Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and Care

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ID: 289751
2004
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Abstract
Three terms are commonly used interchangeably to identify vulnerable older adults: comorbidity, or multiple chronic conditions, frailty, and disability. However, in geriatric medicine, there is a growing consensus that these are distinct clinical entities that are causally related. Each, individually, occurs frequently and has high import clinically. This article provides a narrative review of current understanding of the definitions and distinguishing characteristics of each of these conditions, including their clinical relevance and distinct prevention and therapeutic issues, and how they are related. Review of the current state of published knowledge is supplemented by targeted analyses in selected areas where no current published data exists. Overall, the goal of this article is to provide a basis for distinguishing between these three important clinical conditions in older adults and showing how use of separate, distinct definitions of each can improve our understanding of the problems affecting older patients and lead to development of improved strategies for diagnosis, care, research, and medical education in this area.
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openalex_W2114656311 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Linda P. Fried, Luigi Ferrucci, Jonathan Darer, Jeffrey D. Williamson, Gerard F. Anderson
Journal the journals of gerontology series a, biological sciences and medical sciences
Year 2004
DOI
10.1093/gerona/59.3.m255
URL
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