BMC Geriatrics最新文献

{"title":"Risk of malnutrition, food insecurity, dietary quality, and associated factors among Malawian older adults at hospital admission: a cross-sectional study.","authors":"Getrude Mphwanthe, Clare Reynolds, Clare Corish, Lustia Mndoliro, Triza Columbus, Jonathan Misolo, Felistace Mtande, Sarah Browne","doi":"10.1186/s12877-025-06463-x","DOIUrl":"10.1186/s12877-025-06463-x","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition adversely affects health outcomes and healthcare costs; however, limited data are available on the prevalence and burden of malnutrition in older adults at hospital admission in developing countries. Therefore, this study aimed to undertake malnutrition screening among older adults at hospital admission and examine the relationship between nutritional status and a range of health and socio-ecological factors.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in a large public referral hospital in Malawi, targeting older adults (aged ≥ 60 years). Participants were screened for risk of malnutrition using the Mini Nutritional Assessment-Short Form (MNA-SF) within 24-48 h of hospital admission. Those at risk of malnutrition/malnourished using the screening tool (MNA-SF) were subsequently assessed to determine a malnutrition diagnosis using the Global Leadership Initiative on Malnutrition (GLIM). Physical function was assessed using the Katz Index of Independence in Activities of Daily Living (Katz Index ADL) and handgrip strength, appetite using the Simplified Nutritional Appetite Questionnaire (SNAQ), food insecurity using a 12-month food insecurity experience scale, and dietary quality with a 30-day food frequency questionnaire. Logistic regression examined the factors associated with the risk of malnutrition/ malnutrition.</p><p><strong>Results: </strong>The mean age of 315 older adults was 66.83 ± 6.78 years (range: 60-93 years), and 58.4% (n = 184) were male. Using the MNA-SF, the prevalence of malnutrition risk was 39.7%, and 40.3% were malnourished. Of those who were at risk of malnutrition/malnourished using the MNA-SF, 75% were diagnosed with malnutrition utilizing the GLIM criteria. Risk of malnutrition/malnutrition, screened using MNA-SF, was associated with poor appetite (AOR 2.581; 95% CI 1.310-5.086; p = 0.006), severe functional impairment (AOR 5.182; 95% CI: 1.469-18.279; p = 0.011), polypharmacy (AOR 2.673; 95% CI:1.112-6.426; p = 0.028), and severe food insecurity (AOR 2.293; 95% CI 1.015-5.176; p = 0.046).</p><p><strong>Conclusion: </strong>During the study period in 2023, the majority of older adults admitted to a large public hospital in Malawi were at risk of malnutrition/malnourished, with multiple associated factors. Routine malnutrition screening using validated tools on admission, subsequent diagnosis of malnutrition using the GLIM criteria, and the availability of adequate nutrition support, including inpatient and discharge care pathways, are needed to prevent further deterioration of nutritional status in this vulnerable population.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"767"},"PeriodicalIF":3.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tooth loss progression and mortality among older adults: results from the Chinese longitudinal healthy longevity survey (CLHLS).","authors":"Linjia Duan, Liu Yang, Haiyan Ruan, Halmira Alimjan, Liming Zhao, Ziqiong Wang, Lu Liu, Ningying Song, Sen He","doi":"10.1186/s12877-025-06419-1","DOIUrl":"10.1186/s12877-025-06419-1","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"769"},"PeriodicalIF":3.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of cholinergic white matter hyperintensity volume with cognitive decline and incident dementia in older adults: a cohort study.","authors":"Heyang Lu, Rui Li, Jialin Li, Kelin Xu, Yanfeng Jiang, Yingzhe Wang, Xingdong Chen, Mei Cui","doi":"10.1186/s12877-025-06447-x","DOIUrl":"10.1186/s12877-025-06447-x","url":null,"abstract":"<p><strong>Background: </strong>Few studies take both the volume and location of white matter hyperintensities (WMHs) into account to explore the association between WMH burden within the cholinergic pathways and cognitive impairment. We aimed to investigate associations of cholinergic WMH volume (WMHV) with global cognitive function, cognitive decline, and incident dementia in older adults, which may help us identify a potential imaging biomarker.</p><p><strong>Methods: </strong>We assessed non-demented participants (n = 751, mean age 60 years) from the Taizhou Imaging Study with brain MRI at baseline and repeated measures of cognition over 5 years of follow-up. WMHV in the whole brain, the cholinergic pathways, and different tracts in the Montreal Neurologic Institute (MNI) standard space were analyzed. Linear regression, Cox regression, and partial correlation tests were performed to investigate associations between global and regional WMHV and cognitive outcomes.</p><p><strong>Results: </strong>During follow-up, cholinergic WMHV was associated with an annual decline of Mini-Mental State Examination (MMSE) (β coefficient, -0.239; P = 0.004), and incident dementia (HR = 3.54; 95%CI: 2.05-6.10). Within the cholinergic pathways, WMHs in corpus callosum and corona radiata were significantly related to incident dementia. Global WMHV was also associated with global cognitive decline (β coefficient, -0.049; P = 0.002). However, greater global WMHV only slightly increased the risk of incident dementia (HR = 1.23; 95%CI: 1.11-1.35). Neither global nor cholinergic WMHV was associated with MMSE in cross-sectional analysis.</p><p><strong>Conclusions: </strong>Cholinergic WMHV is associated with longitudinal cognitive decline and incident dementia in older adults, which might result from disruption of corpus callosum and corona radiata. These findings highlight the value of cholinergic WMHV as a potential indicator of cognitive deterioration.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"768"},"PeriodicalIF":3.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences in the impact of emotional support networks on health-related quality of life among floating elderly: a cross-sectional study in China.","authors":"Jinpeng Xu, Zheng Kang, Xiaoning Hao, Baojun Chen, Lingyu Zhao","doi":"10.1186/s12877-025-06406-6","DOIUrl":"10.1186/s12877-025-06406-6","url":null,"abstract":"<p><strong>Background: </strong>Emotional support, as a key component of social support, may influence the health of floating elderly individuals. This study aims to examine the characteristics of emotional support networks and assess their impact on health-related quality of life (HRQoL) among the floating elderly, with a focus on gender differences.</p><p><strong>Methods: </strong>Data were collected through questionnaires from 2,330 floating elderly in Beijing and Nanjing, China. HRQoL was measured using the EuroQol 5-Dimensions 3-Level scale, while emotional support network characteristics were assessed in terms of size, density, composition, heterogeneity, and convergence. Tobit regression models were employed to analyze the impact of emotional support networks on HRQoL.</p><p><strong>Results: </strong>The mean HRQoL of the participants was 0.884 ± 0.138, with females reporting higher utility values than males (P < 0.05). Emotional support network size was negatively associated with HRQoL (P < 0.01), whereas a larger number of kin members and greater age convergence had positive effects (P < 0.01). Compared to males, higher network density (β=-0.073, P < 0.05) and greater educational heterogeneity (β=-0.116, P < 0.01) were associated with lower HRQoL of female elderly.</p><p><strong>Conclusions: </strong>The overall HRQoL of floating elderly individuals was relatively good. Their emotional support networks were generally \"small in size and high in density\", with greater convergence than heterogeneity. A large emotional support network may not be necessary, and priority attention should be given to those lacking kin-based emotional support. It is also crucial to emphasize the role of peers and consider gender differences when designing emotional support networks for the floating elderly.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"765"},"PeriodicalIF":3.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote monitoring system for older adults at risk for complications: a scoping review.","authors":"Israa Salma, Damien Testa, Jacky-Vivien Mpoy, Joel Perez-Torrents, Jean-Malo Rehault, Elise Cabanes, Etienne Minvielle","doi":"10.1186/s12877-025-06385-8","DOIUrl":"10.1186/s12877-025-06385-8","url":null,"abstract":"<p><strong>Introduction: </strong>Aging populations and the increasing incidence of chronic diseases are placing additional pressure on healthcare systems. Remote monitoring systems (RMS) have emerged as a solution for improving remote healthcare efficiency and monitoring complex elderly patients. However, telemonitoring services in elderly care are still in their infancy, and their effectiveness remains unproven, with the potential for context-dependent variability. To bridge this gap, we conducted a scoping review to understand the current state of RMSs for elderly individuals at risk for complications, and their potential impact on healthcare service use, elderly's quality of life, and cost-effectiveness.</p><p><strong>Methods: </strong>Following the PRISMA-ScR guidelines, data were gathered from PubMed, Scopus, and Google Scholar databases using predefined keywords, from 2010 onwards. Only English peer-reviewed studies that met the eligibility criteria were retained.</p><p><strong>Results: </strong>A total of 1,576 articles were initially identified. After removing duplicates and screening titles and abstracts, 47 articles were eligible for full-text assessment. Of these, 18 articles were included in the final analysis. Multiple RMSs have been identified and used for elderly patients with complex chronic conditions and a high risk of complications. Such systems typically involve telemonitoring devices, integrated or not with health questionnaires, supported by an automated alert system led by a healthcare professional, usually a nurse, who collaborates with different healthcare structures. The evaluation of RMSs effectiveness was primarily based on health service utilization-particularly hospitalization, emergency room visits and length of hospital stay-followed by quality of life and cost-effectiveness. Our findings support the promising impact of RMSs on reducing hospitalization for at-risk elderly individuals, especially the unplanned hospitalization, improving quality of life, and its cost-effectiveness.</p><p><strong>Conclusion: </strong>This review outlines multiple RMSs used for elderly individuals at risk for complications. Although the effectiveness of RMSs may depend on the content and level of responsiveness, our review underscores the necessity for further empirical research into telemonitoring interventions to fully understand their impact on elderly health outcomes and healthcare systems resources.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"766"},"PeriodicalIF":3.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between cognitive domains and suicidal ideation in patients with mild dementia: the crucial role of judgement domain.","authors":"Xiaoyi Tian, Hongjun Sun, Tingting Zhang, Bo Zhang, Yuanyuna Li, Ying Cui, Peilin Xu, Wujisiguleng, Hongmei Yu, Yueqin Huang, Zhaorui Liu","doi":"10.1186/s12877-025-06391-w","DOIUrl":"10.1186/s12877-025-06391-w","url":null,"abstract":"<p><strong>Background: </strong>China, with the world's largest population of individuals with dementia, faces a significant suicide rate among older adults, which remains a public health concern. Although previous studies suggest an association between dementia and suicidal ideation, the specific role of cognitive domains in this relationship is not well understood. This study aims to fill this gap by examining the association between cognitive domains and suicidal ideation in older adults with mild dementia.</p><p><strong>Methods: </strong>This cross-sectional study included 4,289 adults aged ≥ 65 years from Tongliao City, Inner Mongolia. Cognitive domains were assessed using the Clinical Dementia Rating (CDR) scale, and suicidal ideation was evaluated using the Geriatric Mental State-Automated Geriatric Examination for Computer Assisted Taxonomy (GMS-AGECAT) package. Multiple logistic regression and network analyses were conducted to examine the relationships between cognitive domains and suicidal ideation.</p><p><strong>Results: </strong>The prevalence of suicidal ideation was significantly higher in mild dementia patients (10.6%) compared to non-dementia individuals (2.1%). Mild dementia was independently associated with suicidal ideation (adjusted OR = 3.37, 95%CI: 1.83-6.19), even after controlling for depression and anxiety. Among cognitive domains, judgment impairment showed the strongest independent association with suicidal ideation (OR = 3.44, 95%CI: 1.49-7.95). Network analysis confirmed judgment domain as the key cognitive factor linking dementia to suicidal ideation, contrasting with multiple domain associations in non-dementia individuals.</p><p><strong>Conclusions: </strong>Judgment domain impairment plays a crucial and independent role in suicidal ideation among mild dementia patients, with more than half of the dementia-suicide association remaining significant even after accounting for emotional symptoms. While anxiety and depression are important concurrent factors requiring clinical attention, the fundamental role of cognitive decision-making capacity suggests that interventions targeting judgment enhancement should be considered as a primary approach in suicide prevention efforts for this population. Further research is needed to develop and validate interventions specifically targeting judgment enhancement while concurrently managing emotional symptoms in the context of dementia care.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"763"},"PeriodicalIF":3.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sit-up test for assessing impaired blood pressure regulation in community-dwelling older adults: a cross-sectional study.","authors":"Kazuaki Oyake, Yoshiharu Yokokawa","doi":"10.1186/s12877-025-06456-w","DOIUrl":"10.1186/s12877-025-06456-w","url":null,"abstract":"<p><strong>Background: </strong>The sit-up test enables safe orthostatic hypotension assessment without using a tilt table in high fall-risk individuals; however, no study has compared blood pressure responses between older adults with and without orthostatic hypotension during this test. The primary objective was to compare blood pressure responses during the sit-up test between community-dwelling older adults with and without orthostatic hypotension as defined by this test. The secondary objective was to determine the associations between orthostatic hypotension detected by the sit-up test and adverse health outcomes in these individuals.</p><p><strong>Methods: </strong>This was a cross-sectional study; thus, it cannot establish causality. One hundred two community-dwelling older adults underwent the sit-up test. Orthostatic hypotension was defined as a decrease of ≥ 10 mmHg in systolic blood pressure and/or ≥ 5 mmHg in diastolic blood pressure during the test. Supine and seated hypertension were defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Blood pressure responses during the test were compared between participants with and without orthostatic hypotension. Moreover, independent associations between orthostatic hypotension and adverse health outcomes were examined.</p><p><strong>Results: </strong>Thirty-four participants (33.3%) experienced orthostatic hypotension. Participants with orthostatic hypotension demonstrated a greater decrease in systolic blood pressure (F_(3,297) = 47.0, p < 0.001), smaller increase in diastolic blood pressure (F_(3,297) = 26.5, p < 0.001), and higher supine systolic blood pressure (t = 3.363, p = 0.005) than those without orthostatic hypotension. Accordingly, 52.9% of the participants with orthostatic hypotension had supine hypertension. Orthostatic hypotension was associated with a higher proportion of participants with at least one comorbidity (odds ratio = 4.50, p = 0.002) and those with a pre-frail or frail status (odds ratio = 3.08, p = 0.022), even after adjusting for supine and seated hypertension.</p><p><strong>Conclusion: </strong>Community-dwelling older adults with orthostatic hypotension were characterized by an impaired increase in diastolic blood pressure during sitting up and high supine systolic blood pressure. Orthostatic hypotension was associated with adverse health outcomes, independent of supine and seated hypertension. These findings provide valuable insights for the application of the sit-up test in preventive health screenings for older adults.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"764"},"PeriodicalIF":3.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of physical activity levels with frailty index in elderly Chinese: evidence from the China health and retirement longitudinal study (CHARLS).","authors":"Qianqian Li, Jiayi Guan, Ronghui Wang","doi":"10.1186/s12877-025-06334-5","DOIUrl":"10.1186/s12877-025-06334-5","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"762"},"PeriodicalIF":3.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the unseen: cross-cultural adaptation and psychometric properties of the persian dental neglect scale (P-DNS) to uncover oral health neglect in Iranian seniors.","authors":"Mehdi Taghian, Hadi Najafi, Tahereh Molania, Narjes Hoshyari, Soroush Alizadeh Ghamsari, Afsaneh Fendereski, Shahab Papi","doi":"10.1186/s12877-025-06459-7","DOIUrl":"10.1186/s12877-025-06459-7","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"761"},"PeriodicalIF":3.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency department visits due to severe falls: comparing patient self- reports and general practitioner records: A cross-sectional study.","authors":"Greta Fellhölter, Tim Stuckenschneider, Laura Himmelmann, Tania Zieschang","doi":"10.1186/s12877-025-06411-9","DOIUrl":"10.1186/s12877-025-06411-9","url":null,"abstract":"<p><strong>Background: </strong>Older individuals who experience a severe fall are at high risk for long-term consequences and require structured follow-up care including risk assessments and secondary prevention (e.g. exercise). Accurate knowledge of pre-existing diagnoses is essential for tailoring interventions. However, identifying these diagnoses in emergency department (ED) is challenging due to time constraints, high workload, potential recall bias after a traumatic event, and limited electronic data exchange across healthcare settings in Germany. This study analyses the concordance between self-reported diagnoses of adults aged > 60 years presenting to the ED after a fall without hospitalisation and diagnostic information provided by their general practitioners (GPs).</p><p><strong>Methods: </strong>Data from the SeFallED study conducted in Germany were analysed. To analyse concordance, 28 major diagnostic groups (e.g. heart diseases, cancer, lung diseases) were established. Cohen's Kappa assessed the agreement between self-reported and GP-reported diagnoses. Logistic regression identified associations between population characteristics (e.g., cognition, concerns about falling, age) and discordance between self-reported and GP-reported diagnoses.</p><p><strong>Results: </strong>A total of 216 participants (mean age 75.2), with an average of five diagnoses per person, were included. Agreement was almost perfect (K = 0.81-1.0) for Parkinson's disease, substantial (K = 0.61-0.80) for diabetes mellitus and cancer, and moderate (K = 0.41-0.60) for heart and lung diseases. Other conditions showed fair, poor, or no agreement. Age, sex, BMI, cognition, concerns about falling, education, and living arrangements were associated with discordance. Only higher concerns about falling were linked to non-agreement for overall diagnoses.</p><p><strong>Conclusion: </strong>Overall, there was poor agreement between self-reported and GP-reported diagnoses. Special attention should be given to older adults and individuals with high concerns about falling, as these factors predicted discordance. Participants were more likely to report diseases with more noticeable symptoms and frequent monitoring such as Parkinson's disease or diabetes mellitus. To optimise follow-up care, improving the accuracy of diagnostic information is essential, which may be facilitated by harmonizing patient information across electronic systems (e.g., electronic health cards). Improved communication between GPs and patients regarding existing illnesses is also crucial to enhance the accuracy of patient self-reports.</p><p><strong>Trial registration: </strong>DRKS (Deutsches Register für klinische Studien, DRKS00025949, prospectively registered on 4th November, 2021).</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"757"},"PeriodicalIF":3.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}