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Identifying frailty in primary care: a qualitative description of family physicians’ gestalt impressions of their older adult patients

Overview of attention for article published in BMC Primary Care, May 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • High Attention Score compared to outputs of the same age and source (93rd percentile)

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35 X users

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66 Mendeley
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Title
Identifying frailty in primary care: a qualitative description of family physicians’ gestalt impressions of their older adult patients
Published in
BMC Primary Care, May 2018
DOI 10.1186/s12875-018-0743-4
Pubmed ID
Authors

Clara Korenvain, Ida-Maisie Famiyeh, Sheila Dunn, Cynthia R. Whitehead, Paula A. Rochon, Lisa M. McCarthy

Abstract

Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians conceptualize frailty, and the factors that they consider when making subjective decisions about patients' frailty statuses. Descriptive qualitative study of family physicians who practice in a large urban academic family medicine center as they participated in one-on-one "think-aloud" interviews about the frailty status of their patients aged 80 years and over. Of 23 eligible family physicians, 18 shared their impressions about the frailty status of their older adult patients and the factors influencing their decisions. Interviews were audio-recorded, transcribed, and thematically analyzed. Four themes were identified, the first of which described how physicians conceptualized frailty as a spectrum and dynamic in nature, but also struggled to conceptualize it without a formal definition in place. The remaining three themes described factors considered before determining patients' frailty statuses: physical characteristics (age, weight, medical conditions), functional characteristics (physical, cognitive, social) and living conditions (level of independence, availability of supports, physical environment). Family physicians viewed frailty as multifactorial, dynamic, and inclusive of functional and environmental factors. This conceptualization can be useful to make comprehensive and flexible evaluations of frailty status in conjunction with more objective frailty tools.

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X Demographics

The data shown below were collected from the profiles of 35 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 66 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 14%
Other 6 9%
Student > Master 6 9%
Student > Bachelor 6 9%
Student > Doctoral Student 4 6%
Other 13 20%
Unknown 22 33%
Readers by discipline Count As %
Medicine and Dentistry 15 23%
Nursing and Health Professions 12 18%
Pharmacology, Toxicology and Pharmaceutical Science 3 5%
Social Sciences 3 5%
Psychology 3 5%
Other 9 14%
Unknown 21 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 May 2019.
All research outputs
#2,153,732
of 25,576,801 outputs
Outputs from BMC Primary Care
#239
of 2,377 outputs
Outputs of similar age
#43,908
of 341,414 outputs
Outputs of similar age from BMC Primary Care
#5
of 59 outputs
Altmetric has tracked 25,576,801 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,377 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has done well, scoring higher than 89% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,414 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.