Publications

To compare the predictive performance of 3 frailty identification tools for mortality, hospitalization, and functional decline in adults aged ≥80 years using risk reclassification statistics and decision curve analysis.

Use of a system-wide standardized clinical assessment to facilitate information-sharing is an essential component of an integrated healthcare system.1 The Resident Assessment Instrument for Home Care (interRAI-HC) is a standardized clinical assessment and decision support instrument used to assess complex and vulnerable clients in home care.2 It provides reliable and valid screeners, risk stratification algorithms, outcome measures, and clinical recommendations for common and important conditions.

Advance care planning (ACP) is seldom initiated with people with dementia (PWD) and mainly focuses on medical end-of-life decisions. We studied the effects of an educational intervention for general practitioners (GPs) aimed at initiating and optimizing ACP, with a focus on discussing medical and nonmedical preferences of future care.

Low levels of vitamin D have been implicated in a wide variety of conditions highly prevalent in the geriatric population, including fractures, functional limitations, cancer, cardiovascular disease, and depression. Vitamin D supplementation is often considered integral to the prevention of falls and fractures in the setting of osteoporosis. For other conditions, however, consensus is lacking, and the clinician may struggle to balance competing recommendations around screening, supplementation, and monitoring.