Canadian Geriatrics Journal最新文献

{"title":"Determinants of First Practice Location among Canadian Geriatric Medicine Trainees and Recent Graduates: Findings of a Cross-sectional Survey in 2023.","authors":"Jasmine C Mah, Tharsan Kanagalingam, Sarah Best, Sallie Elhayek, Jenny Thain, José A Morais, Marianne Lamarre, Jaspreet Bhangu, Michael J Borrie, Luxey Sirisegaram","doi":"10.5770/cgj.27.774","DOIUrl":"https://doi.org/10.5770/cgj.27.774","url":null,"abstract":"<p><strong>Background: </strong>There is a projected and growing gap of geriatricians in Canada. Geriatricians play a crucial role in addressing the health needs of older adults. We aimed to understand the factors that influence the choice of first-practice location for new geriatricians in the context of an aging Canadian population.</p><p><strong>Methods: </strong>We distributed an online survey to geriatric medicine subspecialty residents and recently licensed geriatricians in Canada. The survey was developed through expert opinions, career planning sessions, and a literature review. There were nine survey sections: general characteristics, location determinants, practice determinants, colleague determinants, support and space, non-clinical opportunities, income models, lifestyle factors, and recruitment determinants. The data were analyzed descriptively.</p><p><strong>Results: </strong>A total of 61 respondents (51 English, 10 French) completed the survey. The respondents were new practicing geriatricians (37) and geriatric medicine residents (24). Most planned to practice in Ontario (26.2%) or Quebec (27.9%), and 75.4% were women. Flexibility in work-life balance (95.1%), collegiality (93.4%) and reasonable call schedules (93.4%) were the most important factors influencing first practice location. Income did not rank among the highest priorities for choosing the first practice location relative to other factors but was mentioned in open-ended responses to recruitment questions.</p><p><strong>Conclusions: </strong>This is the first survey identifying the determinants of first practice location in geriatric medicine in Canada. Work-life balance and collegial support are a priority for new geriatricians and may be the strongest incentives a program can provide. For recruitment, income incentives may be beneficial to building new specialized geriatric services. Future research will examine determinants of first practice location among Care of the Elderly clinicians.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 4","pages":"485-499"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775145","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}

{"title":"Unmet Health Care Needs Among Older People in Canada: Does Household Food Insecurity Matter?","authors":"Roger Antabe, Yujiro Sano, Emmanuel Kyeremeh, Daniel Amoak","doi":"10.5770/cgj.27.773","DOIUrl":"https://doi.org/10.5770/cgj.27.773","url":null,"abstract":"<p><strong>Background: </strong>Canada is undergoing a demographic shift, with projections indicating that over 25% of the country's population will be 65 years or older by 2063. While this has raised critical concerns about Canada's preparedness to meet the social and health-care needs of an aging population, the increasing incidence of food insecurity is particularly affecting vulnerable groups, such as older Canadians, with implications for their health-care service utilization. Despite this observation, there are nascent studies examining the role of household food insecurity status on unmet health-care needs among older people in Canada. The main objective of our study is to assess the association between household food insecurity and unmet health-care needs among older Canadians.</p><p><strong>Methods: </strong>We used data from a selected sample of 21,178 participants as part of the 2017-18 Canadian Community Health Survey and applied logistic regression analysis.</p><p><strong>Results: </strong>Our findings indicate that older people experiencing any type of food insecurity, that is, either moderate (OR=3.07, <i>p</i><.01) or severe (OR=4.09, <i>p</i><.01) were more likely to have reported unmet health-care needs compared to their counterparts in food secure households, even after controlling for a range of demographic, socioeconomic, and health and health-care variables. Our finding is concerning, considering that older people in Canada who are in most need of health-care services due to their food insecurity status are instead reporting unmet health-care needs.</p><p><strong>Conclusion: </strong>This revelation calls for urgent policy attention to reduce the episodes of household food insecurity among older people in Canada. Specifically, to improve their access to health-care services, providing them with periodic grocery rebates as part of the social protection package for seniors in Canada would help mitigate the problem of food insecurity among them.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 4","pages":"438-445"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775155","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}

{"title":"Alternate Level of Care Patients in Canada: a Scoping Review.","authors":"Mariano Maisonnave, Enayat Rajabi, Majid Taghavi, Peter VanBerkel","doi":"10.5770/cgj.27.755","DOIUrl":"10.5770/cgj.27.755","url":null,"abstract":"<p><strong>Background: </strong>There has been increasing concern over the growing number of Alternate Level of Care (ALC) patients in Canada who must wait in hospitals for more appropriate settings to meet their needs. ALC patients may have to stay in hospitals for days or months due to a lack of available long-term care capacity, home care services, or other discharge routes.</p><p><strong>Method: </strong>We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) method to review 35 papers on the topic of ALC patients and delayed discharge in Canada from different perspectives, including (1) the shared characteristics of ALC patients in Canada; and (2) their impact on the Canadian health-care system, medical staff, and family members. Furthermore, from the reviewed works, (3) we also investigate the factors that impact the length of the hospital stays.</p><p><strong>Results: </strong>We highlighted how the ALC problem is increasing healthcare costs, disrupting services, increasing waiting times, and compromising access to valuable resources. We found evidence suggesting that this far-reaching crisis affects the patients, their families, and the medical personnel. We discovered several logistical issues (such as access to long-term care) affecting the patient's hospital length of stay.</p><p><strong>Conclusions: </strong>Our research contributes to understanding this intricate problem, and helps policymakers take steps to tackle this challenge to ensure timely and appropriate care for all patients.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 4","pages":"519-530"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775108","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}

{"title":"\"How Can We Help You?\" Older Adults' and Care Partners' Perspectives on Improving Care in Hospital: A Mixed Methods Study.","authors":"Mercedes Lupo, Eric Wong, Christina Reppas-Rindlisbacher, Justin Lee, Christopher Gabor, Christopher Patterson","doi":"10.5770/cgj.27.734","DOIUrl":"https://doi.org/10.5770/cgj.27.734","url":null,"abstract":"<p><strong>Background: </strong>Hospitalized older adults have unique physical, emotional, and psychosocial needs. We sought to understand older patients' and care partners' experiences with multicomponent interventions that support age-friendly care and identify areas for improvement.</p><p><strong>Methods: </strong>We conducted a mixed methods study using surveys and interviews to explore older adult patients' (65 years or older) and their care partners' experiences with hospital-delivered multicomponent initiatives. We recruited participants from the Geriatric Rehabilitation (GRU) and Musculoskeletal (MSK) Rehabilitation units in a Canadian academic hospital from October 2021 to April 2022 until we reached data saturation and no new themes emerged.</p><p><strong>Results: </strong>We recruited 18 participants, 10 patients (mean age 78 years, 80.0% female) and 8 care partners (mean age 61, 87.5% female). Surveys revealed overall positive experiences with multicomponent interventions. Interviews revealed five themes: 1) various forms of companionship for patients, 2) recreation and entertainment, 3) physical activity, 4) communication, and 5) pleasant physical environment. Having forms of companionship and proper communication with the care team were highlighted as areas of importance. Physical activity was highly valued, but participants expressed hesitation around safety of mobilizing without physiotherapists. Recreational activities helped distract from social isolation during a hospital stay and participants had diverse preferences for activities. Participants had strong memories of the physical environment, including the lack of natural light, institutionallike décor, and smells.</p><p><strong>Conclusion: </strong>Companionship, recreation and entertainment, physical activity, communication, and the physical environment were important to hospitalized patients and their care partners. Hospital administrators and policy makers should consider these when targeting areas to improve care for the aging population.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 4","pages":"446-461"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775102","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}

{"title":"Effectiveness of the Sub-Acute Care for Frail Elderly (SAFE) Transitional Care Unit on Short-Term Functional Independence in Frail Older Patients Discharged from Hospital.","authors":"Benoît Robert, Annie H Sun, Danielle Sinden, Anan B Eddeen, Maya Murmann, Amy T Hsu","doi":"10.5770/cgj.27.721","DOIUrl":"https://doi.org/10.5770/cgj.27.721","url":null,"abstract":"<p><strong>Background: </strong>Transitional care programs help improve continuity of care and post-discharge outcomes for frail older adults who are hospitalized. In this study, we examined the effectiveness of a transitional care model, based in a long-term care (LTC) home, on the functional independence of older hospitalized patients post-discharge.</p><p><strong>Methods: </strong>We used a propensity-score matched cohort, whereby cases comprised patients who were admitted to a transitional care program-called the Sub-Acute Care for Frail Elderly (SAFE) Unit-following a hospitalization between March 1, 2018 and June 30, 2019. Controls were matched to Usual Care patients discharged from hospitals within the same health region and accrual period who did not receive transitional care in the SAFE Unit. Outcomes included acute care, LTC, and home care use within six-month post-discharge.</p><p><strong>Results: </strong>Compared to Usual Care, SAFE Unit patients were less likely to be admitted into an LTC home (RR 0.44, 95% CI 0.23-0.86) within six months post-discharge. Additionally, on average, SAFE Unit patients spent 34 fewer days in LTC homes than controls. SAFE Unit patients also incurred significantly fewer home care service days (median: 52 days, IQR: 12-132 days) than Usual Care patients (median: 65.5 days, IQR: 19-158 days), particularly in terms of their reliance on general nursing and personal support. Both groups had similar risks of six-month hospital readmission and having an ED visit.</p><p><strong>Conclusion: </strong>Rehabilitative and restorative-focused care provided through transitional programs, such as the SAFE Unit, have the potential to enable independent living for older hospitalized patients discharged to the community.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 4","pages":"418-429"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775147","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}

{"title":"COVID-19-Associated Outcomes of Critical Illness in Patients with Frailty: a Cohort Study.","authors":"Carmel L Montgomery, Andrea Davenport, Lazar Milovanovic, Sean M Bagshaw, Darryl B Rolfson, Oleksa G Rewa","doi":"10.5770/cgj.27.731","DOIUrl":"10.5770/cgj.27.731","url":null,"abstract":"<p><strong>Background: </strong>Pre-admission frailty has been associated with higher hospital mortality in patients with critical illness. We aimed to measure the prevalence of frailty and its associated outcomes in patients with COVID-19 critical illness.</p><p><strong>Methods: </strong>A historical cohort study of all adults admitted to ICU with a pneumonia diagnosis in Alberta, Canada between May 1, 2020, and October 31, 2020. At ICU admission patients were routinely assessed for frailty using the Clinical Frailty Scale (CFS). Frailty was defined as a CFS score ≥5. Primary outcomes were pre-admission frailty prevalence and hospital mortality.</p><p><strong>Results: </strong>The cohort (n=521) prevalence of frailty was 34.2% (n=178), mean (SD) age was 58.8 (14.9) years, APACHE II 22.8 (8.0), and 39.5% (n=206) were female. COVID-19 pneumonia was diagnosed in (19.0%; n=99) admissions; pre-admission frailty was present in 20.2% (n=20) vs. 79.8% (n=79) non-frail (<i>p</i><.001). Among ICU patients admitted with COVID-19, hospital mortality in frail patients was 35.4% (n=63) vs. 14.0% (n=48) in non-frail (<i>p</i><.001).</p><p><strong>Conclusion: </strong>Pre-admission frailty was present in 20.2% of COVID-19 ICU admissions and was associated with higher risk of hospital mortality. Frailty assessment may yield valuable prognostic information when considering COVID-19 ICU admission; however, further study is needed to identify effect on patient-centred outcomes in this heterogeneous population.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 3","pages":"307-316"},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134613","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}

{"title":"Multi-Stakeholder Validation of an Entrustable Professional Activities Framework for Canadian Geriatrics Residency Programs.","authors":"Derek C P Fisk, Ben G Clendenning, Philip D St John, Jose Francois","doi":"10.5770/cgj.27.728","DOIUrl":"10.5770/cgj.27.728","url":null,"abstract":"<p><strong>Background: </strong>Entrustable Professional Activities (EPAs) have become a cornerstone for an increasing number of competency-based medical education programs. Today, frameworks of EPAs are being used in most, if not all, medical specialties. These frameworks can break a discipline down to its constituting tasks, and structure the training and evaluation of residents. In 2018, The Royal College of Physicians and Surgeons of Canada created an EPA framework for Geriatric Specialty residency programs nationwide. The present study aims to evaluate this EPA framework through focus groups consisting of several stakeholder groups.</p><p><strong>Methods: </strong>Participants were recruited to be part of one of five focus groups-one for each stakeholder group of interest. The five focus groups consisted of: physician faculty, residents, allied health professionals, administrators/managers, and patients. Each focus group met once virtually over ZOOM^® for no longer than 90 minutes. Meeting transcripts were iteratively coded based on emerging themes, and were compared for similarities and gaps between stakeholder perspectives.</p><p><strong>Results: </strong>Multi-stakeholder consultation yielded feedback on many specific EPAs, suggestions for new EPAs, and additional input which gave rise to four themes: (i) EPA scope, (ii) Operationalization, (iii) Interprofessional Collaboration, and (iv) Patient Advocacy. Lastly, we received their thoughts on how the framework defines Geriatrics relative to the work of Care of the Elderly physicians in Canada.</p><p><strong>Conclusions: </strong>Consulting a variety of stakeholder groups generates a robust and diverse supply of feedback that holistically augments EPA frameworks to be more practical, appropriate, socially accountable and patient-centred.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 3","pages":"281-289"},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134617","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}

{"title":"Canadian Inpatient Orthogeriatric Models of Care: A Mixed Methods Survey of Facilitators and Barriers.","authors":"Dana Trafford, YaJing Liu, Alexandra Papaioannou, George Ioannidis, Jenny Thain","doi":"10.5770/cgj.27.743","DOIUrl":"10.5770/cgj.27.743","url":null,"abstract":"<p><strong>Background: </strong>Fragility fractures are a serious and common consequence of falls in older adults. Orthogeriatric models of care reduce mortality and morbidity, but, despite this evidence, orthogeriatric programs (OGPs) are not standardized across Canada. The aim of this study was to better understand the facilitators and barriers of OGPs across Canada.</p><p><strong>Methods: </strong>Data on OGPs across Canada were gathered via email survey to all Canadian Geriatric Society (CGS) members and distributed April 1st to May 1st 2021. Respondents answered 15 questions, using SKIP LOGIC, and data analysis was conducted with Qualtrics^XM software.</p><p><strong>Results: </strong>62 CGS members completed the survey. Respondents came from nine provinces/territories, with most being physicians from academic centres. 77% respondents indicated an existing OGP at their site, commonly an optional or automatic geriatrician consult. 23% indicated no formal OGP, of which 56% had an alternative service automatically consulted for older adults with fragility fracture, commonly internal medicine or a hospitalist. Responders indicated the most important factor in establishing an OGP is clinical leadership (56%, 10/18), and the most common barriers are lack of hospital prioritization and lack of funding (41%, 62/153).</p><p><strong>Conclusions: </strong>The survey found that clinical leadership, hospital prioritization, and available funding are imperative to establishing OGPs. Limitations include the survey being distributed only to CGS members, a lower response rate, and respondents predominantly from academic centres in Ontario. Further qualitative data from other specialties (for example, orthopedics) and greater representation from community hospitals would be helpful to understand additional perceived barriers and facilitators.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 3","pages":"275-280"},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134612","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}

{"title":"Health Outcomes of Older Adults after a Hospitalization for a Hip Fracture.","authors":"Cameron MacLellan, Karla Faig, Loren Cooper, Susan Benjamin, Joshua Shanks, Andrew J Flewelling, Daniel J Dutton, Chris McGibbon, Alanna Bohnsack, James Wagg, Pamela Jarrett","doi":"10.5770/cgj.27.720","DOIUrl":"10.5770/cgj.27.720","url":null,"abstract":"<p><strong>Background: </strong>Hip fractures in older adults often lead to adverse health outcomes, which may be related to time to surgery and longer hospital stays. The experience of older adults with hip fractures in New Brunswick is not known.</p><p><strong>Methods: </strong>This was a retrospective observational study. All hip fracture patients 65 years of age and older admitted to one hospital designated as a Level One Trauma Centre between April 1, 2015 and March 31, 2019 comprised the sample.</p><p><strong>Results: </strong>The majority (86.5%) received surgery within 48 hours and those who had surgery beyond this time frame had a significantly longer stay in acute care (OR: 3.79, 95% CI: 2.05-7.15). The mean total length of stay (Total-LOS) for patients discharged after their acute care needs were met was 9.8 days (SD=8.1) compared to patients experiencing delays in discharge for nonmedical reasons which was 26.3 days (SD=33.7). An extended stay in acute care (OR: 1.93, 95% CI: 1.09-3.43) and increasing age (OR: 1.03, 95% CI: 1.001-1.06) were associated with a higher likelihood of death at one year post-discharge. Time to surgery beyond 24 hours (OR: 2.80, 95% CI: 1.13-7.38) was associated with a higher likelihood of death 30 days post-discharge.</p><p><strong>Conclusions: </strong>Most patients had surgery within the national benchmark of less than 48 hours. The Total-LOS increased 2.5-fold in patients who remained in hospital after their acute care needs were met. A better understanding of patient characteristics, such as frailty, may better predict patients at risk for longer hospital stays and adverse health outcomes.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 3","pages":"290-298"},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134615","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}

{"title":"Quality of Life Among Hospitalized Fibromyalgia Older Adults: a Case-Control Study.","authors":"Abdallah Fawaz, Mouhamad Suliman, Mor Robin, Shay Brikman, Nogah Shabshin, Irina Novofastovsky, Mohammad Egbaria, Reuven Mader, Amir Bieber","doi":"10.5770/cgj.27.724","DOIUrl":"10.5770/cgj.27.724","url":null,"abstract":"<p><strong>Background: </strong>Only few studies addressed the topic of Fibromyalgia Syndrome (FMS) effects on geriatric population quality of life and drug usage. The objective of this study was to demonstrate the significant impact of FMS in terms of quality of life (QOL) in geriatric aged patients.</p><p><strong>Methods: </strong>80 patients were studied, 40 with FMS according to FMS 2016 classification criteria, and 40 non-FMS controls. The patients were all above the age of 65 years. The FMS and control group completed Widespread Pain Index (WPI) and Symptom Severity Score (SSS). Three questionnaires, Fibromyalgia Impact Questionnaire (FIQ), Short Form (SF-36) Questionnaire, and Health Assessment Questionnaire Disability Index (HAQ-DI) were completed. These with additional medical records were used to classify symptoms and severity in both groups.</p><p><strong>Results: </strong>Fibromyalgia patients demonstrated significant higher disability scores, (FIQ of 79.5 vs. 33.9, <i>p</i><.01, and HAQ-DI of 2.00 vs. 1.00, <i>p</i><.01 for FMS vs. non-FMS, respectively), and lower social functioning in comparison to non-FMS controls (SF-36 of social functioning 0.31 vs. 0.92, <i>p</i><.01 for FMS vs. non-FMS, respectively). The FMS group had a higher use of pain management medications (opioid use of 12 patients vs. 0, <i>p</i><.01, use of non-steroidal anti-inflammatory drugs by 11 FMS patients vs. 4 non-FMS controls, <i>p</i><.01).</p><p><strong>Conclusions: </strong>Patients with FMS older than 65 years of age demonstrate poorer outcomes and worse symptoms in comparison to matched-aged non-FMS control group. An association was found between FMS and the effect on the quality of life in this population.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"27 3","pages":"268-274"},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134618","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}