Geriatrics
Randomized Trial: Comparative Effectiveness of Nonsurgical Treatment Methods in Lumbar Spinal Stenosis
24 Jan, 2019 | 16:12h | UTCCommentary: Lumbar Spinal Stenosis: Non-Surgical Options Compared – MedicalResearch.com (free)
Study: Medication Review to Optimize and Potentially Reduce Psychotropic Drug Prescription in Institutionalized Dementia Patients
24 Jan, 2019 | 00:04h | UTCRelated: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Sarcopenia and Dysphagia: Position Paper by Four Professional Organizations
23 Jan, 2019 | 14:43h | UTC
Systematic Review: Antidepressants do not Help Treat Depression in People Living with Dementia
20 Jan, 2019 | 13:47h | UTCAntidepressants do not help treat depression in people living with dementia – NIHR Signal (free)
Original Article: Antidepressants for treating depression in dementia – Cochrane Library (free)
Meta-Analysis: Efficacy and Safety of Aspirin for Primary Prevention of Cardiovascular Events
18 Jan, 2019 | 00:55h | UTCEfficacy and safety of aspirin for primary prevention of cardiovascular events: a meta-analysis and trial sequential analysis of randomized controlled trials – European Heart Journal (link to abstract – $ for full-text)
Commentary: Daily Aspirin Use May Do More Harm Than Good for Healthy People – Diagnostic and Interventional Cardiology (free)
Related Study: Aspirin Did Not Prevent Deaths or Disability in Healthy Older Adults (free study and commentaries)
Alcohol Use and Dementia: A Systematic Scoping Review
17 Jan, 2019 | 00:12h | UTCAlcohol use and dementia: a systematic scoping review – Alzheimer’s Research & Therapy (free)
Review: Frailty in Elderly Diabetes Patients
17 Jan, 2019 | 00:11h | UTCFrailty in elderly diabetes patients – Endocrine Journal (free)
Meta-analysis: Benzodiazepines or Related Drugs and Risk of Pneumonia
16 Jan, 2019 | 00:32h | UTCCommentary: Benzodiazepines May Boost Pneumonia Risk, Especially in Seniors – Medscape (free registration required)
Guidelines for the Peri‐operative Care of People with Dementia
13 Jan, 2019 | 23:21h | UTCGuidelines for the peri‐operative care of people with dementia – Anaesthesia (free)
Use of Hormone Replacement Therapy and Risk of Venous Thromboembolism
13 Jan, 2019 | 23:19h | UTCCommentaries: HRT patches and gels ‘may be safer’ than tablets for older women – NHS News (free) AND HRT tablets associated with increased risk of blood clots – MedicalXpress (free) AND Expert reaction to HRT and blood clots – Science Media Centre (free)
Thyroid Hormone Treatment Does Not Help Adults with Mildly Abnormal Thyroid Tests
13 Jan, 2019 | 23:18h | UTCThyroid hormone treatment does not help adults with mildly abnormal thyroid tests – NIHR Signal (free)
Original Study: Meta-Analysis: Treating Subclinical Hypothyroidism is Not Associated with Quality of Life and Thyroid-Related Symptoms (link to abstract and commentaries)
Indian Consensus on Chronic Constipation in Adults
13 Jan, 2019 | 21:40h | UTCRelated: Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition – Journal of Neurogastroenterology and Motility (free) AND Treatment Algorithm for Chronic Idiopathic Constipation and Constipation-Predominant Irritable Bowel Syndrome Derived from a Canadian National Survey and Needs Assessment on Choices of Therapeutic Agents – Canadian Journal of Gastroenterology and Hepatology (free) AND Constipation in older people: A consensus statement – The International Journal of Clinical Practice (free) AND Management of Constipation in Older Adults – American Family Physician (free)
Moving from Heart Failure Guidelines to Clinical Practice: Gaps Contributing to Readmissions in Patients With Multiple Comorbidities and Older Age
13 Jan, 2019 | 20:43h | UTC
Randomized Trial: Home Modifications to Reduce Disability in Older Adults with Functional Disability
10 Jan, 2019 | 00:13h | UTCEffect of a Biobehavioral Environmental Approach on Disability Among Low-Income Older Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Commentaries: Home Modifications to Reduce Disability in Older Adults With Functional Disability – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Novel RCT shows that practical home based intervention that modifies environment in order to help older persons adapt to disability significantly improves independence and well being #geriatrics #hpm @JamaInternalMed https://t.co/Y802BEZC5i
— Ken Covinsky (@geri_doc) January 7, 2019
Study: Repeat Thyroid Function Tests for Healthy Older People are Not Needed
9 Jan, 2019 | 23:35h | UTCRepeat thyroid function tests for healthy older people are not needed – NIHR Signal (free)
Original Research: Stability of thyroid function in older adults: the Birmingham Elderly Thyroid Study – British Journal of General Practice (link to abstract – $ for full-text)
Systematic Review: Vitamin and Mineral Supplementation for Maintaining Cognitive Function Mid and Late Life
8 Jan, 2019 | 20:12h | UTCVitamin and mineral supplementation for maintaining cognitive function in cognitively healthy people in mid and late life – Cochrane Library (free)
Summary: Vitamin and mineral supplementation for preventing cognitive deterioration in cognitively healthy people in mid and late life – Cochrane Library (free)
Commentary: Preventing dementia: do vitamin and mineral supplements have a role? – Evidently Cochrane (free)
Related Commentary on Twitter
New @CochraneDCIG Review finds 'no good evidence to suggest that middle‐aged or older people can preserve cognitive function or prevent dementia by taking vitamin or mineral supplements' https://t.co/8cyuiG8mtw 28 studies, 83,000 participants. #CochraneEvidence pic.twitter.com/N1VK0C6BuR
— The Cochrane Library (@CochraneLibrary) December 23, 2018
Study: Pelvic Floor Muscle Training can Improve Symptoms of Urinary Incontinence
7 Jan, 2019 | 18:55h | UTCPelvic floor muscle training can improve symptoms of urinary incontinence – NIHR Signal (free)
Original Study: Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women – Cochrane Library (free)
Podcast: Urinary Tract Infections Delirium and Voltaire
7 Jan, 2019 | 17:30h | UTC#134 Urinary Tract Infections Delirium and Voltaire – The Curbsiders Internal Medicine Podcast (free)
Meta-analysis: Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults
6 Jan, 2019 | 20:12h | UTCAssociation of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults: A Systematic Review and Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Meta-analysis: long-term exercise cuts fall, injury risk in elders – Univadis (free registration required)
Related Study: Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis – Sports Medicine Open (free)
Related Commentary in Twitter
Meta-analysis of long-term (>1yr) trials (RCTs) in older (≥60 yrs; total >21k) participants, finds that regular #exercise decreases the risk of falls and injurious falls, with a trend for reduced fractures @JAMAInternalMed https://t.co/9724SM3VS4
— Jonathan Cedernaes (@JCedernaes) December 30, 2018
Systematic Review: Associations Between Multimorbidity, All-cause Mortality and Glycaemia in People with Type 2 Diabetes
4 Jan, 2019 | 20:51h | UTC
Systematic Review: Treatment of Humerus Fractures in the Elderly
4 Jan, 2019 | 20:42h | UTC
Meta-Analysis: Benzodiazepines May Increase Length of Stay and Chance of Delirium in Intensive Care
4 Jan, 2019 | 19:12h | UTCBenzodiazepines may increase length of stay and chance of delirium in intensive care – NIHR Signal (free)
Original Article: Sedative drugs used for mechanically ventilated patients in intensive care units: a systematic review and network meta-analysis – Current Medical Research and Opinion (free)
Study: Aspirin Did Not Prevent Deaths or Disability in Healthy Older Adults
4 Jan, 2019 | 18:31h | UTCAspirin did not prevent deaths or disability in healthy older adults – NIHR Signal (free)
Original Study: Effect of Aspirin on All-Cause Mortality in the Healthy Elderly (link to abstract and commentaries)
Guideline: Driving with Dementia or Mild Cognitive Impairment
13 Dec, 2018 | 23:54h | UTCCommentary: When should dementia patients stop driving? A new guidance for clinicians – Newcastle University (free)
Guideline: Clinically-assisted Nutrition and Hydration
13 Dec, 2018 | 23:53h | UTCClinically-assisted nutrition and hydration – British Medical Association (free guideline and other resources)
Commentary: Decisions about clinically-assisted nutrition and hydration: guiding doctors, helping patients – The BMJ Opinion (free)
“just because we can keep someone alive indefinitely, should we?”


