Journal of the American Geriatrics Society最新文献

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Depression and Antidepressant Prescription in Hospitalized Centenarians 住院百岁老人的抑郁和抗抑郁药物处方
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-03-04 DOI: 10.1111/jgs.19415
Taylor Fistel, Kathryn Lotharius, Gabriella Engstrom, Joseph G. Ouslander
{"title":"Depression and Antidepressant Prescription in Hospitalized Centenarians","authors":"Taylor Fistel, Kathryn Lotharius, Gabriella Engstrom, Joseph G. Ouslander","doi":"10.1111/jgs.19415","DOIUrl":"10.1111/jgs.19415","url":null,"abstract":"","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 5","pages":"1618-1620"},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143559835","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}
引用次数: 0
“Nobody Can Be Equipped for This”: Advice From New Residents of Long-Term Care Facilities “没人能做到这一点”:来自长期护理机构新居民的建议。
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-03-04 DOI: 10.1111/jgs.19405
Kenneth Lam, James D. Harrison, Landon Haller, William J. Deardorff, Rebecca L. Sudore, Kenneth E. Covinsky, Dan D. Matlock, Daniel Dohan
{"title":"“Nobody Can Be Equipped for This”: Advice From New Residents of Long-Term Care Facilities","authors":"Kenneth Lam,&nbsp;James D. Harrison,&nbsp;Landon Haller,&nbsp;William J. Deardorff,&nbsp;Rebecca L. Sudore,&nbsp;Kenneth E. Covinsky,&nbsp;Dan D. Matlock,&nbsp;Daniel Dohan","doi":"10.1111/jgs.19405","DOIUrl":"10.1111/jgs.19405","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The transition into a long-term care facility (LTCF) is difficult for older adults, prompting calls for clinicians to help guide and plan. Yet we know little about how those with lived experience of moving into an LTCF would advise others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted in-person semi-structured interviews with nursing home (NH) and assisted living (AL) residents within 6 months of moving into an urban non-profit continuing care retirement community in California between 2023 and 2024. Interviews were guided by theories of long-term care utilization and asked, “what advice would you give others considering an LTCF?” We thematically analyzed interviews using the constant comparative method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We interviewed 8 NH and 6 AL residents. Mean participant age was 82 (range 73–90); 8 were female, 1 participant was Asian, 13 participants were White, and mean Montreal Cognitive Assessment was 19 (range 12–25). Residents talked about LTCF entry within a broader phase of life defined by dependence following sudden unexpected health crises. Advice reflected strategies for this phase of life and highlighted challenges outside of their control. Some residents advised <i>preparation</i> by visiting facilities and budgeting time and resources to plan but discovered care arrangements did not work out as promised; care was fragmented, and dependence caused them to re-evaluate what they wanted. Some advised <i>avoidance</i> as they disliked living in an LTCF but had little control over entry, leading to distrust of those making decisions for them. Others advised <i>acceptance</i> and believed luck or fate dictated how everything worked out in the end.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Unanticipated health crises catalyze entry into LTCFs. New residents advised others to prepare for, avoid, or accept LTCF entry, reflecting different strategies for approaching a unique phase of life and highlighting systemic problems that could be improved. Anticipatory guidance for LTCF transitions should acknowledge their sudden nature, these strategies, and the need for system reform.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 5","pages":"1506-1516"},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545131","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}
引用次数: 0
The European Geriatric Medicine Society 2024 Annual Congress in Valencia, Spain 欧洲老年医学学会2024年年会在西班牙瓦伦西亚举行。
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-25 DOI: 10.1111/jgs.19409
Paula A. Rochon, Darly Dash, Joseph G. Ouslander
{"title":"The European Geriatric Medicine Society 2024 Annual Congress in Valencia, Spain","authors":"Paula A. Rochon,&nbsp;Darly Dash,&nbsp;Joseph G. Ouslander","doi":"10.1111/jgs.19409","DOIUrl":"10.1111/jgs.19409","url":null,"abstract":"&lt;p&gt;We recently returned from the &lt;i&gt;European Geriatric Medicine Society&lt;/i&gt; (EuGMS) annual congress and are excited to share with you this vibrant opportunity for healthcare professionals working with older adults. This event is a valuable experience for trainees, clinicians, and researchers alike.&lt;/p&gt;&lt;p&gt;Founded in 2001, EuGMS recently celebrated its 20th year and has made remarkable progress during this time. Its membership now includes 39 national Geriatrics societies and two national societies with observer status (Table S1). The Society has a comprehensive website (https://www.eugms.org/home.html), and a very well-attended annual congress. The society is led by internationally recognized geriatricians from diverse countries, including Professors Mirko Petrovic (President) from Belgium, Nathalie van der Velde (Academic Director) from the Netherlands, and Graziano Onder (Research Director) from Italy. This year's local organizing chair was Professor Francisco Jose Tarazona Santabalbina from Spain. The EuGMS also has its own journal, &lt;i&gt;European Geriatric Medicine&lt;/i&gt; (https://link.springer.com/journal/41999), with Professor Alfonso Cruz-Jentoft from Spain as the Editor-in-Chief. Among other highly relevant articles, this journal recently featured the third, revised version of the STOPP/START criteria [&lt;span&gt;1&lt;/span&gt;], authored by Professor Denis O'Mahony from Ireland and many prestigious geriatricians. These criteria have become highly regarded in the field and nicely complement the American Geriatrics Society Beers Criteria [&lt;span&gt;2&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Each EuGMS annual congress is hosted in a European city, with recent locations including Krakow, Poland; Athens, Greece; London, England; and Helsinki, Finland. This year, from September 18 to 20, 2024, Valencia, Spain, hosted the most widely attended congress in the EuGMS history, drawing over 2300 participants from 76 countries (15% outside Europe). The theme for this year's congress, “From Healthy Ageing to Complex Needs in Older Adults” provided a rich platform for exploring the latest advancements in geriatric care. The diversity of backgrounds allowed attendees to learn about healthy aging from different perspectives and hear about novel care approaches. While the official language was English, the atmosphere buzzed with multiple languages throughout the halls, reflecting a tapestry of cultural perspectives.&lt;/p&gt;&lt;p&gt;The EuGMS program was designed to engage all attendees, featuring poster sessions, symposiums, and keynote presentations. The symposia promoted international collaborations and gender equity. Specifically, symposium submissions needed to include three presentations submitted by authors and co-chairs from more than one country. A gender balance was expected among the panel members and chairs. For trainees, conferences like EuGMS offer invaluable experiences to connect with researchers, scientists, and clinicians. Engaging with leading experts and peers allowed for rich networking oppor","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1982-1984"},"PeriodicalIF":4.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495119","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}
引用次数: 0
Cancer and Accelerated Aging Research at the National Institutes of Health, 2013–2023: A Grant Portfolio Analysis 美国国立卫生研究院癌症和加速衰老研究,2013-2023:资助组合分析。
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-21 DOI: 10.1111/jgs.19414
Lisa Gallicchio, Rachelle Brick, Gina Tesauro, Lindsey Page, Paige Green, Jennifer L. Guida
{"title":"Cancer and Accelerated Aging Research at the National Institutes of Health, 2013–2023: A Grant Portfolio Analysis","authors":"Lisa Gallicchio,&nbsp;Rachelle Brick,&nbsp;Gina Tesauro,&nbsp;Lindsey Page,&nbsp;Paige Green,&nbsp;Jennifer L. Guida","doi":"10.1111/jgs.19414","DOIUrl":"10.1111/jgs.19414","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The purpose of this study was to describe the characteristics of the NIH-funded grant portfolio focused on cancer and accelerated aging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Research project grants focused on cancer survivors and aging trajectories that were newly funded during fiscal years 2013 through 2023 were identified by first using a text mining algorithm from the NIH Research, Condition, and Disease Categorization (RCDC) system with cancer survivorship-relevant terms and then a list of aging-related terms that included aging, neurocognition, and physical function. Included grants were double coded to extract study characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 166 grants were identified, with the National Cancer Institute (NCI) and National Institute on Aging (NIA) funding 62.0% and 23.5% of the grants, respectively. The number of newly funded grants rose from nine in 2013 to 27 in 2023. Overall, the majority were observational studies (65.1%); 45% included study samples of multiple cancer types. The most commonly examined outcomes were cognitive (54.4%) or physical (37.5%) functioning; 30% of grants incorporated an aging-related biomarker. Few grants focused on racial and ethnic minority (3.0%) or rural cancer survivors (2.4%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This portfolio analysis showed an increase in the number of NIH-funded grants focused on cancer survivors and accelerated aging, but notable gaps are evident. Given the rapidly growing survivor population, many of whom will experience accelerated aging trajectories, there is a critical need to better understand accelerated aging phenotypes and mechanisms, so that those at the highest risk for adverse aging-related effects can be identified and interventions developed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 7","pages":"2029-2036"},"PeriodicalIF":4.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470323","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}
引用次数: 0
Application of an Electronic Frailty Index to Identify High-Risk Older Adults Using Electronic Health Record Data 电子衰弱指数在使用电子健康记录数据识别高风险老年人中的应用
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-21 DOI: 10.1111/jgs.19389
Bharati Kochar, David Cheng, Hanna-Riikka Lehto, Nelia Jain, Elizabeth Araka, Christine S. Ritchie, Rachelle Bernacki, Ariela R. Orkaby
{"title":"Application of an Electronic Frailty Index to Identify High-Risk Older Adults Using Electronic Health Record Data","authors":"Bharati Kochar,&nbsp;David Cheng,&nbsp;Hanna-Riikka Lehto,&nbsp;Nelia Jain,&nbsp;Elizabeth Araka,&nbsp;Christine S. Ritchie,&nbsp;Rachelle Bernacki,&nbsp;Ariela R. Orkaby","doi":"10.1111/jgs.19389","DOIUrl":"10.1111/jgs.19389","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Measurement of frailty is limited in clinical practice. Existing electronic frailty indices (eFIs) are derived from routine primary care encounters, with near-complete health condition capture. We aimed to develop an eFI from routinely collected clinical data and evaluate its performance in older adults without complete health condition capture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using Electronic Health Record (EHR) data from an integrated regional health system, we created a cohort of patients who were ≥ 60 years on January 1, 2017 with two outpatient encounters in 3 years prior or one outpatient encounter in 2 years prior. We developed an eFI based on 31 age-related deficits identified using diagnostic and procedure codes. Frailty status was categorized as robust (eFI &lt; 0.1), prefrail (0.1–0.2), frail (0.2–0.3), and very frail (&gt; 0.3). We estimated cumulative incidence of mortality, acute care visits and readmissions by frailty, and fit Cox proportional hazards models. We repeated analyses in a sub-cohort of patients who receive primary care in the system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 518,449 patients, 43% were male with a mean age of 72 years; 73% were robust, 16% were pre-frail, 7% were frail, and 4% were very frail. Very frail older adults had a significantly higher risk for mortality (HR: 4.1, 95% CI: 4.0–4.3), acute care visits (HR: 5.5, 95% CI: 5.4–5.6), and 90-day readmissions (HR: 2.1, 95% CI: 2.1–2.2) than robust older adults. In a primary care sub-cohort, while prevalence of deficits was higher, associations with outcomes were similar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This eFI identified older adults at increased risk for adverse health outcomes even when data from routine primary care visits were not available. This tool can be integrated into EHRs for frailty assessment at scale.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 5","pages":"1491-1497"},"PeriodicalIF":4.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470321","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}
引用次数: 0
Individualized Net Benefit of Intensive Blood Pressure Lowering Among Community-Dwelling Older Adults in SPRINT SPRINT社区老年人强化降压的个体化净收益
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-18 DOI: 10.1111/jgs.19395
Mitra S. Jamshidian, Rebecca Scherzer, Michelle M. Estrella, Richard L. Kravitz, Rebecca S. Boxer, Daniel J. Tancredi, Jarett D. Berry, James A. de Lemos, Charles Ginsberg, Joachim H. Ix, Michael G. Shlipak, Simon B. Ascher
{"title":"Individualized Net Benefit of Intensive Blood Pressure Lowering Among Community-Dwelling Older Adults in SPRINT","authors":"Mitra S. Jamshidian,&nbsp;Rebecca Scherzer,&nbsp;Michelle M. Estrella,&nbsp;Richard L. Kravitz,&nbsp;Rebecca S. Boxer,&nbsp;Daniel J. Tancredi,&nbsp;Jarett D. Berry,&nbsp;James A. de Lemos,&nbsp;Charles Ginsberg,&nbsp;Joachim H. Ix,&nbsp;Michael G. Shlipak,&nbsp;Simon B. Ascher","doi":"10.1111/jgs.19395","DOIUrl":"10.1111/jgs.19395","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The optimal blood pressure (BP) target for older adults with hypertension remains controversial, particularly among those with advanced age, frailty, or polypharmacy. This study estimated the individualized net benefit of intensive BP lowering among community-dwelling older adults in the Systolic Blood Pressure Intervention Trial (SPRINT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Among 5143 SPRINT participants age ≥ 65 years, Cox models were internally validated to predict an absolute difference in risk between treating to a systolic BP target of &lt; 120 versus &lt; 140 mm Hg for all-cause death, cardiovascular outcomes, cognitive outcomes, and serious adverse events. Treatment effects were combined using simulated preference weights into individualized net benefits, representing the weighted sum of risk differences across outcomes. Net benefits were compared across categories of age (65–74 vs. ≥ 75 years), SPRINT-derived frailty status (fit, less fit, and frail), and polypharmacy (≥ 5 medications).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>When simulating preferences for participants who view the benefits of BP lowering (reduction in death, cardiovascular events, and cognitive impairment) as much more important than treatment-related harms (e.g., acute kidney injury and syncope), the median net benefit from intensive BP lowering was 4 percentage points (IQR: 3–6), and 100% had a positive net benefit favoring intensive BP lowering. When simulating benefits and harms to have similar, intermediate importance, the median net benefit was 1 percentage point (IQR: 0–2), and 85% had a positive net benefit. Participants with advanced age and frailty had greater net benefits from intensive BP lowering despite experiencing more harm in both simulations, and those with polypharmacy had greater net benefits when benefits were viewed as much more important than harms (<i>p</i> &lt; 0.001 for all comparisons).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Among community-dwelling older adults with hypertension in SPRINT, almost all participants had a net benefit that favored a systolic BP target of &lt; 120 mm Hg, but the magnitude of net benefit varied according to estimated risks and simulated preferences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 5","pages":"1441-1453"},"PeriodicalIF":4.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451300","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}
引用次数: 0
Home-Based Comprehensive Geriatric Assessment for Community-Dwelling, At-Risk, Frail Older Adults: A Systematic Review and Meta-Analysis 对居住在社区的高危、体弱老年人进行居家老年综合评估:系统回顾与元分析》。
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-18 DOI: 10.1111/jgs.19402
Christina Hayes, Amanuel Yigezu, Sarah Dillon, Christine Fitzgerald, Molly Manning, Aoife Leahy, Dominic Trépel, Katie Robinson, Rose Galvin
{"title":"Home-Based Comprehensive Geriatric Assessment for Community-Dwelling, At-Risk, Frail Older Adults: A Systematic Review and Meta-Analysis","authors":"Christina Hayes,&nbsp;Amanuel Yigezu,&nbsp;Sarah Dillon,&nbsp;Christine Fitzgerald,&nbsp;Molly Manning,&nbsp;Aoife Leahy,&nbsp;Dominic Trépel,&nbsp;Katie Robinson,&nbsp;Rose Galvin","doi":"10.1111/jgs.19402","DOIUrl":"10.1111/jgs.19402","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Comprehensive geriatric assessment (CGA), an operational model of integrated care, has become a fundamental component of healthcare delivery models for older adults. It is a multidimensional diagnostic process intended to determine a frail elderly person's medical, psychosocial, and functional capabilities and limitations to develop an integrated care plan. The aim of this systematic review and meta-analysis was to update and synthesize the totality of research evidence related to the effectiveness of home-based CGA compared with usual care among community-dwelling at-risk older adults. A secondary aim of the review was to characterize the components of CGA delivered across the included studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>CENTRAL, MEDLINE, Embase, CINAHL, trial registers (WHO ICTRP, ClinicalTrials.gov, and McMaster Aging Portal), and gray literature were searched. Two independent reviewers conducted screening, data extraction, quality appraisal, and applied the Grading of Recommendations, Assessment, Development, and Evaluations framework to quantify the certainty of evidence. Meta-analyses were performed in Review Manager 5.4. The primary outcome was functional status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two trials recruiting 7219 community-dwelling older adults were included. Home-based CGA resulted in improved functional status at 6–24 months (standardized mean difference [SMD] 0.17, 95% confidence interval [CI] 0.09–0.25), at 12 months (SMD 0.24, 95% CI 0.02–0.47), and at 24 months (SMD 0.11, 95% CI 0.01–0.22); an increased health-related quality of life (HRQoL) at 6–24 and 12 months; a reduction in mortality at 36 months; a reduction in hospitalizations at 6–36 months; and improved patient satisfaction with care at 6–12 months. Home-based CGA resulted in little or no difference in nursing home admission, emergency department presentation, or adverse events. Intervention characteristics and multidisciplinary team composition varied across trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Home-based CGA improves clinical and process outcomes for community dwelling at-risk older adults. CGA delivered by a comprehensive multidisciplinary team enhances functional status among community-dwelling older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1929-1939"},"PeriodicalIF":4.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143443057","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}
引用次数: 0
Inspiring Undergraduate Student Training in Alzheimer's Research (USTAR): Training the Next Generation of Aging Scientists 启发阿尔茨海默病研究的本科生培训(USTAR):培养下一代老龄化科学家。
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-15 DOI: 10.1111/jgs.19400
Robin Casten, Megan Kelley, Hakeem Lawal, Bernard L. Lopez, Susan Parks, Erin Perchiniak, Barry Rovner
{"title":"Inspiring Undergraduate Student Training in Alzheimer's Research (USTAR): Training the Next Generation of Aging Scientists","authors":"Robin Casten,&nbsp;Megan Kelley,&nbsp;Hakeem Lawal,&nbsp;Bernard L. Lopez,&nbsp;Susan Parks,&nbsp;Erin Perchiniak,&nbsp;Barry Rovner","doi":"10.1111/jgs.19400","DOIUrl":"10.1111/jgs.19400","url":null,"abstract":"<div>\u0000 \u0000 <p>Inspiring Undergraduate Student Training in Alzheimer's Research (USTAR) aims to provide Underrepresented Minority (URM) undergraduate students with mentored didactic, clinical, and research experiences to stimulate interest in research related to Alzheimer's Disease and Related Dementias (ADRD). USTAR specifically focuses on social determinants of health (SDOH) as risk factors for ADRD minoritized populations. USTAR's scientific rationale is that URM undergraduates are less likely to enter the biomedical workforce. Addressing this disparity is important since minorities are disproportionally affected by ADRD, and URM scientists may deeply appreciate the sociocultural forces that create racial health disparities. USTAR unites faculty expertise from Thomas Jefferson University (TJU) and Delaware State University (DSU), a Historically Black College and University (HBCU). The faculty's work spans the full spectrum of ADRD research and care, including neuroscience, biology, gerontology, geriatrics, neurology, and geriatric psychiatry. The 20-month USTAR program will train two cohorts of 10 students. Across all USTAR activities, we emphasize the relationship between SDOH and cognition. USTAR's goals are to: (1) provide interdisciplinary ADRD-related research, educational, clinical, and community experiences; (2) enhance research skills via group research projects; (3) facilitate transition from undergraduate to graduate studies in science; and (4) evaluate USTAR's effectiveness. USTAR has the potential to increase diversity in the national workforce that conducts health disparities research pertaining to ADRD. This goal aligns with the National Institute on Aging's (NIA) mission to meet the nation's biomedical, behavioral, and clinical research needs and to ensure health equity for all Americans.</p>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 3","pages":"894-899"},"PeriodicalIF":4.3,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426888","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}
引用次数: 0
Cover 封面
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-13 DOI: 10.1111/jgs.18430
Ganesh M. Babulal
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引用次数: 0
A Thank You to JAGS Reviewers A感谢捷豹审稿人
IF 4.3 2区 医学
Journal of the American Geriatrics Society Pub Date : 2025-02-13 DOI: 10.1111/jgs.19387
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引用次数: 0
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