Geriatrics

NICE Guideline: Menopause

6 Dec, 2019 | 10:50h | UTC

Illiteracy, dementia risk, and cognitive trajectories among older adults with low education – Neurology (link to abstract – $ for full-text)

News Release: People who cannot read may be three times as likely to develop dementia – American Academy of Neurology (free)

“The independent effect of illiteracy on dementia risk may be through a lower range of cognitive function, which is closer to diagnostic thresholds for dementia than the range of literate participants.”

 


Association of Testosterone Therapy With Risk of Venous Thromboembolism Among Men With and Without Hypogonadism – JAMA Internal Medicine (free for a limited period)

 

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Podcast: Management of Multimorbidity

10 Nov, 2019 | 13:55h | UTC

Association Between Levothyroxine Treatment and Thyroid-Related Symptoms Among Adults Aged 80 Years and Older With Subclinical Hypothyroidism – JAMA (free for a limited period)

Editorial: The Thyrotropin Reference Range Should Be Changed in Older Patients (free for a limited period)

Related Review: Subclinical Hypothyroidism – JAMA (free for a limited period)

Related Randomized Trial: Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism – New England Journal of Medicine (free)

 

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Position Paper: Sarcopenia

16 Oct, 2019 | 10:33h | UTC

Cancer statistics for adults aged 85 years and older, 2019 – CA: A Cancer Journal for Clinicians (free)

Commentary: Cancer in Adults Aged 85 and Older: Rates, Screening, and Survival – The ASCO Post (free)

 

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Diagnosing the Onset of Menopause

23 Jul, 2019 | 01:47h | UTC

Diagnosing the Onset of Menopause – JAMA (free for a limited period)

Clinical Review Audio: Diagnosing Menopause (free)

 


Tramadol for osteoarthritis – Cochrane Library (free)

Summary: Tramadol for osteoarthritis – Cochrane Library (free)

“tramadol alone or in combination with acetaminophen probably has no important benefit on mean pain or function in people with osteoarthritis, although slightly more people in the tramadol group report an important improvement”

 


Deprescribing in Older Adults with Cardiovascular Disease – Journal of the American College of Cardiology (free for a limited period)

Related: Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)

 

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The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact – Healthcare (free) (via @Abraham_RMI)

 

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Diagnostic Performance of Creatinine-Based Equations for Estimating Glomerular Filtration Rate in Adults 65 Years and Older – JAMA Internal Medicine (free for a limited period)

 

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Dialysis Is a Way of Life for Many Older Patients. Maybe It Shouldn’t Be – The New York Times (10 articles per month are free)

Related: Editorial: Prioritizing Patient and Caregiver Values in the Delivery of High-Quality Medical Management Without Dialysis (free)

“So-called conservative management can ease symptoms without dialysis in some people with kidney disease. But many of them are never given the option.”

 


Deprescribing benzodiazepine receptor agonists taken for insomnia: a review and key messages from practice guidelines – Polish Archives of Internal Medicine (free PDF)

Related: Guideline: Deprescribing Benzodiazepines (free guideline and resources) AND Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)

 

 


American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults (free)

News Release: For older people, medications are common; AGS Beers Criteria aims to make them appropriate, too (free)

Commentary: AGS: Beers Criteria for Potentially Inappropriate Med Use in Older Adults Updated – MPR (free)

 

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When Is the Surgeon Too Old to Operate? – The New York Times (free)

Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)

 

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Care Practices for Patients With Advanced Kidney Disease Who Forgo Maintenance Dialysis – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: End Stage Kidney Disease: Decoding How Patients Decide to Forgo Dialysis – MedicalResearch.com (free) AND Shared Decision-Making About Dialysis Initiation Needs to Improve – Renal & Urology News (free)

“There is need for more patient-centered models of care for advanced kidney disease capable of supporting those who do not wish to start dialysis.”

 


Effect 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)

 

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Vitamin 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)

 

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Association 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)

 

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Clinically-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?”