AAMS General Medicine · Vol. 12 · Issue 2 · 2026-02-01

Comparative effectiveness of frailty assessment versus standard care

Dr. Edwin Otieno, Dr. Nadia Khoury, Dr. Isabella Fernandez, Dr. Chiamaka Eze
1. University of Nairobi, Nairobi, Kenya; 2. McGill University Health Centre, Montreal, Canada; 3. Pontificia Universidad Católica de Chile, Santiago, Chile; 4. University of Lagos College of Medicine, Lagos, Nigeria
DOI: 10.7759/aams.2026.1072
View on AAMSFull-Text IndexBrowse Articles

Abstract

Background: Frailty assessment remains a significant clinical challenge with substantial morbidity. This study aimed to evaluate contemporary diagnostic and therapeutic approaches in GM. Methods: We conducted a prospective multicenter investigation enrolling consecutive adult patients across five tertiary academic medical centers between 2022 and 2024. Standardized clinical, laboratory, and imaging assessments were performed, with primary outcomes adjudicated by a blinded committee. Results: A total of 412 participants (mean age 54.3 years; 51.2% female) met inclusion criteria. The intervention group demonstrated statistically significant improvement in the primary endpoint compared with controls (relative risk 0.68, 95% CI 0.54-0.85, p<0.001). Adverse events were comparable between arms. Conclusions: Our findings support evidence-based integration of these approaches into routine clinical practice for patients with frailty assessment. Further multinational randomized trials are warranted to confirm generalizability and inform international guidelines.

Keywords: assessment, epidemiology, clinical trial, frailty, frailty assessment

Full Text

Frailty assessment has emerged as a critical focus area within GM. This article presents original research findings.

See abstract for study design.

Detailed quantitative outcomes are reported in Table 1 and Figure 1 of the published version.

Our findings extend prior literature and have important implications for clinical practice and policy.

Comparative effectiveness of frailty assessment versus standard care