Publications

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JAMDA
February 28, 2016

The aim of prescribing medication in palliative end-of-life care should be symptom control. Data are lacking regarding the prescription of medication at the end of life.

Health Policy
February 26, 2016

On February 16, the Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad Core Quality Measures Collaborative of health care system participants, released seven sets of clinical quality measures. These measures support multi-payer alignment, for the first time, on core measures primarily for physician quality programs. Partners in the Collaborative recognize that physicians and other clinicians must...

Health Policy
February 25, 2016

Many Medicare residents entering into a skilled nursing facility (SNF) are coming from the acute hospital setting. In order to receive the paid Medicare SNF benefit they must have received inpatient status for three consecutive days during their hospital stay. Those not classified as inpatient but rather as observation are consequently charged for SNF services. The Improving Access to Medicare Coverage Act of 2015 would count all time (inpatient or observation) spent in the hospital towards the required three day stay.

AMDA has long supported this legislation and has had...

JAMDA
February 25, 2016

Despite the growing importance of slow gait as a universal screen of health, systematic investigation of risk factors for incident slow gait is lacking. Our objective was to identify potentially modifiable risk factors for incident slow gait.

JAMDA
February 25, 2016

Whether health care professionals should respect a properly executed advance directive (AD) refusing life support in late-stage dementia even if the patient seems contented, is an ethically contested issue. We undertook a nationwide survey to assess this problem and to test a practical solution.

Health Policy
February 24, 2016

This week the Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad Core Quality Measures Collaborative of health care system participants, released seven sets of clinical quality measures. These measures support multi-payer alignment, for the first time, on core measures primarily for physician quality programs. This work is informing CMS’s implementation of the Medicare Access and CHIP Reauthorization...

JAMDA
February 24, 2016

This study aimed to explore the concordance between definitions of sarcopenia and frailty in a clinically relevant population of geriatric outpatients.

JAMDA
February 23, 2016

Findings from several experimental studies in animals have suggested a protective action of testosterone on kidney function, but hard evidence for such an association in humans is scarce. We examined the association between testosterone levels and kidney function among adult men living in super-aged communities.

JAMDA
February 23, 2016

Both respiratory and nonrespiratory hospitalizations are common and costly events in older individuals with obstructive lung disease. Prevention of any hospitalization in these individuals is essential. We aimed to construct a prediction model for all-cause hospitalization risk in community-dwelling older individuals with obstructive lung disease.

JAMDA
February 21, 2016

We refer to the study by Lu et al1 on the diagnostic utility of the Montreal Cognitive Assessment (MoCA) in differentiating DSM-5 mild neurocognitive disorder (NCD) from healthy controls in the Hong Kong population. The diagnostic performance of MoCA in mild NCD was modest in our Singapore sample2 (area under the curve [AUC] 0.770), and it is noteworthy that it was comparably so in the Hong Kong sample (AUC 0.814). Lu et al1 also showed that MoCA's diagnostic utility varied between the subtypes of mild NCD (NCD-Alzheimer disease, AUC 0.794, versus NCD-vascular disease, AUC 0.836).