Systematic review of the Kihon Checklist: Is it a reliable assessment of frailty?

Aim: To investigate whether the Kihon Checklist (KCL) can predict frailty and disability.Methods: The studies analyzed for the present review were retrieved by searching electronic databases and other sources using the keywords "Kihon Checklist" and "Basic Checklist." The articles were restricted to those written in English and published in health sciences journals from the year 2006 until the end of April 2015. To be included in the full analysis, the study had to be primary research and use the KCL as a dependent or independent variable.Results: A total of 62 articles were identified in the initial search, and after screening, 13 articles were included in this review. The KCL was found to be closely correlated with validated assessments of frailty phenotypes. The complete version of the KCL and specific domains have been used as research outcomes to verify frailty in cross-sectional and longitudinal studies. KCL domains were applied to evaluate different outcomes, such as depressive mood, functional disability and instrumental activities of daily living limitations.Conclusions: The KCL is a reliable tool for predicting general frailty and frailty aspects in older adults. The KCL was shown to be adequate for cross-cultural studies and to be suitable for addressing frailty demands among elderly in multiple cohorts. The KCL is a short questionnaire, which makes its administration by health promoters easy; thus, it has been used to evaluate the effectiveness of frailty interventions. We strongly recommend use of the KCL in community and clinical practice to assess frailty status.

目的：探讨基础检查表（KCL）是否能够预测衰弱和残疾。 方法：通过使用关键词“基础检查表”和“基本检查表”检索电子数据库及其他来源，获取为本综述所分析的研究。文章限定为2006年至2015年4月底发表在健康科学期刊上的英文文献。要纳入完整分析，研究必须是原始研究，并将KCL作为因变量或自变量。 结果：初步检索共确定62篇文章，筛选后有13篇文章纳入本综述。发现KCL与经过验证的衰弱表型评估密切相关。KCL完整版及特定领域已被用作研究结果，以在横断面和纵向研究中验证衰弱。KCL的各个领域被用于评估不同的结果，如抑郁情绪、功能残疾以及日常生活工具性活动受限。 结论：KCL是预测老年人总体衰弱及衰弱方面的可靠工具。研究表明KCL适用于跨文化研究，适合解决多个队列老年人的衰弱需求。KCL是一份简短的问卷，便于健康促进者使用；因此，它已被用于评估衰弱干预措施的有效性。我们强烈建议在社区和临床实践中使用KCL来评估衰弱状况。