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Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

이상현|Yonghwan Kim|노용균|Yu-Jin Kwon|이재우|Sun Young Kim|Joung Sik Son|Bumjo Oh|Chang Won Won|Young-Kyu Park|Ye-Seul Kim|Hee-Taik Kang|Hyo-Sun You|Yang Hyun Kim|Byoungjin Park|Chang-Hae Park|Jinyoung Shin|Hyun-Young Shin|Jae-YongShim|Ji Won Yoo|Duk-Chul Lee
대한가정의학회 (The Korean Academy Of Family Medicine)|2021.11|Korean Journal of Family Medicine|제42권 제6호|pp. 413-424

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참고문헌

키워드

FrailtyAgingPrimary Health CareClinical Practice Guidelines
주제분류가정의학

초록

Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of develop-ment), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recom-mendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evalua-tion, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy ag-ing” become more and more important, these guidelines are also expected to increase in clinical usefulness.

Abstract

Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of develop-ment), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recom-mendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evalua-tion, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy ag-ing” become more and more important, these guidelines are also expected to increase in clinical usefulness.

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