Discover and read the best of Twitter Threads about #goalattainmentscaling
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Great question. Most key trials preceded the Clinical Frailty Scale. @GrahamEllis247 will know best, but here’s my read. (A 7-part thread; forgive me.) Back in the late ‘70s (when I got into all this) a key question was “who benefits from a Comprehensive Geriatric Assessment?”/2
2/This consumed much effort, and some weird terminology (e.g. “the targeted elderly”). One early line that I resisted was “too frail to benefit”. This struck me as a failing of the measures more than CGA. Fortunately @paulstolee sorted this (early 90s) in his PhD thesis. There/3
3/he introduced #GoalAttainmentScaling and individualized outcome measures to geriatrics (PMID: 1587973).Ultimately we did an RCT of CGA using this as the primary outcome (10983907 - the poor title (my bad) made it obscure despite @AGSJournal publication. I digress.) It taught/4
