Geriatrics
Antibiotic prophylaxis is not indicated prior to dental procedures for prevention of periprosthetic joint infections
10 Aug, 2017 | 21:20h | UTCSource: EvidenceAlerts (free resource to find articles of interest)
Alternatives to hospital admission for people aged over 65 years
9 Aug, 2017 | 17:58h | UTCA 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 | UTCToo 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 | UTCGuideline: 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 | UTCReview: 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 | UTCTai 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“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 | UTCReview: 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 | UTCReview: 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 | UTCSocial 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 | UTCCommentaries: 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 | UTCReview: 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 | UTCReview: 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 | UTCTai 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 | UTCSource: 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 | UTCAssociation 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 | UTCParkinson’s disease in adults – National Institute for Health and Care Excellence (NICE) Guideline (free)
Dementia prevention, intervention, and care
21 Jul, 2017 | 17:40h | UTCReport: Dementia prevention, intervention, and care – The Lancet (free registration required)
Commentaries: Experts: 1 in 3 cases of dementia preventable, nonmedical therapies ideal for dementia – University of Southern California, via EurekAlert (free) AND One Third of Dementia May Be Preventable With Lifestyle Change – Medscape (free registration required) AND Over a Third of Dementia Cases Tied to Modifiable Risk Factors – Physician’s First Watch (free) AND Living healthily, learning more could cut dementia cases by a third – Reuters (free) AND Lifestyle changes could prevent a third of dementia cases, report suggests – The Guardian (free)
The Aging Physician and the Medical Profession: A Review
21 Jul, 2017 | 00:25h | UTCThe Aging Physician and the Medical Profession: A Review – JAMA Sugery (free) (RT @EricTopol see Tweet)
Comprehensive geriatric assessment and optimization in vascular surgery
20 Jul, 2017 | 00:02h | UTCRandomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery – British Journal of Surgery (link to abstract – $ for full-text)
Source: ACP Journal Club ($ resource to find articles of interest)
In this RCT, a comprehensive preoperative geriatric assessment and optimization before vascular surgery was associated with shorter length of hospital stay, lower incidence of complications, and patients were less likely to be discharged to a higher level of dependency.
Evidence-based guidelines for fall prevention
18 Jul, 2017 | 00:01h | UTC
Position Statement On Menopause
17 Jul, 2017 | 00:49h | UTCPosition Statement: American Association of Clinical Endocrinologists And American College Of Endocrinology Position Statement On Menopause – 2017 Update (free)
Related Position Statement: The 2017 hormone therapy position statement of The North American Menopause Society (free PDF)
Related Draft Recommendation Statement: Menopausal Hormone Therapy: Primary Prevention of Chronic Conditions – U.S. Preventive Services Task Force (free)
Vasomotor symptoms are associated with depressive symptoms in community-dwelling older women
9 Jul, 2017 | 00:20h | UTCVasomotor symptoms are associated with depressive symptoms in community-dwelling older women – Menopause (link to abstract – $ for full-text)
Commentary: Treatable menopause symptoms linked to depression in older women – Reuters (free)
Certain OTC, less expensive hearing aids provide benefit similar to conventional hearing aid
5 Jul, 2017 | 20:48h | UTCPersonal Sound Amplification Products vs a Conventional Hearing Aid for Speech Understanding in Noise – JAMA (link to abstract – $ for full-text)
The Jama Network – For the Media: Certain OTC, less expensive hearing aids provide benefit similar to conventional hearing aid (free)
Commentaries: Less Expensive Hearing Devices May Work as Well as Traditional Hearing Aids – Physician’s First Watch (free) AND Study Boosts Case for OTC Hearing Aids – MedPage Today (free registration required) AND OTC Hearing Devices Effective Alternative for Some, Study Shows – Medscape (free registration required)
“Some over-the-counter sound amplification devices are nearly as effective as prescription hearing aids, according to a small JAMA study” (from Physician’s First Watch)
Common ED Medication Errors: Polypharmacy
4 Jul, 2017 | 21:17h | UTCCommon ED Medication Errors: Polypharmacy – emDocs (free)
Related: Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)