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Korean J Fam Med > Volume 42(6); 2021 > Article
Korean Journal of Family Medicine 2021;42(6):413-424.
DOI: https://doi.org/10.4082/kjfm.21.0162    Published online November 20, 2021.
Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings
Hyo-Sun You1  , Yu-Jin Kwon2  , Sunyoung Kim3  , Yang-Hyun Kim4  , Ye-seul Kim1  , Yonghwan Kim1  , Yong-kyun Roh5  , Byoungjin Park2  , Young Kyu Park6  , Chang-Hae Park7  , Joung Sik Son8  , Jinyoung Shin9  , Hyun-Young Shin10  , Bumjo Oh11  , Jae-woo Lee1  , Jae Yong Shim12  , Chang Won Won13  , Ji Won Yoo14  , Sang-Hyun Lee15  , Hee-Taik Kang1,16  , Duk Chul Lee12 
1Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea
2Department of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
3Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul, Korea
4Department of Family Medicine, Korea University College of Medicine, Seoul, Korea
5Department of Family Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
6Department of Family Medicine, Bundang Jesaeng Hospital, Seongnam, Korea
7Department of Family Medicine, Haengbokhankajung Clinic, Seoul, Korea
8Department of Family Medicine, Korea University Guro Hospital, Seoul, Korea
9Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
10Department of Family Medicine, Myongji Hospital, Goyang, Korea
11Department of Family Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea
12Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
13Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul, Korea
14School of Medicine, University of Nevada Las Vegas, Las Vegas, NV, USA
15Department of Family Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea
16Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
Corresponding author:  Hee-Taik Kang, Tel: +82-43-261-6301, Fax: +82-43-273-5928, 
Email: kanght@chungbuk.ac.kr
Duk Chul Lee, Tel: +82-2-2228-2331, Fax: +82-2-362-2473, 
Email: faith@yuhs.ac
Received: 26 July 2021   • Revised: 1 September 2021   • Accepted: 8 September 2021
Abstract
Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of development), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recommendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy aging” become more and more important, these guidelines are also expected to increase in clinical usefulness.
Key Words: Aging; Frailty; Primary Health Care; Clinical Practice Guidelines
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