Geriatrics
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
[Abstract Only] Randomized Trial: Prostatic Artery Embolization vs. a Sham Procedure for Benign Prostatic Hyperplasia
9 Jan, 2020 | 23:38h | UTCRelated: Randomized Trial: Prostatic Artery Embolization vs Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia – The BMJ (free study and commentary)
Study Commentary: Taking Blood Pressure Medications at Night Seems Best
9 Jan, 2020 | 23:24h | UTCTaking blood pressure medications at night seems best – NIHR Signal (free)
Original Study: Practice Changing? – Bedtime Hypertension Treatment Improves Cardiovascular Risk Reduction in Randomized Trial – European Heart Journal (free study and commentaries)
ACP Guideline: Testosterone Treatment in Adult Men With Age-Related Low Testosterone
8 Jan, 2020 | 08:51h | UTCCommentaries: ACP issues guideline on testosterone treatment for age-related low testosterone levels – ACP Internist (free) AND Most older men don’t need testosterone replacement, new guidelines say – Reuters (free)
FDA Safety Communication: Gabapentinoids may Cause Serious Respiratory Problems in Predisposed Patients
8 Jan, 2020 | 01:10h | UTCCommentaries: Gabapentinoids Linked to Respiratory Problems in Certain Patients – NEJM Journal Watch (free) AND FDA warns gabapentin, pregabalin may cause serious breathing problems – The Hospitalist (free)
Randomized Trial: Lemborexant vs. Placebo vs. Zolpidem Tartrate Extended Release for the Treatment of Older Adults with Insomnia Disorder
5 Jan, 2020 | 13:27h | UTCCommentary: Insomnia: Lemborexant With Placebo Vs Zolpidem Tartrate Extended Release – MedicalResearch.com (free)
Review: Perioperative Care of the Geriatric Patient for Noncardiac Surgery
13 Dec, 2019 | 10:18h | UTCPerioperative care of the geriatric patient for noncardiac surgery – Clinical Cardiology (free)
Related: Optimal Perioperative Management of the Geriatric Patient: A Best Practices Guideline from the American College of Surgeons NSQIP and the American Geriatrics Society (free) AND The Perioperative Care of Older Patients: Time for a New, Interdisciplinary Approach – Deutsches Ärzteblatt international (free) AND Peri‐operative optimisation of elderly and frail patients: a narrative review – Anaesthesia (free) AND Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland (free)
AHA Scientific Statement: Managing Older Adults in the Cardiac Intensive Care Unit
10 Dec, 2019 | 08:41h | UTCNews Release: Treating more than just the heart is critical for geriatric patients – American Heart Association (free)
NICE Guideline: Menopause
6 Dec, 2019 | 10:50h | UTCMenopause: diagnosis and management – National Institute for Health and Care Excellence (free)
Podcast: Managing Sarcopenia in Primary Care
3 Dec, 2019 | 01:32h | UTC#186 Sarcopenia: Raising the Bar in Primary Care – The Curbsiders Internal Medicine Podcast (free)
See also: Episode List
CDC Updates Guidance on Pneumococcal Vaccination
27 Nov, 2019 | 07:42h | UTCCommentary: PCV13 No Longer Recommended for All Seniors – NEJM Journal Watch (free)
Perspective: A Cancer Care Approach Tailored to The Elderly May Have Better Results
26 Nov, 2019 | 08:09h | UTCA Cancer Care Approach Tailored to The Elderly May Have Better Results – NPR (free)
Related: Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology – Journal of Clinical Oncology (free) AND International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer – Journal of Clinical Oncology (free PDF) AND What Every Oncologist Should Know About Geriatric Assessment for Older Patients With Cancer: Young International Society of Geriatric Oncology Position Paper – Journal of Clinical Oncology (free) AND Geriatric Assessment-Guided Care Processes for Older Adults: A Delphi Consensus of Geriatric Oncology Experts – Journal of the National Comprehensive Cancer Network (free)
Position Paper: Diagnosis and Treatment of Xerosis Cutis
24 Nov, 2019 | 21:06h | UTC
Guideline Synopsis: The Management of Stroke Rehabilitation
20 Nov, 2019 | 10:37h | UTCCommentary: Nonpharmaceutical interventions have strongest evidence support for poststroke rehab – ACP Internist (free)
Cohort Study: Association of Premature Natural and Surgical Menopause with Incident Cardiovascular Disease
19 Nov, 2019 | 08:01h | UTCAssociation of Premature Natural and Surgical Menopause With Incident Cardiovascular Disease – JAMA (free for a limited period)
Meta-Analysis: Comparative Efficacy and Safety of New Surgical Treatments for Benign Prostatic Hyperplasia
15 Nov, 2019 | 10:36h | UTC
[Abstract Only] Study: People who Cannot Read May Be Three Times as Likely to Develop Dementia
15 Nov, 2019 | 10:03h | UTCIlliteracy, dementia risk, and cognitive trajectories among older adults with low education – Neurology (link to abstract – $ for full-text)
News Release: People who cannot read may be three times as likely to develop dementia – American Academy of Neurology (free)
“The independent effect of illiteracy on dementia risk may be through a lower range of cognitive function, which is closer to diagnostic thresholds for dementia than the range of literate participants.”
Study: Subclinical Hearing Loss Linked to Reduce Cognitive Performance
15 Nov, 2019 | 10:07h | UTCAssociation of Subclinical Hearing Loss With Cognitive Performance – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)
Commentaries: Reconsidering Individuals with Normal Hearing – JAMA Otolaryngology-Head & Neck Surgery (free) AND Hearing loss, even when mild, linked to mental decline in seniors – Reuters (free) AND Earliest stage of hearing loss is linked to cognitive decline – Columbia University (free)
Author Interview: Association of Subclinical Hearing Loss With Cognitive Performance (free audio)
Related: Association of Hearing Loss With Dementia – JAMA Network Open (free) AND Meta-Analysis: Association of Age-Related Hearing Loss With Cognitive Function – JAMA Otolaryngology-Head & Neck Surgery (free)