Chinese Journal of Nursing Education >
Quality appraisal of the frailty screening tools for cancer patients
Objectives To describe and evaluate the measurement properties of screening tools assessing the frailty for cancer patients，and to provide a reference for selecting screening tools. Methods CNKI，Wanfang database，VIP，PubMed，Embase（Ovid），CENTRAL，CINAHL，Web of Science，Scopus，PsycINFO databases were electronically searched to collect studies on the screening tools of assessing the frailty in cancer patients from their inception to May 24，2022. Two researchers screened articles and extracted data independently. Consensus-based Standards for the selection of health Measurement Instruments （COSMIN） risk of bias checklist and quality criteria were used to assess the methodological quality of the included studies and the measurement properties of the screening tools. The evidence rating of each measurement properties of the screening tools was evaluated by the modified grading of recommendation assessment，development of evaluation （GRADE），and the final recommendations were formulated based on the application evaluation of the screening tools. Results A total of 19 studies involving sixteen screening tools were included. None of the included screening tools was assessed cross-cultural validity/measurement invariance，criterion validity，measurement error or responsiveness. The included instruments were all rated as "moderate" or "low" in terms of quality of evidence and all tools’ level were B. The Geriatric-8 and abbreviated Comprehensive Geriatric Assessment were the more frequently validated tools. Conclusion The screening tools assessing frailty for cancer patients are diverse，but the overall quality of evidence is not high. The Geriatric-8 and abbreviated Comprehensive Geriatric Assessment have relatively good application potential and can be temporarily recommended for use. In the future，it is still necessary to further validate the properties，and introduce and develop localized frailty screening tools for cancer patients.
Key words： Cancer; Frailty; Screening tools; Measurement properties; Quality appraisal
Ran LIANG , Qi JIANG , Jiajing SHI , Zheng HUANG , Yifang FANG , Weiwei WU . Quality appraisal of the frailty screening tools for cancer patients[J]. Chinese Journal of Nursing Education, 2023 , 20(10) : 1245 -1252 . DOI: 10.3761/j.issn.1672-9234.2023.10.016
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