Geriatrics
Meta-analysis: Effectiveness of Light Therapy in Cognitively Impaired Persons
29 Aug, 2017 | 14:52h | UTCEffectiveness of Light Therapy in Cognitively Impaired Persons: A Metaanalysis of Randomized Controlled Trials – Journal of The American Geriatric Society (link to abstract – $ for full-text)
Source: ACP Journal Wise ($)
Viewpoint: Management of Parkinson Disease in 2017
26 Aug, 2017 | 20:17h | UTCViewpoint: Management of Parkinson Disease in 2017: Personalized Approaches for Patient-Specific Needs – JAMA (free)
Study: Is late-life dependency increasing or not?
26 Aug, 2017 | 17:03h | UTCCommentaries: The burden of triumph: meeting health and social care needs – The Lancet (free) AND Do we really need 200,000 more care home beds? – The Guardian (free) AND Time spent frail in old age ‘doubles’ – BBC (free)
“The amount of time spent needing daily care in late life has doubled in England over the past two decades, a study suggests”. (from BBC)
Systematic Review: Medical Treatment of Nocturia in Men with Lower Urinary Tract Symptoms
26 Aug, 2017 | 16:52h | UTCSource: ACP Journal Wise ($)
Systematic review: Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia
26 Aug, 2017 | 16:07h | UTC
Review: Nutrition for the ageing brain
26 Aug, 2017 | 16:03h | UTCNutrition for the ageing brain: Towards evidence for an optimal diet – Ageing Research Reviews (free)
Guideline: Treatment of older patients with acute myeloid leukemia
22 Aug, 2017 | 14:19h | UTC
Stop Treating 70- and 90-Year-Olds the Same
17 Aug, 2017 | 16:31h | UTCOpinion: Stop Treating 70- and 90-Year-Olds the Same – New York Times (free)
A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents
17 Aug, 2017 | 15:57h | UTCA National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Study Shows 54 Percent Drop in CAUTIs Among Nursing Home Residents – Infection Control Today (free) AND AHRQ safety program helps cut catheter infections by more than 50% among nursing home patients, JAMA study shows – Healthcare Finance (free) AND Implementing technical and socioadaptive bundles may decrease catheter-associated urinary tract infections in nursing homes – 2 Minute Medicine (free) AND Nursing homes cut urinary tract infections in half through focused effort on catheter care – Michigan University, via EurekAlert (free)
Related: Toolkit for Reducing Catheter-Associated Urinary Tract Infections (CAUTI) – Agency for Healthcare Research and Quality (free resources)
Should older doctors be examined, tested or forced to retire?
16 Aug, 2017 | 19:59h | UTCShould older doctors be examined, tested or forced to retire? – Reuters (free)
Original article: The Aging Physician and the Medical Profession: A Review – JAMA Surgery (link to abstract – $ for full-text)
An order not to hospitalize
16 Aug, 2017 | 15:17h | UTCAn order not to hospitalize – ACP Hospitalist (free)
Original article: Are Hospital/ED Transfers Less Likely Among Nursing Home Residents With Do-Not-Hospitalize Orders? – Journal of Post-Acute and Long-Term Care Medicine (link to abstract – $ for full-text)
Risk traumatic brain injuries associated with antidepressant use among patients with Alzheimer’s disease
15 Aug, 2017 | 20:40h | UTCCommentary: Antidepressant use increases risk of head injuries among persons with Alzheimer’s disease – University of Eastern Finland, via EurekAlert (free)
Blood pressure targets for hypertension in older adults
15 Aug, 2017 | 19:55h | UTCBlood pressure targets for hypertension in older adults – Cochrane Library (free)
Full review: Blood pressure targets for hypertension in older adults – Cochrane Library (link to abstract – $ for full-text)
Related guideline: Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline From ACP and AAFP (free)
“At the present time there is insufficient evidence to know whether a higher BP target (less than150 to 160/95 to 105 mmHg) or a lower BP target (less than 140/90 mmHg) is better for older adults with high BP”
Advances in the diagnosis and management of neck pain
15 Aug, 2017 | 00:33h | UTCState of the Art Review: Advances in the diagnosis and management of neck pain – The BMJ (free)
Related guideline: Neck Pain: Revision 2017 – Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from the Orthopaedic Section of the American Physical Therapy Association (free)
Midlife Vascular Risk Factors and Incident Dementia
14 Aug, 2017 | 18:08h | UTCAssociations Between Midlife Vascular Risk Factors and 25-Year Incident Dementia in the Atherosclerosis Risk in Communities (ARIC) Cohort – JAMA Neurology (link to abstract – $ for full-text)
Commentaries: Midlife cardiovascular risk factors may increase chances of dementia – NIH News Releases (free) AND Midlife smoking, diabetes, and hypertension associated with late life dementia – 2 Minute Medicine (free) AND Heart-healthy middle age tied to lower risk of dementia – Medical News Today (free) AND Heart disease risk in middle age tied to dementia later – Reuters (free)
Day-to-Day Blood Pressure Variability and Risk of Dementia
14 Aug, 2017 | 16:12h | UTCCommentaries: Fluctuations in home-monitored blood pressure may raise dementia risk – Circulation Journal Report (free) AND Fluctuations in Blood Pressure Linked to Vascular Dementia – MedPage Today (free registration required) AND Fluctuating Home Blood Pressure Linked to Dementia – Medscape (free registration required) AND Blood pressure fluctuations linked to dementia – Reuters (free)
Risk of Stroke With Various Types of Menopausal Hormone Therapies
14 Aug, 2017 | 14:42h | UTCRisk of Stroke With Various Types of Menopausal Hormone Therapies: A National Cohort Study – Stroke (link to abstract – $ for full-text)
Source: EvidenceAlerts
This large cohort confirms an increased stroke risk with oral hormone therapies, but suggests no increased risk of stroke with transdermal or vaginal estrogen application.
Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica
11 Aug, 2017 | 16:04h | UTCLifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica: Findings of Four Prospective Cohort Studies – The American Journal of Medicine (link to abstract – $ for full-text)
Commentary: Walking and biking tied to lower risk of hospitalization with sciatica – Reuters (free)
Related guideline: Low back pain and sciatica in over 16s: assessment and management – NICE (free)
Lithium Associated With a Higher Risk of Chronic Kidney Disease in Older Adults
11 Aug, 2017 | 15:53h | UTCLithium Use, but Not Valproate Use, Is Associated With a Higher Risk of Chronic Kidney Disease in Older Adults With Mental Illness – The Journal of Clinical Psychiatry (link to abstract -$ for full-text)
Case-control study suggests Lithium is associated with increased risk of chronic kidney disease.
Treatments for reducing menopausal hot flushes are ranked for effectiveness
11 Aug, 2017 | 13:34h | UTCTreatments for reducing menopausal hot flushes are ranked for effectiveness – NIHR Signal (free)
Surgical Guidelines for Perioperative Management of Older Adults
10 Aug, 2017 | 20:48h | UTC
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)