Geriatrics
Meta-Analysis: Diagnostic Value of Symptoms and Signs for Identifying UTI in Older adults
9 Nov, 2018 | 02:05h | UTC“A number of symptoms and signs typically associated with UTI, such as nocturia, urgency and abnormal vital signs, were of limited use in older adult outpatients.”
Systematic Review: Supplements for Preventing Cognitive Decline in People with Mild Cognitive Impairment
9 Nov, 2018 | 01:59h | UTCVitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment – Cochrane Library (free)
“The evidence on vitamin and mineral supplements as treatments for MCI is very limited. “
Small Bowel Obstruction in the Elderly: A Plea for Comprehensive Acute Geriatric Care
9 Nov, 2018 | 01:47h | UTC
Deprescribing: The Fightback Against Polypharmacy Has Begun
5 Nov, 2018 | 12:11h | UTCDeprescribing: the fightback against polypharmacy has begun – The Pharmaceutical Journal (free) (via @Deprescribing)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject) AND Deprescribing recommendations: An essential consideration for clinical guideline developers – Research in Social and Administrative Pharmacy (free)
Gerontodermatology: The Fragility of the Epidermis in Older Adults
5 Nov, 2018 | 11:50h | UTC
Review: The Global Burden of Multiple Chronic Conditions
26 Oct, 2018 | 02:57h | UTCThe global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports (free)
Related: Multimorbidity: A Priority for Global Health Research (free report and commentaries) AND Meta-Analysis: Effectiveness of Interventions for Managing Multiple High-Burden Chronic Diseases in Older Adults (free study and commentaries) Designing a High-Performing Health Care System for Patients with Complex Needs (several perspectives on the subject)
Meta-Analysis: Efficacy, Effectiveness, and Safety of Herpes Zoster Vaccines
26 Oct, 2018 | 02:42h | UTC“Using the adjuvant recombinant subunit vaccine might prevent more cases of herpes zoster than using the live attenuated vaccine, but the adjuvant recombinant subunit vaccine also carries a greater risk of adverse events at injection sites.”
USPSTF Statement: Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults
26 Oct, 2018 | 02:28h | UTCEditorials: Challenges and Opportunities for Studying Routine Screening for Abuse (free) AND Addressing Intimate Partner Violence and Abuse of Older or Vulnerable Adults in the Health Care Setting—Beyond Screening (free)
Randomized Trial: Antipsychotics Ineffective for Delirium in Intensive Care Patients
26 Oct, 2018 | 02:01h | UTCHaloperidol and Ziprasidone for Treatment of Delirium in Critical Illness – New England Journal of Medicine (free for a limited period)
Editorial: Dopamine Antagonists in ICU Delirium (free for a limited period)
Commentaries: Common use of antipsychotics shown ineffective for delirium in intensive care patients – NIH News Releases (free) AND Antipsychotic Drugs Don’t Ease ICU Delirium Or Dementia – NPR (free) AND Antipsychotics ineffective for treating ICU delirium – Vanderbilt University Medical Center (free)
Related Research: Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of Delirium (free)
Want to Keep Your Brain Sharp? Take Care of Your Eyes And Ears
26 Oct, 2018 | 01:46h | UTCWant To Keep Your Brain Sharp? Take Care Of Your Eyes And Ears – NPR (free)
Related Articles: Longitudinal Relationship Between Hearing Aid Use and Cognitive Function in Older Americans – Journal of the American Geriatrics Society (free) AND Cataract surgery and age-related cognitive decline: A 13-year follow-up of the English Longitudinal Study of Ageing – NPR (free)
Report: Talking About Dying
26 Oct, 2018 | 01:39h | UTCNews Release: New report asks why doctors find it so hard to talk to patients about dying (free)
Commentaries: Doctors must talk ‘honestly’ to patients about dying – OnMedica (free) AND Doctors ‘need to start early conversation with patients about dying’ – BBC (free)
Sarcopenia: Consensus on Definition and Diagnosis
16 Oct, 2018 | 23:31h | UTCSarcopenia: revised European consensus on definition and diagnosis – Age and Ageing (free)
How to Prevent Brain-Sapping Delirium in the ICU
12 Oct, 2018 | 01:50h | UTCHow To Prevent Brain-Sapping Delirium In The ICU – NPR (free text and podcast)
Related: ABCDEF Bundle – Society of Critical Care Medicine (free resource) AND The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families – Critical Care Medicine (free)
Review: A New Vaccine for Shingles
12 Oct, 2018 | 01:44h | UTCShingrix: A New Vaccine for Shingles – Therapeutics Initiative (free)
“Need to vaccinate 31 people to prevent one instance of HZ; Need to vaccinate 358 people to prevent one instance on post herpetic neuralgia” (via @amtejani)
Review: Office Approach to Small Fiber Neuropathy
11 Oct, 2018 | 21:43h | UTCOffice approach to small fiber neuropathy – Cleveland Clinic Journal of Medicine (free)
Systematic Review: Pelvic Floor Muscle Training For Urinary Incontinence in Women
11 Oct, 2018 | 21:35h | UTCPelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women – Cochrane Library (free)
“Based on the data available, we can be confident that pelvic floor muscle training can cure or improve symptoms of stress urinary incontinence and all other types of urinary incontinence”
Meta-Analysis: Effects of Vitamin D Supplementation on Musculoskeletal Health
5 Oct, 2018 | 02:44h | UTCEffects of vitamin D supplementation on musculoskeletal health: a systematic review, meta-analysis, and trial sequential analysis – The Lancet Diabetes & Endocrinology (link to abstract – $ for full-text)
Commentaries: The Lancet Diabetes & Endocrinology: Vitamin D supplementation in adults does not prevent fractures, falls or improve bone mineral density – The Lancet (free) AND Vitamin D supplements don’t help bone health, major study concludes – The Guardian (free) AND Millions of Americans take vitamin D. Most should just stop – VOX (free)
Related: Vitamin D, the Sunshine Supplement, Has Shadowy Money Behind It (free commentaries and NICE Guideline) AND Vitamin D Not Linked to Fracture Risk (free study and commentaries)
Randomized Trial: Drinking More Water Prevents Recurrent Cystitis
5 Oct, 2018 | 01:48h | UTCEditorial: Drinking More Water for Prevention of Recurrent Cystitis (free)
Commentaries: Drinking more water reduces bladder infections in women – UT Southwestern Medical Center (free) AND Drinking more water linked to fewer bladder infections in women – UPI (free)
Video: KHN Conversation on Overtreatment
5 Oct, 2018 | 01:33h | UTCKHN Conversation on Overtreatment – Kaiser Health News (free)
Commentary: Changing Healthcare’s Culture of Overtreatment a Challenge – MedPage Today (free registration required)
Related KHN Series: Treatment Overkill (free articles)
Podcast: Geriatric Psychiatry
5 Oct, 2018 | 01:29h | UTCRelated Podcast: #115 Geriatric Depression – The Curbsiders Internal Medicine Podcast (free)
Deprescribing Recommendations: An Essential Consideration for Clinical Guideline Developers
28 Sep, 2018 | 01:11h | UTCRelated: Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
““Clinical guidelines often do not accommodate frailty or patients with multiple comorbid conditions. This can give rise to complex medication regimens and risk of medication harm.” Paper discusses the need to include deprescribing in clinical guidelines” (via @Deprescribing see Tweet)
Systematic Review: Modifying the Consistency of Food and Fluids for Swallowing Difficulties in Dementia
28 Sep, 2018 | 00:57h | UTCModifying the consistency of food and fluids for swallowing difficulties in dementia – Cochrane Library (free for a limited period)
Summary: Modifying the consistency of food and fluids for swallowing difficulties in dementia (free)
“We are uncertain about the immediate and long-term effects of modifying the consistency of fluid for swallowing difficulties in dementia”
Study: Drug–herb and Drug–supplement Interactions in Older Adults
27 Sep, 2018 | 23:05h | UTCCommentaries: New study finds concurrent use of prescription drugs and dietary supplements could pose health risks – University of Hertfordshire (free) AND Concerns raised about older adults mixing prescription drugs and herbal remedies – NHS Choices (free)
Podcast: Geriatric Depression
27 Sep, 2018 | 22:45h | UTC#115 Geriatric Depression – The Curbsiders Internal Medicine Podcast (free)
Summary: #115 Geriatric Depression: Diagnosis, Antidepressants, and More (free)
Clinical Update: Management of Chronic Wounds
27 Sep, 2018 | 22:36h | UTCManagement of Chronic Wounds—2018 – JAMA (free for a limited period)