Recommended in Geriatric Medicine

Growing oldest-old population might expand disability of physical and cognitive functioning among individuals
  • The Lancet
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Growing oldest-old population might expand disability of physical and cognitive functioning among individuals

Study based on the largest dataset of oldest-old cohorts in the world and from a low-income or middle-income country

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  • Clinical Essentials from J Am Geriatr Soc
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C difficile: high burden of infection in long-term care facilities

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  • Clinical Essentials from J. Alzheimers Dis
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Weight loss in limbs, not trunk, associated with dementia

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  • Clinical Essentials from Drugs Aging
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Statins may raise type 2 diabetes risk in elderly women

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  • Clinical Essentials from BMJ
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Even a small serum creatinine increase at RAS blocker initiation does not bode well

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  • Clinical Essentials from J Am Coll Cardiol
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First-ever syncope guidelines from ACC/AHA/HRS cover what to do for the fainting patient

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  • Clinical Essentials from BMJ
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No benefit of dairy consumption for systolic BP, hypertension risk

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  • Clinical Essentials from J Am Heart Assoc
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BMD and HF are linked in some men, but not in women

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  • The Lancet Pneumology
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Seasonal influenza vaccination moderately effective in community-dwelling elderly people

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Professional Essentials

  • US Professional News

Time for kickback rules to reflect new payment models

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  • US Professional News

Most states now allowing experimental drug access

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  • US Professional News

CMS delays some bundled payments

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  • US Professional News

Texas physician penalized by IRS for personal loan

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  • Patients Will Be Asking

How am I supposed to squeeze in 2 h of walking a day?

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  • Patients Will Be Asking

Is it better to have kids when you're older or younger?

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New in Geriatric Medicine

  • Clinical Essentials from Diabetes Res Clin Pract
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Are mild compression socks safe in diabetes patients with lower extremity edema?

Randomized trial suggests they are effective and safe.

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  • Clinical Essentials from Br J Clin Pharmacol
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Acute MI risk doubled with DOACs vs VKAs in Afib

Aspirin monotherapy also carries higher acute MI risk vs VKAs.

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  • Clinical Essentials from Osteoporos Int
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Femoral neck osteoporosis appears to be rising in US adults

Earlier study had noted plateau in a hip fracture rate decline.

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Mild stroke prognosis: total NIHSS score as accurate as individual items

The predictive ability of the NIHSS for mild stroke is controversial.

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  • Clinical Essentials from Curr Osteoporos Rep
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Lessons from the Dubbo Osteoporosis Epidemiology Study

A summary of recent fracture-outcome discoveries from this long-running study.

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  • Clinical Essentials from Sci Rep
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Meta-analysis finds increased breast cancer risk with hypertension in postmenopausal women

Hypertension-breast cancer link has long been evaluated, with mixed results.

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  • Clinical Essentials from Eur J Neurol
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Carotid artery stenosis doubles stroke recurrence risk in Afib

Morality risk at 30 d is also increased.

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  • Clinical Essentials from Int J Chron Obstruct Pulmon Dis
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COPD: impulse oscillometry shows diagnostic value in the elderly

Findings serve as a good foundation on which to establish independent diagnostic criteria.

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  • Clinical Essentials from J Am Acad Dermatol
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Large study links psoriasis, psoriatic arthritis to osteoporosis and fractures

Do psoriasis and psoriatic arthritis constitute a risk for bone health?

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  • Clinical Essentials from J Am Geriatr Soc
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Is PTSD a predictor of dementia?

A hidden confounding variable comes to light.

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  • Clinical Essentials from JAMA
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Norepinephrine in short supply is linked to increased mortality from septic shock

The most common substitute when norepinephrine is not available is phenylephrine.

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  • Clinical Essentials from Eur J Heart Fail
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More obesity paradox: abdominal obesity linked to better eplerenone outcomes in HFrEF

Eplerenone improves outcomes for all patients, but especially those with abdominal obesity.

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  • Clinical Essentials from J Am Coll Cardiol
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Tolvaptan doesn’t yield early dyspnea improvement in acute HF despite inducing rapid weight loss

This hospitalized HF patient population experienced no early improvements with the drug.

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  • Clinical Essentials from Throm Haemost
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Large “real-world” Afib cohort has less stroke, bleeding risk when starting apixaban vs warfarin

Stroke risk cut by a third with apixaban.

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