Giving a lecture on #geriatrics

"Wat is good for old patients, is good for all patients"

#MedMastodon

#ArtificialIntelligence–Based Clinical Decision Support Systems in #Geriatrics: An Ethical Analysis

#AI in geriatrics can be a great asset [...]. However, older patients’ values and beliefs might be overlooked, and the doctor-patient relationship altered

https://www.jamda.com/article/S1525-8610(23)00555-8/fulltext?dgcid=raven_jbs_etoc_email

Building #resilience and reversing #frailty: a randomised controlled trial of a primary care intervention for older adults

#Geriatrics #Care #Prevention #PrimaryHealthCare

Geriatric medicine is:
- Refusal of easy solutions and predefined algorithms,
- To look at the entire puzzle, not at one only piece of it,
- Giving back to who who gave us,
- My hope when I will be old.

#Geriatrics #Care #Medicine #Aging #Health

In #glasgow for “A celebration of #ageing research in Glasgow - Looking back and Looking Forward”

Celebrating the work of Professors David Stott and Peter Langhorne who retired and Terry Quinn who was appointed Professor in #geriatrics

#MedMastodon

The Paradoxical Decline of Geriatric Medicine as a Profession

"...Our #health system and its workforce are wholly unprepared to deal with an imminent surge of #multimorbidity, functional impairment, #dementia, and #frailty. This is the reality that #healthcare organizations and medical schools have not adequately appreciated or have chosen to ignore..."

#Geriatrics #Care #Medicine

https://jamanetwork.com/journals/jama/fullarticle/2808221?guestAccessKey=215b3d45-32e3-4f1d-b835-cab3443fb9d5&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=082823&utm_adv=000001492947

Sustained improvement of intrinsic capacity in community‐dwelling older adults: The +AGIL Barcelona multidomain program

A coordinated, multidisciplinary and integrated program can improve older adults’ #IntrinsicCapacity

#Health #Aging #Geriatrics
https://onlinelibrary.wiley.com/doi/10.1111/joim.13710

Just saw a paper using a "liver frailty index"...

Not surprising that #frailty is still so controversial and has problems been adequately recognized...

#Geriatrics #ICD

I’m starting a campaign called #GeezersGottaGo it’s to raise awareness that most of the elected officials and politicians are #geriatrics Most have been in their offices for years. It’s time for them to #relinquish their #power and retire.

What interventions keep older people out of #NursingHomes? A systematic review and meta-analysis

"...Specialty #geriatrics #care, multicomponent interventions, and #cognitive stimulation were associated with less frequent nursing home admission..."

https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.18522

- Systems are unprepared to respond to older persons' needs
- Geriatricians are few
- By 2050, >80% of older persons will live in low and middle-income countries
- Need to rethink the role of geriatricians to support healthy aging

#Geriatrics #Frailty

https://jamanetwork.com/journals/jama/fullarticle/2808221?guestAccessKey=52757a71-6498-4e88-897c-3a40d0b4cf0f

I completely agree.

".. Sadly, our health system and its workforce are wholly unprepared to deal with an imminent surge of #multimorbidity, functional impairment, #dementia, and #frailty..."

#Geriatrics #Medicine #Aging
https://jamanetwork.com/journals/jama/fullarticle/2808221?guestAccessKey=52757a71-6498-4e88-897c-3a40d0b4cf0f

@shanifi Welcome! Let’s get this #geriatrics thing going here!

Nice viewpoint by friends Simon Conroy and James van Oppen: "Are we measuring what matters to older people?"

‼️ "The absence of person-centred outcome measures risks the delivery of health care that seeks to achieve, and is benchmarked against, outcomes that are not best for the patient."

➡️ We have work to do!

The Lancet Healthy #Longevity

🔗 https://doi.org/10.1016/S2666-7568(23)00084-3

#geriatrics #medmastodon

We just published: "The association of blood biomarkers with treatment response and adverse health outcomes in older patients with solid tumors: A systematic review"

‼️ Food for thought: "Most studies did not find a significant association between blood biomarkers and clinical outcomes."

Journal Geriatric Oncology

🔗 https://doi.org/10.1016/j.jgo.2023.101567

#geriatrics #cancer #oncology #medmastodon

@macesari proper real-life cost evaluation in clinical studies (preferably RCT’s) urgently needed! Geriatric care improves outcomes for patients AND saves money!
#geriatrics #MedMastodon

Geriatric assessment prior to #cancer treatment: A health economic evaluation

Not for everyone, but "...with judicious selection of implementation models, geriatric assessment has the potential to be cost-effective..."

#Geriatrics #Oncology

https://doi.org/10.1016/j.jgo.2023.101504

External Causes of Death From Death Certificates in Patients With Dementia

"...patients with dementia presented an increased risk for unintentional injuries and #falls during old age (≥75 years), and #suicide in middle age..."

Important to consider suicide risk screening in early-onset dementia and early interventions for unintentional injuries and fall prevention in older patients with dementia.

#Geriatrics #Neurology

https://www.jamda.com/article/S1525-8610(23)00540-6/fulltext?dgcid=raven_jbs_aip_email

Consistent #hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss

Can you deliver proper #care if you do not consider the presence (and eventual correction) of the person's impairments?

#Geriatrics #Health

https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18461?af=R

"...Geriatricians in the United States prescribe potentially inappropriate medications at lower rates than general internists..."

It is the training that makes the geriatrician, not the age of the patient

#Geriatrics #InternalMedicine #Care #Health

https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18489?af=R