Geriatrics
Study: People Leave Hospital After Surgery Sooner if Hospitals Follow ‘Enhanced Recovery Protocols’
3 Mar, 2020 | 07:55h | UTCPeople leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR Signal (free)
Original Study: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research (free)
Systematic Review: Computerized Cognitive Training May Have Small Benefits of Uncertain Clinical Importance for Maintaining Cognitive Function in Cognitively Healthy People in Late Life
3 Mar, 2020 | 07:46h | UTCComputerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life – Cochrane Library (free)
Summary: Computerised cognitive training for maintaining cognitive function in cognitively healthy people in late life – Cochrane Library (free)
USPSTF Statement: Insufficient Evidence to Screen for Mild Cognitive Impairment in Older Adults
26 Feb, 2020 | 07:12h | UTCEvidence Report: Screening for Cognitive Impairment in Older Adults – US Preventive Services Task Force/JAMA (free)
Editorials: Issues and Questions Surrounding Screening for Cognitive Impairment in Older Patients – JAMA (free for a limited period) AND Evidence Still Lacking for Recommendation of Screening for Cognitive Impairment in Older Adults – JAMA Internal Medicine (free for a limited period)
Author Interview: USPSTF Recommendation: Screening for Cognitive Impairment (free audio)
JAMA Patient Page: Screening for Cognitive Impairment in Older Adults (free)
Commentary: U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia – Kaiser Health News (free)
Study: Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults with Hypertension
25 Feb, 2020 | 06:42h | UTCEvaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults With Hypertension – JAMA Internal Medicine (free for a limited period)
Commentary: Antihypertensive Prescribing Cascades as High-Priority Targets for Deprescribing – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Prescribing cascades occur when a second medicine is prescribed to counteract the effects of the first medicine. This @JAMAInternalMed article is the strongest empiric evidence I have seen that these cascades are very real #geriatrics https://t.co/KmJ2nhLlXM
— Ken Covinsky (@geri_doc) February 24, 2020
Clinical Diagnosis of Benign Paroxysmal Positional Vertigo and Vestibular Neuritis
25 Feb, 2020 | 06:44h | UTC
Related Commentary on Twitter
How to diagnose and treat patients with vertigo? Two cases with links to demonstration videos show how to apply and interpret the Dix-Hallpike test and the HINTS plus exam: https://t.co/eK7hGVAHgj @PeterJohns84 @OttawaHospital @emergmedottawa #BPPV #FOAMed pic.twitter.com/R4AvYj6beV
— CMAJ (@CMAJ) February 24, 2020
Community-acquired Pneumonia in Critically Ill Very Old Patients: A Growing Problem
23 Feb, 2020 | 22:06h | UTCEditorial: Natural enemy or friend? Pneumonia in the very elderly critically ill patient (free)
Large Observational Study Suggests Hydrochlorothiazide may be as Effective as Chlortalidone with Less Adverse Effects
18 Feb, 2020 | 08:17h | UTCComparison of Cardiovascular and Safety Outcomes of Chlorthalidone vs Hydrochlorothiazide to Treat Hypertension – JAMA Internal Medicine (free for a limited period)
Commentary: Hypertension Treatments with Chlorthalidone vs HCTZ: Cardiac and Safety Outcomes – MedicalResearch.com (free)
Updated Nomenclature of Delirium and Acute Encephalopathy: Statement of Ten Societies
14 Feb, 2020 | 02:13h | UTC
Review: Diagnosis and Treatment of Parkinson Disease
12 Feb, 2020 | 07:20h | UTCDiagnosis and Treatment of Parkinson Disease: A Review – JAMA (free for a limited period)
Related Clinical Review Audio: Parkinson Disease (free)
Randomized Trial: Palliative Care Associated with Benefits Among Patients with Parkinson Disease
12 Feb, 2020 | 07:18h | UTCEditorial: Palliative Programs for Persons With Parkinsonism—The Next Frontier (free for a limited period)
Commentaries: Palliative Care Improves Quality of Life, Symptom Burden of Patients With Parkinson Disease – AJMC (free) AND Palliative care could benefit people with Parkinson’s – OnMedica (free)
Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy
9 Feb, 2020 | 20:21h | UTC
Recommended Adult Immunization Schedule, United States, 2020
4 Feb, 2020 | 08:02h | UTCRecommended Adult Immunization Schedule, United States, 2020 – Annals of Internal Medicine (free)
Commentary: ACIP releases updated vaccination schedule with several changes – ACP Hospitalist (free)
Related Commentary on Twitter
Just out in @AnnalsofIM
New Advisory Committee on Immunization Practices (#ACIP) Adult #Immunization Schedule recommends changes to several vaccineshttps://t.co/wa31QMpWct
Nice simplified tables, too. ?#vaccines pic.twitter.com/u2EoD1gNbe
— Chris Hendel (@chrishendel) February 3, 2020
Perspective: CPR, by Default
2 Feb, 2020 | 19:45h | UTCCPR, by Default – The New York Times (10 articles per month are free)
Eliminating Medication Overload: A National Action Plan
29 Jan, 2020 | 08:28h | UTCEliminating Medication Overload: A National Action Plan – Lown Institute (free PDF)
Press Release: Millions of Older Americans Harmed by Too Many Medications – Lown Institute (free)
Commentary: ‘Small’ tactics to counter Big Pharma’s influence on medication overload – STAT (free)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Related Commentary on Twitter
After a year of collaboration and hard work, our comprehensive action plan to eliminate medication overload is published! Find out how you can help reduce harm from multiple #medication use here: https://t.co/pHjKbpVsIY
— Lown Institute (@lowninstitute) January 28, 2020
Meta-Analysis: Optimal Doses of Antidepressants in Dependence on Age
26 Jan, 2020 | 22:29h | UTCRelated Meta-analysis: Optimal Dose of Antidepressants in Major Depression – The Lancet Psychiatry (free study and commentaries)
Systematic Review: Predictive Value of Traditional Risk Factors for Cardiovascular Disease in Older People
24 Jan, 2020 | 08:02h | UTC
Palliative Sedation: A Safety Net for the Relief of Refractory and Intolerable Symptoms at the End of Life
22 Jan, 2020 | 09:06h | UTC
Pain and Delirium: Mechanisms, Assessment, and Management
22 Jan, 2020 | 09:04h | UTCPain and delirium: mechanisms, assessment, and management – European Geriatric Management (free)
Screening for Colon Cancer in Older Adults: Risks, Benefits, and When to Stop
21 Jan, 2020 | 03:02h | UTC
Study – Troponin Testing and Coronary Syndrome in Geriatric Patients with Nonspecific Complaints: Are We Overtesting?
21 Jan, 2020 | 02:58h | UTCCommentaries: Study questions routine troponin testing for ACS in geriatric patients with NSCs – Society for Academic Emergency Medicine (free) AND This Old Heart of Mine and Troponin Testing – The Skeptics Guide to EM (free)
Systematic Review: Global Reach of Ageism on Older Persons’ Health
17 Jan, 2020 | 09:35h | UTCGlobal reach of ageism on older persons’ health: A systematic review – PLOS One (free)
Commentary: Harmful effects of ageism on older persons’ health found in 45 countries – Yale University (free)
Potentially Inappropriate Prescribing in Dementia: A State-of-the-art Review
16 Jan, 2020 | 02:45h | UTCPotentially inappropriate prescribing in dementia: a state-of-the-art review since 2007 – BMJ Open (free)
Randomized Trial: Effectiveness of Combined Behavioral and Drug Therapy for Overactive Bladder Symptoms in Men
15 Jan, 2020 | 08:07h | UTCEffectiveness of Combined Behavioral and Drug Therapy for Overactive Bladder Symptoms in Men: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Commentaries: What Works Best to Help Men With Overactive Bladder? – HealthDay News (free) AND For Overactive Bladder in Men, Start with Behavioral Strategies – NEJM Journal Watch (free)
Related Commentary on Twitter
Behavioral therapy for overactive bladder in men as effective as 2-drug therapy, combination of the two not much better than either alone. Great opportunity for drug-sparing management. But, how many places offer this? https://t.co/057Zj65Tpk pic.twitter.com/oToxXxI8lI
— Mike Steinman (@MikeSteinman) January 14, 2020
[Abstract Only] Meta-Analysis: Opioids Not Beneficial for Chronic Osteoarthritis Pain
14 Jan, 2020 | 00:23h | UTCOpioids for chronic osteoarthritis pain. An updated systematic review and meta‐analysis of efficacy, tolerability and safety in randomized placebo‐controlled studies of at least four weeks double‐blind duration – European Journal of Pain (link to abstract – $ for full-text)
Related Systematic Review: Oral or transdermal opioids for osteoarthritis of the knee or hip – Cochrane Library (free)
Special Issue: Practical Aspects of Palliative Care
12 Jan, 2020 | 21:25h | UTCHomepage: Palliative Care – Medicine (free articles)
– Palliative care: introduction
– Pain control in palliative care
– Interventional management of pain in cancer and palliative care
– Nausea and vomiting in palliative care
– Constipation and malignant bowel obstruction in palliative care
– Breathlessness in advanced disease
– Psychiatric conditions in palliative medicine
– Emergencies in palliative care
– Palliative care in non-malignant disease
– Management of less common symptoms in palliative care
– Complications of systemic anti-cancer treatment
– Care in the last hours and days of life
– Advance care-planning and clinical decision-making
– Ethical principles in end-of-life care