title: Enhancing communication in end-of-life care: a clinical tool translating between the Clinical Frailty Scale and the Palliative Performance Scale.
abstract: OBJECTIVE
  To create a clinical tool to translate between the Clinical Frailty Scale (CFS), which geriatrics teams use, and Palliative Performance Scale (PPS), which palliative care teams use, to create a common language and help improve communication between geriatric and palliative care teams.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Two academic health centers: inpatient palliative care and chronic care units, an outpatient geriatric clinic, and inpatient referrals to a palliative care consultation service.
  
  
  METHODS
  Older adults (≥65) aged 80.9±8.0, with malignant (51%) and nonmalignant (49%) terminal diagnoses (N=120).
  
  
  METHODS
  Each participant was assigned four scores: a CFS score each from a geriatric physician and nurse and a PPS score each from a palliative care physician and nurse. Interrater reliability of each measure was calculated using kappa coefficients. For each measure, the mean of physician and nurse scores was used to calculate every possible combination of CFS and PPS scores to determine the combination with maximum agreement.
  
  
  RESULTS
  Interrater reliability of each measure was very high for the CFS (weighted κ=0.92) and PPS (weighted κ=0.80). The CFS-PPS score matching that achieved maximum agreement (weighted κ=0.71) was used to create a conversion chart between the two measures.
  
  
  CONCLUSIONS
  This conversion chart is a reliable means of translating scores between the CFS and PPS and is useful for geriatric and palliative care teams collaborating in the care of elderly adults.
authors: Department of Family and Community Medicine, Baycrest Health Sciences, Toronto, Ontario, Canada; Division of Palliative Care, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
authors: Daphna
authors: D
authors: Grossman
authors: Mark
authors: M
authors: Rootenberg
authors: Giulia-Anna
authors: GA
authors: Perri
authors: Thirumagal
authors: T
authors: Yogaparan
authors: Maria
authors: M
authors: DeLeon
authors: Sue
authors: S
authors: Calabrese
authors: Cindy J
authors: CJ
authors: Grief
authors: Jennifer
authors: J
authors: Moore
authors: Ashlinder
authors: A
authors: Gill
authors: Kalli
authors: K
authors: Stilos
authors: Patricia
authors: P
authors: Daines
authors: Camilla
authors: C
authors: Zimmermann
authors: Paolo
authors: P
authors: Mazzotta
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D010166:Palliative Care; D010348:Patient Care Team / Q000458:organization & administration*; D015203:Reproducibility of Results; D013727:Terminal Care
keywords: Clinical Frailty Scale; Palliative Performance Scale; clinical tool; geriatrics; palliative care