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multidimensional geriatric assessment

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https://www.readbyqxmd.com/read/29893262/functional-versus-chronological-age-geriatric-assessments-to-guide-decision-making-in-older-patients-with-cancer
#1
REVIEW
Enrique Soto-Perez-de-Celis, Daneng Li, Yuan Yuan, Yat Ming Lau, Arti Hurria
As the worldwide population ages, oncologists are often required to make difficult and complex decisions regarding the treatment of older people (aged 65 years and older) with cancer. Chronological age alone is often a poor indicator of the physiological and functional status of older adults, and thus should not be the main factor guiding treatment decisions in oncology. By contrast, a geriatric assessment can provide a much more comprehensive understanding of the functional and physiological age of an older person with cancer...
June 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29877190/burnout-in-nursing-staff-caring-for-patients-with-dementia-role-of-empathy-and-impact-of-empathy-based-training-program
#2
Pauline Narme
OBJECTIVES: Although relationships between empathy and burnout have been reported, it remains unclear whether empathy should be considered as a predictive or a protective factor. A multidimensional approach towards empathy was selected to determine whether cognitive and emotional aspects might differently contribute to the burnout (first study). In a second study, we aimed at investigating the effect of empathy-based training program on empathic skills and burnout. METHODS: The first survey was conducted among 124 nursing staff from 10 geriatric residential facilities...
June 1, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29866469/geriatric-assessment-in-oncology-moving-the-concept-forward-the-20-years-of-experience-of-the-centre-l%C3%A3-on-b%C3%A3-rard-geriatric-oncology-program
#3
Chiara Russo, Catherine Terret, Claire Cropet, Gilles Albrand
OBJECTIVES: The management of cancer in aging people remains a challenge for physicians. Specialists agree on the assistance provided by a multidimensional geriatric assessment (MGA) to guide the cancer treatment decision-making process. We aim to explore the use of MGA in treatment decision and to identify MGA parameters likely to influence the planned cancer treatment. MATERIAL AND METHODS: We conducted a single-site retrospective study in patients older than 65 years suffering from various types of cancer who underwent MGA before cancer treatment decision...
June 1, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29799055/approach-to-frailty-in-the-elderly-in-primary-care-and-the-community
#4
Christine Yuanxin Chen, Peiying Gan, Choon How How
Frailty is a distinct clinical syndrome wherein the individual has low reserves and is highly vulnerable to internal and external stressors. Although it is associated with disability and multiple comorbidities, it can also be present in individuals who seem healthy. Frailty is multidimensional and its pathophysiology is complex. Early identification and intervention can potentially decrease or reverse frailty, especially in the early stages. Primary care physicians, community nurses and community social networks have important roles in the identification of pre-frail and frail elderly through the use of simple frailty screening tools and rapid geriatric assessments...
May 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29791640/factors-associated-to-the-dependence-of-older-adults-with-diabetes-mellitus-type-2
#5
Adélia Dayane Guimarães Fonseca, Carla Silvana de Oliveira E Silva, Dulce Aparecida Barbosa, Elaine Cristina Santos Alves, Lucinéia de Pinho, Maria Fernanda Santos Figueiredo Brito, Mônica Antar Gamba
OBJECTIVE: to identify factors associated to the dependence of older adults with Diabetes Mellitus, Type 2 Method: analytical and epidemiological study with 99 older adults. The Brazilian Multidimensional Functional Assessment Questionnaire and a questionnaire composed by socio-demographic and clinical variables were used. The independent variables were described and compared to the level of dependence obtained by the chi-square test or the Fisher test, the strength of association was estimated by Odds Ratio and multiple regression...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29761426/predictors-of-self-reported-adherence-to-direct-oral-anticoagulation-in-a-population-of-elderly-men-and-women-with-non-valvular-atrial-fibrillation
#6
Andrea P Rossi, Roberto Facchinetti, Elena Ferrari, Nicole Nori, Selena Sant, Elena Masciocchi, Elena Zoico, Francesco Fantin, Gloria Mazzali, Mauro Zamboni
There is a general lack of studies evaluating medication adherence with self-report scales for elderly patients in treatment with direct oral anticoagulants (DOACs). The aim of the study was to assess the degree of adherence to DOAC therapy in a population of elderly outpatients aged 65 years or older affected by non-valvular atrial fibrillation (NVAF), using the 4-item Morisky Medication Adherence Scale, and to identify potential factors, including the geriatric multidimensional evaluation, which can affect adherence in the study population...
May 14, 2018: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/29728985/prognostic-value-of-cardiac-troponin-i-assay-in-hospitalized-elderly-patients
#7
Francesca Attanasio, Pamela Carrer, Anna Zurlo, Anna Rossi, Luciano Babuin, Monica Maria Mion, Martina Zaninotto, Mario Plebani, Sabino Iliceto, Enzo Manzato, Valter Giantin
BACKGROUND: Cardiac troponin I (cTnI) has been poorly studied in elderly inpatients. AIM: This study wanted to assess factors influencing the increase in cTnI and its prognostic value in hospitalized elderly patients. METHODS: 354 elderly (mean age of 84.8 ± 6.9 years) patients consecutively admitted in the Geriatrics Division in Padua were tested for cTnI levels assay during the hospital stay. Number of subsequent patient deaths at 6 months and 2 years were registered...
May 4, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29713147/effects-of-oral-amino-acid-supplementation-on-multidimensional-prognostic-index-in-hospitalized-older-patients-a-multicenter-randomized-double-blind-placebo-controlled-pilot-study
#8
Stefano Volpato, Romina Custureri, Matteo Puntoni, Lara Bianchi, Julia Daragjati, Sara Garaboldi, Matteo Simonato, Antonio Greco, Emanuele Rizzo, Pierluigi Dal Santo, Antonio Mangiacotti, Ekaterini Zigoura, Giacomo Siri, Alberto Pilotto
Background: It is not known whether amino acid supplementations may influence health status in hospitalized older acutely ill patients. Aim: The aim of this study was to determine whether nutritional supplementation with amino acids (Aminoglutam® ) is associated with multidimensional improvement assessed with the Multidimensional Prognostic Index (MPI). Methods: In this randomized, double-blind, placebo-controlled pilot clinical trial, 126 patients aged ≥65 years were enrolled from 6 Italian geriatric wards...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29651322/management-of-frailty-at-individual-level-clinical-management-systematic-literature-review
#9
REVIEW
Gregor Veninšek, Branko Gabrovec
Introduction: To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions. Methodology: A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017...
June 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29558819/commentary-on-special-issue-on-geriatric-assessment
#10
Victor Molinari, Erlene Rosowsky
We provide commentary about the articles in this special section of "Assessment in Older Adults" by using van Alphen's framework of a systematic multidimensional approach for diagnosis and treatment in older adults.
April 2018: Assessment
https://www.readbyqxmd.com/read/29549539/a-review-of-telomere-length-in-sarcopenia-and-frailty
#11
REVIEW
Maria Lorenzi, Stefano Bonassi, Teresa Lorenzi, Silvia Giovannini, Roberto Bernabei, Graziano Onder
Sarcopenia and frailty are associated with several important health-related adverse events, including disability, loss of independence, institutionalization and mortality. Sarcopenia can be considered a biological substrate of frailty, and the prevalence of both these conditions progressively increases with age. Telomeres are nucleoprotein structures located at the end of linear chromosomes and implicated in cellular ageing, shorten with age, and are associated with various age-related diseases. In addition, telomere length (TL) is widely considered a molecular/cellular hallmark of the ageing process...
March 16, 2018: Biogerontology
https://www.readbyqxmd.com/read/29546738/multidimensional-prognostic-index-mpi-and-proadrenomedullin-plasma-levels-in-predicting-one-month-mortality-risk-in-older-patients-hospitalized-with-community-acquired-pneumonia-cap-a-prospective-study
#12
Alberto Pilotto, Simone Dini, Nicola Veronese, Julia Daragjati, Manuela Miolo, Monica M Mion, Andrea Fontana, Mario Lo Storto, Martina Zaninotto, Giada Bragato, Alberto Cella, Paolo Carraro, Filomena Addante, Massimiliano Copetti, Mario Plebani
BACKGROUND: To evaluate the prognostic accuracy of pro-ADM (adrenomedullin) in comparison with and in addition to the Multidimensional Prognostic Index (MPI), a validated predictive tool for mortality derived from a Comprehensive Geriatric Assessment (CGA), to predict one-month mortality risk in older patients hospitalized with community-acquired pneumonia (CAP). METHODS: All patients aged 65 years and older, consecutively admitted to an acute geriatric ward with a diagnosis of CAP from February to July 2012...
March 15, 2018: Panminerva Medica
https://www.readbyqxmd.com/read/29546287/degree-of-peripheral-thyroxin-deiodination-frailty-and-long-term-survival-in-hospitalized-older-patients
#13
Giuseppe Pasqualetti, Valeria Calsolaro, Sara Bernardini, Giuseppe Linsalata, Renato Bigazzi, Nadia Caraccio, Fabio Monzani
Context: Although the association between low free triiodothyronine (FT3) and poor outcome has been extensively reported in literature, the degree of peripheral thyroxin deiodination and its relationship with frailty and survival in hospitalized older patients has not yet been fully established. The aim of the current study was to evaluate the possible correlation between FT3/free thyroxine (FT4) ratio reduction, an indirect marker of thyroxin deiodination impairment, and frailty status and survival in hospitalized older patients...
May 1, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29499984/multidimensional-intervention-to-improve-the-short-term-prognosis-of-frail-elderly-patients-discharged-from-a-short-stay-unit-a-quasiexperimental-study
#14
C Fernández Alonso, M Fuentes Ferrer, M I Jiménez Santana, L Fernández Hernández, M de la Cruz García, J González Del Castillo, J J González Armengol, P Gil Gregorio, E Calvo Manuel, F J Martín-Sánchez
OBJECTIVE: To study the effect of a multidimensional intervention on the prognosis at 30 days for frail elderly patients discharged from a short-stay unit. MATERIAL AND METHOD: A quasiexperimental study was conducted with a historical control cohort. We included frail patients (Identification of Seniors at Risk score≥2) 75 years of age or older, discharged from an short-stay unit over 2 months in 2013 (control group) and in 2016 (intervention group). An intervention was conducted based on the activation of resources, based on the deficiencies detected after an abbreviated geriatric assessment, in conjunction with Primary Care...
May 2018: Revista Clínica Española
https://www.readbyqxmd.com/read/29480171/executive-dysfunction-detected-with-the-frontal-assessment-battery-in-alzheimer-s-disease-versus-vascular-dementia
#15
Grazia D'Onofrio, Francesco Panza, Daniele Sancarlo, Filomena Addante, Vincenzo Solfrizzi, Chiara Cantarini, Antonio Mangiacotti, Michele Lauriola, Leandro Cascavilla, Francesco Paris, Madia Lozupone, Antonio Daniele, Antonio Greco, Davide Seripa
Alzheimer's disease (AD) and vascular dementia (VaD) lead to progressive decline in executive function. We estimated the prevalence of executive dysfunction in AD and VaD patients, investigating cognitive, functional, and clinical correlates and also using a multidimensional approach based on a standardized comprehensive geriatric assessment (CGA). We included 215 patients (115 AD patients and 100 VaD patients) consecutively evaluated with a complete cognitive and affective assessment, a CGA, and the Frontal Assessment Battery (FAB) with six subtests investigating conceptualization, mental flexibility, motor programming, sensitivity to interference, inhibitory control, and environmental autonomy...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29429119/the-development-of-a-new-tool-for-the-evaluation-of-handicap-in-elderly-the-geriatric-handicap-scale-ghs
#16
Walter Verrusio, Alessia Renzi, Giulia Spallacci, Maria Tecla Pecci, Maria Antonella Pappadà, Mauro Cacciafesta
BACKGROUND: To date, the comprehensive geriatric assessment (CGA) does not include an evaluation tool for handicap. AIM: To develop a new instrument for assessing handicap in the elderly: the Geriatric Handicap Scale (GHS). METHODS: 656 community-dwelling elderly were enrolled in this study. We identified the thematic areas investigated by the CGA which showed a significant correlation with the handicap condition (handicap yes/not) to be included in our scale (Phase 1)...
February 10, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29330838/the-potential-impact-of-multidimesional-geriatric-assessment-in-the-social-security-system
#17
Graziamaria Corbi, Immacolata Ambrosino, Marco Massari, Onofrio De Lucia, Sirio Simplicio, Michele Dragone, Giuseppe Paolisso, Massimo Piccioni, Nicola Ferrara, Carlo Pietro Campobasso
AIM: To evaluate the efficacy of multidimensional geriatric assessment (MGA/CGA) in patients over 65 years old in predicting the release of the accompaniment allowance (AA) indemnity by a Local Medico-Legal Committee (MLC-NHS) and by the National Institute of Social Security Committee (MLC-INPS). METHODS: In a longitudinal observational study, 200 Italian elder citizens requesting AA were first evaluated by MLC-NHS and later by MLC-INPS. Only MLC-INPS performed a MGA/CGA (including SPMSQ, Barthel Index, GDS-SF, and CIRS)...
January 12, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29313883/simple-method-of-screening-for-frailty-in-older-adults-using-a-chronometer-and-tape-measure-in-clinic
#18
Hee-Won Jung, Min-Gu Kang, Jung-Yeon Choi, Sol-Ji Yoon, Sun-Wook Kim, Kwang-Il Kim, Cheol-Ho Kim
OBJECTIVES: Detecting frailty in older adults scheduled for surgery is important to predict the occurrence of adverse outcomes, but because of its complexity, frailty screening is not commonly performed. The objective of the current study was to assess whether frailty can be screened for using automatically measured usual gait speed (UGS) and mid-arm circumference (MAC) in the outpatient clinic. DESIGN: Prospective, cross-sectional study. SETTING: Geriatric center of a tertiary hospital...
January 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29301486/comprehensive-geriatric-assessment-in-patients-undergoing-transcatheter-aortic-valve-implantation-results-from-the-cga-tavi-multicentre-registry
#19
Andrea Ungar, Giulio Mannarino, Nathalie van der Velde, Jan Baan, Marie-Pierre Thibodeau, Jean-Bernard Masson, Gennaro Santoro, Martijn van Mourik, Sofie Jansen, Cornelia Deutsch, Peter Bramlage, Jana Kurucova, Martin Thoenes, Stefania Maggi, Andreas W Schoenenberger
BACKGROUND: In older patients with aortic stenosis (AS) undergoing TAVI, the potential role of prior CGA is not well established. To explore the value of comprehensive geriatric assessment (CGA) for predicting mortality and/or hospitalisation within the first 3 months after transcatheter aortic valve implantation (TAVI). METHODS: An international, multi-centre, prospective registry (CGA-TAVI) was established to gather data on CGA results and medium-term outcomes in geriatric patients undergoing TAVI...
January 4, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29206906/what-is-comprehensive-geriatric-assessment-cga-an-umbrella-review
#20
S G Parker, P McCue, K Phelps, A McCleod, S Arora, K Nockels, S Kennedy, H Roberts, S Conroy
Background: Comprehensive Geriatric Assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However, there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most. Objectives: our objectives were to describe the key elements, principal measures of outcome and the characteristics of the main beneficiaries of inpatient CGA. Methods: we used the Joanna Briggs Institute umbrella review method...
January 1, 2018: Age and Ageing
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