Journal of the American Geriatrics Society最新文献

{"title":"Cover","authors":"Juliana Teruel Camargo,&nbsp;Jessica Otero Machuca,&nbsp;Amanda S. Hinerman,&nbsp;Erik J. Rodriquez,&nbsp;Christian S. Alvarez,&nbsp;George A. Mensah,&nbsp;Stephanie M. George,&nbsp;Frank Bandiera,&nbsp;Zhuochen Li,&nbsp;Dillon O. Sylte,&nbsp;Yekaterina O. Kelly,&nbsp;Theresa A. McHugh,&nbsp;Mathew M. Baumann,&nbsp;Michael Celone,&nbsp;Demewoz Haile,&nbsp;Wichada La Motte-Kerr,&nbsp;Christopher J. L. Murray,&nbsp;Laura Dwyer-Lindgren,&nbsp;Ali H. Mokdad,&nbsp;Eliseo J. Pérez-Stable","doi":"10.1111/jgs.70101","DOIUrl":"https://doi.org/10.1111/jgs.70101","url":null,"abstract":"<p><b>Cover caption</b>: County-level estimated age-standardized protein-energy malnutrition mortality rates for individuals aged ≥ 75 by race and/or ethnic population groups, 2019, U.S. Estimates are masked (shown in white) for county and race and/or ethnicity combinations with a mean annual population &lt;1000. See the related article by Camargo et al., pages 2868–2877.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malnutrition Mortality Among Older Adults by County and Race and/or Ethnicity in the United States, 2000–2019","authors":"Juliana Teruel Camargo,&nbsp;Jessica Otero Machuca,&nbsp;Amanda S. Hinerman,&nbsp;Erik J. Rodriquez,&nbsp;Christian S. Alvarez,&nbsp;George A. Mensah,&nbsp;Stephanie M. George,&nbsp;Frank Bandiera,&nbsp;Zhuochen Li,&nbsp;Dillon O. Sylte,&nbsp;Yekaterina O. Kelly,&nbsp;Theresa A. McHugh,&nbsp;Mathew M. Baumann,&nbsp;Michael Celone,&nbsp;Demewoz Haile,&nbsp;Wichada La Motte-Kerr,&nbsp;Christopher J. L. Murray,&nbsp;Laura Dwyer-Lindgren,&nbsp;Ali H. Mokdad,&nbsp;Eliseo J. Pérez-Stable","doi":"10.1111/jgs.70042","DOIUrl":"10.1111/jgs.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Older adults are at an increased risk of malnutrition due to chronic diseases and social vulnerabilities. This study estimates protein-energy malnutrition mortality rates among adults aged 65–74 and ≥ 75 by race and ethnic population group and county.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed death data from the National Vital Statistics System and population data from the National Center for Health Statistics from 2000 to 2019. We calculated county-level mortality rates using small-area estimation methods, adjusting for misclassifications in death certificates. The primary outcome was deaths attributed to malnutrition. The exposures were to populations (American Indian/Alaskan Native [AIAN], Asian, Black, Hispanic/Latino, and White) and the county.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 2000 to 2019, malnutrition mortality rates increased in individuals aged ≥ 75 from 19.5 (95% uncertainty interval [UI]: 18.8–20.1) to 49.2 (48.4–50.0) deaths per 100,000, and in those aged 65–74 from 2.2 (2.0–2.3) to 4.6 (4.4–4.7). In 2019, Black individuals had the highest national mortality rates: 60.8 (58.2–63.3) for ≥ 75 years and 7.7 (7.3–8.2) for 65–74 years. In 2019, a county in Georgia had the highest rate for White individuals aged ≥ 75 at 334.9 (236.6–464.8), and a county in Montana had the highest for AIAN individuals aged 65–74 at 34.9 (13.1–72.0). Counties in the New York metro had the lowest mortality rates across all population groups and ages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Malnutrition mortality rates have increased among older adults, varying by geography and population group, underscoring the need for targeted nutritional interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2868-2877"},"PeriodicalIF":4.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Thank You to JAGS Reviewers","authors":"","doi":"10.1111/jgs.70064","DOIUrl":"10.1111/jgs.70064","url":null,"abstract":"","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 8","pages":"2327-2330"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover","authors":"Tarek Zieneldien BS","doi":"10.1111/jgs.18442","DOIUrl":"10.1111/jgs.18442","url":null,"abstract":"<p><b>Cover caption</b>: Digital art piece delving into the confusion some older patients face when following complex treatment regimens with many differing medications and schedules. Perplexed was created by Midjourney, a generative artificial intelligence program. See the related article by Tarek Zieneldien, page 2630.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 8","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.18442","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Study on Potentially Inappropriate Drug Use and All-Cause Mortality in Community-Dwelling Older Adults","authors":"Liat Orenstein,&nbsp;Angela Chetrit,&nbsp;Keren Laufer,&nbsp;Rachel Dankner","doi":"10.1111/jgs.70002","DOIUrl":"10.1111/jgs.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Potentially inappropriate prescribing (PIP), encompassing potentially inappropriate medications (PIMs) and prescribing omissions (PPOs), is prevalent among older adults and consistently associated with adverse health outcomes. However, evidence on its impact on mortality remains limited. We examined the associations of PIMs and PPOs with long-term mortality in a cohort of community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One thousand two hundred and ten participants from the third follow-up (1999–2007) of a longitudinal prospective cohort study were followed for mortality until 03/2022. PIMs and PPOs were identified using the 2023 Beers and the Screening Tool of Older Persons' Potentially Inappropriate Prescriptions/Screening Tool to Alert doctors to Right Treatment (STOPP/START) v3 criteria. Cox proportional hazards and Fine–Gray subdistribution hazard models assessed associations between PIP and all-cause and non-cancer mortality, respectively, adjusting for sociodemographic, lifestyle, and health-related factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 81.2% of participants were exposed to &gt; 1 problem: 52.6% and 45.0% to PIMs based on Beers and STOPP criteria, respectively, and 59.3% to PPOs. In multivariable analysis, exposure to ≥ 2 PIMs was associated with increased all-cause mortality for Beers (HR = 1.31, 95% CI: 1.04–1.69) and STOPP (HR = 1.25, 95% CI: 1.00–1.55) criteria. An interaction between PIMs (Beers criteria) and self-rated health (SRH) indicated stronger associations for those with “excellent/good” baseline SRH, compared to those with “poor/very poor” SRH (<i>p</i>-for-interaction = 0.030). Use of ≥ 2 PIMs was also associated with a 1.4-fold increased non-cancer mortality risk for both tools. Exposure to ≥ 2 PPOs was associated with a 1.8-fold increase in all-cause mortality risk (HR = 1.84, 95% CI: 1.24–2.72), while associations were stronger in men (<i>p</i>-for-interaction = 0.012). Exposure to 1 or ≥ 2 PPOs was also associated with 1.3 and 2.0-fold increased non-cancer mortality risk, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>PIP is prevalent and is associated with increased long-term mortality among community-dwelling older adults. Addressing PIMs in healthier older individuals and reducing PPOs in clinical practice is critical. Sex-specific pharmaceutical guidelines are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2828-2838"},"PeriodicalIF":4.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Cannabis Use Reduce Symptoms of Depression, Anxiety, Pain, and Insomnia Among Older Adults? A Systematic Review","authors":"Kai Kohlwes,&nbsp;Mariam E. Jacob,&nbsp;Joyce Do,&nbsp;Deborah Korenstein,&nbsp;Salomeh Keyhani,&nbsp;Katherine J. Hoggatt","doi":"10.1111/jgs.19605","DOIUrl":"https://doi.org/10.1111/jgs.19605","url":null,"abstract":"","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2917-2919"},"PeriodicalIF":4.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drivers of Frequent Emergency Department Use in Socioeconomically Disadvantaged Older Adults: A Qualitative Study","authors":"Anita Chary,&nbsp;Annika Bhananker,&nbsp;Michelle Suh,&nbsp;David Leavitt,&nbsp;Elise Brickhouse,&nbsp;Shreya Tamma,&nbsp;Jose Ramirez,&nbsp;Mariana Rios,&nbsp;Aanand D. Naik,&nbsp;Margaret Samuels-Kalow,&nbsp;Naomi George","doi":"10.1111/jgs.19616","DOIUrl":"10.1111/jgs.19616","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The emergency department (ED) is the safety net for and a common point of healthcare access for socioeconomically disadvantaged older adults. Little is known about socioeconomically disadvantaged older ED patients' perspectives on their health, healthcare access, and ED use. Such insights could guide tailored interventions to address unmet clinical and health-related social needs (HRSN).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a qualitative study with older adults in a single public safety net hospital ED. We interviewed patients age 60+ who had ≥ 4 ED 4 visits in the past year. Semi-structured interviews explored perceived health needs and motivations underlying ED visits. We screened for HRSN using validated measures. We performed content analysis to evaluate key drivers of ED use based on Andersen's Behavioral Model of Health Services Use and used principles of narrative analysis to identify distinct profiles of older patients with frequent ED use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 68 interview participants, 40% identified as Black and 43% as Hispanic. Sixty percent had health insurance. Most participants (63%) reported HRSN, but rarely described these as primary drivers of ED use. Instead, poor access to outpatient care and medical complexity related to condition-specific needs were the most salient factors. Six distinct profiles emerged of patients who: (1) lacked insurance and primary care; (2) faced an acute condition; (3) held acute concerns related to serious underlying diseases; (4) had chronic disease whose management bordered between outpatient and inpatient settings; (5) had a sentinel event (e.g., fall, surgery) with cascading sequelae; (6) faced recurrent challenges managing indwelling catheters, tubes, and long-term vascular access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Among socioeconomically disadvantaged older adults in our sample, medical complexity was a more salient driver of frequent ED use than unmet social needs. Innovations to strengthen outpatient care and offer alternatives to ED and hospital admission are needed for this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2808-2818"},"PeriodicalIF":4.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Note on Deprescribing Benzodiazepine Receptor Agonists in Older Adults and People With Cognitive Impairment: A Systematic Review","authors":"Joseph G. Ouslander","doi":"10.1111/jgs.19588","DOIUrl":"https://doi.org/10.1111/jgs.19588","url":null,"abstract":"","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19588","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover","authors":"Yasser Jamil,&nbsp;Abdulla A. Damluji,&nbsp;Michael G. Nanna","doi":"10.1111/jgs.18440","DOIUrl":"10.1111/jgs.18440","url":null,"abstract":"<p><b>Cover caption</b>: Individualized Care in Older Adults with NSTE-ACS: Invasive versus conservative approach. See the related article by Jamil et al., pages 2006-2009.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 7","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.18440","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent Innovations in Peer Programs for Socially Isolated Older Adults: Implications for Public Health Emergency Preparedness","authors":"Ashwin A. Kotwal,&nbsp;Shannon Fuller,&nbsp;Katrina Hough,&nbsp;Nandini Singh,&nbsp;Soe Han Tha,&nbsp;Janet Myers,&nbsp;Daniel Hill,&nbsp;Richard Zevin,&nbsp;Diane E. Meier,&nbsp;Carla M. Perissinotto","doi":"10.1111/jgs.19614","DOIUrl":"10.1111/jgs.19614","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Peer programs, which pair individuals of similar age or life experience, can address complex psychosocial needs, loneliness, and social isolation among diverse older adults. However, these services were heavily disrupted by the COVID-19 pandemic. This study examined which pandemic-era innovations were sustained across six peer programs and identified core features of peer programs relevant to future public health emergency preparedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this mixed-methods study, we first thematically analyzed 67 qualitative interviews (August, 2023–April, 2024) with diverse stakeholders, including older adult participants (<i>n</i> = 24), peer specialists (<i>n</i> = 12), program leaders across six peer programs (<i>n</i> = 12), and experts in aging, public health, and peer programs (<i>n</i> = 19) using a rapid assessment process. Qualitative findings were compared with quantitative trajectories of loneliness and depression among peer program participants over 6-month intervals (May 2020–April 2024).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Peer programs have been involved in ongoing efforts to help older adults recover from prolonged loneliness and isolation related to pandemic restrictions. Two pandemic-era innovations were sustained: (1) hybrid communication (in-person, virtual, and telephone) that expanded reach, and (2) new partnerships with health and city services. However, “peer drift,” where peers roles can become diluted as they are asked to do more, emerged as a challenge, complicating the consistency and effectiveness of programs. Core features of peer programs identified as relevant to future public health emergency preparedness included: (1) fostering trust with marginalized communities, (2) flexibility in responding to urgent public health needs, and (3) complementary expertise to clinical teams. Quantitative data demonstrated diverse trajectories of loneliness and depression for participants over multiple years of the public health emergency, with interviews indicating how peers helped older adults navigate these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Peer programs have continued to leverage hybrid communication and expanded health and city partnerships to meet the needs of socially isolated older adults. Results further suggest their potential to be integrated into future public health emergency responses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2798-2807"},"PeriodicalIF":4.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}