17,078 results match your criteria Journal of the American Geriatrics Society[Journal]


Postural Tremor Is Associated with Gait and Balance Impairments in Community-Dwelling Older People.

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

Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, Beijing, China.

Objectives: We sought to assess associations of postural tremor with gait and balance impairments among community-dwelling older people in both cross-sectional and longitudinal analyses.

Design: A prospective cohort study.

Setting: Communities in Beijing, China. Read More

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http://dx.doi.org/10.1111/jgs.15778DOI Listing
February 2019

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults.

J Am Geriatr Soc 2019 Feb 14. Epub 2019 Feb 14.

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

Loneliness and social isolation are strongly associated with several adverse health outcomes in older persons including death and functional impairments. The strength of these associations has been compared with smoking. Accordingly, loneliness and isolation have significant public health implications. Read More

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http://dx.doi.org/10.1111/jgs.15746DOI Listing
February 2019

Attitudes of Older Adults and Caregivers in Australia toward Deprescribing.

J Am Geriatr Soc 2019 Feb 13. Epub 2019 Feb 13.

NHMRC Cognitive Decline Partnership Centre, Kolling Institute of Medical Research, Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.

Background/objectives: Use of harmful and/or unnecessary medications in older adults is common. Understanding older adult and caregiver attitudes toward deprescribing will contribute to medication optimization in practice. The aims of this study were to capture the attitudes and beliefs of older adults and caregivers toward deprescribing and determine what participant characteristics and/or attitudes (if any) predicted reported willingness to have a medication deprescribed. Read More

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http://dx.doi.org/10.1111/jgs.15804DOI Listing
February 2019

Assessing the Scope and Appropriateness of Prescribing Cascades.

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

Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.

As originally defined, the term "prescribing cascade" describes a sequence of events that begins when an adverse drug event (ADE) occurs, is misinterpreted as a new medical condition, and a subsequent drug is then inadvertently prescribed to treat the new condition. We refine the definition to encompass both recognized and unrecognized ADEs because they can both contribute to problematic prescribing practices. In addition, we discuss that although prescribing cascades are most commonly viewed as problematic, they may be appropriate and therapeutically beneficial in certain clinical situations. Read More

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http://dx.doi.org/10.1111/jgs.15800DOI Listing
February 2019

Navigating the Minefield of QTc Interval-Prolonging Therapy in Nursing Facility Residents.

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

College of Pharmacy, Purdue University, School of Medicine, Indiana University, Indianapolis, Indiana.

Background: The exponential increase in the number of medications associated with clinically important prolongation of the heart rate-corrected QT interval (QTc) places older adults at increased risk of arrhythmias including life-threatening torsade de pointes (TdP) and sudden death. Risk factors, other than age older than 65 years and female sex, include multiple concurrent drugs that prolong QTc and a variety of underlying predisposing conditions. Although electronic medical records and pharmacy dispensing systems can alert clinicians to the risk of QTc-prolonging therapy, more than 95% of safety alerts are overridden, and many systems have deactivated QTc drug interaction alerts. Read More

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http://doi.wiley.com/10.1111/jgs.15810
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http://dx.doi.org/10.1111/jgs.15810DOI Listing
February 2019
3 Reads

Optimizing the Feasibility and Scalability of a Geriatric Surgery Quality Improvement Initiative.

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

Department of Surgery, University of California, Los Angeles, Los Angeles, California.

Background: The American College of Surgeons Coalition for Quality in Geriatric Surgery is a multidisciplinary stakeholder group that aims to systematically improve the surgical care of older adults by establishing a verifiable quality improvement program with standards based on best evidence. Prior work confirmed the validity of a preliminary set of 308 standards to improve the quality of geriatric surgery, but concerns exist as to whether the standards are feasible for hospitals to implement.

Objective: Our aim was to utilize data gained from a multi-institutional survey and interview to improve the scalability and generalizability of a geriatric quality improvement program. Read More

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http://dx.doi.org/10.1111/jgs.15815DOI Listing
February 2019

Use of the MMSE in the Prediction of Driving Fitness: Relevance of Specific Subtests.

J Am Geriatr Soc 2019 Feb 8. Epub 2019 Feb 8.

Cognitive Neurology Unit, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Objectives: To examine the association between performance on subtests of the Mini-Mental State Examination (MMSE) and driving competence in people with cognitive impairment (CI) as well as those with no cognitive impairment (NCI).

Design: Retrospective observational study.

Setting: Participants referred for a DriveWise evaluation at Beth Israel Deaconess Medical Center in Boston, Massachusetts, were included in the study. Read More

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http://dx.doi.org/10.1111/jgs.15772DOI Listing
February 2019

"Don Died Peacefully": Perception Is Reality.

Authors:
Paul Rousseau

J Am Geriatr Soc 2019 Feb 8. Epub 2019 Feb 8.

Palliative Care, Charleston, South Carolina.

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http://dx.doi.org/10.1111/jgs.15816DOI Listing
February 2019

Starting Up a Hospital at Home Program: Facilitators and Barriers to Implementation.

J Am Geriatr Soc 2019 Feb 8. Epub 2019 Feb 8.

Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Hospital at home (HaH) is a model of care that provides acute-level services in the home. HaH has been shown to improve quality and patient satisfaction, and reduce iatrogenesis and costs. Uptake of HaH in the United States has been limited, and little research exists on how to implement it successfully. Read More

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http://dx.doi.org/10.1111/jgs.15782DOI Listing
February 2019

Access to Care for Older Adults: An Insurmountable Flight of Stairs?

J Am Geriatr Soc 2019 Feb 6. Epub 2019 Feb 6.

Department of Geriatrics, Yale New Haven Hospital, New Haven, Connecticut.

Inability to climb stairs safely can lead older adults to miss desired medical appointments. To facilitate adequate access to routine medical care for older adults, affordable transportation assistance up and down stairs should be available. Read More

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http://dx.doi.org/10.1111/jgs.15797DOI Listing
February 2019

CPAP Adherence May Slow 1-Year Cognitive Decline in Older Adults with Mild Cognitive Impairment and Apnea.

J Am Geriatr Soc 2019 Feb 6. Epub 2019 Feb 6.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Background/objectives: Obstructive sleep apnea (OSA) has been linked to an increased risk for Alzheimer's disease (AD), but little prospective evidence exists on the effects of OSA treatment in preclinical AD. The objective was to determine if continuous positive airway pressure (CPAP) treatment adherence, controlling for baseline differences, predicts cognitive and everyday function after 1 year in older adults with mild cognitive impairment (MCI) and to determine effect sizes for a larger trial.

Design: Quasi-experimental pilot clinical trial with CPAP adherence defined as CPAP use 4 hours or more per night over 1 year. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jgs.15758
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http://dx.doi.org/10.1111/jgs.15758DOI Listing
February 2019
4 Reads

Do Differences in Spatiotemporal Gait Parameters Predict the Risk of Developing Depression in Later Life?

J Am Geriatr Soc 2019 Feb 5. Epub 2019 Feb 5.

The Irish Longitudinal Study on Ageing Trinity College Dublin, Dublin, Ireland.

Background/objectives: There is growing interest in the association between gait disturbance and depression in later life. The aim of this study is to clarify the longitudinal relationship between specific gait parameters and incident depression within a population-representative sample of older people.

Design: Longitudinal analysis of spatiotemporal gait parameters at baseline (wave 1) and incident depression at 2 and 4 years (waves 2/3). Read More

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http://dx.doi.org/10.1111/jgs.15783DOI Listing
February 2019
2 Reads

Elderly People With Disabilities in China.

J Am Geriatr Soc 2019 Feb 5. Epub 2019 Feb 5.

Center for Systems Medicine, Guangxi Key Laboratory of Excellence, Guilin Medical University, Guilin, China.

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http://dx.doi.org/10.1111/jgs.15793DOI Listing
February 2019

Educational Differences in Cognitive Life Expectancy Among Older Adults in Brazil.

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

Department of Medical Surgical Nursing, Nursing School, University of São Paulo, São Paulo, Brazil.

Objectives: To investigate the differences in life expectancy with and without cognitive impairment (CI) by educational levels and sex in Brazil.

Design: Longitudinal observational study.

Setting: The sample was drawn from three waves (2000, 2006, and 2010) of the Health, Well-Being, and Aging Study (Saúde, bem-estar e envelhecimento; SABE) collected in São Paulo, Brazil. Read More

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http://dx.doi.org/10.1111/jgs.15811DOI Listing
February 2019

Effect of Monthly High-Dose Vitamin D on Mental Health in Older Adults: Secondary Analysis of a RCT.

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

Department of Geriatrics and Aging Research, University Hospital Zurich and University of Zurich, Switzerland.

Objectives: To test the effect of monthly high-dose vitamin D supplementation on mental health in pre-frail older adults.

Design: Ancillary study of a 1-year double-blind randomized clinical trial conducted in Zurich, Switzerland.

Setting And Participants: A total of 200 community-dwelling adults 70 years and older with a prior fall event in the last year. Read More

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http://doi.wiley.com/10.1111/jgs.15808
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http://dx.doi.org/10.1111/jgs.15808DOI Listing
February 2019
3 Reads
4.572 Impact Factor

The Social Vulnerability Index: Assessing Replicability in Predicting Mortality Over 27 Years.

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

Univ. Bordeaux, Bordeaux Population Health Research Center, team Psychoepidemiology of aging and chronic diseases, UMR 1219, F-33000 Bordeaux, France.

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http://doi.wiley.com/10.1111/jgs.15812
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http://dx.doi.org/10.1111/jgs.15812DOI Listing
February 2019
4 Reads
4.572 Impact Factor

Perceived Costs of Care Influence Post-Acute Care Choices by Clinicians, Patients, and Caregivers.

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

VA Center for Health Equity Research and Promotion (CHERP), Corporal Crescenz VA Medical Center, Philadelphia, Pennsylvania.

Background/objective: Older adults frequently receive post-acute care (PAC) after hospital discharge, but little is known about how perceived costs influence PAC choices. This research study sought to understand how clinicians, patients, and their caregivers evaluate the cost of skilled nursing facility (SNF) care in their decisions about whether to utilize SNFs after hospital discharge.

Design: Guided by principles of social constructivist theory, we conducted a qualitative interpretative study using semistructured interviews with clinicians, patients, and caregivers. Read More

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http://dx.doi.org/10.1111/jgs.15768DOI Listing
February 2019
1 Read

The Conundrum of Choosing Post-Acute Care: A Challenge for Patients, Families, and Clinicians.

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

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida.

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http://dx.doi.org/10.1111/jgs.15765DOI Listing
February 2019

Going Far Together: A Tribute to Arti Hurria, MD.

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

Center for the Study of Aging and Human Development, Duke University, Durham, NC.

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http://dx.doi.org/10.1111/jgs.15776DOI Listing
February 2019

Prevalence of Retinal Signs and Association With Cognitive Status: The ARIC Neurocognitive Study.

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

Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Objective: To determine the prevalence of retinal microvascular signs and associations between retinal signs and cognitive status.

Design: Cross-sectional analysis of visit 5 (2011-2013) of the Atherosclerosis Risk in Communities (ARIC) cohort. Data analysis took place November 30, 2017, to May 1, 2018. Read More

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http://dx.doi.org/10.1111/jgs.15795DOI Listing
February 2019
1 Read

Differences in National Diabetes Treatment Patterns and Trends between Older and Younger Adults.

J Am Geriatr Soc 2019 Jan 31. Epub 2019 Jan 31.

Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Background/objectives: The treatment of type 2 diabetes in older adults requires special considerations including avoidance of hypoglycemia, yet variation in diabetes treatment with aging is not well understood. In this study, we compared nationally representative diabetes treatment patterns and trends between older adults (≥65 y) and younger adults (30-64 y).

Design: Repeated cross-sectional physician surveys from 2006 to 2015. Read More

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http://doi.wiley.com/10.1111/jgs.15790
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http://dx.doi.org/10.1111/jgs.15790DOI Listing
January 2019
12 Reads

It is Time to Remove Feeding Tubes From POLST Forms.

J Am Geriatr Soc 2019 Jan 31. Epub 2019 Jan 31.

Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, Oregon.

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http://dx.doi.org/10.1111/jgs.15775DOI Listing
January 2019

Changes in Older Adults' Oral Health and Disparities: 1999 to 2004 and 2011 to 2016.

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

School of Dentistry, University of Detroit Mercy, Detroit, Michigan.

Objectives: To examine changes in tooth loss and untreated tooth decay among older low-income and higher-income US adults and whether disparities have persisted.

Design: Sequential cross-sectional study using nationally representative data.

Setting: The 1999 to 2004 and 2011 to 2016 National Health and Nutrition Examination Survey. Read More

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http://dx.doi.org/10.1111/jgs.15777DOI Listing
January 2019

Polypharmacy, Gait Performance, and Falls in Community-Dwelling Older Adults. Results from the Gait and Brain Study.

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada.

Background And Objectives: Polypharmacy, defined as the use of five or more medications, has been repeatedly linked to fall incidence, and recently it was cross-sectionally associated with gait disturbances. Our objectives were to evaluate cross-sectional and longitudinal associations between polypharmacy and gait performance in a well-established clinic-based cohort study. We also assessed whether gait impairments could mediate associations between number of medications and fall incidence. Read More

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http://dx.doi.org/10.1111/jgs.15774DOI Listing
January 2019

Vitamin D and Falls in Older African American Women: The PODA Randomized Clinical Trial.

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

NYU Winthrop Hospital, Mineola, New York.

Background: Limited information is available on the influence of vitamin D on falls in older high-functioning black American women. Endocrine Society guidelines propose serum 25(OH)D levels over 30 ng/mL.

Objective: To determine if maintenance of serum 25(OH)D above 30 ng/mL protects against falls. Read More

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http://doi.wiley.com/10.1111/jgs.15760
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http://dx.doi.org/10.1111/jgs.15760DOI Listing
January 2019
7 Reads

Immune Checkpoint Inhibitors in Real-World Treatment of Older Adults with Non-Small Cell Lung Cancer.

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.

Objective: To evaluate the efficacy and toxicity of immune checkpoint inhibitors (ICIs) in older patients with advanced non-small cell lung cancer (NSCLC) seen in routine clinical practice.

Design: Retrospective study.

Setting: Single academic institution and its affiliated centers. Read More

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http://dx.doi.org/10.1111/jgs.15750DOI Listing
January 2019

Effects of Hormone Replacement Therapy on Sarcopenia: Is It Real?

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

Department of Internal Medicine, Division of Geriatric Medicine Ankara, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

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http://dx.doi.org/10.1111/jgs.15807DOI Listing
January 2019

Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy.

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

VA Connecticut Healthcare System, Clinical Epidemiology Research Center and Geriatrics & Extended Care, West Haven, Connecticut.

Older adults are prescribed a growing number of medications. Polypharmacy, commonly considered the receipt of five or more medications, is associated with a range of adverse outcomes. There is a debate about the reason(s) why. Read More

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http://dx.doi.org/10.1111/jgs.15798DOI Listing
January 2019

Reply to Effects of Hormone Replacement Therapy on Sarcopenia: Is It Real?

J Am Geriatr Soc 2019 Jan 30. Epub 2019 Jan 30.

Department of Epidemiology and Biostatistics, The University of Arizona, Tucson, Arizona.

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http://dx.doi.org/10.1111/jgs.15805DOI Listing
January 2019

Natural Disasters and Population Health Management for Homebound Older Adults.

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

Mercy Health Saint Mary's, Grand Rapids, Michigan.

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http://dx.doi.org/10.1111/jgs.15756DOI Listing
January 2019

Tricyclic Antidepressant and/or γ-Aminobutyric Acid-Analog Use Is Associated With Fall Risk in Diabetic Peripheral Neuropathy.

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

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas.

Background/objectives: Peripheral neuropathy is a common diabetes complication that can increase fall risk. Regarding fall risk, the impact of pain management using tricyclic antidepressants (TCAs) or γ-aminobutyric acid (GABA) analogs is unclear because these medications can also cause falls. This study investigates the impact of these drugs on fall and fracture risk in older diabetic peripheral neuropathy (DPN) patients. Read More

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http://dx.doi.org/10.1111/jgs.15779DOI Listing
January 2019
2 Reads

Heterogeneity in the Health and Functional Capacity of Adults Aged 85+ as Risk for Mortality.

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

ARC Centre of Excellence in Population Ageing Research (CEPAR), The Australian National University, Canberra, Australian Capital Territory, Australia.

Objectives: To examine whether older adults aged 85+, with different health and functional capacities, cluster in different ways and to demonstrate whether individuals within particular clusters report differential mortality risk.

Design: Retrospective cohort study.

Setting: The Dynamic Analyses to Optimize Aging (DYNOPTA) project is a harmonization project of nine Australian longitudinal surveys of health and well-being in adults aged 50+ between 1991 and 2006. Read More

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http://dx.doi.org/10.1111/jgs.15780DOI Listing
January 2019

Adequacy of Inclusion of Older Adults in NIH-Funded Phase III Clinical Trials.

J Am Geriatr Soc 2019 Feb 29;67(2):218-222. Epub 2019 Jan 29.

National Institute on Aging, National Institutes of Health, Bethesda, Maryland.

In the United States, the population aged 65 and older is rapidly growing, and this group uses more healthcare resources and has unique healthcare needs that do not exist in younger populations. However, it was reported that older adults are excluded or underrepresented in clinical trials for several diseases. We examined phase III clinical trials funded by the National Institutes of Health found in www. Read More

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http://dx.doi.org/10.1111/jgs.15786DOI Listing
February 2019

AGS Report on Engagement Related to the NIH Inclusion Across the Lifespan Policy.

J Am Geriatr Soc 2019 Feb 29;67(2):211-217. Epub 2019 Jan 29.

Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs, Durham, North Carolina.

After passage of the 21st Century Cures Act, the National Institutes of Health held a workshop in 2017 to consider expanding its inclusion policy to encompass individuals of all ages. American Geriatrics Society (AGS) leaders and members participated in the workshop and formal feedback period. AGS advocacy clearly impacted the resulting workshop report and Inclusion Across the Lifespan policy that eliminates upper-age limits for research participation unless risk justified and changes the language used to describe older adults and other vulnerable groups. Read More

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http://doi.wiley.com/10.1111/jgs.15784
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http://dx.doi.org/10.1111/jgs.15784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379683PMC
February 2019
3 Reads

Using Wisely: A Reminder on the Proper Use of the American Geriatrics Society Beers Criteria®.

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

College of Nursing and College of Medicine, Pennsylvania State University, State College, Pennsylvania.

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http://dx.doi.org/10.1111/jgs.15766DOI Listing
January 2019

Models and Studies of Aging: Executive Summary of a Report from the U13 Conference Series.

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

University of Michigan, Ann Arbor, Michigan.

The American Geriatrics Society convened a conference in Bethesda, Maryland, to explore models and studies of aging. This was the second of three conferences, supported by a U13 grant from the National Institute on Aging, to aid recipients of Grants for Early Medical/Surgical Specialists Transition to Aging Research (GEMSSTAR) in integrating geriatrics into their specialties. Recognizing that aging is the largest risk factor for multiple chronic diseases and age-related loss of resilience, the conference organizers focused scientific sessions on how targeting age-related mechanisms can delay, prevent, or reverse geriatric syndromes, age-related chronic diseases, and loss of resilience. Read More

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http://dx.doi.org/10.1111/jgs.15788DOI Listing
January 2019
1 Read

The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research.

J Am Geriatr Soc 2019 Feb 29;67(2):342-346. Epub 2019 Jan 29.

Department of Veterans Affairs Medical Center, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Decatur, Georgia.

Background/objectives: To address the underrepresentation of older adults in clinical research, the National Institutes of Health will require investigators to include individuals across the lifespan. As investigators from other fields endeavor to recruit participants who are more representative of the patient population, geriatricians may have the opportunity to influence a broad range of research studies in older adults. Our aims were to elicit challenges to inclusion of older adults in clinical research and to develop a preliminary framework for communicating these challenges to non-geriatrics-trained researchers. Read More

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http://dx.doi.org/10.1111/jgs.15785DOI Listing
February 2019

Facilitated Peer Mentorship to Support Aging Research: A RE-AIM Evaluation of the CoMPAdRE Program.

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

Clinical Cardiovascular Research Laboratory for the Elderly, Allen Hospital of New York-Presbyterian, Columbia University Irving Medical Center, New York, New York.

Background: The need for mentorship in aging research among postdoctoral trainees and junior faculty across medical disciplines and subspecialties is increasing, yet senior personnel with expertise in aging are lacking to fulfill the traditional dyadic mentorship role. Facilitated peer mentorship is grounded in collaborative work among peers with the guidance of a senior mentor.

Methods And Results: We evaluated the Columbia University Mentor Peer Aging Research (CoMPAdRE) program, an interprofessional facilitated peer mentorship program for early stage investigators, using the Reach Effectiveness Adoption Implementation and Maintenance framework (RE-AIM). Read More

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http://dx.doi.org/10.1111/jgs.15792DOI Listing
January 2019
1 Read

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

Authors:

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

American Geriatrics Society, New York, New York.

The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. Read More

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http://dx.doi.org/10.1111/jgs.15767DOI Listing
January 2019

Leadership Lessons: Developing Mentoring Infrastructure for GEMSSTAR Scholars.

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

Division of Geriatric and Palliative Medicine, Department of Internal Medicine, School of Medicine, University of Michigan, Ann Arbor, Michigan.

Through the National Institute on Aging's (NIA's) "Grants for Early Medical/Surgical Specialists" Transition to Aging Research (GEMSSTAR) U13 grant, the NIA and the American Geriatrics Society (AGS) developed three transdisciplinary research conferences with a focus on mentoring and leadership skills development. The NIA's GEMSSTAR program evolved from two earlier programs, the AGS' Dennis W. Jahnigen and the Association of Specialty Professors' T. Read More

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http://dx.doi.org/10.1111/jgs.15787DOI Listing
January 2019

An Assessment of Oral Health Training Among Geriatric Fellowship Programs: A National Survey.

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

Harvard School of Dental Medicine, Department of Oral Health Policy and Epidemiology, Boston, Massachusetts.

Oral health (OH) has profound effects on the overall health of elderly people. While oral disease is prevalent in the geriatric population and access to care is a major issue, it is unclear the extent of OH training among US geriatric fellowship programs. A 19-item electronic survey was sent to all 148 accredited geriatric fellowship training programs via the Association of Directors of Geriatric Medicine. Read More

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http://dx.doi.org/10.1111/jgs.15755DOI Listing
January 2019

Inclusion of Older Adults in Research: Ensuring Relevance, Feasibility, and Rigor.

Authors:
George A Kuchel

J Am Geriatr Soc 2019 Feb 29;67(2):203-204. Epub 2019 Jan 29.

University of Connecticut Health Center - UCONN Center on Aging, Farmington, Connecticut.

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http://dx.doi.org/10.1111/jgs.15802DOI Listing
February 2019

The Association of Resident Communication Abilities and Antibiotic Use in Long-Term Care.

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

ICES, Toronto, Ontario, Canada.

Objectives: To determine whether decreased communication ability among long-term care residents is associated with increased antibiotic exposure.

Design: Retrospective cohort study.

Setting: All long-term care homes in Ontario, Canada. Read More

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http://dx.doi.org/10.1111/jgs.15771DOI Listing
January 2019

Reply to: Statins for Primary Prevention in Older Adults.

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

University of Massachusetts Medical School and the Meyers Primary Care Institute, Worcester, Massachusetts.

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http://dx.doi.org/10.1111/jgs.15762DOI Listing
January 2019

Challenges of a Statin Trial in Older People.

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

University of Helsinki, Clinicum, and Helsinki University Hospital, Helsinki, Finland.

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http://dx.doi.org/10.1111/jgs.15763DOI Listing
January 2019

Potentially Inappropriate Medication Prescriptions for Older Adults with Painful Conditions and Association with Return Emergency Department Visits.

J Am Geriatr Soc 2019 Jan 27. Epub 2019 Jan 27.

Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Objectives: To describe the frequency and risk of return visit to the emergency department (ED) by older adults after prescription of any of four potentially inappropriate medication (PIM) classes included in the 2015 Beers Criteria commonly used for the relief of acute pain in the ED.

Design: Retrospective cohort study.

Setting: Large urban academic ED from January 1, 2013, to December 31, 2015. Read More

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http://dx.doi.org/10.1111/jgs.15722DOI Listing
January 2019

Pharmacological Management of Delirium in the Intensive Care Unit: A Randomized Pragmatic Clinical Trial.

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

Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.

Background/objective: Delirium in the intensive care units (ICUs) is prevalent, with both delirium duration and delirium severity associated with adverse outcomes. We designed a pragmatic trial to test the efficacy of a pharmacological management of delirium (PMD) bundle in improving delirium/coma-free days and reducing delirium severity among ICU patients.

Design: A randomized pragmatic clinical trial. Read More

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http://dx.doi.org/10.1111/jgs.15781DOI Listing
January 2019
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The Effect of a Comprehensive Dementia Care Management Program on End-of-Life Care.

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

Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School Medicine, University of California, Los Angeles, California.

Background/objectives: Although Alzheimer disease and other dementias are life limiting, only a minority of these patients or their proxy decision makers participate in advance care planning. We describe end-of-life care preferences and acute care and hospice use in the last 6 months of life for persons enrolled in a comprehensive dementia care management program.

Design: Observational, retrospective cohort. Read More

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http://dx.doi.org/10.1111/jgs.15769DOI Listing
January 2019
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Dementia-Capable Healthcare: One Step Closer.

Authors:
Soo Borson

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

University of Washington and Dementia Care Research and Consulting, Palm Springs, California.

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http://dx.doi.org/10.1111/jgs.15764DOI Listing
January 2019

Comparative Effectiveness of Medication Therapy Management Eligibility Criteria Across Racial/Ethnic Groups.

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

University of Tennessee College of Pharmacy, Memphis, Knoxville and Nashville, Tennessee.

Background/objectives: Previous research indicates that eligibility criteria for medication therapy management (MTM) services in Medicare prescription drug (Part D) plans, defined under the Medicare Modernization Act (MMA), are associated with racial/ethnic disparities and ineffective in identifying individuals with medication utilization issues. Our study's objective was to determine the comparative effectiveness of MTM eligibility criteria under MMA and in the Affordable Care Act (ACA) in identifying patients with medication utilization issues across racial/ethnic groups.

Design: ACA and MMA MTM eligibility criteria were compared on proportions of eligible individuals among patients with medication utilization issues. Read More

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http://dx.doi.org/10.1111/jgs.15754DOI Listing
January 2019
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