Geriatrics
Updates in Palliative Care – Overview and Recent Advancements in the Pharmacological Management of Cancer Pain
22 Feb, 2018 | 21:37h | UTCSource: Critical Care Reviews Newsletter
Systematic Review: Comprehensive Geriatric Assessment for Older People Admitted to a Surgical Service
16 Feb, 2018 | 01:32h | UTCComprehensive geriatric assessment for older people admitted to a surgical service – Cochrane Library (free)
Summary: Does special assessment of older people getting surgery improve their recovery after surgery? – Cochrane Library (free)
Japan faces its old age with robots and virtual reality
16 Feb, 2018 | 01:15h | UTCWatch: Japan faces its old age with robots and virtual reality – STAT (free)
Research – Electroconvulsive therapy and age: Age-related clinical features and effectiveness in treatment resistant major depressive episode
16 Feb, 2018 | 01:02h | UTCElectroconvulsive therapy and age: Age-related clinical features and effectiveness in treatment resistant major depressive episode – Journal of Affective Disorders (link to abstract – $ for full-text)
“Short-term ECT outcome in the treatment of depression in elderly is equivalent to that of young patients in efficacy and tolerability. Old patients reported faster ECT response than younger ones and required less sessions to achieve response and remission” (via @psychopharmacol see Tweet)
Research: Public Transport Policy, Social Engagement and Mental Health in Older Age
16 Feb, 2018 | 00:50h | UTCCommentary: Free public transport for older adults tied to less depression – Reuters (free)
Research: Prognostic Effects of Delirium Motor Subtypes in Hospitalized Older Adults
16 Feb, 2018 | 00:52h | UTCPrognostic effects of delirium motor subtypes in hospitalized older adults: A prospective cohort study – PLOS One (free) (via @DrMeganHoseyPhD)
“One in three acutely ill hospitalized older adults who suffered hypoactive or mixed delirium died in the hospital”
Risky Antipsychotic Drugs Still Overprescribed In Nursing Homes
15 Feb, 2018 | 11:26h | UTCRisky Antipsychotic Drugs Still Overprescribed In Nursing Homes – NPR (free)
Original article: How Nursing Homes in the United States Overmedicate People with Dementia – Human Rights Watch (free)
Research: High performance plasma amyloid-β biomarkers for Alzheimer’s disease
5 Feb, 2018 | 16:48h | UTCHigh performance plasma amyloid-β biomarkers for Alzheimer’s disease – Nature (link to abstract – $ for full-text)
Commentaries: Expert reaction to biomarkers for amyloid-beta in Alzheimer’s disease – Science Media Centre (free) AND A Big Step toward a Blood Test for Alzheimer’s – Scientific American (free) AND Simple blood test spots dementia protein – Nature News (free) AND Alzheimer’s hope as scientists unveil blood test for early signs – The Guardian (free)
New Document for Patients: Advanced Health Directive for Dementia
5 Feb, 2018 | 16:26h | UTCOne Day Your Mind May Fade. At Least You’ll Have a Plan – The New York Times (10 articles per month are free)
Free download: Health Directive for Dementia (free PDF) from Advanced Directive for Dementia
Source: New document allows advance planning for dementia – Univadis (free registration required)
“A Simple Way to Document the Medical Care You Would Want If You Had Dementia”
Pro/Con Debate – two doctors with opposite views on physician-assisted death
5 Feb, 2018 | 16:15h | UTCPro: I’m a doctor with end-stage cancer. I support medical aid in dying – STAT (free)
Con: Physician-assisted suicide won’t atone for medicine’s ‘original sin’ – STAT (free)
Guideline: Deprescribing Antipsychotics for Behavioural and Psychological Symptoms of Dementia and Insomnia
26 Jan, 2018 | 01:37h | UTCRelated: Canadian Deprescribing Network (CaDeN) (free) AND CaDeN Deprescribing Guidelines and Algorithms (free) AND Deprescribing guidelines for the elderly – Ontario Pharmacy Evidence Network (free) AND Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND 11 Drugs You Should Seriously Consider Deprescribing – Medscape Slideshow (free registration required) AND Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)
Research: Number of Older People With Four or More Diseases will Double by 2035
26 Jan, 2018 | 00:40h | UTCCommentaries: Number of older people with four or more diseases will double by 2035 – OnMedica (free) AND Number of older people with four or more diseases will double by 2035 – Newcastle University (free) AND We’ll live longer but suffer more ill-health by 2035, says study – The Guardian (free)
See related articles and commentaries on Designing Health Care Systems for Patients with Complex Needs (free)
A Primary Care Intervention Helps Older People with Depression
26 Jan, 2018 | 00:05h | UTCA primary care intervention helps older people with depression – NIHR Signal (free)
Original article: CollAborative care for Screen-Positive EldeRs with major depression (CASPER plus): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness – Health Technology Assessment (free)
Spreading Innovative Approaches to Dementia Care
23 Jan, 2018 | 14:34h | UTCIn Focus: Spreading Innovative Approaches to Dementia Care – Commonwealth Fund (free)
See other articles in the series: Transforming Care: Reporting on Health System Improvement (free)
Review: Recent Advances in Pharmacological Management of Urinary Incontinence
23 Jan, 2018 | 14:19h | UTCRecent advances in pharmacological management of urinary incontinence – F1000 Research (free)
Research: Older Adult-friendly Emergency Department Staff Help Reduce Hospital Admissions
23 Jan, 2018 | 13:28h | UTCCommentaries: Older adult-friendly emergency department staff help reduce hospital admissions – American Geriatrics Society, via EurekAlert (free) AND Emergency department program for older adults cuts hospitalizations by 33 percent – Northwestern University, via EurekAlert (free)
Early Palliative Care: a Video for Health and Care Professionals
21 Jan, 2018 | 14:29h | UTCVideo: Early Palliative Care: a video for health and care professionals – University of Edinburgh (free) (via @OUPMedicine see Tweet)
Related: Early palliative care for adults with advanced cancer – Cochrane Library (free summary and original article) AND How Early Palliative Care May Benefit Patients With Incurable Cancer – ASCO Post (free)
Related guideline: Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update (free)
Meta-analysis: Identifying Older Adults at Risk of Harm Following Elective Surgery
21 Jan, 2018 | 14:24h | UTCCommentary : Age itself is not a risk factor for complications after surgery among older patients – OnMedica (free)
“Q: What predicts poor outcome after elective surgery in older people?
A: Frailty, cognitive impairment, depression, smoking but NOT age per se”. (via @trishgreenhalgh see Tweet)
Supporting Patients Through Serious Illness and the End of Life
16 Jan, 2018 | 18:52h | UTC“By proactively managing care for the terminally ill, the Advanced Illness Management program has produced savings of $8,000–$9,000 per patient” (via @commonwealthfnd see Tweet)
Research: Antipsychotics and the Risk of Aspiration Pneumonia in Individuals Hospitalized for Nonpsychiatric Conditions
16 Jan, 2018 | 18:48h | UTCAntipsychotics and the Risk of Aspiration Pneumonia in Individuals Hospitalized for Nonpsychiatric Conditions – Journal of the American Geriatrics Society, via Medscape (free registration required)
Commentary: Antipsychotics May Increase Risk of Aspiration Pneumonia in Older Adults – Psychiatric News Alert (free)
Related: Antipsychotic use in elderly patients and the risk of pneumonia – Expert Opinion on Drug Safety (free) AND Antipsychotic drug exposure and risk of pneumonia: a systematic review and meta-analysis of observational studies – Pharmacoepidemiology & Drug Safety (free)
Research: Mediterranean Diet May Reduce Frailty Risk
16 Jan, 2018 | 18:23h | UTCAdherence to Mediterranean Diet Reduces Incident Frailty Risk: Systematic Review and Meta-Analysis – Journal of the American Geriatrics Society (link to abstract – $ for full-text)
Commentaries: Mediterranean diet may help protect older adults from becoming frail – Wiley, via ScienceDaily (free) AND Mediterranean Diet May Lessen Frailty Risk in Older Adults – Medscape (free registration required)
Review: Aging, Hematopoiesis, and the Myelodysplastic Syndromes
16 Jan, 2018 | 17:22h | UTCAging, hematopoiesis, and the myelodysplastic syndromes – Blood Advances (free)
Meta-analysis of Interventions to Reduce Adverse Drug Reactions in Older Adults
16 Jan, 2018 | 13:17h | UTCMeta-analysis of Interventions to Reduce Adverse Drug Reactions in Older Adults – Journal of the American Geriatrics Society (link to abstract – $ for full-text)
“Interventions designed to optimize medication use reduced the risk of any and serious ADRs in older adults. Implementation of these successful interventions in healthcare systems may improve medication safety in older adults”.
Research: Hormone Therapy in the Prevention of Depressive Symptoms in the Menopause Transition
12 Jan, 2018 | 16:53h | UTCEditorial: Should Hormone Therapy Be Used to Prevent Depressive Symptoms During the Menopause Transition? (free)
Author interview: Transdermal Estradiol and Micronized Progesterone for the Prevention of Depression in the Menopause Transition (free)
Commentaries: Depression less likely in perimenopausal women taking oestrogen – OnMedica (free) AND Hormone Therapy Appears to Reduce Depression Risk in Perimenopausal Women – Physician’s First Watch (free)
Research: Effect of Physical Activity on Frailty
10 Jan, 2018 | 23:16h | UTCEffect of Physical Activity on Frailty: Secondary Analysis of a Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Structured exercise may offer mobility benefits to all older patients, regardless of frailty – ACP Internist (free) AND Exercise may reduce disability even in frail elders – Reuters (free) AND Effect of Physical Activity on Frailty – Summary for Patients, Annals of Internal Medicine (free)