Geriatrics
Perspective: A Palliative Care Mentor Program for Generalists
27 Sep, 2018 | 22:22h | UTCBack to the Future? – A Palliative Care Mentor Program for Generalists – NEJM Catalyst (free)
Randomized Trial: Effect of Aspirin on All-Cause Mortality in the Healthy Elderly
20 Sep, 2018 | 19:25h | UTCEffect of Aspirin on All-Cause Mortality in the Healthy Elderly – New England Journal of Medicine (free) (via @EricTopol)
Related Studies: Effect of Aspirin on Cardiovascular Events and Bleeding in the Healthy Elderly – New England Journal of Medicine (free) AND Effect of Aspirin on Disability-free Survival in the Healthy Elderly – New England Journal of Medicine (free)
Commentaries: Daily low-dose aspirin found to have no effect on healthy life span in older people- NIH News Releases (free) AND Low-Dose Aspirin Late in Life? Healthy People May Not Need It – The New York Times (10 articles per month are free)
Review: Optimizing Medications in Older Adults with Cognitive Impairment
20 Sep, 2018 | 19:23h | UTC
Study: Factors Associated With Long-term Benzodiazepine Use Among Older Adults
14 Sep, 2018 | 02:04h | UTCFactors Associated With Long-term Benzodiazepine Use Among Older Adults – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: 1 in 4 Older Adults Prescribed a Benzodiazepine Goes on to Risky Long-Term Use, Study Finds – Michigan Medicine, via NewsWise (free) AND Long-Term Benzodiazepine Use Common Among Older Adults – Physician’s First Watch (free) AND Factors Predicting Long-term Benzodiazepine Use Identified – Medscape (free registration required) AND Larger Number of Benzodiazepine Pills in Initial Prescription Associated With Long Term Use – MedicalResearch.com (free)
Related: A Quiet Drug Problem Among the Elderly – The New York Times (free) AND Our Other Prescription Drug Problem – New England Journal of Medicine (free) AND Benzodiazepines: our other prescription drug epidemic – STAT (free) AND Deprescribing benzodiazepine receptor agonists – Canadian Family Physician (free)
How Well do You Know your Anticholinergic (Antimuscarinic) Drugs?
14 Sep, 2018 | 01:56h | UTCHow well do you know your anticholinergic (antimuscarinic) drugs? – Therapeutics Initiative (free)
Randomized Trial: Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults
14 Sep, 2018 | 01:37h | UTCCommentaries: Tai Chi May Work Best to Prevent Falls in Old Age – WebMD(free) ANDTai Ji Quan Can Reduce Falls in Elderly – MedicalResearch.com (free)
Randomized Trial: Preventing Cognitive Decline in Individuals with Mild Cognitive Impairment
14 Sep, 2018 | 01:36h | UTCPreventing Cognitive Decline in Black Individuals With Mild Cognitive Impairment: A Randomized Clinical Trial – JAMA Neurology (free for a limited period)
Commentary: Study provides evidence to prevent memory decline in older blacks with mild cognitive impairment – News Medical (free) AND Novel Intervention Markedly Slows Cognitive Decline in MCI – Medscape (free registration required)
Study: Statins for Primary Prevention in Old and Very Old Adults
14 Sep, 2018 | 01:26h | UTCEditorial: Primary prevention with statins for older adults (free)
Commentaries: Expert reaction to study on use of statins in older people – Science Media Centre (free) AND Widespread use of statins in healthy older people to prevent heart disease not recommended in new study – BMJ, via ScienceDaily (free)
“New research does not support widespread use of statins in healthy older people to prevent heart disease and stroke. Results found that any protective effect was limited to those with type 2 diabetes aged between 75 and 84” (via @bmj_latest see Tweet)
Guidelines for the Evaluation and Treatment of Perimenopausal Depression
14 Sep, 2018 | 01:20h | UTCCommentaries: First-Ever Guidelines for Detecting, Treating Perimenopausal Depression – University of Illinois at Chicago, via NewsWise (free) AND Guidelines for Managing Perimenopausal Depression Now Available – MPR (free)
Study: Prediction Rules to Detect Delirium at Hospital Admission
6 Sep, 2018 | 02:29h | UTCCommentary: New prediction rule may help detect delirium at hospital admission – ACP Hospitalist (free)
Systematic Review: Antidepressants for Treating Depression in Dementia
2 Sep, 2018 | 02:32h | UTCAntidepressants for treating depression in dementia – Cochrane Library (free for a limited period)
Summary: Antidepressants for treating depression in dementia – Cochrane Library (free)
“On the only measure of efficacy for which we had high-quality evidence (depression rating scale scores), antidepressants showed little or no effect.”
Study: Performance of Electronic Prediction Rules for Prevalent Delirium at Hospital Admission
2 Sep, 2018 | 02:23h | UTCCommentary: New prediction rule may help detect delirium at hospital admission – ACP Hospitalist (free)
Meta-Analysis: Effectiveness of Interventions for Managing Multiple High-Burden Chronic Diseases in Older Adults
31 Aug, 2018 | 03:01h | UTCCommentaries: Care coordination improves health of older patients with multiple chronic diseases – CMAJ, via EurekAlert (free) AND Seniors healthier when medical care is coordinated – Reuters (free)
Related: Ten Recommendations: Designing a High-Performing Health Care System for Patients with Complex Needs (free Guidance and related perspectives) AND Multimorbidity: A Priority for Global Health Research (free research and commentaries)
Study: Functional Status and Survival After Breast Cancer Surgery in Nursing Home Resident
31 Aug, 2018 | 02:34h | UTCFunctional Status and Survival After Breast Cancer Surgery in Nursing Home Residents – JAMA Surgery (free for a limited period)
Commentaries: Surgical Decision Making in Elderly, Impaired Nursing Home Patients – JAMA Surgery (free for a limited period) AND For Nursing Home Patients, Breast Cancer Surgery May Do More Harm Than Good – Kaiser Health News (free)
Perspective: Earwax, Of All Things, Poses Unrecognized Risk In Long-Term Care
31 Aug, 2018 | 02:32h | UTCEarwax, Of All Things, Poses Unrecognized Risk In Long-Term Care – Kaiser Health News (free)
“Of all the indignities that come with aging, excessive earwax may be the most insidious… when it goes unrecognized, it can pose serious problems, especially for the 2.2 million people who live in U.S. nursing homes and assisted living centers.”
A Late-Life Surprise: Taking Care Of Frail, Aging Parents
23 Aug, 2018 | 23:49h | UTCA Late-Life Surprise: Taking Care Of Frail, Aging Parents – Kaiser Health News (free)
Guideline: Screening for Urinary Incontinence in Women
17 Aug, 2018 | 01:52h | UTCCommentaries: WPSI says screen all women annually for urinary incontinence – American College of Physicians, via EurekAlert (free)
Systematic Review: Interventions for Preventing Falls in Older People
17 Aug, 2018 | 01:13h | UTC
Randomized Trial: Reducing the Burden of Dizziness in Middle-aged and Older People
16 Aug, 2018 | 23:24h | UTCSource: EvidenceAlerts
Systematic Review: Nonsurgical Treatments for Urinary Incontinence in Women
11 Aug, 2018 | 03:19h | UTCSee also: Full Report (free PDF)
AMA Journal of Ethics: Roles of Physicians in Healthy Dying
11 Aug, 2018 | 02:28h | UTCSpecial Issue: Roles of Physicians in Healthy Dying- AMA Journal of Ethics (free articles)
“What the roles of clinicians and patients should be in defining what constitutes a quality dying experience and good care of dying people has received less attention than issues like euthanasia and assisted death. Which parts of dying, if any, should be medicalized and why? What do patients and clinicians need to know about dying and why? The August 2018 issue of the AMA Journal of Ethics explores these and other questions.”
Perspective: Assisted Suicide is Controversial, but Palliative Sedation is Legal and Offers Peace
3 Aug, 2018 | 11:32h | UTC
Opinion: How Do You Want to Die?
3 Aug, 2018 | 02:57h | UTCHow Do You Want to Die? – The New York Times (10 articles per month are free)
“Are we turning sudden cardiac death into a longer, winding path? Defibrillators can prevent sudden death but they also can take away the sudden-death option.” (via @RasoiniR see Tweet)
Position Statement: Reducing Inappropriate Medication Use & Polypharmacy
20 Jul, 2018 | 02:21h | UTCRelated: Polypharmacy Guidance, Realistic Prescribing 3 rd Edition, 2018 – Scottish Government Polypharmacy Model of Care Group (free PDF) AND The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF) AND Common ED Medication Errors: Polypharmacy – emDocs (free) AND Current and future perspectives on the management of polypharmacy – BMC Family Practice (free) AND The other big drug problem: Older people taking too many pills – The Whashington Post (free) AND Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety (free) AND Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international (free) AND Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety (free)Too Many Meds? America’s Love Affair With Prescription Medication – Consumer Reports (free) AND CaDeN Deprescribing Guidelines and Algorithms (free)
Study: The Plateau of Human Mortality
6 Jul, 2018 | 03:11h | UTCThe plateau of human mortality: Demography of longevity pioneers – Science (link to abstract – $ for full-text)
Commentaries: There’s no limit to longevity, says study that revives human lifespan debate – Nature News (free) AND Italian study suggests human lifespan could continue increasing – NHS Choices (free) AND Age 105? Then you’ve a better chance of living even longer – The Guardian (free) AND How Long Can We Live? The Limit Hasn’t Been Reached, Study Finds – The New York Times (free)