journal
Journals Journal of the American Geriat...

Journal of the American Geriatrics Society

https://read.qxmd.com/read/36965179/nocturnal-hypoglycemia-is-underdiagnosed-in-older-people-with-insulin-treated-type-2-diabetes-the-hypoage-observational-study
#1
JOURNAL ARTICLE
Anne-Sophie Boureau, Béatrice Guyomarch, Pierre Gourdy, Ingrid Allix, Cédric Annweiler, Nathalie Cervantes, Guillaume Chapelet, Isabelle Delabrière, Sophie Guyonnet, Rachel Litke, Marc Paccalin, Alfred Penfornis, Pierre-Jean Saulnier, Matthieu Wargny, Samy Hadjadj, Laure de Decker, Bertrand Cariou
BACKGROUND: There is a lack of real-life data regarding the frequency and predictive factors of hypoglycemia in older patients with type 2 diabetes (T2D). This study aimed to determine the frequency and predictors of hypoglycemia in older patients with insulin-treated T2D. METHODS: This prospective multicenter study included 155 insulin-treated T2D patients aged 75 years and older with ≥2 self-monitoring of blood glucose (SMBG) daily controls. Participants underwent a geriatric and diabetic assessment and received ambulatory blinded continuous glucose monitoring (CGM) for 28 consecutive days with FreeStyle Libre Pro® sensor...
March 25, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36965170/the-association-between-frailty-and-the-risk-of-medication-related-problems-among-community-dwelling-older-adults-in-europe
#2
JOURNAL ARTICLE
Lizhen Ye, Daan Nieboer, Junwen Yang-Huang, Tamara Alhambra Borrás, Jorge Garcés-Ferrer, Arpana Verma, Amy van Grieken, Hein Raat
BACKGROUND: Studies revealed unidirectional associations between frailty and medication-related problems (MRPs) among older adults. Less is known about the association between frailty and the risk of MRPs. We aimed to assess the bi-directional association between frailty and the risk of MRPs in community-dwelling older adults in five European countries. METHODS: Participants were 1785 older adults in the population-based Urban Health Centres Europe project. Repeated assessments were collected at baseline and one-year follow-up, including frailty, the risk of MRPs, and covariates...
March 25, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36965168/desire-the-secret-to-my-101%C3%A2-years-and-still-counting
#3
JOURNAL ARTICLE
Leon Pardau
No abstract text is available yet for this article.
March 25, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36959696/the-balance-of-prescriptive-and-dynamic-regulatory-policies-in-nursing-homes-lessons-learned-from-the-covid-19-pandemic
#4
JOURNAL ARTICLE
Sarah D Berry, Innokentiy Bakaev, Helen Chen, Lewis A Lipsitz
No abstract text is available yet for this article.
March 23, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36951209/competencies-for-video-telemedicine-with-older-adult-patients
#5
JOURNAL ARTICLE
Becky B Powers, Rose Maria Van Zuilen, Andrea Wershof Schwartz, Stuti Dang, Jaye E McLaren, Dat Hoang-Gia, Lauren R Moo
BACKGROUND: Telemedicine has recently become a part of mainstream clinical practice. Many curricula have been developed to teach general and specialty-specific video telemedicine skills; however, a lack of defined best practices for translating comprehensive interprofessional geriatric care to the virtual setting presents a unique challenge to educators and clinicians. This manuscript introduces and describes the development of competencies for video telemedicine with older adults for all health professionals who treat them...
March 23, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36949615/identifying-emergency-department-patients-with-life-limiting-illnesses-may-be-getting-a-little-easier
#6
EDITORIAL
Elizabeth M Goldberg, Bethany Kwan, Hillary Lum
No abstract text is available yet for this article.
March 22, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36949574/protecting-seriously-ill-populations-during-pragmatic-clinical-trials
#7
JOURNAL ARTICLE
Joan M Teno, Laura C Hanson, Julie C Lima, Debra Saliba
Pragmatic clinical trials (PCTs) emphasize real-world effectiveness methodology to address the limitations of results from explanatory randomized clinical trials (RCTs), which often fail to translate to real-world medical practice. An inherent tension in the conduct of PCTs is that the research must impose a minimal burden on patients and health care institutions. PCTs prioritize outcome measures from existing data sources to minimize data collection burden; however, a lack of patient-reported outcomes may result in gaps in safety for vulnerable populations, such as those with serious illnesses...
March 22, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36947742/an-age-friendly-residency-geriatrician-and-internist-perspectives-on-geriatric-education-in-an-internal-medicine-residency
#8
JOURNAL ARTICLE
Julia Loewenthal, Christine P Beltran, Andrea Wershof Schwartz, Subha Ramani
BACKGROUND: General internists and subspecialists need skills to deliver age-friendly care to older adults, yet a minority of Internal Medicine (IM) residency programs provide robust geriatric-specific clinical instruction. We sought to explore internist and geriatrician perspectives regarding current strengths and weakness of geriatric education, and perceived supports, barriers, and strategies to enhance geriatric education in an IM residency program. METHODS: Using social learning theory as a conceptual framework, we conducted a needs assessment using focus groups and semi-structured interviews with IM residency leadership and geriatricians at an academic medical center...
March 22, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36945108/the-association-of-peripheral-neuropathy-detected-by-monofilament-testing-with-risk-of-falls-and-fractures-in-older-adults
#9
JOURNAL ARTICLE
Caitlin W Hicks, Dan Wang, Natalie Daya, Stephen P Juraschek, Kunihiro Matsushita, B Gwen Windham, Elizabeth Selvin
BACKGROUND: In persons with diabetes, annual screening for peripheral neuropathy (PN) using monofilament testing is the standard of care. However, PN detected by monofilament testing is common in older adults, even in the absence of diabetes. We aimed to assess the association of PN with risk of falls and fractures in older adults. METHODS: We included participants in the Atherosclerosis Risk in Communities (ARIC) Study who underwent monofilament testing at visit 6 (2016-2017)...
March 21, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36942992/trends-and-correlates-of-concurrent-opioid-and-benzodiazepine-and-or-gabapentinoid-use-among-ontario-nursing-home-residents
#10
JOURNAL ARTICLE
David B Hogan, Michael A Campitelli, Susan E Bronskill, Andrea Iaboni, Heather E Barry, Carmel M Hughes, Sudeep S Gill, Colleen J Maxwell
BACKGROUND: A concern with long-term opioid use is the increased risk arising when opioids are used concurrently with drugs that can potentiate their associated adverse effects. The drugs most often encountered are benzodiazepines (BZDs) and gabapentinoids. Our study objectives were to examine trends in the concurrent use of opioids and BZDs, or gabapentinoids, in a Canadian nursing home population over an 11-year period, and current resident-level correlates of this concurrent use. METHODS: We conducted a population-based, repeated cross-sectional study among Ontario nursing home residents (>65 years) dispensed opioids between April 2009 and February 2020...
March 21, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36941733/patients-want-to-talk-about-their-out-of-pocket-costs-can-real-time-benefit-tools-help
#11
EDITORIAL
Caroline E Sloan, Peter A Ubel
No abstract text is available yet for this article.
March 20, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36930059/artificial-intelligence-and-geriatric-medicine-new-possibilities-and-consequences
#12
JOURNAL ARTICLE
Nihal Haque
No abstract text is available yet for this article.
March 17, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36929848/comment-on-ags-and-nia-bench-to-bedside-conference-summary-cancer-and-cardiovascular-disease
#13
LETTER
Donna M Lisi
No abstract text is available yet for this article.
March 17, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36929817/commentary-on-pharmacist-driven-interventions-to-de-escalate-urinary-antimuscarinics-in-the-program-of-all-inclusive-care-for-the-elderly
#14
LETTER
Daniel Snyder, Salim Mujais
No abstract text is available yet for this article.
March 17, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36929327/polst-recall-concordance-and-decision-quality-outcomes-among-nursing-home-residents-and-surrogate-decision-makers
#15
JOURNAL ARTICLE
Susan E Hickman, Rebecca L Sudore, Alexia M Torke, Qing Tang, Giorgos Bakoyannis, Nicholette Heim Smith, Anne L Myers, Bernard J Hammes
BACKGROUND: POLST orders are actionable in an emergency, so it is important that the decisions be of high quality and concordant with current preferences. The goal of this study is to determine the relationship between concordance and decision quality outcomes, including decision satisfaction and decisional conflict, among nursing facility residents and surrogates who recall POLST. METHODS: We completed structured interviews in 29 nursing facilities with 275 participants who had previously signed a POLST form...
March 16, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36929311/disparate-statin-prescribing-following-hospital-discharge-for-stroke-or-transient-ischemic-attack-findings-from-compass
#16
JOURNAL ARTICLE
Doyle M Cummings, Sara Jones, Cheryl Bushnell, Jacqueline Halladay, Stephanie Hart, Alan C Kinlaw, Matt Psioda, Fang Wen, Mysha Sissine, Pamela Duncan
BACKGROUND: Published guidelines recommend high-intensity statins following an ischemic stroke or transient ischemic attack (TIA). The authors examined the potential for disparate patterns of statin prescribing in a cluster randomized trial of transitional care following acute stroke or TIA. METHODS: Medications taken before hospitalization and statins prescribed at discharge among stroke and TIA patients at 27 participating hospitals were examined. Any statin and intensive statin prescribed at discharge were compared by age (<65, 65-75, >75 years), racial category (White vs...
March 16, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36929105/breathlessness-in-older-adults-what-we-know-and-what-we-still-need-to-know
#17
JOURNAL ARTICLE
Eralda Hegendörfer, Jean-Marie Degryse
Breathlessness is common among older adults, but it is often hidden as "normal aging "or considered narrowly as a symptom of cardio-respiratory diseases. Studies on breathlessness in older adults are mostly focused on specific diseases, whereas older adults are characterized by multimorbidity and multi-system age-related impairments. This article aims to provide an overview of what is known so far on breathlessness in the general population of older adults and identify areas for further research. Research shows that breathlessness in older adults is a multifactorial geriatric condition, crossing the borders of system-based impairments and diseases, and a valuable independent prognostic indicator for adverse outcomes...
March 16, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36928791/using-behavioral-theory-to-adapt-advance-care-planning-for-homeless-experienced-older-adults-in-permanent-supportive-housing
#18
JOURNAL ARTICLE
Sarah E Pajka, Margot Kushel, Margaret A Handley, Pamela Olsen, Brookelle Li, Celeste Enriquez, Lauren Kaplan, Rebecca L Sudore
BACKGROUND: Older adults experiencing chronic homelessness (i.e., prolonged homelessness and a disabling condition) have low rates of advance care planning (ACP) despite high rates of morbidity and mortality. Rehousing of homeless-experienced individuals into permanent supportive housing (PSH) may present an opportunity to introduce ACP; but this is unknown. Therefore, we explored staff and resident perceptions of conducting ACP in PSH. METHODS: We conducted semi-structured interviews with PSH staff (n = 13) and tenants (PSH residents) (n = 26) in San Francisco...
March 16, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36928611/racial-ethnic-and-neighborhood-socioeconomic-differences-in-incidence-of-dementia-a-regional-retrospective-cohort-study
#19
JOURNAL ARTICLE
Alissa Becerril, Elizabeth R Pfoh, Ardeshir Z Hashmi, Lyla Mourany, Douglas D Gunzler, Kristen A Berg, Nikolas I Krieger, Kamini Krishnan, Scott Emory Moore, Eva Kahana, Neal V Dawson, Lorella Luezas Shamakian, James W Campbell, Adam T Perzynski, Jarrod E Dalton
BACKGROUND: Evidence on the effects of neighborhood socioeconomic disadvantage on dementia risk in racially and ethically diverse populations is limited. Our objective was to evaluate the relative extent to which neighborhood disadvantage accounts for racial/ethnic variation in dementia incidence rates. Secondarily, we evaluated the spatial relationship between neighborhood disadvantage and dementia risk. METHODS: In this retrospective study using electronic health records (EHR) at two regional health systems in Northeast Ohio, participants included 253,421 patients aged >60 years who had an outpatient primary care visit between January 1, 2005 and December 31, 2015...
March 16, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36920386/memories-of-the-past
#20
JOURNAL ARTICLE
Michael Gordon
No abstract text is available yet for this article.
March 15, 2023: Journal of the American Geriatrics Society
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