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Caring for the Ages
December 1, 2015

According to a pair of studies published online in the Journal of Infectious Diseases, statins — a class of drugs widely utilized by older adults to reduce cholesterol — may have the unintended consequence of reducing immunotherapeutic response to and effectiveness of influenza vaccination.

Caring for the Ages
December 1, 2015

Lawmakers acted to limit an increase in Medicare Part B premiums as part of the budget deal negotiated between outgoing House Speaker John Boehner (R-Ohio) and the White House, and approved by the House on Oct. 28.

Caring for the Ages
December 1, 2015

Dear Dr. Jeff:

Caring for the Ages
December 1, 2015

Officials at the Centers for Medicare & Medicaid Services have issued the final 2016 fee schedule for physicians, making modifications to the Physician Quality Reporting System (PQRS) and loosening requirements for its controversial two-midnight rule.

Caring for the Ages
December 1, 2015

A convergence of federal guidance and policies aimed at promoting and eventually requiring antibiotic stewardship across health care settings — as well as actions by states, professional groups, and health systems — is sending a clear message to nursing homes to be judicious about their use of antibiotics.

JAMDA
November 25, 2015

We live and work in the realm of evidence-based medicine. There is more research, randomized controlled trials (RCTs), meta-analyses, systematic reviews, guidelines, and position statements than anyone can possibly read. But geriatricians know, better than most, that the existing evidence is often inappropriate, inaccurate, and inapposite. Grimley Evans1 coined the term “evidence biased medicine” to describe the way bad evidence can lead to bad treatment, and bad outcomes.

JAMDA
November 25, 2015

“There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of thing.”Niccolò Machiavelli (1469–1527)

JAMDA
November 24, 2015

Informal caregivers of patients with a cognitive impairment may face exhaustion while taking care of their relatives, and are themselves at higher risk of disease. The objective was to assess the relationship between patients' comorbidities evaluated with the Charlson index, and the caregiver burden, independently of health disorders related to cognitive impairment.

JAMDA
November 24, 2015

To identify distinct sets of disability trajectories in the year before and after a Medicare qualifying skilled nursing facility (Q-SNF) admission, evaluate the associations between the pre–and post–Q-SNF disability trajectories, and determine short-term outcomes (readmission, mortality).

JAMDA
November 20, 2015

The elderly (aged ≥65 years) population with type 2 diabetes (T2D) is growing substantially, but evidence for associations between the use of dipeptidyl peptidase-4 inhibitors (DPP-4is), novel incretin-based antidiabetic drugs, and clinical hard endpoints in this group remains inconclusive. We aimed to assess the safety and cardiovascular effects of DPP-4i use in a nationally representative sample of elderly adults with T2D.