Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/124135
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dc.contributor.authorArchibald, M.M.en
dc.contributor.authorLawless, M.en
dc.contributor.authorGill, T.K.en
dc.contributor.authorChehade, M.J.en
dc.date.issued2020en
dc.identifier.citationBMC Geriatrics, 2020; 20(1):17-1-17-11en
dc.identifier.issn1471-2318en
dc.identifier.issn1471-2318en
dc.identifier.urihttp://hdl.handle.net/2440/124135-
dc.description.abstractBACKGROUND:Over the past decade, there has been significant growth in the awareness and understanding of fragility among orthopaedic surgeons in the context of osteoporotic fractures and with it, improvements in the recognition and management of fragility fractures. Emerging as a major clinical and research focus in aged care is the concept of frailty and its associations with fragility, sarcopenia, falls and rehabilitation. Currently, research is lacking on how orthopaedic surgeons perceive frailty and the role of frailty screening. A baseline understanding of these perceptions is needed to inform integration of frailty identification and management for patient optimization in orthopaedic practices, as well as research and education efforts of patients and healthcare professionals in orthopaedic contexts. METHODS:We used an exploratory design guided by qualitative description to conduct 15 semi-structured telephone and in-person interviews across three orthopaedic surgeon subgroups (Registrars, Junior Consultants, and Senior Consultants). Data collection and analysis occurred iteratively and was guided by thematic saturation. RESULTS:Orthopaedic surgeons have a disparate understanding of frailty. Between colleagues, frailty is often referred to non-specifically to suggest a general state of risk to the patient. Frailty screening is regarded positively but its specific utility in orthopaedic environments is questioned. Easy-to-administer frailty screening tools that are not exclusive assessments of functional status are viewed most satisfactorily. However these tools are rarely used. CONCLUSIONS:There is little understanding among orthopaedic surgeons of frailty as a phenotype. Beliefs around modifiability of frailty were dissimilar as were the impact of related risk factors, such a cognitive status, chronic disease, social isolation, and environmental influences. This in turn may significantly impact on the occurrence and treatment outcomes of fragility fracture, a common orthopaedic problem in older populations. This study highlights need for knowledge translation efforts (e.g. education) to achieve cohesive understanding of frailty among health professionals.en
dc.description.statementofresponsibilityMandy M. Archibald, Michael Lawless, Tiffany K. Gill and Mellick J. Chehadeen
dc.language.isoenen
dc.publisherBioMed Centralen
dc.rights© The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stateden
dc.subjectFrailty; frailty screening; qualitative; orthopedics; fragilityen
dc.titleOrthopaedic surgeons' perceptions of frailty and frailty screeningen
dc.typeJournal articleen
dc.identifier.rmid1000012971en
dc.identifier.doi10.1186/s12877-019-1404-8en
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1102208en
dc.identifier.pubid516838-
pubs.library.collectionNursing publicationsen
pubs.library.teamDS10en
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidArchibald, M.M. [0000-0003-4767-1031]en
dc.identifier.orcidGill, T.K. [0000-0002-2822-2436]en
dc.identifier.orcidChehade, M.J. [0000-0001-6931-2393]en
Appears in Collections:Nursing publications

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