Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol
Introduction Despite growing evidence, uncertainty persists about which frailty assessment tools are best suited for routine perioperative care. We aim to understand which frailty assessment tools perform well and are feasible to implement.Methods and analysis Using a registered protocol following P...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e061951.full |
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| author | Duminda N Wijeysundera Andrea C Tricco Martine T E Puts Shabbir M H Alibhai Teruko Kishibe Tyler R Chesney Julian F Daza Camilla Wong Karim Shiraz Ladha Samuel Dubé |
| author_facet | Duminda N Wijeysundera Andrea C Tricco Martine T E Puts Shabbir M H Alibhai Teruko Kishibe Tyler R Chesney Julian F Daza Camilla Wong Karim Shiraz Ladha Samuel Dubé |
| author_sort | Duminda N Wijeysundera |
| collection | DOAJ |
| description | Introduction Despite growing evidence, uncertainty persists about which frailty assessment tools are best suited for routine perioperative care. We aim to understand which frailty assessment tools perform well and are feasible to implement.Methods and analysis Using a registered protocol following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA), we will conduct a scoping review informed by the Joanna Briggs Institute Guide for Scoping Reviews and reported using PRISMA extension for Scoping Reviews recommendations. We will develop a comprehensive search strategy with information specialists using the Peer Review of Electronic Search Strategies checklist, and implement this across relevant databases from 2005 to 13 October 2021 and updated prior to final review publication. We will include all studies evaluating a frailty assessment tool preoperatively in patients 65 years or older undergoing intracavitary, non-cardiac surgery. We will exclude tools not assessed in clinical practice, or using laboratory or radiologic values alone. After pilot testing, two reviewers will independently assess information sources for eligibility first by titles and abstracts, then by full-text review. Two reviewers will independently chart data from included full texts using a piloted standardised electronic data charting. In this scoping review process, we will (1) index frailty assessment tools evaluated in the preoperative clinical setting; (2) describe the level of investigation supporting each tool; (3) describe useability of each tool and (4) describe direct comparisons between tools. The results will inform ready application of frailty assessment tools in routine clinical practice by surgeons and other perioperative clinicians.Ethics and dissemination Ethic approval is not required for this secondary data analysis. This scoping review will be published in a peer-review journal. Results will be used to inform an ongoing implementation study focused on geriatric surgery to overcome the current lack of uptake of older adult-oriented care recommendations and ensure broad impact of research findings. |
| format | Article |
| id | doaj-art-15e9ef50fa7548428eda5240e60aa07a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-15e9ef50fa7548428eda5240e60aa07a2025-01-31T10:00:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-061951Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocolDuminda N Wijeysundera0Andrea C Tricco1Martine T E Puts2Shabbir M H Alibhai3Teruko Kishibe4Tyler R Chesney5Julian F Daza6Camilla Wong7Karim Shiraz Ladha8Samuel Dubé9Department of Anesthesiology and Pain Medicine, and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaEpidemiology Division and Institute for Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, CanadaDepartment of Medicine, University Health Network, Toronto, Ontario, CanadaLi Ka Shing Knowledge Institute, St. Michael’s Hospital, Unity Health Toronto, Toronto, Ontario, CanadaDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, CanadaDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, CanadaLi Ka Shing Knowledge Institute, St. Michael’s Hospital, Unity Health Toronto, Toronto, Ontario, CanadaDepartment of Anesthesiology and Pain Medicine, St. Michael’s Hospital, Unity Health Toronto, Toronto, Ontario, CanadaDivision of Gynecologic Oncology, Université de Montréal, Montreal, Quebec, CanadaIntroduction Despite growing evidence, uncertainty persists about which frailty assessment tools are best suited for routine perioperative care. We aim to understand which frailty assessment tools perform well and are feasible to implement.Methods and analysis Using a registered protocol following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA), we will conduct a scoping review informed by the Joanna Briggs Institute Guide for Scoping Reviews and reported using PRISMA extension for Scoping Reviews recommendations. We will develop a comprehensive search strategy with information specialists using the Peer Review of Electronic Search Strategies checklist, and implement this across relevant databases from 2005 to 13 October 2021 and updated prior to final review publication. We will include all studies evaluating a frailty assessment tool preoperatively in patients 65 years or older undergoing intracavitary, non-cardiac surgery. We will exclude tools not assessed in clinical practice, or using laboratory or radiologic values alone. After pilot testing, two reviewers will independently assess information sources for eligibility first by titles and abstracts, then by full-text review. Two reviewers will independently chart data from included full texts using a piloted standardised electronic data charting. In this scoping review process, we will (1) index frailty assessment tools evaluated in the preoperative clinical setting; (2) describe the level of investigation supporting each tool; (3) describe useability of each tool and (4) describe direct comparisons between tools. The results will inform ready application of frailty assessment tools in routine clinical practice by surgeons and other perioperative clinicians.Ethics and dissemination Ethic approval is not required for this secondary data analysis. This scoping review will be published in a peer-review journal. Results will be used to inform an ongoing implementation study focused on geriatric surgery to overcome the current lack of uptake of older adult-oriented care recommendations and ensure broad impact of research findings.https://bmjopen.bmj.com/content/12/7/e061951.full |
| spellingShingle | Duminda N Wijeysundera Andrea C Tricco Martine T E Puts Shabbir M H Alibhai Teruko Kishibe Tyler R Chesney Julian F Daza Camilla Wong Karim Shiraz Ladha Samuel Dubé Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol BMJ Open |
| title | Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol |
| title_full | Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol |
| title_fullStr | Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol |
| title_full_unstemmed | Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol |
| title_short | Frailty assessment tools for use by surgeons when evaluating older adults prior to surgery: a scoping review protocol |
| title_sort | frailty assessment tools for use by surgeons when evaluating older adults prior to surgery a scoping review protocol |
| url | https://bmjopen.bmj.com/content/12/7/e061951.full |
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