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Association between frailty and inappropriate prescribing in elderly patients admitted to an Acute Care of the Elderly Unit 老年急症护理病房收治的老年病人体弱与处方不当之间的关系
IF 2.2
Aging Medicine Pub Date : 2024-04-16 DOI: 10.1002/agm2.12304
Mónica Zuleta, Inés Gozalo, Margarita Sánchez-Arcilla, Jordi Ibáñez, Carmen Pérez-Bocanegra, Antonio San-José
{"title":"Association between frailty and inappropriate prescribing in elderly patients admitted to an Acute Care of the Elderly Unit","authors":"Mónica Zuleta,&nbsp;Inés Gozalo,&nbsp;Margarita Sánchez-Arcilla,&nbsp;Jordi Ibáñez,&nbsp;Carmen Pérez-Bocanegra,&nbsp;Antonio San-José","doi":"10.1002/agm2.12304","DOIUrl":"10.1002/agm2.12304","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study is to analyze the association between the degree of frailty and inappropriate prescribing patterns at admission to an Acute Care of the Elderly Unit (ACE Unit).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective observational study conducted in the ACE Unit of an acute hospital in Barcelona city between June and August 2021. Epidemiological and demographic data were collected during hospitalization. Comprehensive geriatric assessment was performed on admitted patients. We recorded frailty (FRAIL scale), extreme polypharmacy (10 or more drugs), central nervous system potentially inappropriate medications-PIMs (STOPP-CNS or group D), cardiovascular potential prescribing omissions-PPOs (START-CV or group A), and anticholinergic burden using the drug burden index (DBI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-three patients were included, of whom 48 (51.6%) were male, with a mean age of 82.83 (SD 7.53) years. The main diagnosis upon admission was heart failure in 34 patients (36.6%). Frail patients were older, with more dependence of activities of daily living and more comorbidity than non-frail patients. Additionally, frail patients demonstrated more omissions according to the START-A criteria. No statistically significant differences were observed in term of extreme polypharmacy, PIMs, or anticholinergic burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In the current study we found an association between frailty and inappropriate prescribing, specifically with regard to omissions using the START criteria for the cardiovascular system (group A). Notably, frail patients exhibited more omissions compared to their non-frail counterparts, and this difference was statistically significant.</p>\u0000 </section>\u0000 </div>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 5","pages":"553-558"},"PeriodicalIF":2.2,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tumor neoantigens and tumor immunotherapies 肿瘤新抗原和肿瘤免疫疗法
Aging Medicine Pub Date : 2024-04-12 DOI: 10.1002/agm2.12295
Wang Jiani, Tan Qin, Ma Jie
{"title":"Tumor neoantigens and tumor immunotherapies","authors":"Wang Jiani,&nbsp;Tan Qin,&nbsp;Ma Jie","doi":"10.1002/agm2.12295","DOIUrl":"10.1002/agm2.12295","url":null,"abstract":"<p>As a high-risk group of patients with cancer, the elderly exhibit limited efficacy with traditional treatments. Immunotherapy emerges as a promising adjunctive therapeutic approach that holds potential in addressing the needs of geriatric patients with cancer. Neoantigens, a unique class of tumor-specific antigens generated by non-synonymous mutations, are garnering increasing attention as targets for immunotherapy in clinical applications. Newly developed technologies, such as second-generation gene sequencing and mass spectrometry, have provided powerful technical support for the identification and prediction of neoantigens. At present, neoantigen-based immunotherapy has been extensively applied in clinical trials and has demonstrated both safety and efficacy, marking the beginning of a new era for cancer immunotherapy. This article reviews the conception, classification, inducers, and screening process of tumor neoantigens, as well as the application prospects and combination therapy strategies of neoantigen-based cancer immunotherapy.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"224-230"},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12295","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The long-term effects of childhood circumstances on older individuals: A systematic review 童年环境对老年人的长期影响:系统回顾
Aging Medicine Pub Date : 2024-04-12 DOI: 10.1002/agm2.12299
Mst. Rina Parvin, Fateha Tuj Johra, Fazila Akter, Md. Wahiduzzaman, Khadiza Akter, Mousumi Das, Sujit Mondal, Mitun Debnath, Mohammad Ullah, Moustaq Karim Khan Rony
{"title":"The long-term effects of childhood circumstances on older individuals: A systematic review","authors":"Mst. Rina Parvin,&nbsp;Fateha Tuj Johra,&nbsp;Fazila Akter,&nbsp;Md. Wahiduzzaman,&nbsp;Khadiza Akter,&nbsp;Mousumi Das,&nbsp;Sujit Mondal,&nbsp;Mitun Debnath,&nbsp;Mohammad Ullah,&nbsp;Moustaq Karim Khan Rony","doi":"10.1002/agm2.12299","DOIUrl":"10.1002/agm2.12299","url":null,"abstract":"<p>Childhood experiences are known to shape individuals' development and can influence various aspects of life later on. Understanding the long-term effects is crucial for informing interventions and policies aimed at promoting healthy aging. This review aimed to explore the long-term effects of childhood experiences on older individuals. This systematic review comprised three distinct phases. Firstly, a systematic review was conducted, exploring databases such as Google Scholar, PubMed, EMBASE, PsycINFO, and the Web of Science. Out of the 2116 studies initially identified, 24 studies were selected based on the inclusion criteria. Secondly, these inclusion criteria were applied to ensure that the chosen studies specifically delved into the connection between childhood experiences and outcomes in older individuals. Finally, data extraction and synthesis techniques were employed to analyze findings, facilitating the drawing of conclusions concerning the enduring impacts of childhood experiences on the well-being of older individuals. The review's findings revealed how negative experiences in childhood continue to affect older individuals in various ways. These early-life events have far-reaching consequences, profoundly impacting their physical health, making them more susceptible to chronic diseases and weakening their immune system. Additionally, they affect mental health, leading to conditions like depression, anxiety, and substance abuse. Cognitive function is also affected, resulting in memory problems and cognitive decline. Furthermore, these experiences impact social relationships, affecting trust, emotional control, and social isolation in later life. This review highlighted the enduring influence of childhood circumstances on the health and well-being of older individuals. Policymakers and health care practitioners should consider these findings when developing strategies to support healthy aging and mitigate the long-term effects of adverse childhood experiences.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"239-251"},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140708848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chinese expert consensus on diagnosis and management of gastroesophageal reflux disease in the elderly (2023) 中国老年胃食管反流病诊治专家共识(2023年)
Aging Medicine Pub Date : 2024-04-12 DOI: 10.1002/agm2.12293
Liu Fangxu, Li Wenbin, Zhang Pan, Chen Dan, Wu Xi, Xu Xue, Shi Jihua, Luo Qingfeng, Xu Le, Zheng Songbai, Chinese Geriatrics Society
{"title":"Chinese expert consensus on diagnosis and management of gastroesophageal reflux disease in the elderly (2023)","authors":"Liu Fangxu,&nbsp;Li Wenbin,&nbsp;Zhang Pan,&nbsp;Chen Dan,&nbsp;Wu Xi,&nbsp;Xu Xue,&nbsp;Shi Jihua,&nbsp;Luo Qingfeng,&nbsp;Xu Le,&nbsp;Zheng Songbai,&nbsp;Chinese Geriatrics Society","doi":"10.1002/agm2.12293","DOIUrl":"https://doi.org/10.1002/agm2.12293","url":null,"abstract":"<p>Gastroesophageal reflux disease (GERD) in the elderly is characterized by atypical symptoms, relatively severe esophageal injury, and more complications, and when GERD is treated, it is also necessary to fully consider the general health condition of the elderly patients. This consensus summarized the epidemiology, pathogenesis, clinical manifestations, and diagnosis and treatment characteristics of GERD in the elderly, and provided relevant recommendations, providing guidance for medical personnel to correctly understand and standardize the diagnosis and treatment of GERD in the elderly.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"143-157"},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140881105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A scenario of unhealthy life cycle: The role of circadian rhythms in health 不健康的生命周期情景:昼夜节律在健康中的作用
Aging Medicine Pub Date : 2024-04-09 DOI: 10.1002/agm2.12301
Manasa Chandramouli, Vrushabendra Basavanna, Srikantamurthy Ningaiah
{"title":"A scenario of unhealthy life cycle: The role of circadian rhythms in health","authors":"Manasa Chandramouli,&nbsp;Vrushabendra Basavanna,&nbsp;Srikantamurthy Ningaiah","doi":"10.1002/agm2.12301","DOIUrl":"10.1002/agm2.12301","url":null,"abstract":"<p>Circadian rhythms are oscillations in physiology and behavior caused by the circadian regulator. Cryptochromes, Periods, and Bmal1 are circadian clock genes that have been linked to aging and cancer. Human pathologies alter circadian clock gene expression, and transgenic rats with clock gene defects progress to cancer and age prematurely. In the growth of age-linked pathologies and carcinogenesis, cell proliferation and genome integrity play critical roles. The relationship concerning the cell cycle regulation and circadian clock is discussed in this article. The circadian clock controls the behavior and countenance of many main cell cycle and cell cycle check-point proteins, and cell cycle-associated proteins, in turn, control the activity and expression of circadian clock proteins. The circadian clock can be reset by DNA disruption, providing a molecular mechanism for mutual control amid the cell cycle and the clock. This circadian clock-dependent regulation of cell proliferation, composed with other circadian clock-dependent physiological functions including metabolism control, genotoxic and oxidative stress response, and DNA repair, unlocks new avenues for studying the processes of aging and carcinogenesis.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"231-238"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140724968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychophysical, electrofunctional, and morphological evaluation in naïve neovascular AMD patients treated with intravitreal anti-VEGF 对接受玻璃体内抗血管内皮生长因子治疗的新生血管性黄斑变性患者进行心理物理、电功能和形态学评估
Aging Medicine Pub Date : 2024-04-09 DOI: 10.1002/agm2.12296
Marcella Nebbioso, Federica Franzone, Alberto Milanese, Marco Artico, Samanta Taurone, Maurizio La Cava, Maria Luisa Livani, Vincenza Bonfiglio, Annarita Vestri
{"title":"Psychophysical, electrofunctional, and morphological evaluation in naïve neovascular AMD patients treated with intravitreal anti-VEGF","authors":"Marcella Nebbioso,&nbsp;Federica Franzone,&nbsp;Alberto Milanese,&nbsp;Marco Artico,&nbsp;Samanta Taurone,&nbsp;Maurizio La Cava,&nbsp;Maria Luisa Livani,&nbsp;Vincenza Bonfiglio,&nbsp;Annarita Vestri","doi":"10.1002/agm2.12296","DOIUrl":"10.1002/agm2.12296","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to investigate the retinal morpho-functional characteristics of patients with neovascular wet age-related macular degeneration (nAMD) treated with intravitreal injection (IV) of aflibercept (AFL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted on 35 patients previously diagnosed with type 1 nAMD who received a fixed-dosing regimen of aflibercept injections over 12 months. The goal was to assess trends in visual abilities over time by measuring visual acuity (VA), contrast sensitivity (CS), visual evoked potentials (VEPs), and spectral domain-optical coherence tomography (SD-OCT). The same psychophysical, electro-functional, and morphological tests administered at baseline (T0) were repeated 4 to 8 weeks after the last aflibercept injection (Tn), resulting in a total of six examinations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At Tn, all subjects exhibited improved VA for both far and near distances compared to values detected at T0. Similarly, VEP amplitude and latency values at Tn showed a greater P100 improvement than those observed at T0. Additionally, the CS examination at Tn demonstrated improvement, particularly at high spatial stimulation frequencies. The Tn SD-OCT results highlighted a reduction in macular thickness compared to T0 values.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This exploratory research indicates that intravitreal injections of AFL, following a fixed-dosing regimen, represent a valuable therapeutic approach for enhancing visual performance. This conclusion is supported by comprehensive statistical analysis of psychophysical, electro-functional, and morphological examinations within the same group of patients with nAMD, as demonstrated for the first time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"189-201"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140723175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in Medicare utilization and reimbursement for hematology/oncology procedures from 2012 to 2023: A geriatric oncology perspective 2012 年至 2023 年医疗保险对血液学/肿瘤学程序的使用和报销趋势:老年肿瘤学视角
Aging Medicine Pub Date : 2024-04-09 DOI: 10.1002/agm2.12298
J. Conic, T. Reske
{"title":"Trends in Medicare utilization and reimbursement for hematology/oncology procedures from 2012 to 2023: A geriatric oncology perspective","authors":"J. Conic,&nbsp;T. Reske","doi":"10.1002/agm2.12298","DOIUrl":"10.1002/agm2.12298","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Given the scarcity of data exploring reimbursement trends in the field of hematology/oncology, we sought to characterize these trends for common procedures in this field from 2012 to 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the Centers for Medicare and Medicaid Services' Physician Fee Schedule Look-Up Tool we collected reimbursement data for 40 hematology/oncology procedure codes from 2012 to 2023. Data was adjusted to 2023 United States (US) dollars using the Consumer Price Index (CPI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 2012 to 2023 gross reimbursement for the facility price decreased 4.4% and increased 9.2% for the non-facility price. When adjusted for inflation, compensation decreased 96.1% and 96.6%, respectively. None of the 40 examined Current Procedural Terminology (CPT) codes increased in net reimbursement over the study period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Medicare reimbursement for common hematology/oncology procedures decreased from 2012 to 2023. Further research is necessary to explore the implications of these trends on the delivery of patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"171-178"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12298","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140727223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence based on falling in older people: A bibliometric analysis 基于老年人跌倒的人工智能:文献计量分析
Aging Medicine Pub Date : 2024-04-09 DOI: 10.1002/agm2.12302
Semiha Yenişehir
{"title":"Artificial intelligence based on falling in older people: A bibliometric analysis","authors":"Semiha Yenişehir","doi":"10.1002/agm2.12302","DOIUrl":"10.1002/agm2.12302","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to analyze publications on artificial intelligence (AI) for falls in older people from a bibliometric perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Web of Science database was searched for titles of English-language articles containing the words “artificial intelligence,” “deep learning,” “machine learning,” “natural language processing,”, “neural artificial network,” “fall,” “geriatric,” “elderly,” “aging,” “older,” and “old age.” An R-based application (Biblioshiny for bibliometrics) and VOSviewer software were used for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-seven English articles published between 2018 and 2024 were included. The year 2023 is the year with the most publications with 16 articles. The most productive research field was “Engineering Electrical Electronic” with seven articles. The most productive country was the United States, followed by China. The most common words were “injuries,” “people,” and “risk factors.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Publications on AI and falls in the elderly are both few in number and the number of publications has increased in recent years. Future research should include relevant analyses in scientific databases, such as Scopus and PubMed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"162-170"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140725121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between Alzheimer dementia and QT interval: A meta-analysis 阿尔茨海默氏症痴呆症与 QT 间期的关系:荟萃分析
Aging Medicine Pub Date : 2024-04-01 DOI: 10.1002/agm2.12291
Simon W. Rabkin
{"title":"Relationship between Alzheimer dementia and QT interval: A meta-analysis","authors":"Simon W. Rabkin","doi":"10.1002/agm2.12291","DOIUrl":"10.1002/agm2.12291","url":null,"abstract":"<p>While the link between aging and mortality from dementia is widely appreciated, the mechanism is not clear. The objective of this study was to determine whether there is a direct relationship between Alzheimer dementia (AD) and the QT interval, because the latter has been related to cardiac mortality. A systematic review and meta-analysis were conducted after a Medline and EMBASE search using terms “Alzheimer disease or Dementia AND QT interval, QT dispersion or cardiac repolarization.” Four studies with control groups were identified. There were significant differences in QT interval between individuals with AD vs individuals without dementia (controls) (odds ratio (OR)1.665 [random effects model] and 1.879 [fixed effect model]) (<i>p</i> &lt; 0.001). There were significant differences in QT interval between individuals with AD vs individuals with mild cognitive impairment (MCI) (OR 1.760 [random effects] and 1.810 [fixed effect]) (<i>p</i> &lt; 0.001). A significant (<i>p</i> &lt;0.001) correlation exists between the QTc and the Mini-Mental State Exam (MMSE), a test of cognitive function. Two studies examined QT variability (the difference between the longest and shortest QT interval on a 12 lead ECG); the OR for QT variability AD vs MCI was 3.858 [random effects model] and 3.712 [fixed effects model] (<i>p</i> &lt; 0.001). When compared to the control group, the OR for QT dispersion in AD was 6.358 [random effects model] or 5.143 ( <i>P</i>&lt; 0.001) [fixed effects model]. A qualitative analysis of the data raised questions about paucity of data defining the nature of the control groups, the pathophysiologic mechanism, and the uniform use of a poor QT heart rate correction factor. The longer QT in AD, greater QT variability in AD, and the direct relationship between QT interval and AD severity supports a brain–heart connection in AD that might be fundamental to aging-induced AD and mortality. Issues with defining the control group, limited number of studies, conflicting data in population studies, and the lack of a strong electrophysiological basis underscore the need for additional research in this field.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 2","pages":"214-223"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition) 中国老年糖尿病管理指南(2024 年版)
Aging Medicine Pub Date : 2024-03-29 DOI: 10.1002/agm2.12294
Lixin Guo, Xinhua Xiao
{"title":"Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition)","authors":"Lixin Guo,&nbsp;Xinhua Xiao","doi":"10.1002/agm2.12294","DOIUrl":"https://doi.org/10.1002/agm2.12294","url":null,"abstract":"<p>With the deepening of aging in China, the prevalence of diabetes in older people has increased noticeably, and standardized diabetes management is critical for improving clinical outcomes of diabetes in older people. In 2021, the National Center of Gerontology, Chinese Society of Geriatrics, and Diabetes Professional Committee of Chinese Aging Well Association organized experts to write the first guideline for diabetes diagnosis and treatment in older people in China, the <i>Guideline for the Management of Diabetes Mellitus in the Elderly in China (2021 Edition)</i>. The guideline emphasizes that older patients with diabetes are a highly heterogeneous group requiring comprehensive assessment and stratified and individualized management strategies. The guideline proposes simple treatments and de-intensified treatment strategies for older patients with diabetes. This edition of the guideline provides clinicians with practical and operable clinical guidance, thus greatly contributing to the comprehensive and full-cycle standardized management of older patients with diabetes in China and promoting the extensive development of clinical and basic research on diabetes in older people and related fields. In the past 3 years, evidence-based medicine for older patients with diabetes and related fields has further advanced, and new treatment concepts, drugs, and technologies have been developed. The guideline editorial committee promptly updated the first edition of the guideline and compiled the <i>Guideline for the Management of Diabetes Mellitus in the Elderly in China (2024 Edition)</i>. More precise management paths for older patients with diabetes are proposed, for achieving continued standardization of the management of older Chinese patients with diabetes and improving their clinical outcomes.</p>","PeriodicalId":32862,"journal":{"name":"Aging Medicine","volume":"7 1","pages":"5-51"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/agm2.12294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140340297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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