Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Frailty and diagnostic tools in older adults with atrial fibrillation: Towards personalized medicine","authors":"Beatriz Echarte-Archanco","doi":"10.1016/j.regg.2026.101753","DOIUrl":"10.1016/j.regg.2026.101753","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101753"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REGG: Una constante apuesta por el avance continuo","authors":"Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2026.101796","DOIUrl":"10.1016/j.regg.2026.101796","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101796"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Una mirada caída, una pista fría: presentación tardía de miastenia gravis","authors":"Gabriela Ivonne Morales Mena , Alicia Adán-Gurpegui , Laura Lacruz Ballester , Patricia Ysabel Condorhuamán-Alvarado","doi":"10.1016/j.regg.2026.101755","DOIUrl":"10.1016/j.regg.2026.101755","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101755"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cambiar la forma en que pensamos, sentimos, actuamos y comunicamos: una nueva mirada contra el edadismo","authors":"Marco Espíldora Hidalgo , María Paz Carvajal Díaz , Beatriz Alejandra Urrutia Quiroz , María José Gálvez Pérez , Gerardo Fasce Pineda","doi":"10.1016/j.regg.2026.101750","DOIUrl":"10.1016/j.regg.2026.101750","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101750"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementación del Meeting Centre Support Programme en países hispanohablantes: un análisis exploratorio de los casos de España y Ecuador","authors":"Mauricio Molinari-Ulate ,&nbsp;Cinthia Vallejos ,&nbsp;Henriëtte G. van der Roest ,&nbsp;Manuel Franco-Martín ,&nbsp;Rose-Marie Dröes","doi":"10.1016/j.regg.2026.101783","DOIUrl":"10.1016/j.regg.2026.101783","url":null,"abstract":"<div><h3>Background and objective</h3><div>The lack of resources and inadequate health systems in low- and middle-income countries hinder the ability to address the challenges of dementia care. An alternative model with greater socio-community integration and a more favourable cost–benefit profile is the Meeting Centre Support Programme (MCSP). This study explores the MCSP implementation process through the cases of Spain and Ecuador, identifying barriers and facilitators to inform its application in other Spanish-speaking</div><div>countries.</div></div><div><h3>Materials and methods</h3><div>An exploratory multiple-case analysis was conducted using in-depth, semi-structured virtual interviews with key stakeholders in Ecuador (n<!--> <!-->=<!--> <!-->14) and Spain (n<!--> <!-->=<!--> <!-->2). Data were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>The main barriers identified in both the European and Ecuadorian contexts were project funding and coordination and collaboration between institutions. Stakeholder enthusiasm and interinstitutional collaboration were identified as the main facilitators. In both Spain and Ecuador, access to training materials and education in the Meeting Centre methodology proved to be critical. Differences between urban and rural populations emerged as an additional barrier.</div></div><div><h3>Conclusions</h3><div>An implementation process adapted to the context of interest is recommended, along with the sociocultural adaptation of training materials and the development of strategies to overcome context-specific barriers, such as creating tools to deliver services remotely to reach rural populations.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101783"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El farmacéutico comunitario como interceptador clave de cascadas de prescripción en adultos mayores: una oportunidad de seguridad clínica infrautilizada","authors":"Eliezer Alemán-Fernández ,&nbsp;Dany Siverio-Mota ,&nbsp;Liliana Vicet-Muro","doi":"10.1016/j.regg.2026.101777","DOIUrl":"10.1016/j.regg.2026.101777","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101777"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147449499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Características de las unidades de recuperación funcional en ortogeriatría según datos del proyecto de mapeo FUNctional Recovery UNit (FUN RUN) Map Project","authors":"Elena Romero Pisonero ,&nbsp;Ainhoa Esteve Arrien ,&nbsp;Elena Fernández Arin ,&nbsp;Alicia Calle Egusquiza ,&nbsp;José Manuel Cancio Trujillo","doi":"10.1016/j.regg.2026.101752","DOIUrl":"10.1016/j.regg.2026.101752","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101752"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guía práctica de la Sociedad Europea de Nutrición Clínica y Metabolismo (ESPEN): Nutrición Clínica e Hidratación en Geriatría","authors":"Dorothee Volkert ,&nbsp;Anne Marie Beck ,&nbsp;Tommy Cederholm ,&nbsp;Alfonso Cruz-Jentoft ,&nbsp;Lee Hooper ,&nbsp;Eva Kiesswetter ,&nbsp;Marcello Maggio ,&nbsp;Agathe Raynaud-Simon ,&nbsp;Cornel Sieber ,&nbsp;Lubos Sobotka ,&nbsp;Dieneke van Asselt ,&nbsp;Rainer Wirth ,&nbsp;Stephan C. Bischoff ,&nbsp;Federico Cuesta-Triana ,&nbsp;Samara Palma-Milla ,&nbsp;Samuel Ramos-Acevedo ,&nbsp;Aurora E. Serralde-Zúñiga ,&nbsp;Dolores Sanchez-Rodriguez ,&nbsp;Sonia López-Cisneros","doi":"10.1016/j.regg.2026.101762","DOIUrl":"10.1016/j.regg.2026.101762","url":null,"abstract":"<div><div>Malnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats.</div><div>The objective of this guide was to provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons.</div><div>This guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process.</div><div>As a result we provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counselling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach.</div><div>As a conclusion a range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101762"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crónica de una metamorfosis científica: La REGG entre el legado del papel y la vanguardia digital","authors":"Nicolás Martínez-Velilla","doi":"10.1016/j.regg.2026.101786","DOIUrl":"10.1016/j.regg.2026.101786","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101786"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty in older adults with cancer: A systematic review of evidence in colorectal, lung, prostate, and hematological malignancies","authors":"Cristina Bermejo Boixareu ,&nbsp;Nicolas Martínez-Velilla ,&nbsp;Marta Neira Álvarez ,&nbsp;Myriam Rodriguez-Couso ,&nbsp;Raquel Ramírez-Martín ,&nbsp;Coro Mauleón-Ladrero ,&nbsp;Nicolas M. González-Senac ,&nbsp;Ana Isabel Hormigo Sánchez ,&nbsp;Francisco J. Tarazona-Santabalbina ,&nbsp;Francisco Javier Martínez Peromingo ,&nbsp;Pedro Abizanda Soler ,&nbsp;Jose Antonio Serra Rexach ,&nbsp;Leocadio Rodríguez Mañas","doi":"10.1016/j.regg.2026.101766","DOIUrl":"10.1016/j.regg.2026.101766","url":null,"abstract":"<div><div>Frailty is a well-established concept in geriatric medicine, defined as a state of increased vulnerability resulting from a decline in reserve and function across multiple physiological systems. However, in oncologic research, the term “frailty” is inconsistently used, often encompassing multidimensional screening tools, prognostic indices, or even abbreviated substitutes for comprehensive geriatric assessment (CGA). This heterogeneity hampers clinical applicability and comparisons across studies. The aim was to systematically review the prevalence, tools used, and clinical impact of frailty in older adults with cancer across four tumor types: lung, colorectal, prostate, and hematologic malignancies. We conducted a systematic review following the PRISMA guidelines. Search strategies were adapted for each cancer type and included studies published in the last 10 years with patients aged<!--> <!-->≥<!--> <!-->65 years. Eligible studies assessed frailty using any defined method and reported outcomes, such as treatment tolerance, survival, functional decline, or complications. A total of 48 studies were included (eight lung, 17 colorectal, seven prostate, and 16 hematological). The prevalence of frailty ranged widely from 4% to 81%, depending on the tools used. The most common instruments were the G8 (a screening tool), mFI, Fried phenotype, and Clinical Frailty Scale (CFS). Several studies misclassified screening instruments or prognostic scores as frailty measures. Frailty was consistently associated with poorer survival, increased postoperative complications, greater toxicity, and higher healthcare utilization across tumor types. However, the variability in frailty definitions and assessment tools limits direct comparisons and clinical implementation. Harmonization of definitions and routine integration of standardized geriatric tools are needed to strengthen the role of frailty in oncological decision-making.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 2","pages":"Article 101766"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}