Current practice in the diagnosis and management of sarcopenia and frailty – results from a UK-wide survey

Journal of Frailty, Sarcopenia and Falls

ARTICLE

Miles D. Witham¹  Avan A. Sayer¹  Richard M. Dodds¹  Gill Turner⁴  Andrew Clegg⁵  Natalie J. Offord⁶ 

[1] AGE Research Group, Institute of Neuroscience, Newcastle University, United Kingdom;NIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University, United Kingdom;Newcastle University Institute for Ageing, United Kingdom;Lymington Hospital, Southern Health NHS Foundation Trust;Academic Unit of Elderly Care & Rehabilitation (University of Leeds), Bradford Institute for Health Research;Sheffield Teaching Hospitals NHS Foundation Trust

关键词: Sarcopenia;    Frailty;    Survey;    Questionnaire;    Older people;   

DOI  :  10.22540/JFSF-04-071

学科分类：内科医学

来源: Hylonome Publications

【 摘 要 】

Objectives: Despite a rising clinical and research profile, there is limited information about how frailty and sarcopenia are diagnosed and managed in clinical practice. Our objective was to build a picture of current practice by conducting a survey of UK healthcare professionals. Methods: We surveyed healthcare professionals in NHS organisations, using a series of four questionnaires. These focussed on the diagnosis and management of sarcopenia, and the diagnosis and management of frailty in acute medical units, community settings and surgical units. Results: Response rates ranged from 49/177 (28%) organisations for the sarcopenia questionnaire to 104/177 (59%) for the surgical unit questionnaire. Less than half of responding organisations identified sarcopenia; few made the diagnosis using a recognised algorithm or offered resistance training. The commonest tools used to identify frailty were the Rockwood Clinical Frailty Scale or presence of a frailty syndrome. Comprehensive Geriatric Assessment was offered by the majority of organisations, but this included exercise therapy in less than half of cases, and medication review in only one-third to two-thirds of cases. Conclusions: Opportunities exist to improve consistency of diagnosis and delivery of evidence-based interventions for both sarcopenia and frailty.

【 授权许可】

CC BY-NC-SA