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Aged 80 and older health conditions

Maria Orlando Edelen, Adam J Rose, Elizabeth Bayliss, Lesley Baseman, Emily Butcher, Rosa-Elena Garcia, David Tabano, Brian D Stucky
As measures of health care quality have become more sophisticated, the goals of patient care have expanded into helping patients optimize their functional status and well-being. Patient-reported outcome (PRO) based performance measures (PMs) can measure how well these aspects of care are being delivered and compare the performance of health care systems and different provider groups. Most PMs focus on technical quality of care or such outcomes as survival. For older adults, especially those over age 80 with multiple chronic conditions (MCC), it might be equally important or even more important to have a good quality of life...
October 2018: Rand Health Quarterly
Monique A M Gignac, Vicki Kristman, Peter M Smith, Dorcas E Beaton, Elizabeth M Badley, Selahadin Ibrahim, Cameron A Mustard
The aging of workforces combined with the prevalence of age-related chronic diseases has generated interest in whether large numbers of older workers will need workplace accommodations. This research applied work functioning theory to examine accommodation availability, need and use in workers with arthritis, diabetes, or no chronic disabling diseases; factors associated with accommodation needs; and the relationship of accommodation needs met, unmet or exceeded to job outcomes. Participants were aged 50-67 years, employed, and had arthritis ( n = 631), diabetes ( n = 286), both arthritis/diabetes ( n = 111) or no chronic disabling conditions (healthy controls n = 538)...
September 2018: Work, Aging and Retirement
Kimberly A Fisher, Kelly M Smith, Thomas H Gallagher, Jim C Huang, James C Borton, Kathleen M Mazor
OBJECTIVE: To assess patient comfort speaking up about problems during hospitalisation and to identify patients at increased risk of having a problem and not feeling comfortable speaking up. DESIGN: Cross-sectional study. SETTING: Eight hospitals in Maryland and Washington, District of Columbia. PARTICIPANTS: Patients hospitalised at one of eight hospitals who completed the Hospital Consumer Assessment of Healthcare Providers and Systems survey postdischarge...
September 29, 2018: BMJ Quality & Safety
Agnieszka Beata Ćwirlej-Sozańska, Bernard Sozański, Agnieszka Wiśniowska-Szurlej, Anna Wilmowska-Pietruszyńska
INTRODUCTION: Quality of life (QOL) is an important aspect of life, reflecting health and conditioning the well-being of older adults. Maintaining the QOL is essential in times of demographic changes which resulting longer life spans, and consequently an increased proportion of older adults in society. OBJECTIVE: The aim of the study was to assess the quality of life and its basic determining factors in the elderly living in rural areas of south-eastern Poland. MATERIAL AND METHODS: The study was conducted on 973 respondents aged 60-80 years living in rural areas of south-eastern Poland (Podkarpackie Region)...
September 25, 2018: Annals of Agricultural and Environmental Medicine: AAEM
Melissa T Merrick, Derek C Ford, Katie A Ports, Angie S Guinn
Importance: Early adversity is associated with leading causes of adult morbidity and mortality and effects on life opportunities. Objective: To provide an updated prevalence estimate of adverse childhood experiences (ACEs) in the United States using a large, diverse, and representative sample of adults in 23 states. Design, Setting, and Participants: Data were collected through the Behavioral Risk Factor Surveillance System (BRFSS), an annual, nationally representative telephone survey on health-related behaviors, health conditions, and use of preventive services, from January 1, 2011, through December 31, 2014...
September 17, 2018: JAMA Pediatrics
Jessika I V Buitenweg, Renate M Van De Ven, K Richard Ridderinkhof, Jaap M J Murre
Declining cognitive abilities in older adults can contribute to significant changes in socioemotional health and substantially reduce their perception of well-being. Whereas much attention has been dedicated to creating cognitive training programs to improve cognitive health in old age, there is little emphasis on the consequences of such interventions for subjective mental functioning. We created a randomized controlled trial in which we evaluated the effects of an adaptive computerized cognitive flexibility training...
September 17, 2018: Neuropsychology, Development, and Cognition. Section B, Aging, Neuropsychology and Cognition
Wenjing Huang, Adam J Rose, Elizabeth Bayliss, Lesley Baseman, Emily Butcher, Rosa-Elena Garcia, Maria Orlando Edelen
PURPOSE: The patient-reported outcomes measurement information system 29-item profile (PROMIS-29 v2.0) is a widely used health-related quality of life (HRQoL) measure. Summary scores for physical and mental HRQoL have recently been developed for the PROMIS-29 using a general population. Our purpose was to adapt these summary scores to a population of older adults with multiple chronic conditions. METHODS: We collected the PROMIS-29 v2.0 for 1359 primary care patients age 65+ with at least 2 of 13 chronic conditions...
September 12, 2018: Quality of Life Research
Gian Andrea Binda, F Mataloni, M Bruzzone, M Carabotti, R Cirocchi, R Nascimbeni, G Gambassi, A Amato, N Vettoretto, L Pinnarelli, R Cuomo, B Annibale
BACKGROUND: Epidemiological studies in Western countries have documented an increase of hospitalizations for acute diverticulitis (AD) but Italian evidence is scarce. The aim of the present study was to analyse the trend in hospitalization for AD, including in-hospital mortality, in Italy from 2008 to 2015. METHODS: Through the Italian Hospital Information System of the National Health System, we identified diverticulitis of the colon as a discharge diagnosis. Age- and gender-specific rates of hospitalization for AD were assessed...
August 2018: Techniques in Coloproctology
Sukyung Chung, Robert J Romanelli, Cheryl D Stults, Harold S Luft
Preventive visit rates are low among older adults in the United States. We evaluated changes in preventive visit utilization with Medicare's introduction of Annual Wellness Visits (AWVs) in 2011. We further assessed how coverage expansion differentially affected older adults who were previously underutilizing the service. The study included Medicare beneficiaries aged 65 to 85 from a mixed-payer multispecialty outpatient healthcare organization in northern California between 2007 and 2016. Data from the electronic health records were used, and the unit of analysis was patient-year (N = 456,281)...
August 23, 2018: Preventive Medicine
Rachel C Ambagtsheer, Justin Beilby, Julia Dabravolskaj, Marjan Abbasi, Mandy M Archibald, Elsa Dent
BACKGROUND: The primary care setting is the ideal location for identifying the condition of frailty in older adults. AIMS: The aim of this pragmatic study was twofold: (1) to identify data items to extract the data required for an electronic Frailty Index (eFI) from electronic health records (EHRs); and (2) test the ability of an eFI to accurately and feasibly identify frailty in older adults. METHODS: In a rural South Australian primary care clinic, we derived an eFI from routinely collected EHRs using methodology described by Clegg et al...
August 21, 2018: Aging Clinical and Experimental Research
Arritxu Etxeberria, Josune Iribar, Rafael Rotaeche, Kalliopi Vrotsou, Iosu Barral
BACKGROUND AND OBJECTIVE: Several interventions have been shown to reduce polypharmacy and potentially inappropriate prescription (PIP). The objective of the study was to evaluate the number of drugs and PIP before and after an educational intervention with the Primary Care physician (PCP), with electronic identification of PIP and structured medication review, in elderly patients with excessive polypharmacy (≥10 drugs). MATERIAL AND METHODS: A before-after intervention study was conducted in the Gipuzkoa district of Osakidetza (Basque Country Health System), in a random sample of patients older than 80 years taking ≥ 10 drugs, and whose PCP attended training sessions...
August 7, 2018: Revista Española de Geriatría y Gerontología
Adam J Rose, Elizabeth Bayliss, Wenjing Huang, Lesley Baseman, Emily Butcher, Rosa-Elena García, Maria Orlando Edelen
PURPOSE: The Patient-Reported Outcomes Measurement Information System 29-item profile (PROMIS-29 v2.0), which measures health-related quality of life (HRQoL), has had limited evaluation among older adults (age 65+) with multiple chronic conditions. Our purpose was to establish convergent validity for PROMIS-29 in this population. METHODS: We collected the PROMIS-29 v2.0 and the Veterans RAND 36 (VR-36) for 1359 primary care patients aged 65 + with at least 2 of 13 chronic conditions, oversampling those aged 80+...
August 7, 2018: Quality of Life Research
S X Shan, X G Sun, X Y Zhu, N Zhang, M Z Liao, T Huang, R Li, T Yang, Q Duan, D M Kang
Objective: To explore the causes of secondary drug resistance among HIV infected persons who were receiving antiretroviral therapy in Shandong province, and provide evidence for the improvement of antiretroviral therapy strategy. Methods: A case-control study was designed with 1∶2 matching on case and control groups. Household and face-to-face interview were conducted in October, 2015. All the study subjects were screened from both the drug resistant database of antiretroviral therapy of Shandong provincial laboratory and national comprehensive HIV/AIDS database in Shandong...
July 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Andrew Wister, Scott Lear, Nadine Schuurman, Dawn MacKey, Barbara Mitchell, Theodore Cosco, Ian Fyffe
BACKGROUND: Multimorbidity is recognized as a major public health issue that increases with age and affects approximately two-thirds of older people in Canada, the US, Australia and many European countries. This study develops and tests a three domain (functional, social and psychological) multimorbidity resilience composite index based on a previously developed lifecourse model of multimorbidity resilience, incorporating measures of adversity and positive adaptation. The criterion validity of the measure is demonstrated by means of an analysis of key outcome variables drawn from the literature...
July 27, 2018: BMC Geriatrics
Jessica Y Islam, M Mostafa Zaman, Syed Atiqul Haq, Shamim Ahmed, Zahid Al-Quadir
In 2017, the American College of Cardiology (ACC) and American Heart Association (AHA) released updated guidelines on the definition of hypertension, and blood pressure thresholds for initiation of antihypertensive medication. Our objective was to assess the change in prevalence of hypertension, risk factors, and identify populations recommended for treatment among Bangladeshi adults, based on the 2017 ACC/AHA guidelines. Data for this analysis were collected from a population-based nationally representative sample of 1843 Bangladeshi adults, aged ≥18 years in 2015...
July 19, 2018: Journal of Human Hypertension
Bridget L Ryan, Krista Bray Jenkyn, Salimah Z Shariff, Britney Allen, Richard H Glazier, Merrick Zwarenstein, Martin Fortin, Moira Stewart
OBJECTIVES: To determine volumes and rates of multimorbidity in Ontario by age group, sex, material deprivation, and geography. METHODS: A cross-sectional population-based study was completed using linked provincial health administrative databases. Ontario residents were classified as having multimorbidity (3+ chronic conditions) or not, based on the presence of 17 chronic conditions. The volumes (number of residents) of multimorbidity were determined by age categories in addition to crude and age-sex standardized rates...
July 18, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Agnieszka Ćwirlej-Sozańska, Bernard Sozański, Agnieszka Wiśniowska-Szurlej, Anna Wilmowska-Pietruszyńska, Jolanta Kujawa
Introduction: The aim of the study was to assess the level of disability in a sample of older people in south-eastern Poland and to identify any potential relationship between their profile of functioning and a complex set of variables including activities, participation, and contextual factors. Materials and Methods: The study included 800 people aged 71-80 years. The WHODAS 2.0 questionnaire was applied for the assessment of disability. Results: A total of 43...
2018: BioMed Research International
Alexander Kailembo, Raman Preet, Jennifer Stewart Williams
BACKGROUND: The 2015 Global Burden of Disease Study estimated that oral conditions affect 3.5 billion people worldwide with a higher burden among older adults and those who are socially and economically disadvantaged. Studies of inequalities in the use of oral health services by those in need have been conducted in high-income countries but evidence from low- and middle-income countries (LMICs) is limited. This study measures and describes socioeconomic inequality in self-reported unmet need for oral health services in adults aged 50 years and over, in China, Ghana and India...
July 11, 2018: International Journal for Equity in Health
Xin Liu, Wei Gan, Chuqi Gao, Xin Qi, Xia Liao, Jing Lin, Yaling Zhao
PURPOSE: High-protein diets were popular in weight control. However, the role of protein intake in adiposity and related metabolic conditions among general populations is not clear. We aimed to evaluate the associations of protein intake with adiposity and glycaemic control among adult Chinese in a nationwide population-based survey. METHODS: The data were from China Health and Nutrition Survey 2009. A total of 9360 men and women aged 18 years or older were included...
June 13, 2018: European Journal of Nutrition
Miguel Julião, Carla Courelas, Manuel João Costa, Nadine Correia Santos, Filipa Fareleira, Bárbara Antunes, Susana Magalhães, Paulo Faria de Sousa, Harvey Max Chochinov
BACKGROUND: Modern medicine can be impersonal and routinized, paying insufficient attention to issues of personhood. The Patient Dignity Question (PDQ) and This Is ME (TIME) Questionnaire are clinical tools developed with the aim of probing for personhood, reinforcing dignity and promoting health care attitudes based on looking at people for who they are and not defining them solely based on their medical condition. This study aimed to translate and validate the TIME Questionnaire and the PDQ into European Portuguese, coined as Questionário Este Sou EU (ESEU) and Pergunta da Dignidade (PD), respectively...
May 11, 2018: Annals of Palliative Medicine
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