Geriatrics

RCT | Multivitamin supplementation may improve memory in aged adults

7 Jun, 2023 | 14:12h | UTC

Multivitamin Supplementation Improves Memory in Older Adults: A Randomized Clinical Trial – The American Journal of Clinical Nutrition (link to abstract – $ for full-text)

News Releases:

Study finds daily multivitamin supplements improved memory and slowed cognitive aging in older adults – Brigham and Women’s Hospital

Multivitamin Improves Memory in Older Adults, Study Finds – Columbia University

Related Research: Effects of cocoa extract and a multivitamin on cognitive function: A randomized clinical trial – Alzheimer’s & Dementia

 

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SR | Limited evidence for vitamin and mineral supplements in delaying dementia in people with mild cognitive impairment

7 Jun, 2023 | 14:09h | UTC

Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment – Cochrane Library

 

Commentary on Twitter

? How does vitamin and mineral supplementation affect #cognitivefunction and progression to #dementia in people with mild cognitive impairment (MCI)?
Get the current evidence picture in this #systematicreview on @CochraneLibrary: https://t.co/YUsbjELIZq@NIH_ODS #NSHFD pic.twitter.com/hRl27Tm7op

— Cochrane CAM (@CochraneCAM) May 31, 2023

 

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AHA Scientific Advisory | Digital technologies in cardiac rehabilitation

7 Jun, 2023 | 14:23h | UTC

Digital Technologies in Cardiac Rehabilitation: A Science Advisory From the American Heart Association – Circulation

Top Things to Know: Digital Technologies in CR – American Heart Association

 

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JACC Scientific Statement | Remote monitoring for heart failure management at home

7 Jun, 2023 | 14:00h | UTC

Remote Monitoring for Heart Failure Management at Home – Journal of the American College of Cardiology

 

Commentary on Twitter

New #JACC Scientific Statement spanning remote monitoring to integrated mgmt of #HeartFailure.

Updates in physiology of congestion, monitoring signals, & #DigitalHealth tech will support clinical teams to connect circles of care/self-care of #HF at home! https://t.co/TyaXT1P1hg pic.twitter.com/0u5STreIDQ

— JACC Journals (@JACCJournals) June 6, 2023

 

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M-A | Advance care planning for frail elderly: are we missing a golden opportunity?

7 Jun, 2023 | 13:53h | UTC

Advance care planning for frail elderly: are we missing a golden opportunity? A mixed-method systematic review and meta-analysis – BMJ Open

 

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M-A | Effects of physical exercise on physical function in older adults in residential care

7 Jun, 2023 | 13:39h | UTC

Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials – The Lancet Health Longevity

Invited commentary: Is there enough evidence to prescribe exercise to older adults living in residential care? – The Lancet Health Longevity

 

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RCT | Immediate vs. delayed sequential bilateral cataract surgery: non-inferior in safety, higher cost-effectiveness

6 Jun, 2023 | 14:41h | UTC

Safety, effectiveness, and cost-effectiveness of immediate versus delayed sequential bilateral cataract surgery in the Netherlands (BICAT-NL study): a multicentre, non-inferiority, randomised controlled trial – The Lancet (link to abstract – $ for full-text)

News Release: Cataract surgery: two-sided treatment better than one-by-one approach – Maastricht University

 

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SR | Unclear evidence on the efficacy of case management in integrated care for frail elderly

31 May, 2023 | 13:50h | UTC

Case management for integrated care of older people with frailty in community settings – Cochrane Library

Summary: Case management programmes for older people living with frailty in the community – Cochrane Library

 

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The future of cancer care at home: findings from an American Cancer Society summit

31 May, 2023 | 13:48h | UTC

The future of cancer care at home: Findings from an American Cancer Society summit: CA: A Cancer Journal for Clinicians

 

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A pragmatic approach to the management of menopause

25 May, 2023 | 11:30h | UTC

A pragmatic approach to the management of menopause – Canadian Medical Association Journal

News Release: Managing menopause: Hormone therapy is back – Canadian Medical Association Journal

 

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Guidelines on the diagnosis and treatment of foot infection in persons with diabetes

24 May, 2023 | 13:30h | UTC

Guidelines on the diagnosis and treatment of foot infection in persons with diabetes – International Working Group on the Diabetic Foot

 

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Review | Update in musculoskeletal pain in older adults with a focus on osteoarthritis-related pain

24 May, 2023 | 13:09h | UTC

Clin-STAR corner: 2021 update in musculoskeletal pain in older adults with a focus on osteoarthritis-related pain – Journal of the American Geriatrics Society

 

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Review | Sarcopenia and cardiovascular diseases

22 May, 2023 | 13:22h | UTC

Sarcopenia and Cardiovascular Diseases – Circulation

 

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M-A | Limited evidence for safety and effectiveness of most antidepressants in chronic pain management

18 May, 2023 | 13:50h | UTC

Antidepressants for pain management in adults with chronic pain: a network meta‐analysis – Cochrane Library

News Release: Most antidepressants prescribed for chronic pain lack reliable evidence of efficacy or safety, scientists warn – Cochrane Library

Summary: How effective are antidepressants used to treat chronic pain and do they cause unwanted effects? – Cochrane Library

Commentary: Expert reaction to Cochrane review on antidepressants for pain management in adults with chronic pain – Science Media Centre

 

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Podcast | Dysphagia pearls

18 May, 2023 | 13:42h | UTC

#395 Dysphagia with Dr. Diana Snyder – The Curbsiders

 

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Canadian Task Force advises fragility fracture screening for women over 65, but not for men or younger women

15 May, 2023 | 13:23h | UTC

Recommendations on screening for primary prevention of fragility fractures – Canadian Medical Association Journal

Related USPSTF Statement: Screening Osteoporosis to Prevent Fractures

 

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Should my elderly hospitalized patient with acute onset of altered mental status undergo stat head CT?

12 May, 2023 | 13:38h | UTC

Should my elderly hospitalized patient with acute onset of altered mental status undergo stat head CT? – Cleveland Clinic Journal of Medicine

 

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M-A | Surgical interventions for symptomatic knee osteoarthritis

12 May, 2023 | 13:26h | UTC

Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials – BMC Musculoskeletal Disorders

 

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RCT | Cognitive functional therapy with or without biofeedback outperforms usual care for chronic low back pain relief

10 May, 2023 | 15:58h | UTC

Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial – The Lancet (link to abstract – $ for full-text)

News Release: Fresh hope for Australians living with chronic back pain – Curtin University

 

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M-A | Prevalence and outcomes of frailty in unplanned hospital admissions

9 May, 2023 | 14:45h | UTC

Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts – eClinicalMedicine

 

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2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults

8 May, 2023 | 13:25h | UTC

American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults – Journal of the American Geriatrics Society

News Release: Many older adults take multiple medications; an updated AGS BEERS criteria® will help ensure they are appropriate – American Geriatrics Society

 

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Review | Deprescribing considerations for older people in general practice

8 May, 2023 | 13:23h | UTC

Deprescribing considerations for older people in general practice – Australian Journal of General Practice

Related:

Deprescribing Strategies for Opioids and Benzodiazepines with Emphasis on Concurrent Use: A Scoping Review – Journal of Clinical Medicine

An Overview of Systematic Reviews and Meta-Analyses on the Effect of Medication Interventions Targeting Polypharmacy for Frail Older Adults – Journal of Clinical Medicine

Physician-led medication reviews in polypharmacy patients treated with at least 12 medications in a type 2 diabetes outpatient clinic: a randomised trial – Diabetic Medicine

RCT | A deprescribing intervention reduced medication burden among older adults in post-acute care

Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence – Cochrane Library

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis – Health Technology Assessment

Barriers and facilitators to deprescribing of cardiovascular medications: a systematic review – BMJ Open

A National Modified Delphi Consensus Process to Prioritize Experiences and Interventions for Antipsychotic Medication Deprescribing Among Adult Patients With Critical Illness – Critical Care Explorations

Deprescribing proton pump inhibitors – Australian Journal of General Practice

Medication reviews and deprescribing as a single intervention in falls prevention: a systematic review and meta-analysis – Age and Ageing

Optimizing Medication Use in Older Adults With Rheumatic Musculoskeletal Diseases: Deprescribing as an Approach When Less May Be More – ACP Open Rheumatology

Facing the challenge of polypharmacy when prescribing for older people with cardiovascular disease. A review by the European Society of Cardiology Working Group on Cardiovascular Pharmacotherapy – European Heart Journal – Cardiovascular Pharmacotherapy

Deprescribing in Older Adults with Cardiovascular Disease – Journal of the American College of Cardiology

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

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

How-to guide for medication reviews in older adults with cancer: A Young International Society of Geriatric Oncology and Nursing & Allied Health Interest Group initiative – Journal of Geriatric Oncology

Deprescribing in Palliative Cancer Care – Life

Less is More: Deprescribing Medications in Older Adults with Kidney Disease: A Review – Kidney360

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review – Research in Social and Administrative Pharmacy

AGA Clinical Practice Update on De-Prescribing of Proton Pump Inhibitors: Expert Review – Gastroenterology

Development of a Metric to Detect and Decrease Low-Value Prescribing in Older Adults – JAMA Network Open

The MedSafer Study—Electronic Decision Support for Deprescribing in Hospitalized Older Adults: A Cluster Randomized Clinical Trial – JAMA Internal Medicine

Quantifying Anticholinergic Burden and Sedative Load in Older Adults with Polypharmacy: A Systematic Review of Risk Scales and Models – Drugs & Aging

Deprescribing in palliative patients with cancer: a concise review of tools and guidelines – Supportive Care in Cancer

Prescribing practices, patterns, and potential harms in patients receiving palliative care: A systematic scoping review – Exploratory Research in Clinical and Social Pharmacy

A narrative review of evidence to guide deprescribing among older adults – Journal of General and Family Medicine

Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens – The Lancet Health Longevity

Polypharmacy Management in Older Patients – Mayo Clinic Proceedings

Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy – Deutsches Ärzteblatt international

Eliminating Medication Overload: A National Action Plan – Lown Institute

International Group for Reducing Inappropriate Medication Use & Polypharmacy (IGRIMUP): Position Statement and 10 Recommendations for Action – Drugs & Aging

Common ED Medication Errors: Polypharmacy – emDocs

Current and future perspectives on the management of polypharmacy – BMC Family Practice

Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety

Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international

Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety

 

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Review | Approach to treating older adults with chronic kidney disease

5 May, 2023 | 15:25h | UTC

An approach to treating older adults with chronic kidney disease – Canadian Medical Association Journal

 

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Review | A very old patient in the ICU: Much more than an acute organ dysfunction

5 May, 2023 | 15:05h | UTC

A Very Old Patient in the ICU: Much More Than an Acute Organ Dysfunction – ICU Management & Practice

 

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Treating long-lasting low back pain without surgery: the latest evidence

4 May, 2023 | 13:40h | UTC

Treating long-lasting low back pain without surgery: the latest evidence – Evidently Cochrane

 

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