Geriatrics
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)
Cohort Study: Even Minor Surgical Procedures Are Associated with High Risk for Patients with Frailty
14 Nov, 2019 | 10:19h | UTCAssociation of Preoperative Patient Frailty and Operative Stress With Postoperative Mortality – JAMA Surgery (free for a limited period)
Commentaries: Looking Beyond Mortality Among Older Adults Who Are Frail and Considering Surgical Intervention – JAMA Surgery (free for a limited period) AND No such thing as a low-risk surgery for frail patients – Vanderbilt University Medical Center (free) AND Even low-stress surgery can be fatal for frail patients, study finds – University of Texas Health Center at San Antonio (free)
Study: Testosterone Therapy Linked to Increased Risk of Venous Thromboembolism Among Men with and Without Hypogonadism
12 Nov, 2019 | 11:22h | UTCAssociation of Testosterone Therapy With Risk of Venous Thromboembolism Among Men With and Without Hypogonadism – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Using testosterone therapy in 6-month case period associated with doubling of VTE risk for men both with and without clinical hypogonadism. https://t.co/rosKWgWgBS
— JAMA Internal Medicine (@JAMAInternalMed) November 11, 2019
Podcast: Management of Multimorbidity
10 Nov, 2019 | 13:55h | UTC#181 The Multimorbidity Games with Josh Uy MD – The Curbsiders Internal Medicine Podcast (free text and audio)
See also: Episode List
Related: Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free)
Randomized Trial: Internet Based Vestibular Rehabilitation for Adults with a Chronic Vestibular Syndrome
6 Nov, 2019 | 08:35h | UTCCommentaries: Treat dizziness and vertigo with vestibular rehabilitation – The BMJ Opinion (free) AND Online Intervention Could Help Those with Chronic Vestibular Syndrome – NEJM Journal Watch (free)
Related Study: Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness (free study and commentaries)
Study: Treatment of Subclinical Hypothyroidism Not Beneficial for Elderly Patients
31 Oct, 2019 | 08:42h | UTCAssociation Between Levothyroxine Treatment and Thyroid-Related Symptoms Among Adults Aged 80 Years and Older With Subclinical Hypothyroidism – JAMA (free for a limited period)
Editorial: The Thyrotropin Reference Range Should Be Changed in Older Patients (free for a limited period)
Related Review: Subclinical Hypothyroidism – JAMA (free for a limited period)
Related Randomized Trial: Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism – New England Journal of Medicine (free)
Related Commentary on Twitter
Important RCT data demonstrating that routine treatment with levothyroxine for subclinical hypothyroidism in adults aged 80 years and older was not associated with improved patient-reported quality of life outcome scores for hypothyroid symptoms https://t.co/KboKmMFcxm
— Joseph Ross (@jsross119) October 30, 2019
Redesigning Care for Older People to Preserve Physical and Mental Capacity
27 Oct, 2019 | 19:33h | UTCRelated: World report on ageing and health – World Health Organization (free)
Opinion – ‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed
18 Oct, 2019 | 08:17h | UTC‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed – Kaiser Health News (free)
Related: Mobility Programs for the Hospitalized Older Adult: A Scoping Review – Gerontology and Geriatric Medicine (free)
NICE Guideline: End of Life Care for Adults
17 Oct, 2019 | 08:35h | UTCEnd of life care for adults: service delivery – National Institute for Health and Care Excellence (free)
Related: Clinical Practice Guidelines for Quality Palliative Care, 4th Edition – National Consensus Project’s (free)
Position Paper: Sarcopenia
16 Oct, 2019 | 10:33h | UTCSarcopenia: A Time for Action. An SCWD Position Paper – Journal of Cachexia, Sarcopenia and Muscle (free)
Related: Sarcopenia: revised European consensus on definition and diagnosis – Age and Ageing (free)
Rx for Doctors: Stop With the Urine Tests
16 Oct, 2019 | 10:27h | UTCRx for Doctors: Stop With the Urine Tests – The New York Times (10 articles per month are free)
Related: USPSTF Recommendation Statement: Screening for Asymptomatic Bacteriuria in Adults (free) AND Cohort Study: Antibiotic Treatment of Asymptomatic Bacteriuria in Hospitalized Patients is Common, and May be Associated with Longer Duration of Hospitalization (link to abstract) AND Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis – Open Forum Infectious Diseases (free) ANDIDSA Guideline for the Management of Asymptomatic Bacteriuria (free)
[Abstract Only] Randomized Trial: Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use
16 Oct, 2019 | 10:22h | UTCEffect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care UseThe Care Ecosystem Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Monthly phone check-in may mean less depression for families of patients with dementia – University of California – San Francisco (free) AND Phone support tied to better outcomes for dementia patients, caregivers – Reuters (free) AND Dementia Outcomes Improved With Supportive Care – MedPage Today (free registration required)
Audio Interview: Effect of Collaborative Dementia Care on Quality of Life, Caregiver Well-being, and Health Care Use (free)
[Abstract Only] Meta-Analysis: Comparative Efficacy of Interventions for Aggressive and Agitated Behaviors in Dementia
15 Oct, 2019 | 10:35h | UTCComparative Efficacy of Interventions for Aggressive and Agitated Behaviors in Dementia: A Systematic Review and Network Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Non-pharmacologic treatments may be more effective for psychiatric symptoms of dementia – St. Michael’s Hospital (free) AND To ease dementia agitation, drugs may not be best option – Reuters (free)
Review: Management of Itch in the Elderly
15 Oct, 2019 | 10:17h | UTCManagement of Itch in the Elderly: A Review – Dermatology and Therapy (free)
Systematic Review: Interventions for Preventing Falls in People After Stroke
14 Oct, 2019 | 08:09h | UTCInterventions for preventing falls in people after stroke – Cochrane Library (free)