Geriatrics
Withholding or Withdrawing Invasive Interventions May Not Accelerate Time to Death Among Dying ICU Patients
26 Feb, 2019 | 02:28h | UTCCommentary: Avoiding invasive treatment in dying patients may not shorten lifespan – Stanford Medicine (free)
Systematic Review: Limitation of Life-Sustaining Care in the Critically Ill
26 Feb, 2019 | 02:25h | UTCLimitation of Life-Sustaining Care in the Critically Ill: A Systematic Review of the Literature – Journal of Hospital Medicine (free PDF for a limited period)
Related: Dying with Dignity in the Intensive Care Unit – New England Journal of Medicine (free) AND Palliative care in intensive care units: why, where, what, who, when, how – BMC Anesthesiology (free) AND Ten key points about ICU palliative care – Intensive Care Medicine (free) AND Guidelines for the withdrawal of life-sustaining measures – Intensive Care Medicine (free) AND End-of-life in the ICU: moving from ‘withdrawal of care’ to a palliative care, patient-centred approach – British Journal of Anaesthesia (free) AND New concepts in palliative care in the intensive care unit – Revista Brasileira de Terapia Intensiva (free) AND The Changing Role of Palliative Care in the ICU – Critical Care Medicine (free)
Consensus Statement: Physical Activity and Ageing
25 Feb, 2019 | 01:19h | UTC
Report: Pharmacotherapy in Older Adults with Cardiovascular Disease
22 Feb, 2019 | 01:38h | UTC
Study: Preventing Misdiagnosis of Diabetes in the Elderly Through Age-dependent HbA1c Reference Intervals
22 Feb, 2019 | 01:36h | UTCCommentary: Should HbA1c cutoffs for DM diagnosis be higher in older adults? – Univadis (free registration required)
Related Commentary on Twitter
HbA1c increases with age in people without diabetes–should there be different cut-points for diagnosis of diabetes in elderly?https://t.co/5FvRXrMBvS@ABCDiab @IntDiabetesFed @DiabetesUK @ADA_DiabetesPro @DiabetesCanada @AmDiabetesAssn @AmarPut @parthaskar @drpatrickholmes
— Prof Kamlesh Khunti (@kamleshkhunti) February 16, 2019
Opinion – “Things We Do for No Reason: The Use of Thickened Liquids in Treating Hospitalized Adult Patients with Dysphagia”
22 Feb, 2019 | 01:21h | UTCSee Complete Series of Things We Do For No Reason (free articles)
Guideline Summary: Deprescribing Cholinesterase Inhibitors and Memantine in Dementia
18 Feb, 2019 | 22:11h | UTCRelated: Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Dialysis Is a Way of Life for Many Older Patients. Maybe It Shouldn’t Be
17 Feb, 2019 | 19:53h | UTCDialysis Is a Way of Life for Many Older Patients. Maybe It Shouldn’t Be – The New York Times (10 articles per month are free)
Related: Editorial: Prioritizing Patient and Caregiver Values in the Delivery of High-Quality Medical Management Without Dialysis (free)
“So-called conservative management can ease symptoms without dialysis in some people with kidney disease. But many of them are never given the option.”
BMJ Head to Head: Should We Screen for Atrial fibrillation?
15 Feb, 2019 | 00:52h | UTCShould we screen for atrial fibrillation? – The BMJ (free)
Commentary: Should we screen people for irregular heartbeat? – The BMJ, via ScienceDaily (free)
Related: USPSTF Statement: Screening with Resting or Exercise Electrocardiography (ECG) Not Recommended (free Guideline and commentaries) AND Wearable technology to screen for atrial fibrillation: does it raise more questions than it answers? (free commentaries) AND Get Ready For A Tsunami Of ECGs (free commentaries)
Deprescribing Benzodiazepine Receptor Agonists Taken for Insomnia
15 Feb, 2019 | 00:39h | UTCRelated: Guideline: Deprescribing Benzodiazepines (free guideline and resources) AND Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
https://twitter.com/JustinLeeMD/status/1095881022330322944?s=03
Editorial: Prioritizing Patient and Caregiver Values in the Delivery of High-Quality Medical Management Without Dialysis
13 Feb, 2019 | 00:39h | UTC
Review: Diagnosis and Treatment of Primary Headache Disorders in Older Adults
7 Feb, 2019 | 22:50h | UTCSource: Medscape
Study: Patterns in Outpatient Benzodiazepine Prescribing
7 Feb, 2019 | 15:13h | UTCPatterns in Outpatient Benzodiazepine Prescribing in the United States – JAMA Network Open (free)
Commentary: Steep Climb In Benzodiazepine Prescribing By Primary Care Doctors – NPR (free)
Related: A Quiet Drug Problem Among the Elderly – The New York Times (10 articles per month are free) AND Benzodiazepines: our other prescription drug epidemic – STAT (free)
Management of Frail Older People with Acute Illness
7 Feb, 2019 | 15:01h | UTCManagement of frail older people with acute illness – Internal Medicine Journal (free)
Systematic Review: Exercise for Preventing Falls in Older People Living in the Community
5 Feb, 2019 | 00:29h | UTCExercise for preventing falls in older people living in the community – Cochrane Library (free)
News Release: New Cochrane review assesses the benefits and harms of exercise for preventing falls in older people living in the community (free)
Commentaries: Experts assess benefits and harms of exercise for preventing falls in older people – University of Manchester (free) AND Exercise prevents falls in older people – but will any type of exercise do? – Evidently Cochrane (free)
Related: Recommendation Statement: Falls Prevention in Community-Dwelling Older Adults (several guidelines on the subject) AND Meta-analysis: Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults (link to abstract and commentary) AND Systematic Review: Interventions for Preventing Falls in Older People (free study and commentary) AND Meta-analysis: reducing falls in older adults recently discharged from hospital (link to abstract and commentary)
Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care
4 Feb, 2019 | 21:32h | UTC
AGS 2019 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
3 Feb, 2019 | 16:02h | UTCNews Release: For older people, medications are common; AGS Beers Criteria aims to make them appropriate, too (free)
Commentary: AGS: Beers Criteria for Potentially Inappropriate Med Use in Older Adults Updated – MPR (free)
Related Commentary on Twitter
The #AGSBeersCriteria includes lists of medications that may be inappropriate or unsafe for older adults. See the latest updates for 2019: https://t.co/qGB5Y1cD7S pic.twitter.com/ow0xds2gN7
— American Geriatrics Society (@AmerGeriatrics) February 1, 2019
Polypharmacy Guideline: Getting it Right for People Prescribed Many Medicines
3 Feb, 2019 | 15:53h | UTCPolypharmacy: Getting our medicines right – Royal Pharmaceutical Society (free)
Shorter Version: Polypharmacy (free)
Commentary: Pharmacists call for regular reviews of medicines – BBC (free)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Meta-Analysis: Efficacy and Safety of Statin Therapy in Older People
3 Feb, 2019 | 15:43h | UTCCommentaries: Never too old for statin treatment? – The Lancet (free) AND Efficacy and safety of statin therapy in older people – expert comment – London School of Hygiene & Tropical Medicine (free) AND Expert reaction to meta-analysis looking at statins and cardiovascular events in all ages – Science Media Centre (free) AND Statin therapy reduces cardiovascular disease risk in older people – University of Oxford (free) AND Statins Lower Risk for CV Events in Elders, But Benefits for Primary Prevention Still in Question – NEJM Journal Watch (free)
“However, when stratified by history of vascular disease, a significant benefit among those aged 71 and older was limited to those with prior vascular disease.” (from NEJM Journal Watch)
Perspective: When Is the Surgeon Too Old to Operate?
3 Feb, 2019 | 12:37h | UTCWhen Is the Surgeon Too Old to Operate? – The New York Times (free)
Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)
Related Commentary on Twitter
https://twitter.com/sloaneguy/status/1091666479525888001?s=03
Guideline: Management of Depression with Specific Comorbid Psychiatric Conditions
3 Feb, 2019 | 13:08h | UTCRelated Guideline: Depression in adults: recognition and management – National Institute for Health and Care Excellence (free)
Viewpoint: The Rise of Pseudomedicine for Dementia and Brain Health
27 Jan, 2019 | 20:36h | UTCThe Rise of Pseudomedicine for Dementia and Brain Health – JAMA (free for a limited period)
Hypothyroidism in the Elderly: Who Should Be Treated and How?
27 Jan, 2019 | 20:09h | UTCHypothyroidism in the Elderly: Who Should Be Treated and How? – Journal of the Endocrine Society (free)
Related: Meta-Analysis: Treating Subclinical Hypothyroidism is Not Associated with Quality of Life and Thyroid-Related Symptoms (link to abstract and commentaries) AND Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism (free study and commentary)
Care Practices for Patients with Advanced Kidney Disease Who Forgo Maintenance Dialysis
27 Jan, 2019 | 20:02h | UTCCare Practices for Patients With Advanced Kidney Disease Who Forgo Maintenance Dialysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: End Stage Kidney Disease: Decoding How Patients Decide to Forgo Dialysis – MedicalResearch.com (free) AND Shared Decision-Making About Dialysis Initiation Needs to Improve – Renal & Urology News (free)
“There is need for more patient-centered models of care for advanced kidney disease capable of supporting those who do not wish to start dialysis.”
Beyond Chronic Kidney Disease: The Diagnosis of Renal Disease in the Elderly as an Unmet Need
27 Jan, 2019 | 18:43h | UTC