Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 62, Issue 8, Pages 1562-1567Publisher
WILEY
DOI: 10.1111/jgs.12926
Keywords
geriatrics; palliative care; clinical tool; Clinical Frailty Scale; Palliative Performance Scale
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Funding
- Academic Health Sciences Centres Alternate Funding Plan Innovation Fund
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OBJECTIVES: To create a clinical tool to translate between the Clinical Frailty Scale (CFS), which geriatrics teams use, and Palliative Performance Scale (PPS), which palliative care teams use, to create a common language and help improve communication between geriatric and palliative care teams. DESIGN: Cross-sectional. SETTINGS: Two academic health centers: inpatient palliative care and chronic care units, an outpatient geriatric clinic, and inpatient referrals to a palliative care consultation service. PARTICIPANTS: Older adults (>= 65) aged 80.9 +/- 8.0, with malignant (51%) and nonmalignant (49%) terminal diagnoses (N = 120). MEASUREMENTS: Each participant was assigned four scores: a CFS score each from a geriatric physician and nurse and a PPS score each from a palliative care physician and nurse. Interrater reliability of each measure was calculated using kappa coefficients. For each measure, the mean of physician and nurse scores was used to calculate every possible combination of CFS and PPS scores to determine the combination with maximum agreement. RESULTS: Interrater reliability of each measure was very high for the CFS (weighted kappa = 0.92) and PPS (weighted kappa = 0.80). The CFS-PPS score matching that achieved maximum agreement (weighted kappa = 0.71) was used to create a conversion chart between the two measures. CONCLUSION: This conversion chart is a reliable means of translating scores between the CFS and PPS and is useful for geriatric and palliative care teams collaborating in the care of elderly adults.
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