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Geriatrics

Advances in the diagnosis and management of neck pain

15 Aug, 2017 | 00:33h | UTC

State of the Art Review: Advances in the diagnosis and management of neck pain – The BMJ (free)

Related guideline: Neck Pain: Revision 2017 – Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from the Orthopaedic Section of the American Physical Therapy Association (free)

 


Midlife Vascular Risk Factors and Incident Dementia

14 Aug, 2017 | 18:08h | UTC

Associations Between Midlife Vascular Risk Factors and 25-Year Incident Dementia in the Atherosclerosis Risk in Communities (ARIC) Cohort – JAMA Neurology (link to abstract – $ for full-text)

Commentaries: Midlife cardiovascular risk factors may increase chances of dementia – NIH News Releases (free) AND Midlife smoking, diabetes, and hypertension associated with late life dementia – 2 Minute Medicine (free) AND Heart-healthy middle age tied to lower risk of dementia – Medical News Today (free) AND Heart disease risk in middle age tied to dementia later – Reuters (free)

 


Day-to-Day Blood Pressure Variability and Risk of Dementia

14 Aug, 2017 | 16:12h | UTC

Day-to-Day Blood Pressure Variability and Risk of Dementia in a General Japanese Elderly Population: The Hisayama Study – Circulation (free)

Commentaries: Fluctuations in home-monitored blood pressure may raise dementia risk – Circulation Journal Report (free) AND Fluctuations in Blood Pressure Linked to Vascular Dementia – MedPage Today (free registration required) AND Fluctuating Home Blood Pressure Linked to Dementia – Medscape (free registration required) AND Blood pressure fluctuations linked to dementia – Reuters (free)

 


Risk of Stroke With Various Types of Menopausal Hormone Therapies

14 Aug, 2017 | 14:42h | UTC

Risk of Stroke With Various Types of Menopausal Hormone Therapies: A National Cohort Study – Stroke (link to abstract – $ for full-text)

Source: EvidenceAlerts

This large cohort confirms an increased stroke risk with oral hormone therapies, but suggests no increased risk of stroke with transdermal or vaginal estrogen application.

 


Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica

11 Aug, 2017 | 16:04h | UTC

Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica: Findings of Four Prospective Cohort Studies – The American Journal of Medicine (link to abstract – $ for full-text)

Commentary: Walking and biking tied to lower risk of hospitalization with sciatica – Reuters (free)

Related guideline: Low back pain and sciatica in over 16s: assessment and management – NICE (free)

 


Lithium Associated With a Higher Risk of Chronic Kidney Disease in Older Adults

11 Aug, 2017 | 15:53h | UTC

Lithium Use, but Not Valproate Use, Is Associated With a Higher Risk of Chronic Kidney Disease in Older Adults With Mental Illness – The Journal of Clinical Psychiatry (link to abstract -$ for full-text)

Case-control study suggests Lithium is associated with increased risk of chronic kidney disease.

 


Treatments for reducing menopausal hot flushes are ranked for effectiveness

11 Aug, 2017 | 13:34h | UTC

Treatments for reducing menopausal hot flushes are ranked for effectiveness – NIHR Signal (free)

Original article: Vasomotor symptoms resulting from natural menopause: a systematic review and network meta-analysis of treatment effects from the National Institute for Health and Care Excellence guideline on menopause – British Journal of Obstetrics and Gynaecology (free)

 


Surgical Guidelines for Perioperative Management of Older Adults

10 Aug, 2017 | 20:48h | UTC

Surgical Guidelines for Perioperative Management of Older Adults: What Geriatricians Need to Know – Journal of The American Geriatrics Society, via Medscape (free)

 


Antibiotic prophylaxis is not indicated prior to dental procedures for prevention of periprosthetic joint infections

10 Aug, 2017 | 21:20h | UTC

Antibiotic prophylaxis is not indicated prior to dental procedures for prevention of periprosthetic joint infections: A systematic review and new guidelines from the Dutch Orthopaedic and Dental Societies (free)

Source: EvidenceAlerts (free resource to find articles of interest)

 


Alternatives to hospital admission for people aged over 65 years

9 Aug, 2017 | 17:58h | UTC

A systematic review to identify and assess the effectiveness of alternatives for people over the age of 65 who are at risk of potentially avoidable hospital admission – BMJ Open (free) (RT @NIHR_DC)

Alternatives to hospital admission for people aged over 65 years can be safe and reduce costs across a range of acute and chronic conditions.

 


Too Many Meds?

5 Aug, 2017 | 20:02h | UTC

Too Many Meds? America’s Love Affair With Prescription Medication – Consumer Reports (free)

See more on “Deprescribing” in our May 8th issue (see #7), May 9th issue (see #4) and May 15th issue (see #2), and also a related article on Current and future perspectives on the management of polypharmacy

“Yes. Way Too Many Meds. Think De-prescribe”. (RT @EricTopol see Tweet)

 


Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition

5 Aug, 2017 | 18:57h | UTC

Guideline: Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition – National Institute for Health and Care Excellence (NICE)

 


Frailty and cancer: Implications for oncology surgery, medical oncology, and radiation oncology

5 Aug, 2017 | 17:43h | UTC

Review: Frailty and cancer: Implications for oncology surgery, medical oncology, and radiation oncology – CA: A Cancer Journal for Clinicians (free)

 


Tai Chi for Risk of Falls. A Meta-analysis

3 Aug, 2017 | 19:31h | UTC

Tai Chi for Risk of Falls. A Meta-analysis – Journal of The American Geriatrics Society (link to abstract – $ for full-text)

Commentaries: Meta-Analysis: Tai Chi Keeps Seniors from Falling – MedPage Today (free registration required) AND Tai chi may help reduce rate of falls in older and at-risk adults – News Medical (free)

‘Can reduce fall rates by almost half during the first year’ (from MedPage Today)

 


Benefits and Harms of Treatment of Asymptomatic Bacteriuria

3 Aug, 2017 | 14:04h | UTC

Benefits and Harms of Treatment of Asymptomatic Bacteriuria: A Systematic Review and Meta-analysis by the European Association of Urology Urological Infection Guidelines Panel (free)

“For most people, treatment was not beneficial and may be harmful. Antibiotic treatment did appear to benefit women in pregnancy and those about to undergo urological surgery”.

 


Treatment of type 2 diabetes mellitus in the elderly

1 Aug, 2017 | 17:13h | UTC

Review: Treatment of type 2 diabetes mellitus in the elderly – World Journal of Diabetes (free)

 


Noise-induced and age-related hearing loss

28 Jul, 2017 | 15:33h | UTC

Review: Noise-induced and age-related hearing loss:  new perspectives and potential therapies – F1000 Research (free)

 


Social Interaction Improves Quality Of Life For People With Dementia

27 Jul, 2017 | 17:58h | UTC

Social Interaction Improves Quality Of Life For People With Dementia – NPR (free)

 


Long-term morbidity and mortality in patients without early complications after stroke or transient ischemic attack

25 Jul, 2017 | 00:39h | UTC

Long-term morbidity and mortality in patients without early complications after stroke or transient ischemic attack – Canadian Medical Association Journal (free)

Commentaries: Stroke, TIA Survivors Without Early Complications Still Face Increased Long-Term Risks – Physician’s First Watch (free) AND Stroke survivors without early complications at long-term risk of death, stroke – Canadian Medical Association Journal, via EurekAlert (free)

 


Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

25 Jul, 2017 | 00:38h | UTC

Review: Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome – Netherlands Heart Journal (free) (RT @Gas_Craic see Tweet)

 


Alcohol and cardiovascular disease in the geriatric population

25 Jul, 2017 | 00:22h | UTC

Review: Alcohol and cardiovascular disease in the geriatric population – Clinical Cardiology (free)

 


Tai Chi for Risk of Falls. A Meta-analysis

24 Jul, 2017 | 23:41h | UTC

Tai Chi for Risk of Falls. A Meta-analysis – Journal of The American Geriatrics Society (link to abstract – $ for full-text)

Commentaries: Tai chi may help prevent falls in older and at-risk adults – Wiley, via EurekAlert (free) AND Meta-Analysis: Tai Chi May Reduce Fall Risk in Older Adults – Physician’s First Watch (free)

 


Screening strategies for atrial fibrillation: a systematic review and cost-effectiveness analysis

23 Jul, 2017 | 13:22h | UTC

Screening strategies for atrial fibrillation: a systematic review and cost-effectiveness analysis – Health Technology Assessment (free)

Source: ACP Journal Wise ($)

“A national screening programme for atrial fibrillation is likely to represent a cost-effective use of resources, with systematic opportunistic screening more likely to be cost-effective than systematic population screening”

 


Elevated Brain Amyloid and Subsequent Cognitive Decline Among Cognitively Normal Persons

22 Jul, 2017 | 15:32h | UTC

Association Between Elevated Brain Amyloid and Subsequent Cognitive Decline Among Cognitively Normal Persons – JAMA (link to abstract – $ for full-text)

Commentaries: Elevated Brain Amyloid Linked to Later Cognitive Decline – Medscape (free registration required) AND Amyloid Plaque and Cognitive Decline – Diagnostic Imaging (free) More Data Suggests Brain Amyloid Buildup Leads to Cognitive Decline – MedPage Today (free registration required) AND Elevated amyloid proves a warning sign of cognitive decline to come – Health Imaging (free) AND Study reveals early indication of Alzheimer’s in adults with normal cognition – News Medical (free)

 


NICE Guideline: Parkinson’s disease in adults

21 Jul, 2017 | 17:52h | UTC

Parkinson’s disease in adults – National Institute for Health and Care Excellence (NICE) Guideline (free)

 


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