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Journal of the American Geriatrics Society

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https://www.readbyqxmd.com/read/28815557/societal-and-family-lifetime-cost-of-dementia-implications-for-policy
#1
Eric Jutkowitz, Robert L Kane, Joseph E Gaugler, Richard F MacLehose, Bryan Dowd, Karen M Kuntz
OBJECTIVES: To estimate the cost of dementia and the extra cost of caring for someone with dementia over the cost of caring for someone without dementia. DESIGN: We developed an evidence-based mathematical model to simulate disease progression for newly diagnosed individuals with dementia. Data-driven trajectories of cognition, function, and behavioral and psychological symptoms were used to model disease progression and predict costs. Using modeling, we evaluated lifetime and annual costs of individuals with dementia, compared costs of those with and without clinical features of dementia, and evaluated the effect of reducing functional decline or behavioral and psychological symptoms by 10% for 12 months (implemented when Mini-Mental State Examination score ≤21)...
August 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28815552/connect-home-transitional-care-of-skilled-nursing-facility-patients-and-their-caregivers
#2
Mark Toles, Cathleen Colón-Emeric, Mary D Naylor, Josephine Asafu-Adjei, Laura C Hanson
BACKGROUND: Older adults that transfer from skilled nursing facilities (SNF) to home have significant risk for poor outcomes. Transitional care of SNF patients (i.e., time-limited services to ensure coordination and continuity of care) is poorly understood. OBJECTIVE: To determine the feasibility and relevance of the Connect-Home transitional care intervention, and to compare preparedness for discharge between comparison and intervention dyads. DESIGN: A non-randomized, historically controlled design-enrolling dyads of SNF patients and their family caregivers...
August 16, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28804877/validation-of-a-geriatric-trauma-prognosis-calculator-a-p-a-l-li-a-t-e-consortium-study
#3
Allyson C Cook, Bellal Joseph, M Jane Mohler, Kenji Inaba, Brandon R Bruns, Paul A Nakonezny, Jeff D Kerby, Karen J Brasel, Steven E Wolf, Joseph Cuschieri, M Elizabeth Paulk, Ramona L Rhodes, Scott C Brakenridge, A Peter Ekeh, Herb A Phelan
BACKGROUND/OBJECTIVES: The P.A.L.Li.A.T.E. (prognostic assessment of life and limitations after trauma in the elderly) consortium has previously created a prognosis calculator for mortality after geriatric injury based on age, injury severity, and transfusion requirement called the geriatric trauma outcome score (GTOS). Here, we sought to create and validate a prognosis calculator called the geriatric trauma outcome score ii (GTOS II) estimating probability of unfavorable discharge. DESIGN: Retrospective cohort...
August 14, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28804870/effect-of-the-tool-to-reduce-inappropriate-medications-on-medication-communication-and-deprescribing
#4
Terri R Fried, Kristina M Niehoff, Richard L Street, Peter A Charpentier, Nallakkandi Rajeevan, Perry L Miller, Mary K Goldstein, John R O'Leary, Brenda T Fenton
OBJECTIVES: To examine the effect of the Tool to Reduce Inappropriate Medications (TRIM), a web tool linking an electronic health record (EHR) to a clinical decision support system, on medication communication and prescribing. DESIGN: Randomized clinical trial. SETTING: Primary care clinics at a Veterans Affairs Medical Center. PARTICIPANTS: Veterans aged 65 and older prescribed seven or more medications randomized to receipt of TRIM or usual care (N = 128)...
August 14, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28804869/myelodysplastic-syndrome-and-giant-cell-arteritis-a-nonfortuitous-association-that-geriatricians-should-know-about
#5
LETTER
Anne-Laure Gérard, Judith Cohen-Bittan, Pierre Fenaux, Gaëlle Leroux, Marc Verny, Olivier Fain, Jacques Boddaert, Lorene Zerah
No abstract text is available yet for this article.
August 14, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28801975/trends-in-aging-related-services-during-nephrectomy-implications-for-surgery-in-an-aging-population
#6
Hung-Jui Tan, Mark S Litwin, Karim Chamie, Debra Saliba, Jim C Hu
OBJECTIVES: To characterize the extent to which geriatric and related healthcare services are provided to older adults undergoing surgery for kidney cancer, a potential growth area in geriatrics and oncology. DESIGN: Population-based observational study. SETTING: Surveillance, Epidemiology, and End Results cancer data linked with Medicare claims. PARTICIPANTS: Adults aged 65 and older with kidney cancer treated surgically from 2000 to 2009 (N = 19,129)...
August 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28799293/health-and-aging-policy-fellows-program-shaping-a-healthy-future-for-older-americans
#7
Harold Alan Pincus, Kathleen M Pike, Brigitta Spaeth-Rublee, Lynn Elinson
As the size of the elderly population increases, so do the challenges of and barriers to high-quality, affordable health care. The Health and Aging Policy Fellows (HAPF) Program is designed to provide health and aging professionals with the skills and experience to help lead the effort in reducing these barriers and shaping a healthy and productive future for older Americans. Since its inception in 2008, the program has affected not only the fellows who participate, but also the field of health and aging policy...
August 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28799216/device-measured-physical-activity-as-a-predictor-of-disability-in-mobility-limited-older-adults
#8
Robert T Mankowski, Stephen D Anton, Robert Axtell, Shyh-Huei Chen, Roger A Fielding, Nancy W Glynn, Fang-Chi Hsu, Abby C King, Andrew S Layne, Christiaan Leeuwenburgh, Todd M Manini, Anthony P Marsh, Marco Pahor, Catrine Tudor-Locke, David E Conroy, Thomas W Buford
OBJECTIVES: To examine associations between objectively measured physical activity (PA) and incidence of major mobility disability (MMD) and persistent MMD (PMMD) in older adults in the Lifestyle Interventions and Independence for Elders (LIFE) Study. DESIGN: Prospective cohort of individuals aged 65 and older undergoing structured PA intervention or health education. SETTING: The LIFE Study was a multicenter (eight sites) randomized controlled trial designed to compare the efficacy of a long-term structured PA intervention with that of a health education (HE) program in reducing the incidence of MMD in mobility-limited older adults...
August 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28799200/simple-tests-compare-well-with-a-hand-held-audiometer-for-hearing-loss-screening-in-primary-care
#9
William J Strawbridge, Margaret I Wallhagen
OBJECTIVES: To compare hearing loss screening results of four simple tests with those of hand-held audiometry. DESIGN: Cross-sectional study of individuals screened during intake for physicals and other routine procedures. SETTING: Two primary care clinics in the San Francisco Bay area. PARTICIPANTS: Older adults not wearing hearing aids (N = 125, mean age 72.9, 63% female). MEASUREMENTS: Direct question about hearing loss, indirect question, finger-rub test, whisper test, and audiometric results using a hand-held audiometer...
August 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28791690/apathy-risk-factor-for-mortality-in-nursing-home-patients
#10
Johanna M H Nijsten, Ruslan Leontjevas, Ron Pat-El, Martin Smalbrugge, Raymond T C M Koopmans, Debby L Gerritsen
OBJECTIVES: To determine the prognostic value of apathy for mortality in patients of somatic (SC) and dementia special care (DSC) nursing home (NH) units. DESIGN: Longitudinal design, secondary analyses of a 2-year, cluster-randomized trial with six measurements, approximately 4 months in between. SETTING: SC and DSC-units of Dutch NHs. PARTICIPANTS: NH-patients of seventeen SC-units (n = 342) and sixteen DCS-units (n = 371)...
August 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28791683/the-variation-of-statin-use-among-nursing-home-residents-and-physicians-a-cross-sectional-analysis
#11
Michael A Campitelli, Colleen J Maxwell, Vasily Giannakeas, Chaim M Bell, Nick Daneman, Lianne Jeffs, Andrew M Morris, Peter C Austin, David B Hogan, Dennis T Ko, Kate L Lapane, Laura C Maclagan, Dallas P Seitz, Susan E Bronskill
OBJECTIVES: To examine the variability of statin use among nursing home residents and prescribing physicians, and to assess statin use by resident frailty. DESIGN: Population-based, cross-sectional analysis. SETTING: All nursing home facilities (N = 631) in Ontario, Canada between April 1, 2013 and March 31, 2014. PARTICIPANTS: All adults aged 66 years and older who received a full clinical assessment while residing in a nursing home facility and their assigned, most responsible, physician...
August 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28771679/longitudinal-cognitive-profiles-in-diabetes-results-from-the-national-alzheimer-s-coordinating-center-s-uniform-data
#12
Mary Sano, Carolyn W Zhu, Hillel Grossman, Corbett Schimming
BACKGROUND: Diabetes is a risk factor for the development of cognitive impairment and possibly for accelerated progression to Alzheimer disease (AD) and other dementias, though the trajectory of cognitive decline in general and in specfic cognitive domains by diabetes is unclear. METHODS: Using the National Alzheimer's Coordinating Center's Uniform Data Det (NACC-UDS) to identify cohorts of elders with normal cognition (N = 7,663) and mild cognitive impairment (MCI, N = 4,114), we compared overall cognitive composite and domain specific sub-scores and their progression over time between diabetic and non-diabetic subjects...
August 3, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28766695/prevention-of-alzheimer-s-disease-lessons-learned-and-applied
#13
James E Galvin
Alzheimer's disease (AD) affects more than 5 million Americans, with substantial consequences for individuals with AD, families, and society in terms of morbidity, mortality, and healthcare costs. With disease-modifying treatment trials unsuccessful at the present time and only medications to treat symptoms available, an emerging approach is prevention. Advances in diagnostic criteria, biomarker development, and greater understanding of the biophysiological basis of AD make these initiatives feasible. Ongoing pharmacological trials using anti-amyloid therapies are underway in sporadic and genetic forms of AD, although a large number of modifiable risk factors for AD have been identified in observational studies, many of which do not appear to exert effects through amyloid or tau...
August 2, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28758188/a-systematic-review-and-meta-analysis-of-the-effect-of-low-vitamin-d-on-cognition
#14
Alicia M Goodwill, Cassandra Szoeke
BACKGROUND/OBJECTIVE: With an aging population and no cure for dementia on the horizon, risk factor modification prior to disease onset is an urgent health priority. Therefore, this review examined the effect of low vitamin D status or vitamin D supplementation on cognition in midlife and older adults without a diagnosis of dementia. DESIGN: Systematic review and random effect meta-analysis. SETTING: Observational (cross-sectional and longitudinal cohort) studies comparing low and high vitamin D status and interventions comparing vitamin D supplementation with a control group were included in the review and meta-analysis...
July 31, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28755415/accelerometer-measured-moderate-to-vigorous-physical-activity-and-incidence-rates-of-falls-in-older-women
#15
David M Buchner, Eileen Rillamas-Sun, Chongzhi Di, Michael J LaMonte, Stephen W Marshall, Julie Hunt, Yuzheng Zhang, Dori E Rosenberg, I-Min Lee, Kelly R Evenson, Amy H Herring, Cora E Lewis, Marcia L Stefanick, Andrea Z LaCroix
OBJECTIVES: To examine whether moderate to vigorous physical activity (MVPA) measured using accelerometry is associated with incident falls and whether associations differ according to physical function or history of falls. DESIGN: Prospective study with baseline data collection from 2012 to 2014 and 1 year of follow-up. SETTING: Women's Health Initiative participants living in the United States. PARTICIPANTS: Ambulatory women aged 63 to 99 (N = 5,545)...
July 29, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28752589/frailty-and-potentially-inappropriate-medication-use-at-nursing-home-transition
#16
Laura C Maclagan, Colleen J Maxwell, Sima Gandhi, Jun Guan, Chaim M Bell, David B Hogan, Nick Daneman, Sudeep S Gill, Andrew M Morris, Lianne Jeffs, Michael A Campitelli, Dallas P Seitz, Susan E Bronskill
BACKGROUND/OBJECTIVES: To estimate the prevalence of potentially inappropriate medication (PIM) use among older adults with cognitive impairment or dementia prior to and following admission to nursing homes and in relation to frailty. DESIGN: Retrospective cohort study using health administrative databases. SETTING: Ontario, Canada. PARTICIPANTS: 41,351 individuals with cognitive impairment or dementia, aged 66+ years newly admitted to nursing home between 2011 and 2014...
July 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28752539/disparities-in-treatment-of-older-adults-with-suicide-risk-in-the-emergency-department
#17
Sarah A Arias, Edwin D Boudreaux, Daniel L Segal, Ivan Miller, Carlos A Camargo, Marian E Betz
BACKGROUND/OBJECTIVE: We described characteristics and treatment received for older (≥60 years) vs younger (<60 years) adult emergency department (ED) patients with suicide risk. DESIGN: Retrospective chart review. SETTING: An ED with universal screening for suicide risk. PARTICIPANTS: Eligible charts included a random sample of adults (≥18 years) who screened positive for suicidal ideation (SI) in past 2 weeks and/or a suicide attempt (SA) within the past 6 months...
July 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28744853/poor-appetite-and-dietary-intake-in-community-dwelling-older-adults
#18
Barbara S van der Meij, Hanneke A H Wijnhoven, Jung S Lee, Denise K Houston, Trisha Hue, Tamara B Harris, Stephen B Kritchevsky, Anne B Newman, Marjolein Visser
BACKGROUND/OBJECTIVES: Poor appetite in older adults leads to sub-optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community-dwelling adults with different reported appetite levels. DESIGN: Cross-sectional analysis of data from a longitudinal prospective study. SETTING: Health, aging, and body composition study performed in the USA...
July 26, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28736853/tai-chi-for-risk-of-falls-a-meta-analysis
#19
Rafael Lomas-Vega, Esteban Obrero-Gaitán, Francisco J Molina-Ortega, Rafael Del-Pino-Casado
OBJECTIVES: To analyze the effectiveness of tai chi for falls prevention. DESIGN: Systematic review and meta-analysis. SETTING: Pubmed, Scopus, CINHAL, and Physiotherapy Evidence Database (PEDro) were searched to May 26, 2016. PARTICIPANTS: Older adult population and at-risk adults. INTERVENTION: Randomized controlled trials analyzing the effect of tai chi versus other treatments on risk of falls...
July 24, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28734053/hearing-impairment-and-incident-dementia-findings-from-the-english-longitudinal-study-of-ageing
#20
Hilary R Davies, Dorina Cadar, Annie Herbert, Martin Orrell, Andrew Steptoe
OBJECTIVES: To determine whether hearing loss is associated with incident physician-diagnosed dementia in a representative sample. DESIGN: Retrospective cohort study. SETTING: English Longitudinal Study of Ageing. PARTICIPANTS: Adults aged 50 and older. MEASUREMENTS: Cross-sectional associations between self-reported (n = 7,865) and objective hearing measures (n = 6,902) and dementia were examined using multinomial-logistic regression...
July 22, 2017: Journal of the American Geriatrics Society
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