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Editorial| Volume 37, ISSUE 11, P1702-1704, November 2021

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The Crying Need for Validated Consensus Frailty Measurement Standards: Will the Real Frailty Please Stand Up?

  • George A. Heckman
    Correspondence
    Corresponding author: Dr George A. Heckman, Schlegel Research Chair in Geriatric Medicine, Associate Professor, School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, TJB 2264, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada. Tel.: +1-519-888-4567, ext 41028.
    Affiliations
    Schlegel Research Institute for Aging, Waterloo, Ontario, Canada

    School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
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  • Luke Turcotte
    Affiliations
    School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
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  • John P. Hirdes
    Affiliations
    School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
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Published:September 29, 2021DOI:https://doi.org/10.1016/j.cjca.2021.09.027
      In the television game show “To Tell the Truth” (incidentally occasionally sponsored by the makers of Geritol), panelists try to identify a mystery guest among 3 pretenders.
      Wikipedia. To Tell the Truth.
      ,
      To Tell the Truth: Dr. Seuss.
      Following a question and answer period, the panelists guess which pretender is the real mystery guest. The mystery guest is finally identified among the pretenders when asked by the host to “please stand up.” In gerontology today, frailty is akin to the mystery guest. Numerous operationalisations of frailty having been proposed; however, unlike the game show’s successful conclusion, the worldwide panel of gerontologic experts has yet to agree on a standard approach to measure frailty.
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      Linked Article

      • Prognostic Value of Handgrip Strength in Older Adults Undergoing Cardiac Surgery
        Canadian Journal of CardiologyVol. 37Issue 11
        • Preview
          Although multidimensional frailty scales have been proven to predict mortality and morbidity in cardiac surgery, there is a need for rapid tools that could be easily administered at the point of care. Handgrip strength (HGS) is an attractive option that can be measured in acutely ill and bed-bound patients, although it has yet to be validated in a large cardiac surgery cohort.
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