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Geriatrics

Retrospective Cohort: Recent Opioid Use and Fall-related Injury Among Older Patients With Trauma

25 Apr, 2018 | 13:48h | UTC

Recent opioid use and fall-related injury among older patients with trauma – Canadian Medical Association Journal (free)

Commentary: Opioid use linked to increased risk of falls, death in older adults – CMAJ, via EurekAlert (free)

 


Viewpoint: Tube Feeding and Deteriorating Patients

25 Apr, 2018 | 12:54h | UTC

David Oliver: Tube feeding and deteriorating patients—guidelines can take us only so far – The BMJ (free)

Related Guidelines: American Geriatrics Society Feeding Tubes in Advanced Dementia Position Statement (free) AND ESPEN guideline on ethical aspects of artificial nutrition and hydration (free)

Related Reviews: Artificial nutrition and hydration in advanced dementia – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 2: management of poor nutritional intake, dehydration, and pneumonia – Canadian Family Physician (free) AND Advanced Dementia – New England Journal of Medicine (free)

 


Multimorbidity: A Priority for Global Health Research

20 Apr, 2018 | 01:49h | UTC

Report: Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) (via @equitylist)

News Release: Global burden of multiple serious illnesses must be urgently addressed (free)

Commentaries: Burden of patients with multiple diseases could sink health systems around the world, warn medical experts – Independent (free) AND People with multiple health conditions get raw deal, says report – OnMedica (free)

See also: related articles on the Caring for High-Need, High-Cost Patients (free reports, articles and commentaries)

 


Position Statement: Pain Management at the End of Life

17 Apr, 2018 | 20:01h | UTC

Pain Management at the End of Life – American Society for Pain Management Nursing and Hospice and Palliative Nurses Association Position Statement (free)

Source: Medscape (free registration required)

 


USPSTF Statement: Interventions to Prevent Falls in Community-Dwelling Older Adults

17 Apr, 2018 | 15:19h | UTC

Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Editorials: Preventing Fractures and Falls: A Limited Role for Calcium and Vitamin D Supplements? (free) AND New Prevention Guidelines for Falls and Fractures—Looking Beyond the Letters (free)

 


Perspective: “There’s a shocking lack of data on effective treatments for older people”

14 Apr, 2018 | 20:17h | UTC

The Clinical Trial Is Open. The Elderly Need Not Apply – The New York Times (10 articles per month are free)

Related: Cardiac Patients in Trials Don’t Reflect Real-World Populations (link to abstract and commentaries on the subject)

“There’s a shocking lack of data on effective treatments for older people. So what do doctors do? Make guesses”. (via @NYTHealth see Tweet)

 


SEOM position statement: management of older patients with cancer

13 Apr, 2018 | 01:25h | UTC

General recommendations paper on the management of older patients with cancer: the SEOM geriatric oncology task force’s position statement – Clinical and Translational Oncology (free)

 


Cohort study: vegetable consumption associated with reduced subclinical atherosclerosis in older women

13 Apr, 2018 | 01:09h | UTC

Cruciferous and Total Vegetable Intakes Are Inversely Associated With Subclinical Atherosclerosis in Older Adult Women – Journal of the American Heart Association (free for a limited period)

Commentaries: Broccoli and sprouts linked to healthier arteries for older women – NHS Choices (free) AND These vegetables may promote artery health – Medical News Today (free)

 


Cohort study: multidrug-resistant organisms in newly admitted nursing facility patients

13 Apr, 2018 | 00:59h | UTC

Longitudinal Assessment of Multidrug-Resistant Organisms in Newly Admitted Nursing Facility Patients: Implications for an Evolving Population – Clinical Infectious Diseases (free)

Commentaries: Study finds high rate of MDRO colonization in new nursing home patients – CIDRAP (free)

 


Systematic review: percutaneous vertebroplasty for osteoporotic vertebral compression fracture

12 Apr, 2018 | 01:07h | UTC

Percutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract – $ for full-text)

Summary: Featured Review: Vertebroplasty for treating spinal fractures due to osteoporosis – Cochrane Library (free)

High quality evidence shows that vertebroplasty does not provide more clinically important benefits than placebo but may cause people harm”.

 


Cohort study: socioeconomic status, non-communicable disease risk factors, and walking speed in older adults

6 Apr, 2018 | 01:37h | UTC

Socioeconomic status, non-communicable disease risk factors, and walking speed in older adults: multi-cohort population based study – The BMJ (free)

“New work in @bmj_latest shows poverty increases ageing. Measured by walking speed. 60 y.o. men of lower social class walk like 66 y.o. men of higher social class. As important as physical inactivity, obesity or diabetes. Worse than smoking”. (via @astaines see Tweet)

 


WHO guideline: integrated care for older people

6 Apr, 2018 | 01:09h | UTC

Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity – World Health Organization (free)

 


Meta-analysis: reducing falls in older adults recently discharged from hospital

5 Apr, 2018 | 18:49h | UTC

Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis – Age and Ageing (link to abstract – $ for full-text)

Commentary: Fall prevention gets harder when elderly leave hospital – Reuters (free)

 

 


Perspective: ‘aggressive’ new advance directive would let dementia patients refuse food

3 Apr, 2018 | 17:59h | UTC

‘Aggressive’ New Advance Directive Would Let Dementia Patients Refuse Food – Kaiser Health News (free)

See website: End of Life Choices

Related initiatives: This Startup Makes End-Of-Life Planning A Piece Of Cake (free) AND New Document for Patients: Advanced Health Directive for Dementia (free document and commentaries)

 


Perspective: robots may have role in future of elder care

3 Apr, 2018 | 15:14h | UTC

Aging Japan: Robots may have role in future of elder care – Reuters (free)

Related: Japan faces its old age with robots and virtual reality – STAT (free)

 


The Assessment of Pain in Older People: UK National Guidelines

30 Mar, 2018 | 04:43h | UTC

The Assessment of Pain in Older People: UK National Guidelines – Age and Ageing (free)

 


Metabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging

30 Mar, 2018 | 03:43h | UTC

Metabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging – Cell Metabolism (free for a limited period)

Commentaries: Reduced-calorie diet shows signs of slowing ageing in people – Nature News (free) AND Will Cutting Calories Make You Live Longer? – Wired (free) AND Calorie restriction trial in humans suggests benefits for age-related disease – Cell Press, via ScienceDaily (free)

 


Research: Effect of Protein Intake on Lean Body Mass in Functionally Limited Older Men

30 Mar, 2018 | 03:33h | UTC

Effect of Protein Intake on Lean Body Mass in Functionally Limited Older Men: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Does Protein Intake Beyond Recommended Dietary Allowance Increase Lean Body Mass? – NEJM Journal Watch (free for a limited period) AND More Protein No Benefit to Older Men – MedPage Today (free)

 


Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality

30 Mar, 2018 | 03:30h | UTC

Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479 054 men and women – Heart (free)

Commentaries: Loneliness itself appears not to raise risk of heart attack/stroke – OnMedica (free) AND Association Between Loneliness, CV Events Often Explained by Conventional Risk Factors – Physician’s First Watch (free)

 


Association of Frailty With Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery

30 Mar, 2018 | 02:39h | UTC

Association of Frailty With Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Frailty associated with failure to rescue after surgery, study finds – ACP Hospitalist (free)

 


Enriched food and snacks can increase nutritional intake in older people in hospital

30 Mar, 2018 | 02:39h | UTC

Enriched food and snacks can increase nutritional intake in older people in hospital – NIHR Signal (free)

Original article: Can fortified foods and snacks increase the energy and protein intake of hospitalised older patients? A systematic review – Journal of Human Nutrition and Dietetics (link to abstract – $ for full-text)

 


Research: Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms

23 Mar, 2018 | 02:37h | UTC

Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Invited commentary: Rethinking the Approach to Managing Postmenopausal Vulvovaginal Symptoms (free)

Author interview: Efficacy of Vaginal Estradiol or Moisturizer vs Placebo for Postmenopausal Vulvovaginal Symptoms (free)

Commentary: Vaginal Estradiol Offers Little Help for Postmenopausal Symptoms – Moisturizer no better than placebo gel, either – MedPage Today (free registration required)

 


A Quiet Drug Problem Among the Elderly

22 Mar, 2018 | 23:44h | UTC

A Quiet Drug Problem Among the Elderly – The New York Times (free)

Related: Our Other Prescription Drug Problem – New England Journal of Medicine (free) AND Benzodiazepines: our other prescription drug epidemic – STAT (free)

“Despite warnings from experts, older people are using more anti-anxiety and sleep medications, putting them at risk of serious side effects and even overdoses”.

 


Guidelines for Elderly with Psychiatric & Neurologic Symptoms

22 Mar, 2018 | 23:37h | UTC

Indian Clinical Practice Guidelines for Elderly with Psychiatric & Neurologic Symptoms – Indian Journal of Psychiatry

– The Geropsychiatric Interview- Assessment and Diagnosis (free)

– Clinical practice guidelines for management of dementia (free)

– Clinical practice guidelines for management of delirium in elderly (free)

– Clinical practice guidelines for management of depression in elderly (free)

– Clinical practice guideline for management of psychoses in elderly (free)

– Clinical practice guidelines for geriatric anxiety disorders (free)

– Clinical practice guideline on management of sleep disorders in the elderly (free)

 


Research: Midlife cardiovascular fitness and dementia

16 Mar, 2018 | 02:07h | UTC

Midlife cardiovascular fitness and dementia: A 44-year longitudinal population study in women – Neurology (free)

Commentaries: High Cardiovascular Fitness in Midlife Tied to Lower Dementia Risk Later – NEJM Physician’s First Watch (free) AND Physically fit women nearly 90 percent less likely to develop dementia – American Academy of Neurology, via ScienceDaily (free)

 


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