journal
Journals Journal of the American Geriat...

Journal of the American Geriatrics Society

https://read.qxmd.com/read/38529878/exposure-to-holocaust-is-associated-with-chronic-morbidity-in-older-adults-results-from-national-health-and-nutrition-surveys
#1
JOURNAL ARTICLE
Shay Y Lubel, Rita Dichtiar, Tali Sinai, Lital Keinan-Boker
BACKGROUND: Although studies have suggested that Holocaust survivors are more likely than their non-Holocaust-exposed counterparts to suffer from mental and chronic morbidity, methodology differences and potential confounders often compromise result replicability and external validity. We examined associations between Holocaust exposure and chronic morbidity, as well as overall risk of mortality. METHODS: Sociodemographic, health-related behavior and nutritional-intake data from two representative National Health and Nutrition Survey Ages 65 and Over-the 2005-2006 MABAT ZAHAV 1 (MZ1) and the 2014-2015 MZ2, including face-to-face interviews and anthropometric measurements-were analyzed...
March 26, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38526042/pragmatic-implementation-of-comprehensive-dementia-care-management-the-cedars-sinai-c-a-r-e-s-program-preliminary-data
#2
JOURNAL ARTICLE
Zaldy S Tan, Nabeel Qureshi, Erica Spivack, Deana Rhinehart, Dyane Gatmaitan, Augustine Guinto, Sarah Kremen, Nancy L Sicotte
BACKGROUND: The United States faces a growing challenge with over 6.5 million people living with dementia (PLwD). PLwD and their caregivers struggle with cognitive, functional, behavioral, and psychosocial issues. As dementia care shifts to home settings, caregivers receive inadequate support but bear increasing responsibilities, leading to higher healthcare costs. In response, the Centers for Medicare & Medicaid Services (CMS) introduced the Guiding an Improving Dementia Experience (GUIDE) Model...
March 25, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38525526/comorbidities-healthcare-use-and-contact-with-healthcare-transition-services-in-older-veterans-after-incarceration
#3
JOURNAL ARTICLE
Alison R Hwong, Lisa C Barry, Yixia Li, Amy L Byers
BACKGROUND: The Health Care for Reentry Veterans (HCRV) program was established to support community reintegration for veterans after incarceration. Yet, it is unclear how those with and without HCRV contact differ. We sought to evaluate differences in medical and psychiatric conditions and healthcare utilization among mid-to late-life reentry veterans who did and did not receive HCRV outreach. METHODS: Study participants were veterans aged ≥50 years who qualified for Medicare fee-for-service, had experienced incarceration for ≥1 year, and were released from incarceration between October 1, 2006, and September 30, 2018 (N = 9733)...
March 25, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38516716/the-link-between-the-early-surgery-induced-inflammatory-response-and-postoperative-cognitive-dysfunction-in-older-patients
#4
JOURNAL ARTICLE
Baukje Brattinga, Matthijs Plas, Jacoba M Spikman, Abraham Rutgers, Jacco J de Haan, Hanneke van der Wal-Huisman, Anthony R Absalom, Gertrude J Nieuwenhuijs-Moeke, Barbara C van Munster, Geertruida H de Bock, Barbara L van Leeuwen
BACKGROUND: Postoperative cognitive dysfunction (POCD) is a common complication in older patients with cancer and is associated with decreased quality of life and increased disability and mortality rates. Systemic inflammation resulting in neuroinflammation is considered important in the pathogenesis of POCD. The aim of this study was to explore the association between the early surgery-induced inflammatory response and POCD within 3 months after surgery in older cancer patients...
March 22, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38514205/building-foundational-competencies-in-older-adult-mental-health-online-and-in-person-training
#5
JOURNAL ARTICLE
Erin E Emery-Tiburcio, Laurin Mack, Susan Buehler, Siqi Wang, Suzanne Musil, Eve Escalante, Sandra S Swantek, Marcia G Hunt, Frederic Blow, Laura Donnan, Molly Jenkins, Robyn L Golden
No abstract text is available yet for this article.
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38514182/the-importance-of-instant-impact-what-matters-to-long-term-care-staff-and-residents-about-taking-part-in-research
#6
JOURNAL ARTICLE
Laura J E Brown, Julia Fineczko, Bill O'Neill, Morgan Geast, Kala Morton, David Stanyon, Haniya Bharucha, Charlene H Chu
No abstract text is available yet for this article.
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38514075/association-between-vision-impairment-and-increased-prevalence-of-falls-in-older-us-adults
#7
JOURNAL ARTICLE
Huiyan Jin, Yunshu Zhou, Brian C Stagg, Joshua R Ehrlich
BACKGROUND: Vision impairment (VI) is associated with falls in older adults. However, past studies have relied on geographically constrained samples with limited generalizability or self-reports of visual difficulty. To date, there have not been nationally representative studies on the association of objective measures of visual function and falls outcomes. METHODS: We used cross-sectional data from Round 11 of National Health and Aging Trends Study (NHATS), a nationally representative panel study of age-eligible Medicare beneficiaries (N = 2951)...
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38511724/assessing-the-accuracy-of-race-and-ethnicity-data-in-the-outcome-and-assessment-information-set
#8
JOURNAL ARTICLE
Steven C Martino, Marc N Elliott, Ann Haas, Alon Peltz, Debra Saliba, Sapha Hassan, Eve Rothenberg, Amena Keshawarz, Megan Rushkin, Jennifer Gildner, Nathan Orr, Melissa Hager, Raquel Myers, Randall Kiser, Susannah Bernheim
BACKGROUND: Limitations in the quality of race-and-ethnicity information in Medicare's data systems constrain efforts to assess disparities in care among older Americans. Using demographic information from standardized patient assessments may be an efficient way to enhance the accuracy and completeness of race-and-ethnicity information in Medicare's data systems, but it is critical to first establish the accuracy of these data as they may be prone to inaccurate observer-reported or third-party-based information...
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38511683/medication-regimen-complexity-among-community-dwelling-older-adults-with-incident-mild-cognitive-impairment-or-dementia
#9
LETTER
Ariel R Green, Ruoxiang Jiang, Susan A Weston, Alanna M Chamberlain, Stephanie Nothelle, Cynthia M Boyd, Walter A Rocca, Jennifer L St Sauver
No abstract text is available yet for this article.
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38511677/the-national-institute-on-aging-edward-r-roybal-centers-past-present-and-future-of-research-to-foster-healthy-aging
#10
LETTER
Mark J Butler, Karina W Davidson, Jerry Suls
No abstract text is available yet for this article.
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38511648/utilization-of-transitional-care-management-service-among-medicare-beneficiaries-at-high-risk-of-readmission
#11
LETTER
Chan Mi Park, Ellen P McCarthy, Sandra Shi, Brianne Olivieri-Mui, Jieun Jang, Dae Hyun Kim
No abstract text is available yet for this article.
March 21, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38504583/racial-and-ethnic-differences-in-disease-course-medicare-expenditures-for-beneficiaries-with-dementia
#12
JOURNAL ARTICLE
Natalia Olchanski, Yingying Zhu, Lichen Liang, Joshua T Cohen, Jessica D Faul, Howard M Fillit, Karen M Freund, Pei-Jung Lin
BACKGROUND: Research on racial and ethnic disparities in costs of care during the course of dementia is sparse. We analyzed Medicare expenditures for beneficiaries with dementia to identify when during the course of care costs are the highest and whether they differ by race and ethnicity. METHODS: We analyzed data from the 2000-2016 Health and Retirement Study (HRS) linked with corresponding Medicare claims to estimate total Medicare expenditures for four phases: (1) the year before a dementia diagnosis, (2) the first year following a dementia diagnosis, (3) ongoing care for dementia after the first year, and (4) the last year of life...
March 20, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38497805/supporting-technology-access-for-older-adults-through-in-home-intergenerational-involvement-the-case-for-ethnographic-methods-and-student-service-learning-courses
#13
EDITORIAL
Theresa A Allison, Caroline E Stephens, Ashwin A Kotwal
No abstract text is available yet for this article.
March 18, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38497539/frailty-as-an-upstream-target-for-intervention-a-unifying-approach-to-intervening-in-the-trajectories-of-health-function-and-disease-in-late-life
#14
EDITORIAL
Kathryn E Callahan, George A Kuchel
No abstract text is available yet for this article.
March 18, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38495008/the-value-proposition-for-geriatrics
#15
JOURNAL ARTICLE
Joseph G Ouslander, A Sasha Rackman, William Russell
In response to some of the challenges that have been articlulated about the future of Geriatrics, we describe a more positive view and value proposition for the field. Health professionals with specific training in Geriatrics are a natural fit for a variety of roles in value-based care (VBC) programs and health systems. These roles include serving as educators for primary care health professionals and specialists in person-centered care of older adults, serving as consultants on geriatric conditions and syndromes in a co-management model of care, becoming effective leaders in VBC programs and health systems, and conducting quality improvement initiatives to build on the evidence-base for the management of common conditions in the older population...
March 18, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38494999/gluing-together-a-fragmented-healthcare-system-for-geriatrics-will-be-hard-it-s-time-for-united-action
#16
JOURNAL ARTICLE
Christopher C Colenda, William B Applegate
"Gluing" together integrated Geriatric Clinical Service lines (GCSL) within the US healthcare system is a significant challenge. Reasons encompass health professional workforce shortages, inconsistent requirements for geriatric educational competencies among the health professional disciplines, preconceived ageist attitudes about older adults with complex illnesses, and a US healthcare system infrastructure that is not aligned with longitudinal and interdisciplinary care needs for older adults. This review focuses on three major characteristics of the US healthcare system that have impeded widespread dissemination of GCSLs: (1) the US's historical fee for service (FFS) reimbursement system; (2) increasing reliance upon disease specific specialty care services for older patients that have resulted from advances in medicine; and (3) rising consolidation of US healthcare systems over the last 30 years...
March 18, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38488757/pharmacist-led-telehealth-deprescribing-for-people-living-with-dementia-and-polypharmacy-in-primary-care-a-pilot-study
#17
JOURNAL ARTICLE
Ariel R Green, Rosalphie Quiles, Andrea E Daddato, Jessica Merrey, Linda Weffald, Kathy Gleason, Qian-Li Xue, Meghan Swarthout, Scott Feeser, Cynthia M Boyd, Jennifer L Wolff, Marcela D Blinka, Anne M Libby, Rebecca S Boxer
BACKGROUND: People living with dementia (PLWD) have complex medication regimens, exposing them to increased risk of harm. Pragmatic deprescribing strategies that align with patient-care partner goals are needed. METHODS: A pilot study of a pharmacist-led intervention to optimize medications with patient-care partner priorities, ran May 2021-2022 at two health systems. PLWD with ≥7 medications in primary care and a care partner were enrolled. After an introductory mailing, dyads were randomized to a pharmacist telehealth intervention immediately (intervention) or delayed by 3 months (control)...
March 15, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38488672/age-friendly-health-systems-from-metrics-to-meaningful-change
#18
EDITORIAL
Lauren J Gleason, Katherine Thompson
No abstract text is available yet for this article.
March 15, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38488271/care-for-older-adults-undergoing-surgery-attitudes-knowledge-practices-and-needs-of-geriatricians-and-trainees
#19
JOURNAL ARTICLE
Alana M Miller, Tyler R Chesney, Camilla L Wong
No abstract text is available yet for this article.
March 15, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38488173/an-age-friendly-approach-to-primary-care-in-an-academic-health-system
#20
JOURNAL ARTICLE
Andrea Wismann, Keith Kleszynski, Dawn Jelinek, Rachel Hand, Brian Lich, Elizabeth Wickersham, Lee A Jennings
BACKGROUND: Age-friendly care, addressing what matters most, medications, mentation, and mobility, is a successful model for improving older adult care. We describe the initial outcomes of age-friendly care implementation in five primary care clinics in an academic health system. METHODS: In partnership with a regional quality improvement (QI) organization, we used practice facilitation to implement age-friendly care from July 2020 to June 2023. Clinic workflows and electronic health record (EHR) templates were modified to capture six QI measures for patients ≥65 years: Documenting what matters most to patients Advance care planning (ACP) Annual cognitive screening Caregiver referral to dementia community resources Fall-risk screening Co-prescription of opioid and sedative-hypnotic drugs Providers were alerted if patients had positive screens and given support tools for clinical decision-making...
March 15, 2024: Journal of the American Geriatrics Society
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