Geriatrics | Page 11 of 57 | Links Medicus Content Curation & Alerts in Medicine

Guideline | Male lower urinary tract symptoms/benign prostatic hyperplasia.

3 Aug, 2022 | 14:17h | UTC

UPDATE – 2022 Canadian Urological Association guideline on male lower urinary tract symptoms/benign prostatic hyperplasia (MLUTS/BPH) – Canadian Urological Association Journal

AUA Guidelines: Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia.

Podcast: LUTS, BPH, and Urinary Incontinence Triple Distilled – The Curbsiders

Prostatic arterial embolization for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia – Cochrane Library

Minimally invasive treatments for lower urinary tract symptoms in men with benign prostatic hyperplasia: a network meta‐analysis – Cochrane Library

Phosphodiesterase inhibitors for treatment of urinary problems in men with benign prostatic hyperplasia – Cochrane Library

Thulium laser transurethral vaporesection of the prostate versus transurethral resection of the prostate for men with lower urinary tract symptoms or urinary retention (UNBLOCS): a randomised controlled trial – The Lancet

Guideline | Androgen deprivation therapy: adverse events and management strategies.

3 Aug, 2022 | 14:15h | UTC

UPDATE – Canadian Urological Association guideline on androgen deprivation therapy: Adverse events and management strategies (Full-text) – Canadian Urological Association Journal

Cohort Study | Association of elevated amyloid and tau positron emission tomography signal with near-term development of Alzheimer disease symptoms in older adults without cognitive impairment.

2 Aug, 2022 | 12:26h | UTC

Association of Elevated Amyloid and Tau Positron Emission Tomography Signal With Near-Term Development of Alzheimer Disease Symptoms in Older Adults Without Cognitive Impairment – JAMA Neurology (link to abstract – $ for full-text)

Commentary on Twitter

Study found that Aβ and tau PET positivity in cognitively unimpaired individuals was associated with near-term progression to mild cognitive impairment and, among those who do not show such categorical change, longitudinal cognitive decline. https://t.co/sKpST7e4Nh

— JAMA Neurology (@JAMANeuro) July 30, 2022

Burden of pressure injuries: findings from the Global Burden of Disease study.

1 Aug, 2022 | 12:06h | UTC

Burden of Pressure Injuries: Findings From the Global Burden of Disease Study – Eplasty

Comparison of 6 mortality risk scores for prediction of 1-year mortality risk in older adults with multimorbidity.

28 Jul, 2022 | 13:07h | UTC

Comparison of 6 Mortality Risk Scores for Prediction of 1-Year Mortality Risk in Older Adults With Multimorbidity – JAMA Network Open

Practical Guide | Antihypertensive deprescribing in older adults.

27 Jul, 2022 | 12:23h | UTC

Antihypertensive Deprescribing in Older Adults: a Practical Guide – Current Hypertension Reports

Cohort Study | Fatty liver disease is not associated with increased mortality in the elderly.

25 Jul, 2022 | 12:59h | UTC

Fatty liver disease is not associated with increased mortality in the elderly: A prospective cohort study – Hepatology

Commentary: Fatty liver disease may not affect mortality risk in elderly patients – ACP Gastroenterology

Consensus Recommendations | Screening, diagnosis and management of sarcopenia and frailty in hospitalized older adults.

21 Jul, 2022 | 13:08h | UTC

Screening, Diagnosis and Management of Sarcopenia and Frailty in Hospitalized Older Adults: Recommendations from the Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) Expert Working Group – The journal of nutrition, health & aging

M-A | Costs of multimorbidity.

20 Jul, 2022 | 12:06h | UTC

Costs of multimorbidity: a systematic review and meta-analyses – BMC Medicine

Variation in the estimated prevalence of multimorbidity: systematic review and meta-analysis of 193 international studies – BMJ Open

Italian guidelines on management of persons with multimorbidity and polypharmacy – Aging Clinical and Experimental Research

Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review – Agency for Healthcare Research and Quality

Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund

Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine

Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open

Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal

Multimorbidity: a priority for global health research – The Academy of Medical Sciences

The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports

Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review

Multimorbidity: clinical assessment and management – NICE Guideline

Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology

Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs

Better Care for People with Complex Needs – Institute for Healthcare Improvement

M-A | Associations of multidomain interventions with improvements in cognition in mild cognitive impairment.

20 Jul, 2022 | 11:57h | UTC

Associations of Multidomain Interventions With Improvements in Cognition in Mild Cognitive Impairment: A Systematic Review and Meta-analysis – JAMA Network Open

Commentary on Twitter

In this meta-analysis of 28 studies, multidomain interventions such as combined cognitive + physical training improved cognitive outcomes in older adults with mild cognitive impairment vs cognitive or physical training alone. https://t.co/7cI9gbyTrj

— JAMA Network Open (@JAMANetworkOpen) May 3, 2022

Retrospective Cohort Study | The impact of frailty on short-term mortality following primary total hip and knee arthroplasty due to osteoarthritis.

20 Jul, 2022 | 11:50h | UTC

The impact of frailty on short-term mortality following primary total hip and knee arthroplasty due to osteoarthritis – Age and Ageing

Position Paper | Diagnostic reasoning in rehabilitation nutrition.

15 Jul, 2022 | 12:53h | UTC

Diagnostic reasoning in rehabilitation nutrition: Position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication) – Journal of General and Family Medicine

Guideline on prevention of foot ulceration in diabetic patients.

15 Jul, 2022 | 12:51h | UTC

Australian guideline on prevention of foot ulceration: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease – Journal of Foot and Ankle Research

Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease – Journal of Foot and Ankle Research

Australian guideline on management of diabetes-related foot infection: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease – Journal of Foot and Ankle Research

Australian guideline on wound classification of diabetes-related foot ulcers: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

Australian guideline on wound healing interventions to enhance healing of foot ulcers: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

Australian guideline on offloading treatment for foot ulcers: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

Guideline: ADA 2022 Standards of Medical Care in Diabetes.

NICE Updated Guidance: Management of Type 2 Diabetes.

Recent updates to clinical practice guidelines for diabetes mellitus.

Position Statement: a disease state approach to the pharmacological management of type 2 diabetes in primary care.

Registry-based cohort study | Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018.

15 Jul, 2022 | 12:31h | UTC

Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018 – The Bone & Joint Journal

Pressure ulcers (pressure injuries) | Cochrane Library evidence and resources.

14 Jul, 2022 | 13:03h | UTC

Pressure ulcers (pressure injuries): evidence and resources – Evidently Cochrane

M-A | Home oxygen for moderate hypoxemia in chronic obstructive pulmonary disease.

13 Jul, 2022 | 11:47h | UTC

Home oxygen for moderate hypoxaemia in chronic obstructive pulmonary disease: a systematic review and meta-analysis – The Lancet Respiratory Medicine (link to abstract – $ for full-text)

Commentary on Twitter

Home oxygen probably makes little or no difference to 3-year mortality in pts with #COPD and moderate hypoxaemia

Systematic review & meta-analysis from Yves Lacasse & colleagues https://t.co/8wDrkEd1LH pic.twitter.com/UoOqW7hngT

— The Lancet Respiratory Medicine (@LancetRespirMed) July 11, 2022

Cohort Study | Risk and timing of noncardiac surgery after transcatheter aortic valve implantation.

13 Jul, 2022 | 11:43h | UTC

Risk and Timing of Noncardiac Surgery After Transcatheter Aortic Valve Implantation – JAMA Network Open

Commentaries:

Surgery After TAVR: Waiting a Month or More Not Really Better— Prosthesis-patient mismatch, paravalvular regurgitation the bigger issues for surgical candidates – MedPage Today (free registration required)

Patients can safely undergo noncardiac surgeries after TAVR without a long delay – Cardiovascular Business

Commentaries on Twitter

In this cohort study, noncardiac surgery (NS) after transcatheter aortic valve implantation (TAVI) was not associated with more perioperative adverse events. Suboptimal device performance was associated with increased risk of adverse outcomes after NS. https://t.co/OYSLECeOzt

— JAMA Network Open (@JAMANetworkOpen) July 7, 2022

Interesting analysis of 300 pts undergoing NCS after TAVI: NCS may be performed early (<30d) after successful TAVI. Suboptimal device performance (prosthesis-pt mismatch, paravalvular regurg) was associated with incr risk
Risk and Timing of NCS After TAVI https://t.co/ILS3YBFcyz

— Steven Cohn, MD (@preopconsult) July 10, 2022

ESC Consensus Statement | Digital health in older adults for the prevention and management of cardiovascular diseases and frailty.

13 Jul, 2022 | 11:42h | UTC

Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e-Cardiology – ESC Heart Failure

M-A | Factors correlated with physical function 1 year after total knee arthroplasty in patients with knee osteoarthritis.

12 Jul, 2022 | 12:24h | UTC

Commentary on Twitter

This meta-analysis of 20 prospective cohort studies (11,317 patients) found associations between presurgical BMI, physical function, and osteoarthritis severity and physical function after total knee arthroplasty (TKA). https://t.co/tQf7HytTEW

— JAMA Network Open (@JAMANetworkOpen) July 11, 2022

European Medicines Agency recommends second COVID booster for people over 60 – as WHO ponders guidance.

11 Jul, 2022 | 12:41h | UTC

European Medicines Agency Recommends Second COVID Booster for People Over 60 – as WHO Ponders Guidance – Health Policy Watch

M-A | Little benefit from viscosupplementation in knee osteoarthritis.

11 Jul, 2022 | 12:39h | UTC

Viscosupplementation for knee osteoarthritis: systematic review and meta-analysis – The BMJ

News Release: Scant evidence to recommend use of hyaluronic acid injections for knee osteoarthritis – BMJ Newsroom

Commentary: Common injections don’t help knee osteoarthritis more than placebo, large data review finds – STAT

Commentary on Twitter

New research finds that injections of hyaluronic acid to treat knee osteoarthritis make almost no difference to pain and might raise risk of adverse events https://t.co/G80BHoOgl3

— The BMJ (@bmj_latest) July 7, 2022

Secondary analysis of a RCT | Duration of antiplatelet therapy after complex percutaneous coronary intervention in patients at high bleeding risk.

11 Jul, 2022 | 12:06h | UTC

Duration of antiplatelet therapy after complex percutaneous coronary intervention in patients at high bleeding risk: a MASTER DAPT trial sub-analysis – European Heart Journal

Commentaries:

EuroPCR 2022: Short DAPT shows benefit for high-bleeding risk patients regardless of PCI complexity – CardiovascularNews

One-Month DAPT Enough for Complex PCI if Bleeding Risk High – Medscape (free registration required)

Commentary on Twitter

Duration of Antiplatelet Therapy After Complex Percutaneous Coronary Intervention In Patients at High Bleeding Risk: a MASTER DAPT trial sub-analysis https://t.co/0FX0Exj8sh @escardio #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes pic.twitter.com/Ac8h0AkL42

— European Society of Cardiology Journals (@ESC_Journals) May 31, 2022

M-A | Transitional care interventions for older residents of long-term care facilities.

8 Jul, 2022 | 11:29h | UTC

Transitional Care Interventions for Older Residents of Long-term Care Facilities: A Systematic Review and Meta-analysis – JAMA Network Open

Commentaries:

Improving Transitional Care and Reducing Hospitalization for Nursing Facility Residents – JAMA Network Open

The first review of transitional care interventions between hospitals and care homes has been conducted by researchers at the GM PSTRC

Commentary on Twitter

This systematic review found transitional care interventions were associated with reduced readmissions for long-term care home residents. Such interventions are currently sparse and warrant investment from health service practitioners. @Kelly_B5 https://t.co/plPsEffMHM

— JAMA Network Open (@JAMANetworkOpen) May 4, 2022

Test-negative, case–control study | Effectiveness of a fourth dose of covid-19 mRNA vaccine against the omicron variant among long term care residents in Ontario, Canada.

7 Jul, 2022 | 13:00h | UTC

Effectiveness of a fourth dose of covid-19 mRNA vaccine against the omicron variant among long term care residents in Ontario, Canada: test negative design study – The BMJ

M-A | It is not safe to withhold antibiotic use in uncomplicated urinary tract infections in adult women.

7 Jul, 2022 | 12:47h | UTC

Reducing antibiotic use in uncomplicated urinary tract infections in adult women: a systematic review and individual participant data meta-analysis – Clinical Microbiology and Infection

Commentary on Twitter (thread – click for more)

A really important analysis of previous trials!

1/ All short-term outcomes were worse for women given non-antibiotic strategies, including need for future antibiotics (number needed to harm=5!) https://t.co/iozelljFLk

— Annie Joseph (@ajosephnotts) July 2, 2022

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