Search Our Scientific Publications & Authors

J Am Geriatr Soc 2019 Apr 16. Epub 2019 Apr 16.

RAND Corporation, Santa Monica, California.

Objectives: While women obtain most recommended preventive health interventions more often than men, evidence is mixed regarding influenza vaccination for older adults. Therefore, we evaluated sex differences in influenza vaccination among older adults.

Design: Nationally representative cross-sectional survey. Read More

J Am Geriatr Soc 2019 Apr 15. Epub 2019 Apr 15.

Geriatric and Extended Care Service, VA Greater Los Angeles Healthcare System, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, California.

The reinstatement of the Journal of the American Geriatrics Society Section on Ethnogeriatrics coincides with more rapid growth in older populations that are classified as ethnic and racial minorities in the United States than those classified as non-Hispanic white. By 2060, 40% of older Americans are predicted to belong to a minority. Important needs for ethnogeriatric research and publication include: making sure research populations are meaningful and precise rather than using categories that include many unrelated groups; and increasing research among smaller ethnic populations of older adults. Read More

J Am Geriatr Soc 2019 Apr 12. Epub 2019 Apr 12.

Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, Paris, France.

Objectives: To develop a scoring system model that predicts mortality within 30 days of admission of patients older than 80 years admitted to intensive care units (ICUs).

Design: Prospective cohort study.

Setting: A total of 306 ICUs from 24 European countries. Read More

J Am Geriatr Soc 2019 Apr 11. Epub 2019 Apr 11.

Department of Gastrointestinal Surgery, Shantou University Medical College, Shantou, China.

Objective: To examine the effect of subjective and objective sleep quality on subsequent recurrence of peptic ulcer disease (PUD) among older patients after Helicobacter pylori eradication.

Setting: Eight grade A hospitals in China.

Participants: Of 1689 older Chinese with H. Read More

J Am Geriatr Soc 2019 Apr;67(4):851

J Am Geriatr Soc 2019 Apr 10. Epub 2019 Apr 10.

The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts.

Objectives: To compare aggressiveness of end-of-life (EoL) care for older cancer patients attributed to Medicare Shared Savings Programs with that for similar fee for service (FFS) beneficiaries not in an accountable care organization (ACO) and examine whether observed differences in EoL care utilization vary across markets that differ in ACO penetration.

Design: Cross-sectional observational study comparing ACO-attributed beneficiaries with propensity score-matched beneficiaries not attributed to an ACO.

Setting: A total of 21 hospital referral regions (HRRs) in the United States. Read More

J Am Geriatr Soc 2019 Apr 10. Epub 2019 Apr 10.

Department of Palliative, Rehabilitation and Integrative Medicine, Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.

J Am Geriatr Soc 2019 Apr 9. Epub 2019 Apr 9.

Division of Geriatrics, University of Pennsylvania, Philadelphia, Pennsylvania.

Objectives: To determine predictors of new activities of daily living (ADLs) disability and worsened mobility disability and secondarily increased daily care hours received, in previously independent hip fracture patients.

Design: Retrospective cohort study.

Setting: Academic hospital with ambulatory follow-up. Read More

J Am Geriatr Soc 2019 Apr 7. Epub 2019 Apr 7.

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Objectives: To explore how different frameworks and categories of chronic conditions impact multimorbidity (defined as two or more chronic conditions) prevalence estimates and associations with patient-important functional outcomes.

Design: Baseline data from a population-based cohort study.

Setting: National sample of Canadians. Read More

J Am Geriatr Soc 2019 Apr 7. Epub 2019 Apr 7.

St. Michael's Hospital, Toronto, Canada.

Objectives: Evidence supports the integration of geriatric assessment in the care of older adults with cancer. The G8 screening tool is a validated instrument to target a geriatric assessment. Use of the G8 tool in clinical practice, however, is suboptimal. Read More

J Am Geriatr Soc 2019 Apr 5;67(4):811-817. Epub 2019 Apr 5.

Mayo Clinic Alix School of Medicine, Division of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona.

Aquifer Geriatrics, formerly web-based Geriatrics Education Modules, was initially developed through Donald W. Reynolds Foundation funding, and is now the national curriculum of the American Geriatrics Society and the Association of Directors of Geriatric Academic Programs. Aquifer Geriatrics consists of 26 evidence-based, peer-reviewed, online case-based modules based on the Association of American Medical Colleges/John A. Read More

J Am Geriatr Soc 2019 Apr 5;67(4):647-649. Epub 2019 Apr 5.

Department of Geriatrics, Florida State University College of Medicine, Tallahassee, Florida.

J Am Geriatr Soc 2019 Apr 4. Epub 2019 Apr 4.

School of Nursing, University of Washington, Seattle, Washington.

Objectives: Family caregivers of hospice patients have multiple needs as they try to cope during a stressful time. Translatable interventions effective in improving caregiver outcomes are greatly needed. Our objective was to assess the impact of a problem-solving intervention (called Problem-Solving Intervention to Support Caregivers in End-of-Life Care Settings [PISCES]) to support hospice caregivers on caregiver quality of life and anxiety, and compare its effectiveness delivered face to face and via videoconferencing. Read More

J Am Geriatr Soc 2019 Apr 4. Epub 2019 Apr 4.

School of Social Work, University of Maryland, Baltimore, Maryland.

J Am Geriatr Soc 2019 Apr 4. Epub 2019 Apr 4.

Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.

Background/objectives: Cancer-focused organizations now recommend routine assessment of instrumental activities of daily living (iADLs) for all older patients with cancer, along with assessment of basic activities of daily living (ADLs) if possible. However, little is known regarding the role of iADLs in predicting survival and acute-care utilization in populations of older adults with different hematologic malignancies.

Design: Prospective cohort study. Read More

J Am Geriatr Soc 2019 Apr 2. Epub 2019 Apr 2.

Department of Population Health, New York University School of Medicine, New York, New York.

Background/objectives: Patient activation encompasses the knowledge, skills, and confidence that equip adults to participate actively in their healthcare. Patients with hearing loss may be less able to participate due to poor aural communication. We examined whether difficulty hearing is associated with lower patient activation. Read More

J Am Geriatr Soc 2019 Apr 2. Epub 2019 Apr 2.

Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, Texas.

Medical errors can involve multiple team members. Few curricula are being developed to provide instruction on disclosing medical errors that include simulation training with interprofessional team disclosure. To explore more objective evidence for the value of an educational activity on team disclosure of errors, faculty developed and assessed the effectiveness of a multimodal educational activity for learning team-based disclosure of a medical error. Read More

J Am Geriatr Soc 2019 Apr;67(S1):IV-VII

J Am Geriatr Soc 2019 Apr;67(S1):S1-S384

J Am Geriatr Soc 2019 Apr 1. Epub 2019 Apr 1.

Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.

Objectives: Middle age has been identified as a critical time period for health later in life. Identifying factors associated with worse brain function in middle-aged adults may help identify ways to preserve brain function with aging. Our objective was to evaluate factors associated with a novel measure of brain aging in middle-aged and older adults. Read More

J Am Geriatr Soc 2019 Mar 29. Epub 2019 Mar 29.

Department of Medicine, Duke University School of Medicine, Durham, North Carolina.

Objectives: To examine the association between self-reported vision impairment (VI), hearing impairment (HI), and dual-sensory impairment (DSI), stratified by dementia status, on hospital admissions, hospice use, and healthcare costs.

Design: Retrospective analysis.

Setting: Medicare Current Beneficiary Survey from 1999 to 2006. Read More

J Am Geriatr Soc 2019 Mar 29. Epub 2019 Mar 29.

URCC NCORP Research Base, University of Rochester Medical Center, Rochester, New York.

Objectives: To evaluate the relationships between aging-related domains captured by geriatric assessment (GA) for older patients with advanced cancer and caregivers' emotional health and quality of life (QOL).

Design: In this cross sectional study of baseline data from a nationwide investigation of older patients and their caregivers, patients completed a GA that included validated tests to evaluate eight domains of health (eg, function, cognition).

Setting: Thirty-one community oncology practices throughout the United States. Read More

J Am Geriatr Soc 2019 Mar 29. Epub 2019 Mar 29.

Helen Diller Family Comprehensive Cancer Center, Division of Hematology/Oncology, University of California, San Francisco, California.

J Am Geriatr Soc 2019 Mar 28. Epub 2019 Mar 28.

Department of Emergency Medicine, University Hospital Basel, Basel, Switzerland.

J Am Geriatr Soc 2019 Mar 26. Epub 2019 Mar 26.

Gérontopôle, Centre Hospitalo-Universitaire de Toulouse, Toulouse, France.

Background: Acetaminophen is the most widely used analgesic today. A recent systematic review found increased adverse events and mortality at therapeutic dosage. Our aim was to challenge these results in a large sample of older adults living in nursing homes (NHs). Read More

J Am Geriatr Soc 2019 Mar 25. Epub 2019 Mar 25.

San Francisco Veterans Affairs Medical Center, San Francisco, California.

J Am Geriatr Soc 2019 Mar 25. Epub 2019 Mar 25.

Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey.

J Am Geriatr Soc 2019 Mar 24. Epub 2019 Mar 24.

Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education and Clinical Center (GRECC).

J Am Geriatr Soc 2019 Mar 23. Epub 2019 Mar 23.

Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota.

Objectives: Depressive symptoms can be both a cause and a consequence of functional limitations and medical conditions. Our objectives were to determine the association of depressive symptoms with subsequent total healthcare costs in older women after accounting for functional limitations and multimorbidity.

Design: Prospective cohort study (Study of Osteoporotic Fractures [SOF]). Read More

J Am Geriatr Soc 2019 Mar 22. Epub 2019 Mar 22.

Department of Medical Oncology and Therapeutics Research, City of Hope Comprehensive Cancer Centre, Duarte, California.

Background/objectives: Caregivers of older adults with cancer assist both with cancer care and other health issues, which may make them vulnerable to consequences of caregiving. Hospitalization may represent a time when a caregiver's ability to provide care at home is exceeded. We sought to characterize caregivers of hospitalized older adults with cancer, determine their quality of life (QOL), and identify factors associated with caregiver QOL. Read More

J Am Geriatr Soc 2019 Mar 22. Epub 2019 Mar 22.

Division of Geriatrics and Palliative Care, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York.

Background: Elder mistreatment is common and has serious social and medical consequences for victims. Though programs to combat this mistreatment have been developed and implemented for more than three decades, previous systematic literature reviews have found few successful ones.

Objective: To conduct a more comprehensive examination of programs to improve elder mistreatment identification, intervention, or prevention, including those that had not undergone evaluation. Read More

J Am Geriatr Soc 2019 Mar 22. Epub 2019 Mar 22.

Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California.

J Am Geriatr Soc 2019 Apr 20;67(4):641-643. Epub 2019 Mar 20.

Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, North Carolina.

J Am Geriatr Soc 2019 Mar 20. Epub 2019 Mar 20.

Kaiser Permanente Washington Health Research Institute, Seattle, Washington.

J Am Geriatr Soc 2019 Mar 20. Epub 2019 Mar 20.

Division of Geriatrics, Gulhane Faculty of Medicine and Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

J Am Geriatr Soc 2019 Mar 20. Epub 2019 Mar 20.

Division of Research, Kaiser Permanente Northern California, Oakland, California.

Objective: To determine whether burden of multiple chronic conditions (MCCs) influences the risk of receiving inappropriate vs appropriate device therapies.

Design: Retrospective cohort study.

Setting: Seven US healthcare delivery systems. Read More

J Am Geriatr Soc 2019 Mar 19. Epub 2019 Mar 19.

Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Leioa, Spain.

Objectives: To determine the effect of multicomponent exercise on frailty and related adverse outcomes in residents of long-term nursing homes (LTNHs).

Design: A single-blind randomized controlled trial.

Setting: Ten LTNHs in Gipuzkoa, Spain. Read More

J Am Geriatr Soc 2019 Mar 18. Epub 2019 Mar 18.

AARP Public Policy Institute, Washington, DC.

As our population ages, the ability to take time off to care for an ill family member or close friend without losing income or a job is a growing social, health, and economic issue for American families. Therefore, the need for paid family leave policies for workers with caregiving responsibilities is an important topic for employers and policymakers, in the clinical care of older adults, and at kitchen tables across the United States. Despite this growing need, paid family leave is not available to most workers, and there is no national paid family leave policy. Read More

J Am Geriatr Soc 2019 Mar 18. Epub 2019 Mar 18.

Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.

J Am Geriatr Soc 2019 Mar 18. Epub 2019 Mar 18.

Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois.

Objectives: To determine if poorer healthcare and financial decision making forecasts adverse cognitive outcomes in old age. Specifically, we hypothesized that poorer decision making would be associated with an increased risk of incident Alzheimer's dementia, an increased risk of incident mild cognitive impairment (MCI), and a more rapid decline in cognition.

Design: An ongoing prospective observational cohort study of aging (the Rush Memory and Aging Project). Read More

J Am Geriatr Soc 2019 Mar 18. Epub 2019 Mar 18.

Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background: Transcatheter aortic valve replacement (TAVR) may be associated with less delirium and allow faster recovery than surgical aortic valve replacement (SAVR).

Objective: To examine the association of delirium and its severity with clinical and functional outcomes after SAVR and TAVR.

Design: Prospective cohort study. Read More

J Am Geriatr Soc 2019 Mar 18. Epub 2019 Mar 18.

Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

New efforts have begun to transform healthcare to focus on patient-centered care. Such efforts will be facilitated by eliciting, operationalizing, and measuring the attainment of patient-identified goals of healthcare. This article describes a practical approach to goal setting and measurement that can be used in efforts to implement patient-centered care. Read More

J Am Geriatr Soc 2019 Mar 15. Epub 2019 Mar 15.

Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Dissemination of cutting-edge geriatrics-focused research is essential for academic geriatrics researchers, clinicians, and older adults and their caregivers. Social media channels, such as Twitter, provide a means of quickly reaching a wide array of users, globally. Besides standard tweets with links to research articles, visual abstracts are a means of delivering research results visually to end users succinctly. Read More

J Am Geriatr Soc 2019 Mar 15. Epub 2019 Mar 15.

Center for Health Services Research in Primary Care, Durham VA Health Care System, Durham, North Carolina.

Objectives: To evaluate the effect of emergency department (ED) interventions on clinical, utilization, and care experience outcomes for older adults.

Design: A conceptual model informed, protocol-based systematic review.

Setting: Emergency Department (ED). Read More

J Am Geriatr Soc 2019 Mar 15. Epub 2019 Mar 15.

Center for Health Research, Kaiser Permanente Hawaii, Honolulu, Hawaii.

Objectives: To examine the use of electronic medical record (EMR) data to ascertain falls and develop a fall risk prediction model in an older population.

Design: Retrospective longitudinal study using 10 years of EMR data (2004-2014). A series of 3-year cohorts included members continuously enrolled for a minimum of 3 years, requiring 2 years pre-fall (no previous record of a fall) and a 1-year fall risk period. Read More

J Am Geriatr Soc 2019 Mar 15. Epub 2019 Mar 15.

Division of Geriatrics, Department of Medicine, University of California, San Francisco, California.

J Am Geriatr Soc 2019 Mar 15. Epub 2019 Mar 15.

Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, South Korea.

Objectives: Although chronic periodontitis has been associated with Alzheimer's disease, the effect of chronic periodontitis on vascular dementia as well as the role of lifestyle behaviors such as smoking, alcohol consumption, and physical activity in this association are still unclear.

Design: Retrospective cohort study.

Setting: Population based. Read More

J Am Geriatr Soc 2019 Mar 10. Epub 2019 Mar 10.

The Cooper Institute, Dallas, Texas.

Objectives: Nondemented cognitive impairment (CI) presents opportunities for early interventions among individuals at risk for dementia. Identification of modifiable determinants is paramount to the development of effective clinical interventions. Metabolic syndrome (MetS) was theorized as a risk factor, but current research yields inconsistent findings. Read More

J Am Geriatr Soc 2019 Mar 10. Epub 2019 Mar 10.

Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

Background: Despite being simply defined as a process to further one's understanding about future medical care, the process of implementing advance care planning (ACP) within acute hospital settings can be complex.

Aim: We describe different ACP service models adopted in Singapore, and the facilitators for, and barriers to, its effective implementation.

Design: Qualitative focus group study with thematic analysis. Read More

J Am Geriatr Soc 2019 Mar 10. Epub 2019 Mar 10.

Department of Pharmacy Practice, Oregon State University/Oregon Health & Science University College of Pharmacy, Portland, Oregon.

Objectives: To quantify the frequency and type of medication decisions on discharge from the hospital to hospice care.

Design: Retrospective cohort study.

Setting: A 544-bed academic tertiary care hospital in Portland, Oregon. Read More