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JAMDA
November 26, 2019

We thank Drs Soysal and colleagues for their important comment that proton pump inhibitors (PPIs), often given in combination with nonsteroidal anti-inflammatory drugs (NSAIDs), may have added to the decrease in kidney function observed with NSAID use. We therefore performed additional analyses in our data set to explore this important concern.

JAMDA
November 26, 2019

We read with interest the study by Rahel Ernst et al in which they aimed to investigate whether there was a relationship between the total intake of drugs or nonsteroidal anti-inflammatory drugs (NSAIDs) and kidney function. The authors found that each additional medication taken cumulatively for 24 months decreased renal function and, in a high-risk subgroup, per NSAID taken cumulatively for 24 months, the renal function decreased by 1.21 mL/min/1.73 m2 estimated glomerular filtration rate.1 In the present study, the cumulative uptake of NSAIDs was found to be associated with a nearly 3-...

JAMDA
November 26, 2019

Assisted living (AL) is an expanding site of end-of-life (EOL) care in the United States. Understanding determinants of quality of life (QoL) for AL residents near EOL is vital to optimize care for this growing population, most of whom have some degree of cognitive impairment (CI). This analysis aimed to identify factors associated with QoL in a diverse sample of AL residents with CI approaching EOL.

JAMDA
November 26, 2019

No previous studies have assessed the role of the FRAIL scale in predicting long-term outcomes in older patients with acute coronary syndromes (ACS).

JAMDA
November 25, 2019

Argentine tango (tango) is a partnered dance focused on walking and balance dynamics. Partners learn correct posture and the ability to use the floor as a walking aid. For example, a forward step is broken down into multiple aspects: weight shifting, knee and hip positions, torso dissociation from hips, and gradual foot placement onto the floor again. Literature reports that tango significantly improves Unified Parkinson Disease Rating Scale (UPDRS) motor scores in patients with Parkinson's disease (PD) compared to no intervention.

JAMDA
November 25, 2019

Healthcare in Canada has been described as inefficient, fragmented, and physician-centered.1 By providing computerized decision support systems (CDSS) to healthcare providers, improvements in quality of care, continuity of care, efficiency, communication, identification of risk factors, and adherence with best-practice guidelines are expected.2 Less understood are physicians' perspectives on if and how a CDSS should be developed. The aim of this study is to address this gap and inform the development of an effective CDSS for use by physicians.

JAMDA
November 25, 2019

Falls are associated with several negative outcomes. Early identification of those who are at risk of falling is of importance in geriatrics, and comprehensive geriatric assessment (CGA) seems to be promising in this regard. Therefore, the present study investigated whether the multidimensional prognostic index (MPI), based on a standard CGA, is associated with falls in the Osteoarthritis Initiative (OAI).

JAMDA
November 25, 2019

Good oral hygiene has an impact on the overall health of residents in long-term care; however, significant improvement is needed in nursing homes. A “boots on the ground” project was developed that incorporates Mouth Care without a Battle, an evidence-based approach to person-centered daily mouth care, into 22 New York State nursing homes using a coaching model with part-time dental hygienists. This report discusses implementation of the quality improvement project, which improved the quality of daily mouth care provided to nursing home residents, as well as changed the knowledge and...

Policy Snapshot
November 22, 2019

The American Medical Association voted at its Interim Meeting of the House of Delegates in San Diego, CA, to establish a Cannabis Task Force to evaluate and disseminate relevant scientific evidence to health care facilities and the public. The vote came after some discussion about confusion on the part of health care staffs how to deal with the issue given that many states have legalized the use of marijuana, yet it remains illegal on the federal level.

Rajeev Kumar, MD, FACP, CMD, Society delegate to the AMA, testified that the Society has discussed this issue and agrees that...

Policy Snapshot
November 22, 2019

In a full committee hearing entitled “Caring for Aging Americans,” the House Ways and Means Committee highlighted an urgent need and opportunity to deal with a rapidly aging population. Witnesses presented a wide variety of issues and solutions and included caregivers and representatives from consumer advocacy groups. Topics included the significant role of caregivers, the unaffordability of LTC for the average American, the quality of care in LTC settings, and the use of antipsychotics for LTC patients.

Chairman Richard Neal (D-MA) indicated that he has been working with the...