European Geriatric Medicine最新文献

{"title":"Perceived educational needs in geriatric medicine of professionals: a multinational multilingual open online survey.","authors":"Giulia Ogliari, Marina Kotsani, Athanase Benetos, Nenad Bogdanovic, Sylvie Bonin-Guillaume, Rui Buzaco, Sofia Duque, Anne Wissendorff Ekdahl, Rachael Frost, Anna Marie Herghelegiu, Meltem Koca, Anastassia Kossioni, Evrydiki Kravvariti, Jurate Macijauskiene, Nicolas Martínez-Velilla, Tahir Masud, Tajana Pavic, Karolina Piotrowicz, Regina Roller-Wirnsberger, Sumru Savas, Luca Soraci, George Soulis, Michael Vassallo, Tamar Yellon, Mirko Petrovic","doi":"10.1007/s41999-026-01456-4","DOIUrl":"https://doi.org/10.1007/s41999-026-01456-4","url":null,"abstract":"<p><strong>Purpose: </strong>To assess perceived overall knowledge in geriatric medicine and perceived educational needs in key geriatric topics and skills of health and social care professionals working within the WHO Region Europe.</p><p><strong>Methods: </strong>The sample of this cross-sectional survey was not designed to be nationally representative. We analysed the responses of 5425 professionals who completed a multilingual multinational open online survey between October 2023 and June 2024. Professionals rated their perceived knowledge, the relevance to their profession and their interest in further training in each of 33 geriatric topics or skills, from \"very low\" (scored as 1) to \"very high\" (scored as 5). We computed a global topic score as \"relevance + interest - knowledge\" for each topic and Z-scored it. Higher Z-scores indicated higher educational needs.</p><p><strong>Results: </strong>Professionals' mean age was 42.6 years (standard deviation 11.9); 3942 (72.7%) were women; 3273 (60.3%) worked in the EU-27. The most represented categories were medical doctors, nurses, dentists, pharmacists, and physiotherapists. Perceived overall knowledge varied by country of work and profession. The perceived educational needs Z-scores varied from 1.45 to - 2.57, with the highest being observed for chronic pain (1.45), comprehensive geriatric assessment (1.20), management of behavioural and psychiatric symptoms of dementia (1.19), assessing capacity to consent (1.07), and resilience and diversity and depression (both 1.05).</p><p><strong>Conclusion: </strong>To our knowledge, this is the first multinational multilingual online survey on perceived educational needs in geriatric medicine of a large number of professionals from multiple disciplines. Our findings should inform harmonized curricula and continuing education programmes.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geriatric rehabilitation in Germany, Austria, and Switzerland (DACH region): a current state analysis.","authors":"M Skoumal, M Honegger, S Grund, P Benzinger, S Bachmann, T Münzer, S M Goetz, T E Dorner, B Iglseder, C Pertinatsch, B Neubacher, C Kadane, S Lindner-Rabl, R Roller-Wirnsberger","doi":"10.1007/s41999-026-01461-7","DOIUrl":"https://doi.org/10.1007/s41999-026-01461-7","url":null,"abstract":"<p><strong>Purpose: </strong>Geriatric rehabilitation (GR) is a key component of integrated care for older adults. This study aims to outline the current state of geriatric rehabilitation in the DACH region, highlighting national differences, comparing structural frameworks, and assessing the implementation of the European consensus statement and WHO recommendations.</p><p><strong>Methods: </strong>An online survey was conducted within a working group of GR experts from the three countries, officially nominated by the national geriatric societies. The questionnaire was developed based on a search of recent literature on the GR process and supplemented by desktop research on country-specific care structures based on the European Consensus Statement on GR.</p><p><strong>Results: </strong>The most significant structural difference relates to Austria, where phase 2 rehabilitation for older patients is offered only in disease-oriented centers, but no service is currently available for specific GR. All three countries use different standardized admission assessments, therapy minutes and country-specific geriatric qualifications. Digital health solutions and mobile/home-based GR are still in development.</p><p><strong>Conclusion: </strong>The recommendations of the European Consensus Statement are largely adopted, with country variations. In order to ensure the evidence-based long-term effectiveness, quality and sustainability of GR, there is a need for standardized quality criteria and innovative models. Such models will facilitate the identification of best practices grounded in robust evidence and focused on optimizing care. In light of these considerations, further research in this field is needed. Key Summary Points.</p><p><strong>Aim: </strong>This article aims to present the current state of GR in the DACH region, in order to detect differences, compare the national structures and to show the extent to which the European Consensus Statement and WHO recommendations have been implemented.</p><p><strong>Findings: </strong>The most significant structural differences relate to the absence of specific phase 2 GR in Austria, different standardized admission assessments, therapy minutes and country-specific geriatric qualifications. Mobile/home-based GR as well as digital health solutions are still in development.</p><p><strong>Message: </strong>Future considerations for GR should include the development of standardized quality criteria and the integration of innovative models, particularly in mobile and home-based settings, to ensure long-term effectiveness, evidence-based quality, and sustainability.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven appendicular skeletal muscle mass index (ASMI) prediction and low muscle mass detection from routine hip X-rays: a novel opportunistic case finding tool.","authors":"Ling Lee, Shu-Han Chuang, Yi-Jie Kuo, Lien-Chen Wu, Yu-Pin Chen","doi":"10.1007/s41999-026-01465-3","DOIUrl":"https://doi.org/10.1007/s41999-026-01465-3","url":null,"abstract":"<p><strong>Purpose: </strong>Sarcopenia diagnosis requires identifying low muscle mass (LMM), typically via dual-energy X-ray absorptiometry (DXA). However, DXA's limited accessibility restricts large-scale screening. This retrospective study aimed to develop and validate a deep learning model to predict DXA-derived ASMI from routine hip radiographs for opportunistic LMM case finding.</p><p><strong>Methods: </strong>We included a selected hospital-based cohort of 1267 patients with both hip radiography and DXA scans, split into development (n = 1140) and temporal validation (n = 127) sets. A multimodal model integrating radiographic images (ResNet-34 backbone) and clinical variables (age, sex, height, weight, and BMI) was trained to predict continuous ASMI and classify LMM per the Asian Working Group for Sarcopenia (AWGS) 2019 criteria.</p><p><strong>Results: </strong>On temporal validation, the model achieved strong performance with Pearson r = 0.806, R² = 0.631, MAE = 0.414 kg/m², and AUC = 0.874 for LMM classification. Applying AWGS diagnostic thresholds yielded sensitivity of 70.5% and specificity of 83.3%, with consistent performance across sex and age subgroups. Gradient-weighted Class Activation Mapping confirmed the focus on clinically relevant gluteal and proximal thigh muscles.</p><p><strong>Conclusions: </strong>This deep learning approach enables automated LMM identification from routine hip radiographs, offering a cost-effective, accessible tool for opportunistic LMM case finding and early intervention in at-risk populations.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral neck fracture increases 30-day mortality 16-fold and elevates mortality risk for up to 4 years: a matched cohort study of 3,246 patients.","authors":"Peter Larsen, Stefan Teglhus Jensen, Rasmus Elsoe","doi":"10.1007/s41999-026-01449-3","DOIUrl":"https://doi.org/10.1007/s41999-026-01449-3","url":null,"abstract":"<p><strong>Methods: </strong>The study design was a matched cohort study based on prospectively collected registry data from the Danish National Patient Register. Included were all patients presenting with an FNF in the Northern Region of Denmark between 2018 and December 2023. The matched reference population was established with a 1:10 ratio (for each patient with an FNF, we included ten citizens who had not experienced an FNF prior to the inclusion date). Basic characteristics including age, gender, and individual comorbidity status were obtained from all patients and the matched population.</p><p><strong>Results: </strong>A total of 3246 patients were identified with an FNF during the 6-year study period (mean follow-up 2.6 years). Patients' mean age at the time of fracture was 77.9 (95% CI 77.4-78.4). Male mean age was 74.9 years (95% CI 73.9-75.9). Female mean age was 79.6 years (95% CI 79.1-80.2). Gender distribution was 64% females and 36% males. A total of 761 (23.4%) patients died during the first 12 months after the fracture. Within the first 30 days after fracture, patients with FNFs demonstrated markedly increased mortality compared with the age-, sex-, and comorbidity-matched reference cohort, with a crude 30-day mortality of 10% versus 0.3% and a hazard ratio of 16.1. Cumulative survival curves showed that patients with FNFs had an elevated mortality risk during the first 4 years following fracture, after which survival became nearly comparable between the fracture and matched cohorts.</p><p><strong>Conclusion: </strong>This study demonstrated that FNFs are associated with a markedly elevated short-term mortality risk, with patients experiencing a 16 times higher risk of death within 30 days compared with an age-, gender-, and comorbidity-matched group without an FNF. The excess risk was most pronounced during the first 3-6 months and persisted for up to 4 years before converging with the match group mortality rates.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of natural disasters on the cognitive state of older adults with dementia: a scoping review.","authors":"Christina Fahmy, Maria Nordheim Alme","doi":"10.1007/s41999-026-01459-1","DOIUrl":"https://doi.org/10.1007/s41999-026-01459-1","url":null,"abstract":"<p><strong>Background: </strong>Natural disasters are disruptive events that can significantly affect the quality of life of older adults with dementia. The aim of this study is to review the effects of natural disasters on the cognitive capabilities of older adults with dementia.</p><p><strong>Methods: </strong>A scoping review methodology has been conducted to identify and summarize relevant literature on effects of natural disasters on the cognitive state of older adults with dementia or any other kind of cognitive impairment.</p><p><strong>Results: </strong>28 studies were detected, and the majority of the studies came from Japan, Australia, and the USA. The studies revealed that natural disasters negatively impact the memory and thermal awareness of older adults with dementia. It can also intensify their psychological and behavioral symptoms of dementia, which indicate worsening of their cognitive decline. It is clear that the challenge posed by high temperatures requires careful consideration. Trained caregivers can effectively evacuate older adults with dementia, preventing the exacerbation of these symptoms. After evacuation, maintaining community connections and being socially active can aid in safeguarding older adults with dementia. Disaster response plans should, therefore, include strategies to preserve community ties. Caregivers play an important role in protecting older adults with dementia while facing natural disasters. Training is recommended to increase their disaster management skills.</p><p><strong>Conclusions: </strong>The growing population of older adults with dementia faces heightened vulnerability during natural disasters, which can exacerbate cognitive decline and psychological symptoms. Community support and well-trained caregivers are essential to ensure their safety and well-being in crisis situations.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical impact of implementing an orthogeriatric nurse in the care pathway for elderly patients with hip fragility fractures.","authors":"Clara Valverde Fontcuberta, Verónica García Cárdenas, Cristina González de Villaumbrosia, David Sáez Martínez, José Antonio Rueda-Camino","doi":"10.1007/s41999-026-01455-5","DOIUrl":"https://doi.org/10.1007/s41999-026-01455-5","url":null,"abstract":"<p><strong>Introduction: </strong>Fragility hip fractures (HF) in older adults are associated with substantial morbidity, mortality, and functional decline. In Spain, evidence regarding the contribution of orthogeriatric nursing (OGN) roles within multidisciplinary teams remains limited. This study evaluated clinical outcomes associated with the implementation of an orthogeriatric nurse within a hip fracture clinical care pathway.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted including patients aged ≥ 75 years admitted with fragility hip fracture between 2017-2019 (pre-OGN period) and 2022-2023 (post-OGN period) at the Rey Juan Carlos University Hospital. Patients managed outside the clinical pathway or not undergoing surgical treatment were excluded. The primary outcome was the occurrence of grade II or higher-pressure ulcers, acute confusional syndrome, or prolonged immobility, defined as absence of out-of-bed mobilisation within the first 24 postoperative hours.</p><p><strong>Results: </strong>A total of 776 patients (mean age: 87 years; 78% women) were analyzed. Implementation of the OGN was associated with a lower occurrence of the composite outcome (59.8% vs 47.2%; unadjusted OR 0.60, 95% CI 0.45-0.80) largely reflecting lower rates of prolonged immobility (30.2% vs 13.1%; p < 0.001). After adjustment for confounders, the effect remained statistically significant (adjusted OR 0.56, 95% CI 0.42-0.76), The median hospital stay was also reduced (10 vs 7 days; p < 0.001) and a non-significant trend towards lower in-hospital mortality was observed (5.4% vs 3.1%; p = 0.109).</p><p><strong>Conclusion: </strong>Implementation of an orthogeriatric nurse within the hip fracture clinical pathway was associated with improved in-hospital outcomes and a shorter hospital stay. Causal relationships cannot be inferred due to the observational design.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood and urine cell-free circulating DNA in older adults with sarcopenia: a hypothesis-generating study.","authors":"Yasuko Yoshida, Takashi Shida, Masato Yonamine, Yosuke Osuka, Kazuhiro Takekoshi, Hiroyuki Sasai","doi":"10.1007/s41999-026-01453-7","DOIUrl":"https://doi.org/10.1007/s41999-026-01453-7","url":null,"abstract":"<p><strong>Purpose: </strong>This preliminary study evaluated effect sizes of differences in circulating cell-free DNA (cfDNA) levels in blood and urine between older adults with and without sarcopenia.</p><p><strong>Methods: </strong>This was a subanalysis of the 2021 Itabashi Longitudinal Study on Aging. Twenty-four participants were selected conveniently and classified using the Asian Working Group for Sarcopenia (AWGS) 2019 criteria (sarcopenia, N = 12; non-sarcopenia, N = 10). Plasma and urinary cfDNA were quantified by real-time quantitative polymerase chain reaction (qPCR).</p><p><strong>Results: </strong>cfDNA measures showed substantial inter-individual variability, and no clear between-group differences were observed. Plasma cfDNA demonstrated a moderate positive correlation with skeletal muscle mass index (r = 0.43, p = 0.03), but the clinical relevance remains uncertain given the small sample size.</p><p><strong>Conclusions: </strong>Larger, well-powered longitudinal studies are needed to clarify whether cfDNA, including mitochondrial and nuclear components, can serve as a biomarker of muscle health and sarcopenia risk in older adults.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When evidence is not the barrier: bridging the implementation gap in orthogeriatric care.","authors":"Janneke J C Bastings, Jeroen M Hendriks, Bart Spaetgens","doi":"10.1007/s41999-026-01458-2","DOIUrl":"https://doi.org/10.1007/s41999-026-01458-2","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"Aging and rare diseases: from epidemiology to a call to action\".","authors":"François Maillot, Maria Rita Moio, Ida Vanessa Doederlein Schwartz","doi":"10.1007/s41999-026-01457-3","DOIUrl":"https://doi.org/10.1007/s41999-026-01457-3","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The geriatric gap: the absence of geriatric medicine in postgraduate medical training in Poland.","authors":"Robert Kupis, Agnieszka Grot-Wereda, Ian Perera, Karolina Piotrowicz","doi":"10.1007/s41999-026-01452-8","DOIUrl":"10.1007/s41999-026-01452-8","url":null,"abstract":"<p><strong>Purpose: </strong>Shifts in patient demographics and needs pose both challenges and opportunities for specialists across medical disciplines. The aim of this study was to evaluate the extent of geriatric medicine (GM) coverage in postgraduate specialty training curricula of physicians other than geriatricians in Poland.</p><p><strong>Methods: </strong>We conducted a descriptive quantitative and qualitative content analysis of the official national curricula for all recognised medical specialties in Poland.</p><p><strong>Results: </strong>Of the 76 programmes reviewed, structured GM training was present in 31 programmes (40.8%). The proportion of time spent training in GM did not exceed 1.9% (clinical pharmacology), and in most programmes was below 0.4% of the total training time. Mandatory rotations in GM were identified in only two programmes (2.6%; family medicine, clinical pharmacology), while 30 programmes included a mandatory course lasting between 8 and 40 h. Ageing-related issues specific to particular specialties were mentioned in nine (11.8%) programmes. Falls prevention was a common objective across all programmes, including paediatrics. Five main topics were identified: (1) characteristics of older patients and common problems within each specialty; (2) specific geriatric conditions (sarcopenia, falls, frailty) and diagnostic tools; (3) differences in treatment of older patients, particularly in pharmacology; (4) systemic perspectives and care needs; and (5) prevention and harm reduction.</p><p><strong>Conclusions: </strong>Postgraduate training in geriatric medicine for Polish physicians remains heterogeneous, limited, and insufficiently tailored across specialties. In light of the changing complex needs of an ageing society, equipping physicians with geriatric medicine competencies is a high priority to ensure appropriate care for the ageing population.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}