Geriatrics Gerontology and Aging最新文献_第10页

Assessing subjective burden and quality of life in family caregivers of older adults 评估老年人家庭照顾者的主观负担和生活质量

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.5327/z2447-212320212000072

P. Wachholz, Patricia Ribeiro Mattar Damiance

{"title":"Assessing subjective burden and quality of life in family caregivers of older adults","authors":"P. Wachholz, Patricia Ribeiro Mattar Damiance","doi":"10.5327/z2447-212320212000072","DOIUrl":"https://doi.org/10.5327/z2447-212320212000072","url":null,"abstract":"OBJECTIVE: To evaluate subjective burden and perceived quality of life in primary caregivers who care for older adults at home. Caregivers were followed up in a pilot support group. The study also sought to describe the experience of encouraging dialogue and interaction within this group. METHODS: This quanti-qualitative study was limited to nine family caregivers. Data were collected using the following instruments: the World Health Organization Quality of Life abbreviated version, the Zarit caregiver burden interview, the family APGAR questionnaire, the Hospital Anxiety and Depression Scale, the Katz index of independence in activities of daily living, and the Neuropsychiatric Inventory. Dialogue and interaction in the support group meetings was encouraged through guiding questions. RESULTS: The family caregivers, mostly women with low education, were responsible for older patients who were functionally dependent and had a low frequency and intensity of neuropsychiatric symptoms. The caregivers actively participated in the pilot group. They reported a mild subjective burden and did not present depressive symptoms. They had borderline anxiety symptoms and scores above 60 for all quality of life domains, in addition to good family functionality. CONCLUSIONS: The participants in this pilot group had a mild subjective burden, good perceived quality of life, and showed interest in a caregiver support group. Such groups could be a complementary and instrumentalizing practice in home care and could contribute to a lower caregiver burden and caregiver anxiety, improving their perceived quality of life related to the psychological and social relationship domains.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78905263","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}

引用次数: 1

Geriatric principles for patients with cancer 癌症患者的老年原则

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.5327/Z2447-212320212100009

A. P. Navarrete-Reyes, Karla Animas-Mijangos, Jimena Gómez-Camacho, Yoselin Juárez-Carrillo, A. Torres-Pérez, D. J. Cataneo-Piña, J. Negrete-Najar, E. Soto-Pérez-de-Celis

{"title":"Geriatric principles for patients with cancer","authors":"A. P. Navarrete-Reyes, Karla Animas-Mijangos, Jimena Gómez-Camacho, Yoselin Juárez-Carrillo, A. Torres-Pérez, D. J. Cataneo-Piña, J. Negrete-Najar, E. Soto-Pérez-de-Celis","doi":"10.5327/Z2447-212320212100009","DOIUrl":"https://doi.org/10.5327/Z2447-212320212100009","url":null,"abstract":"Cancer is primarily a disease of older persons. Given the heterogeneity of aging, physiological age, rather than chronological age, better expresses the cumulative effect of environmental, medical, and psychosocial stressors, which modifies life expectancy. Comprehensive geriatric assessment, a tool that helps ascertain the physiological age of older individuals, is the gold standard for assessing older adults with cancer. Several international organizations recommend using the geriatric assessment domains to identify unrecognized health problems that can interfere with treatment and predict adverse health-related outcomes, aiding complex treatment decision making. More recently, it has been shown that geriatric assessment-guided interventions improve quality of life and mitigate treatment toxicity without compromising survival. In this review, we discuss the role of comprehensive geriatric assessment in cancer care for older adults and provide the reader with useful information to assess potential treatment risks and benefits, anticipate complications, and plan interventions to better care for older people with cancer.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"304 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77050533","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}

引用次数: 1

Burden of herpes zoster among Brazilian adults – a hospital-based study 巴西成人带状疱疹负担——一项基于医院的研究

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.53886/gga.e0210035

A. Abreu, Amanda Venys, Wilson Jacob, Thiago Peres da Silva, Angela Henrique, K. Gopala, E. N. Barros

{"title":"Burden of herpes zoster among Brazilian adults – a hospital-based study","authors":"A. Abreu, Amanda Venys, Wilson Jacob, Thiago Peres da Silva, Angela Henrique, K. Gopala, E. N. Barros","doi":"10.53886/gga.e0210035","DOIUrl":"https://doi.org/10.53886/gga.e0210035","url":null,"abstract":"OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was used to select the medical records from a tertiary hospital in São Paulo. We collected data about co-existing medical conditions, medication use, herpes zoster-related clinical features and outcomes, and healthcare resource utilization. RESULTS: A total of 249 individuals whose first episode of herpes zoster occurred between 2010 and 2014 were included. The mean patient age was 55 years (range 18–96), and the majority were women (63.05%) and aged ≥ 50 years (63.86%). Medical comorbidities were reported in 92.77%, including diabetes (19.68%) and HIV infection (7.63%). Current/recent use of immunosuppressive agents was reported in 31.73%. A total of 65.86% of the patients were hospitalized: 102 patients (40.96%) were admitted for herpes zoster management, while 62 (24.90%) were already receiving inpatient care. The mean hospital length of stay was 16.60 days. One-third (34.14%) were managed as outpatients. Postherpetic neuralgia was reported as a complication in 18.07%. CONCLUSIONS: This retrospective descriptive study found a high frequency of herpes zoster episodes in older adults with comorbidities who sought medical care at a tertiary hospital. These results also underscore the importance of understanding the epidemiology of this disease and developing control strategies for these at-risk populations in Brazil.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71147448","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}

引用次数: 1

Frailty and mortality in long-term care facilities for older people in Brazil: a survival analysis 巴西老年人长期护理机构的虚弱和死亡率:生存分析

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.53886/gga.e0210057

A. R. B. D. Fonseca, P. Silva, T. Carvalho, Millene Abo Arrage, Sara Regina da Silva Duarte, A. L. Selegatto, A. P. Valle, P. V. Boas

{"title":"Frailty and mortality in long-term care facilities for older people in Brazil: a survival analysis","authors":"A. R. B. D. Fonseca, P. Silva, T. Carvalho, Millene Abo Arrage, Sara Regina da Silva Duarte, A. L. Selegatto, A. P. Valle, P. V. Boas","doi":"10.53886/gga.e0210057","DOIUrl":"https://doi.org/10.53886/gga.e0210057","url":null,"abstract":"OBJECTIVES: To investigate the effect of frailty on 1-year mortality in long term-care facility (LTCF) residents. METHODS: This was a prospective cohort study with survival analysis of 209 participants living in 15 Brazilian LTCFs. Data on chronic diseases, age, sex, medication use, dependence in activities of daily living (ADLs; Katz index), and frailty (FRAIL scale) were collected at baseline, and death after 1 year was the outcome measure. Kaplan-Meier estimate and log-rank test were used to analyze the survival of residents. RESULTS: In the initial assessment, 65.07 of the residents were women, and the median age was 82 (interquartile range, 71–88) years, with 55% being over 80 years old. Overall, 88% had 2 or more diseases, 59.81% were using 5 or more medications, 42.11% were considered frail, 34.92% pre-frail, and 22.97% robust, and 69.94% were dependent in 3 or more ADLs. During the 12-month follow-up, 19.61% of the residents (n=41) died. In the survival analysis for death, there was a statistically significant association with frailty (p=0.03) and dependence in ADLs (p=0.04). CONCLUSIONS: In this population of LTCF residents, frailty and functional dependence were associated with death.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148361","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}

引用次数: 1

Changes in the daily routine and life perceptions of older adults due to the coronavirus disease 2019 (covid-19) pandemic 2019冠状病毒病(covid-19)大流行对老年人日常生活和生活观念的影响

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.5327/Z2447-212320212000115

Rodrigo Garcia Fiorillo, D. Oliveira, Ágatha Graça, Higor Santos Fonseca, F. R. Guilherme, Lenamar Fiorese, José Roberto Andrade do Nascimento, F. Pina, J. Mayhew, M. Nascimento

{"title":"Changes in the daily routine and life perceptions of older adults due to the coronavirus disease 2019 (covid-19) pandemic","authors":"Rodrigo Garcia Fiorillo, D. Oliveira, Ágatha Graça, Higor Santos Fonseca, F. R. Guilherme, Lenamar Fiorese, José Roberto Andrade do Nascimento, F. Pina, J. Mayhew, M. Nascimento","doi":"10.5327/Z2447-212320212000115","DOIUrl":"https://doi.org/10.5327/Z2447-212320212000115","url":null,"abstract":"OBJECTIVE: This study aimed to analyze changes in the daily routine and life perceptions of older adults due to the coronavirus disease 2019 pandemic. METHODS: This is a cross-sectional study conducted with 338 older adults (93 men and 238 women) residing in southern Brazil. An online questionnaire consisting of 20 questions was created using the Google Forms platform and was distributed to older adults (> 60 years of age) during the isolation period caused by the coronavirus disease pandemic. Data analysis was conducted through Student's-t and χ2 tests. RESULTS: Our results showed a significant association between social isolation and sex (p < 0.01), revealing that women experienced higher levels of social isolation than men. We observed that 82.21% of the older adults participating in this study reported changes in their social routines during the pandemic. CONCLUSIONS: During this period of extended social isolation, women reported more negative effects than men.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84881855","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}

引用次数: 2

Slow medicine: a philosophical conception for a humanized geriatric practice 慢医学:一种人性化老年医学实践的哲学概念

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.5327/z2447-212320212100015

P. Wachholz, José Carlos Aquino de Campos Velho

{"title":"Slow medicine: a philosophical conception for a humanized geriatric practice","authors":"P. Wachholz, José Carlos Aquino de Campos Velho","doi":"10.5327/z2447-212320212100015","DOIUrl":"https://doi.org/10.5327/z2447-212320212100015","url":null,"abstract":"Expansion of the concept of health, care fragmentation, and technology overvaluation have fostered discussions about the limitations of the biomedical model. The post-COVID-19 era can be one of the largest and best windows of opportunity for implementation of interventions aimed at promoting health equity, particularly in geriatrics. The mission of Slow Medicine can be summarized in three keywords: measured, because it acts with moderation, gradually and without waste; respectful, because it seeks to preserve the dignity and values of each person; and equitable, because it is committed to ensuring access to appropriate care for all. Operationally, the Slow Medicine movement is known internationally for the “Doing more does not mean doing better” campaign, whose objective is essentially to reflect upon and try to engage physicians in reflective practices to avoid the overuse of medical resources, both diagnostically and therapeutically. In this article, we present a brief historical summary and the principles that guide the praxis of the Slow Medicine movement, and invite the reader to reflect on a “geriatrics without haste.”","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84416885","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}

引用次数: 0

Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned 50岁及以上患者对肿瘤标志物的不当要求:未吸取的教训

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.5327/Z2447-212320212000113

Valter Paz Nascimento-Júnior, E. Camargos

{"title":"Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned","authors":"Valter Paz Nascimento-Júnior, E. Camargos","doi":"10.5327/Z2447-212320212000113","DOIUrl":"https://doi.org/10.5327/Z2447-212320212000113","url":null,"abstract":"OBJECTIVE: To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate TM test orders. METHODS: This study analyzed data regarding TM requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 TM tested within the study period. Tests were considered inappropriate when TMs were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician’s medical specialty, and test costs. RESULTS: Between 2010 and 2017, 1,112 TM tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.50%) with a mean age of 59.40 (SD, 8.20) years. Most orders were inappropriate (87.80%) and represented 79.40% of all expenses with TM tests. Cardiology professionals were the medical specialty that requested the most TM tests (23.90%), followed by internal medicine specialists (22.70%) and gynecologists (19.20%). CONCLUSIONS: We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of TM tests in clinical practice.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87192770","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}

引用次数: 3

Prognostic assessment in palliative cancer care: is there a difference between adult and older patients? 姑息性癌症治疗的预后评估:成人和老年患者之间有区别吗?

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.53886/gga.e0210044

Simone Garruth dos Santos Machado Sampaio, L. Oliveira, K. Rosa

{"title":"Prognostic assessment in palliative cancer care: is there a difference between adult and older patients?","authors":"Simone Garruth dos Santos Machado Sampaio, L. Oliveira, K. Rosa","doi":"10.53886/gga.e0210044","DOIUrl":"https://doi.org/10.53886/gga.e0210044","url":null,"abstract":"OBJECTIVE: To compare factors associated with death in adults and older people with advanced cancer who were hospitalized in a palliative care unit (PCU). METHODS: Case-control study with patients (adults vs older people) admitted to a PCU of National Cancer Institute José Alencar Gomes da Silva (INCA), in Rio de Janeiro, Brazil. Logistic regressions (odds ratio [OR] and 95% confidence interval [95%CI]) were used to identify factors associated with death. RESULTS: The study included 205 patients, most of which were aged over 60 years old (60.5%). Among the adult patients, a Karnofsky Performance Status ≤ 40% (OR 2.54 [95%CI 1.11–3.45]) and neutrophil-to-lymphocyte ratio (NLR) (OR 1.09 [95%CI 1.02–1.24]) were risk factors for death, while albumin (OR 0.30 [95%CI 0.12–0.78]) was a protective factor. Among older patients, NLR (OR: 1.13 [95%CI 1.02–1.24]), C-reactive protein (CRP) (OR 1.09 [95%CI 1.02–1.17]), modified Glasgow Prognostic Score (mGPS) 1 and 2 (OR 4.66 [95%CI 1.35–16.06]), CRP-to-albumin ratio (CAR) (OR 1.27 [95%CI 1.03–1.58]), and nutritional risk (OR 1.11 [95%CI 1.03–1.19]) were risk factors, whereas albumin (OR 0.23 [95%CI 0.09–0.57]) was a protective factor against death. CONCLUSIONS: Prognostic factors differed between groups. The NLR was a risk factor, and albumin was a protective factor regarding death in both groups. Additionally, CRP, mGPS, CAR, and nutritional risk were associated with an increased risk of death only among older people.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71147531","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}

引用次数: 0

Which anthropometric measures best identify excess weight in older adults? 哪种人体测量方法最能识别老年人的超重?

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.53886/gga.e0210051

D. Assumpção, P. Francisco, F. Borim, M. Yassuda, A. Neri

{"title":"Which anthropometric measures best identify excess weight in older adults?","authors":"D. Assumpção, P. Francisco, F. Borim, M. Yassuda, A. Neri","doi":"10.53886/gga.e0210051","DOIUrl":"https://doi.org/10.53886/gga.e0210051","url":null,"abstract":"OBJECTIVES: To estimate the prevalence of and factors associated with excess weight in older adults according to body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WtHR), as well as to measure the differences between the prevalences estimated by WC and WtHR in relation to BMI. METHODS: This cross-sectional study was conducted in 2016 – 2017 with 549 older adults (72–102 years) from Campinas and Ermelino Matarazzo, two cities in the state of São Paulo, Brazil. Excess weight was defined according to cut-off points established for older adults. Multiple Poisson regression analysis was performed. RESULTS: The overweight/obesity prevalences were 47.36% (BMI), 61.38% (WC) and 65.57% (WtHR), being higher in women and in those with hypertension, diabetes, polypharmacy, and normal calf circumference. They were also higher in the youngest age strata (BMI and WC), in those with arthritis/rheumatism (BMI), and in those with slow gait (WtHR). The estimated overweight/obesity prevalences according to WC and WtHR were 29.00% and 38.00% higher, respectively, than BMI. In the multiple model, there was a higher prevalence of adiposity among diabetics and those with normal calf circumference. CONCLUSIONS: Measures of abdominal adiposity provided a better diagnosis of excess weight. We recommended that health professionals consider using WtHR in anthropometric assessment of older adults, especially regarding adiposity.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148025","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}

引用次数: 0

Geriatric oncology: this must be just like livin’ in paradise 老年肿瘤学:这一定就像生活在天堂一样

Geriatrics Gerontology and Aging Pub Date : 2021-01-01 DOI: 10.53886/GGA.E0210028

L. G. Gil Junior, A. Kanaji, T. Wildes

引用次数: 0