathan Loh1

  • 1National Heart Centre Singapore, Singapore, Singapore.

Gerontology
|March 23, 2026
PubMed
Summary
This summary is machine-generated.

Physicians perceive patients as more physically frail than patients perceive themselves. However, patients report greater social frailty, especially in Asian populations, highlighting differing perceptions.

Keywords:
AgeingAgingElderlyElderly peopleFrailty

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Area of Science:

  • Gerontology
  • Healthcare Disparities
  • Patient-Physician Communication

Background:

  • The term "frailty" is common in healthcare, but "perceived frailty" (self-perception) is subjective.
  • Physician perceptions influence treatment plans, while patient self-perception affects treatment acceptance.
  • Understanding these differing perceptions is crucial for effective healthcare delivery.

Purpose of the Study:

  • To review and analyze differences in perceived frailty between physicians and patients.
  • To map the existing evidence on perceived frailty across different domains and populations.

Main Methods:

  • A comprehensive, no-restriction literature search was conducted in PubMed over 3 months.
  • 20 peer-reviewed studies assessing perceived frailty in patients and physicians were included.
  • Data from N=27,342 participants were descriptively and quantitatively synthesized.

Main Results:

  • Physicians perceived patients as more physically frail (56.09%) than patients' self-perception (43.59%).
  • Patients reported higher levels of social frailty (58.9%).
  • Asian patients perceived themselves as more frail (58.93%) compared to Western patients (43.59%).

Conclusions:

  • Significant differences exist in frailty perception between patients and physicians.
  • Perceptions vary across different frailty domains (physical vs. social) and ethnic groups.
  • Findings can inform targeted educational and communication strategies to improve patient care.