Latest & greatest articles for geriatrics

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Top results for geriatrics

81. Improving geriatrics training in internal medicine residency programs: best practices and sustainable solutions.

Improving geriatrics training in internal medicine residency programs: best practices and sustainable solutions. National surveys indicate a need for additional training in geriatrics during internal medicine residencies. This paper describes 1) "best practices" for integrating geriatrics education into internal medicine residency programs, 2) barriers to implementation of these practices, and 3) possible ways to improve geriatrics training for internal medicine residents. These best practices (...) were determined by a systematic review of the literature and through interviews with leaders of 26 residency and geriatrics programs concerned with geriatrics training for residents. The most successful programs have clinical experiences with 3 key elements: model geriatric care in 1 or more settings (for example, in the hospital or in ambulatory practice), patient care across sites or transitions of care, and interdisciplinary teamwork. Barriers include attitudes, few faculty, need

Annals of Internal Medicine2003

82. The contribution of geriatric health services research to successful aging.

The contribution of geriatric health services research to successful aging. Successful aging seems to refer to a broad set of circumstances that include but transcend healthy aging. The contribution of medical care to successful aging may lie in better management of chronic diseases. Health services research can contribute to successful aging by informing the delivery of medical care in this area. It can provide useful insights into what kinds of new approaches have proven successful and how

Annals of Internal Medicine2003

83. Geriatric care and treatment: a systematic compilation of existing scientific literature

Geriatric care and treatment: a systematic compilation of existing scientific literature Geriatric care and treatment: a systematic compilation of existing scientific literature Geriatric care and treatment: a systematic compilation of existing scientific literature Swedish Council on Technology Assessment in Health Care Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation Swedish Council on Technology Assessment in Health Care. Geriatric care and treatment: a systematic compilation of existing scientific literature. Stockholm: Swedish Council on Technology Assessment in Health Care (SBU) 2003: 331 Authors' objectives This report summarizes the results of an extensive systematic literary review aiming to catalog (but not evaluate) the published literature on treatment studies in 18 different areas that are significant to geriatric care care

Health Technology Assessment (HTA) Database.2003

84. Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes

Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes Tousignant M, Hebert R, Desrosiers J, Hollander M J Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined a geriatric day hospital (GDH) aimed at providing institutional care to elderly people. The programme, which was based on a multidisciplinary approach, delivered a wide spectrum of care. The care was provided by physicians, nurses, occupational therapists, physiotherapists, speech

NHS Economic Evaluation Database.2003

86. Academic geriatric programs in US allopathic and osteopathic medical schools.

Academic geriatric programs in US allopathic and osteopathic medical schools. CONTEXT: By 2030, 20% of the US population will be older than 65 years compared with 12.4% in 2000. The development of geriatric medicine research and training programs to prepare for this increasing number of older individuals is largely dependent on the successful establishment of academic geriatric medicine programs in medical schools. OBJECTIVE: To assess the structure, resources, and activities of academic (...) geriatric medicine programs in US allopathic and osteopathic schools of medicine. DESIGN, SETTING, AND PARTICIPANTS: Survey distributed to the academic geriatric medicine leaders of the 144 US allopathic and osteopathic medical schools in March 2001. MAIN OUTCOME MEASURES: Organizational structure, program information, curriculum, budgetary issues, and characteristics of academic geriatric medicine leaders. RESULTS: A total of 121 program directors (84%) responded. Most schools (87%) had an identifiable

JAMA2002

87. The effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health care

The effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health care The effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health care The effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health care Muggli E Record Status This is a bibliographic record of a published health technology (...) assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Muggli E. The effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health care. Clayton, Victoria: Centre for Clinical Effectiveness (CCE) 2002: 14 Authors' objectives This aim of this report was to assess the effectiveness of the Mini Mental State Examination in predicting discharge destination for geriatric patients in acute health

Health Technology Assessment (HTA) Database.2002

88. A controlled trial of inpatient and outpatient geriatric evaluation and management.

A controlled trial of inpatient and outpatient geriatric evaluation and management. 11907291 2002 03 21 2002 03 29 2006 11 15 1533-4406 346 12 2002 Mar 21 The New England journal of medicine N. Engl. J. Med. A controlled trial of inpatient and outpatient geriatric evaluation and management. 905-12 Over the past 20 years, both inpatient units and outpatient clinics have developed programs for geriatric evaluation and management. However, the effects of these interventions on survival (...) and functional status remain uncertain. We conducted a randomized trial involving frail patients 65 years of age or older who were hospitalized at 11 Veterans Affairs medical centers. After their condition had been stabilized, patients were randomly assigned, according to a two-by-two factorial design, to receive either care in an inpatient geriatric unit or usual inpatient care, followed by either care at an outpatient geriatric clinic or usual outpatient care. The interventions involved teams that provided

NEJM2002

89. The impact of geriatric post-discharge services on mental state

The impact of geriatric post-discharge services on mental state The impact of geriatric post-discharge services on mental state The impact of geriatric post-discharge services on mental state Cole M G Authors' objectives To determine the impact of geriatric post-discharge services on mental state. Searching MEDLINE and HealthSTAR were searched from January 1975 to May 2000, using the keywords 'home care services'(exploded) or 'patient readmission'(exploded) and 'aged' and 'clinical trials (...) ' (exploded). The Cochrane Database of Systematic Reviews was also searched. The bibliographies of retrieved articles were screened for additional references. Study selection Study designs of evaluations included in the review Studies were included if they were controlled trials and original research, published in English or French. All the included trials were randomised. Specific interventions included in the review Any geriatric post-discharge service was included. Services included multi-disciplinary

DARE.2001

90. A randomized clinical trial of outpatient geriatric evaluation and management

A randomized clinical trial of outpatient geriatric evaluation and management A randomized clinical trial of outpatient geriatric evaluation and management A randomized clinical trial of outpatient geriatric evaluation and management Boult C, Boult L B, Morishita L, Dowd B, Kane RL, Urdangarin C F Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions (...) followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The geriatric evaluation and management (GEM) service, an outpatient programme for the management of older persons at high risk of hospital admission, was examined. The main aim of the programme was to prevent disability among high-risk older outpatients. GEM participants received primary care from a GEM team, which comprised a geriatrician, gerontological nurse practitioner, nurse

NHS Economic Evaluation Database.2001

91. Tolerability and effectiveness of atypical antipsychotics in male geriatric inpatients

Tolerability and effectiveness of atypical antipsychotics in male geriatric inpatients Tolerability and effectiveness of atypical antipsychotics in male geriatric inpatients Tolerability and effectiveness of atypical antipsychotics in male geriatric inpatients Verma S, Orengo C A, Kunik M E, Hale D, Molinari V A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of atypical antipsychotics for the treatment of male geriatric inpatients. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised men admitted to a VA Medical Centre geriatric inpatient unit with various psychiatric disorders. Setting The setting was a hospital. The economic analysis was carried

NHS Economic Evaluation Database.2001

92. Geriatric rehabilitation following fractures in older people: a systematic review

Geriatric rehabilitation following fractures in older people: a systematic review Geriatric rehabilitation following fractures in older people: a systematic review Geriatric rehabilitation following fractures in older people: a systematic review Cameron I, Crotty M, Currie C, Finnegan T, Gillespie L, Gillespie W, Handoll H, Kurrle S, Madhok R, Murray G, Quinn K, Torgerson D Authors' objectives To identify, critically appraise and synthesise the published evidence for the effectiveness and cost (...) on studies meeting the inclusion criteria. Specific interventions included in the review Interventions included were those designed to improve function (mobility and self-care) and/or reduce hospital stay. These fell into three broad categories: 1. Packages of care: Geriatric orthopaedic rehabilitation unit (GORU), geriatric hip fracture programme (GHFP), early supported discharge (ESD) programme and application of a clinical pathway. 2. The consequences of the introduction of prospective payment system

DARE.2000

93. Clinical and economic effects of pharmacy services in a geriatric ambulatory clinic

Clinical and economic effects of pharmacy services in a geriatric ambulatory clinic Clinical and economic effects of pharmacy services in a geriatric ambulatory clinic Clinical and economic effects of pharmacy services in a geriatric ambulatory clinic Blakey S A, Hixson-Wallace J A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed (...) by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The provision of a clinical pharmacy service in a geriatric primary care clinic was studied. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population The patient population comprised men attending a Veterans Affairs Medical Centre in the USA. No detailed characteristics of the population were provided. Setting The setting was primary

NHS Economic Evaluation Database.2000

94. Geriatric rehabilitation following fractures in older people: a systematic review

Geriatric rehabilitation following fractures in older people: a systematic review Geriatric rehabilitation following fractures in older people: a systematic review Geriatric rehabilitation following fractures in older people: a systematic review Cameron I, Crotty M, Currie C, Finnegan T, Gillespie L, Gillespie W, Handoll H, Kurrie S, Madhok R, Murray G, Quinn K, Torgerson D Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation Cameron I, Crotty M, Currie C, Finnegan T, Gillespie L, Gillespie W, Handoll H, Kurrie S, Madhok R, Murray G, Quinn K, Torgerson D. Geriatric rehabilitation following fractures in older people: a systematic review. Health Technology Assessment 2000; 4(2): 1-105 Authors' objectives The objectives of this review were to identify, critically appraise and synthesise the published evidence for the effectiveness and cost

Health Technology Assessment (HTA) Database.2000

95. Geriatric rehabilitation following fractures in older people: a systematic review

Geriatric rehabilitation following fractures in older people: a systematic review Geriatric rehabilitation following fractures in older people: a systematic review Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you

NIHR HTA programme2000

96. Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia.

Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia. 11061730 2000 11 29 2000 11 29 2014 07 28 0959-8138 321 7269 2000 Nov 04 BMJ (Clinical research ed.) BMJ Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia. 1107-11 To evaluate the effect of intensive geriatric rehabilitation on demented (...) patients with hip fracture. Preplanned subanalysis of randomised intervention study. Settting: Jyväskylä Central Hospital, Finland. 243 independently living patients aged 65 years or older admitted to hospital with hip fracture. After surgery patients in the intervention group (n=120) were referred to the geriatric ward whereas those in the control group were discharged to local hospitals. Length of hospital stay, mortality, and place of residence three months and one year after surgery for hip

BMJ2000 Full Text: Link to full Text with Trip Pro

97. A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients

A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients Nikolaus T, Specht-Leible N, Bach M, Oster P, Schlierf G Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology This paper compared three approaches to the management of elderly hospitalised patients: 1. Intervention, i.e. comprehensive geriatric assessment with additional in-hospital and post-discharge follow-up by an interdisciplinary home intervention team. 2. Assessment, i.e

NHS Economic Evaluation Database.1999

98. The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital

The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital Stewart M, Suchak N, Scheve A, Popat-Thakkar V, David E, Laquinte J, Gloth F M Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of an acute inpatient geriatrics unit, that is, a geriatric evaluation and management (GEM) unit, for the care of frail elderly patients. The GEM unit was staffed by an interdisciplinary team consisting of a physician's assistant, a social worker

NHS Economic Evaluation Database.1999

99. Cost-effectiveness of outpatient geriatric assessment with an intervention to increase adherence

Cost-effectiveness of outpatient geriatric assessment with an intervention to increase adherence Cost-effectiveness of outpatient geriatric assessment with an intervention to increase adherence Cost-effectiveness of outpatient geriatric assessment with an intervention to increase adherence Keeler B K, Robalino D A, Frank J C, Hirsch S H, Maly R C, Reuben D B Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The health intervention under study was outpatient comprehensive geriatric assessment (CGA) with an intervention to improve adherence to recommendations among elderly subjects. The intervention involved a team comprising a geriatrician, a geriatric nurse practitioner (NP), a social worker, and a physical therapist

NHS Economic Evaluation Database.1999

100. Impact of geriatric home screening services on mental state: a systematic review

Impact of geriatric home screening services on mental state: a systematic review Impact of geriatric home screening services on mental state: a systematic review Impact of geriatric home screening services on mental state: a systematic review Cole M G Authors' objectives To determine the impact of geriatric home screening services on mental state. Searching MEDLINE was searched from January 1976 to June 1997; HealthSTAR was searched from January 1975 to June 1997. Keywords used for searches (...) were "health services for the aged" exploded, and "clinical trials" exploded. Bibliographies of relevant reports were searched for additional studies. Only trials published in English or French were included. Study selection Study designs of evaluations included in the review Controlled trials (randomised and non-randomised) which included at least one measure of mental state. Specific interventions included in the review Geriatric home screening services; Questionnaire or health visits to assess

DARE.1998