PCOM Library / Hot Topics in Research / Archive for "Geriatrics"

Category: Geriatrics

Hot Topics: Palliative Care Lowers Overall Hospital Costs

Jackie Werner Critical Care, Geriatrics

Economics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis May P, Normand C, Cassel J, et a. Economics of palliative care for hospitalized adults with serious illness: A meta-analysis. JAMA Internal Medicine. 2018. doi: 10.1001/jamainternmed.2018.0750. Importance  Economics of care for adults with serious illness is a policy priority worldwide. Palliative care may lower costs for hospitalized adults, but the evidence has important limitations. Objective  To estimate the association of palliative care consultation (PCC) with direct hospital costs for adults with serious illness. Data Sources  Systematic searches of the Embase, PsycINFO, CENTRAL, PubMed, CINAHL, and EconLit databases were performed for English-language journal…

Hot Topics: Treating Depression May Counteract Cognitive Impairments

Jackie Werner Alzheimer Disease, Geriatrics, Hot Topics in Research, Mood Disorders

Neuropsychiatric Symptoms and the Diagnostic Stability of Mild Cognitive Impairment Sugarman MA, Alosco ML, Tripodis Y, Steinberg EG, Stern RA. Neuropsychiatric symptoms and the diagnostic stability of mild cognitive impairment. Journal of Alzheimer’s Disease. 2018:1-15. doi: 10.3233/JAD-170527. Background: Mild cognitive impairment (MCI) is an intermediate diagnosis between normal cognition (NC) and dementia, including Alzheimer’s disease (AD) dementia. However, MCI is heterogeneous; many individuals subsequently revert to NC while others remain stable at MCI for several years. Identifying factors associated with this diagnostic instability could assist in defining clinical populations and determining cognitive prognoses. Objective: The current study examined whether neuropsychiatric…

Hot Topics: Steroid Shots Ineffective For Arthritic Knee Pain

Jackie Werner Geriatrics, Hot Topics in Research, Rheumatology

Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: A Randomized Clinical Trial McAlindon TE, LaValley MP, Harvey WF, et al. Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: A randomized clinical trial. JAMA. 2017;317(19):1967-1975. Importance  Synovitis is common and is associated with progression of structural characteristics of knee osteoarthritis. Intra-articular corticosteroids could reduce cartilage damage associated with synovitis but might have adverse effects on cartilage and periarticular bone. Objective  To determine the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3…

Hot Topics: Volunteers Improve Quality of Life for Adults in Palliative Care

Jackie Werner Geriatrics, Hot Topics in Research

How effective are volunteers at supporting people in their last year of life? A pragmatic randomised wait-list trial in palliative care (ELSA) Walshe C, Dodd S, Hill M, et al. How effective are volunteers at supporting people in their last year of life? A pragmatic randomised wait-list trial in palliative care (ELSA). BMC Medicine. 2016;14(1):203. http://dx.doi.org/10.1186/s12916-016-0746-8. Background Clinical care alone at the end of life is unlikely to meet all needs. Volunteers are a key resource, acceptable to patients, but there is no evidence on care outcomes. This study aimed to determine whether support from a social action volunteer service…