Journal of the American Geriatrics Society最新文献

{"title":"Re-Evaluating Predictive Performance in the Clinical Risk Analysis Index of Frailty.","authors":"Nikita Desai, Michael A Jacobs, Anh L Tran, Hasan Nassereldine, Jeffrey C McKibben, Katherine M Reitz, Patrick R Varley, Shipra Arya, Jason M Johanning, Mark A Wilson, Daniel E Hall","doi":"10.1111/jgs.70777","DOIUrl":"https://doi.org/10.1111/jgs.70777","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether the Risk Analysis Index (RAI), last calibrated in 2010-2014, requires scoring system changes to remain an effective measure of surgical frailty.</p><p><strong>Summary background data: </strong>The RAI is among the most validated and widely used measures of surgical frailty. However, like any clinical prediction model, the RAI's scoring system might be prone to algorithmic drift that could invalidate continued use.</p><p><strong>Methods: </strong>Retrospective cohort study of patients evaluated in outpatient surgery clinics at Veterans Health Administration (VHA) or University of Pittsburgh Medical Center (UPMC). All-cause mortality was measured 180 days after frailty assessment using the RAI-clinical questionnaire (RAI-C).</p><p><strong>Results: </strong>In 410,715 patients from UPMC and 190,044 patients from VHA, the existing RAI-C scoring system demonstrated strong discrimination (c = 0.868 95% CI [0.864-0.872] for UPMC, 0.827 [0.822-0.832] for VHA) which improved modestly after recalibrating parameter weights (c = 0.872 95% CI [0.868-0.876], for UPMC, 0.839 [0.834-0.845] for VHA). Calibration improved slightly, especially at the extremes where the model tends to underpredict mortality, but little change was observed in the range around the threshold of frailty. Of note, the scoring weights associated with a cancer diagnosis demonstrated some multicollinearity-driven instability, but cancer remained the largest contributor to total score. Decision curve analysis demonstrated that reclassification of just a single additional patient as frail would require screening 1400-6000 patients with the recalibrated system, depending on the threshold score defining frailty, and after accounting for the harms of false-positive classification, weighted proportional to the odds at each threshold probability.</p><p><strong>Conclusions: </strong>The RAI scoring system remains robust after a decade of widespread use without evidence of meaningful algorithmic drift. The minimal incremental improvement associated with recalibration does not justify the resources required to disseminate and implement a revised scoring system.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review on Decision-Making Interventions for Kidney Failure Treatment Options by the Kidney Disease Aging Research Collaborative.","authors":"Maya N Clark-Cutaia, Ilana Mittleman, Juliana Magro, Catherine R Butler, Nidhi Ghildayal, Laura Kimberly, Samantha Klitenic, Manjula Kurella Tamura, Semra Ozdemir, Tiffany R Washington, Malika Wilson, Mara McAdams-DeMarco, Rasheeda K Hall","doi":"10.1111/jgs.70773","DOIUrl":"https://doi.org/10.1111/jgs.70773","url":null,"abstract":"<p><strong>Background: </strong>Patients with kidney disease face complex treatment decisions amid prognostic uncertainty. These decisions may be particularly challenging for older adults, who often experience cognitive and functional changes and rely on caregivers. However, limited evidence describes treatment decision-making interventions for older adults, including the decision points addressed, use of decision aids, and geriatric-relevant SDM features, including caregiver involvement, values clarification, multiple touchpoints, and prognostic information.</p><p><strong>Methods: </strong>We conducted a scoping review of studies examining kidney failure treatment decision-making interventions that included ≥ 1 older patient(s) (≥ 65) with advanced kidney disease. We searched seven databases from inception through 4/2026. We characterized interventions by decision point, type of decision support provided, outcomes, exclusive enrollment of older adults, and presence of geriatric-relevant SDM features.</p><p><strong>Results: </strong>We identified 32 studies (of 2060 screened), representing 26 interventions. Seven interventions examined conservative kidney management versus dialysis, five dialysis modality, five dialysis versus transplant, and nine multiple treatment options. Among these, 11 (42%) included caregivers, 20 (77%) had multiple touchpoints, 19 (73%) included values clarification, and 12 (46%) incorporated prognostic data. Most interventions (22, 85%) incorporated decision aids. Of 137 outcomes reported, 13 (9%) were clinical. Nine interventions (35%) were evaluated exclusively among older adults.</p><p><strong>Conclusions: </strong>Patient decision aids were common in kidney failure treatment decision-making interventions, but incorporation of geriatric-relevant SDM features varied across decision points, and few interventions were evaluated exclusively among older adults. Future interventions should tailor geriatric-relevant SDM features to specific treatment decisions to best support older adults in making kidney failure treatment decisions.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sounds Remain.","authors":"Mira Mahishi, Preaksha Garg, Anupama Gangavati","doi":"10.1111/jgs.70809","DOIUrl":"https://doi.org/10.1111/jgs.70809","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiving Relationships, Advance Care Planning, and Hospice Use in Later Life.","authors":"Yanjun Dong, Hillary D Lum","doi":"10.1111/jgs.70791","DOIUrl":"https://doi.org/10.1111/jgs.70791","url":null,"abstract":"<p><strong>Background: </strong>Little is known about whether primary caregiver relationship is associated with hospice use or advance care planning (ACP) in later life. This study examined variation in hospice use and ACP across primary caregiver relationships.</p><p><strong>Methods: </strong>Gateway Harmonized Health and Retirement Study End-of-Life data were restricted to Wave 12 and later. The sample included 3952 decedents aged 60 years or older. Caregiving category identified the primary caregiver as spouse/partner, child/grandchild, extended family, or non-kin informal, with formal care only and no identified caregiver as additional categories. Multivariable logistic regression estimated hospice use; a joint Wald test assessed overall differences across four informal primary-caregiver categories, and probability-scale decomposition examined indirect associations through ACP.</p><p><strong>Results: </strong>Among decedents with an identified informal primary caregiver, hospice use did not vary overall by caregiver relationship. Relative to spouse/partner primary caregiving, hospice use was lower among decedents with no identified caregiver (OR, 0.46) and those receiving formal care only (OR, 0.62), while child/grandchild primary caregiving was associated with a 3.87-percentage-point higher probability of ACP. The indirect association through ACP for child/grandchild primary caregiving was small (0.39 percentage points).</p><p><strong>Conclusions: </strong>Hospice use was not concentrated within a particular informal primary caregiver relationship, whereas differences by caregiver relationship were more apparent in ACP. These findings highlight a distinction between care planning and eventual service use and suggest that caregiver availability and broader caregiving circumstances may be important to consider alongside relationship type.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Note on Home-Based Medical Care in Traditional Medicare vs. Medicare Advantage Among Older Adults With Alzheimer's Disease and Related Dementias.","authors":"Michael L Malone","doi":"10.1111/jgs.70785","DOIUrl":"https://doi.org/10.1111/jgs.70785","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Sepsis Survival: Post-Acute Vulnerability Profiles in Older Home Health Patients.","authors":"Sang Bin You, Jiyoun Song, Miriam Ryvicker, Yolanda Barrón, Ryan Quinn, Jesse Y Hsu, Mary D Naylor, Karen B Lasater, Kathryn H Bowles","doi":"10.1111/jgs.70796","DOIUrl":"https://doi.org/10.1111/jgs.70796","url":null,"abstract":"<p><strong>Background: </strong>Older sepsis survivors face elevated rehospitalization risk shaped by multimorbidity and post-sepsis vulnerability, yet traditional risk models evaluate these factors in isolation. To identify clinically meaningful profiles of coexisting rehospitalization risk factors among older sepsis survivors receiving home health care (HHC), we used clustering to characterize risk subgroups and examined their association with 30-day rehospitalization.</p><p><strong>Methods: </strong>A retrospective cohort study of Medicare fee-for-service beneficiaries aged 65 years or older who transitioned to HHC after hospitalization for sepsis between January 1, 2021 and December 31, 2022 in the United States. Partitioning around medoids clustering with Gower distance was used to identify risk clusters based on risk factors available during the index hospitalization and first post-discharge HHC assessment. Multivariable logistic regression examined associations between cluster membership and all-cause 30-day rehospitalization, adjusting for contextual, HHC agency, and service delivery factors.</p><p><strong>Results: </strong>Among 21,888 index stays, two rehospitalization risk clusters were identified. Both clusters demonstrated post-acute vulnerability after sepsis hospitalization but differed in intensity and breadth of impairments. The higher vulnerability cluster had greater functional dependency, cognitive and behavioral impairment, urinary and bowel incontinence, difficulty following medical instructions, and prior healthcare utilization. Compared with the lower post-acute vulnerability cluster, the higher post-acute vulnerability cluster had a higher 30-day rehospitalization rate (27.8% vs. 21.1%; p < 0.001) and significantly higher odds of 30-day rehospitalization in unadjusted (OR 1.492; 95% CI 1.400-1.589; p < 0.001) and adjusted analyses (aOR 1.480; 95% CI 1.384-1.582; p < 0.001).</p><p><strong>Conclusion: </strong>Among older sepsis survivors receiving HHC, rehospitalization risk clustered into two post-acute vulnerability profiles that primarily reflected differences in the overall extent of multidimensional vulnerability. These profiles may help characterize co-occurring post-acute needs and support future evaluation of whether cluster-informed care coordination or stratified post-acute care can improve outcomes.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence-Assisted Ultrasound for Sarcopenia Assessment: A Scoping Review.","authors":"Weikang Jiang, Jianguo Sheng, Wanqiong Zhou, Yan Zhang, Ying Wang, Jing Wang, Wei Luan","doi":"10.1111/jgs.70793","DOIUrl":"https://doi.org/10.1111/jgs.70793","url":null,"abstract":"<p><strong>Background: </strong>Muscle ultrasound offers a portable, non-invasive, and cost-effective option for sarcopenia assessment, but operator dependency limits its standardization. Artificial intelligence (AI) may help automate and improve ultrasound-based muscle evaluation. This scoping review aims to map the current landscape of AI-assisted ultrasound for sarcopenia assessment, including research trends, methods, clinical uses and performance, and to suggest future work.</p><p><strong>Methods: </strong>Following Joanna Briggs Institute guidelines and the PRISMA-ScR checklist, we searched PubMed, Embase, Web of Science, the Cochrane Library, CINAHL, ProQuest, CNKI, WanFang Data, Yiigle, VIP, and Sinomed up to July 25, 2026. Two researchers independently selected studies and extracted data.</p><p><strong>Results: </strong>Thirty studies were included. This field is developing rapidly, with 76.7% of studies published in the last 3 years, primarily from Spain and China. Model development and validation studies (43.3%) were most common. U-Net and its variants were the predominant AI architectures, mainly for image segmentation. B-mode ultrasound with high-frequency linear probes was frequently used. The rectus femoris was the most assessed muscle for sarcopenia (73.3%). AI-integrated models for sarcopenia diagnosis achieved AUCs of 0.640-0.950. Reported Dice coefficients for muscle segmentation ranged from 0.73 to 0.99. In-house datasets were used in 66.7% of the studies, and global classification labels were the most frequent annotation strategy (46.7%).</p><p><strong>Conclusions: </strong>AI-assisted ultrasound shows potential for objective and scalable sarcopenia assessment but remains early-stage. Operator dependency in image acquisition has not been fully resolved. Further investigation should determine the added value of integrating multimodal imaging, combining diverse AI techniques, and evaluating multiple muscle groups. Future efforts should deepen image-processing strategies to extract clinically relevant features and facilitate standardized, scalable implementation in clinical practice.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-Based Medical Care in Traditional Medicare vs. Medicare Advantage Among Older Adults With Alzheimer's Disease and Related Dementias.","authors":"Mia Yang, Stephanie K Nothelle, Bruce Kinosian, Lindsey Abdelfattah, Michael P Bancks, Zhang Zhang, Emilie D Duchesneau, Amresh D Hanchate","doi":"10.1111/jgs.70781","DOIUrl":"https://doi.org/10.1111/jgs.70781","url":null,"abstract":"<p><strong>Background: </strong>As Alzheimer's disease and related dementias (ADRD) progress, many people become homebound and depend on home-based medical care (HBMC), but differences in HBMC, telemedicine, and office visits between Traditional Medicare (TM) and Medicare Advantage (MA) plans are not well understood.</p><p><strong>Methods: </strong>We analyzed 2021-2022 Medicare claims and encounter data to categorize 2022 outpatient visits for community-living TM and MA enrollees with ADRD as HBMC, telemedicine, or office-based. We summarized HBMC recipient characteristics by plan type and used Poisson regression with inverse weights of propensity of plan enrollment and regional fixed effects to compare TM and MA enrollees on visit counts, usage incidence, and visit intensity by visit modality. We also examined differences by comorbidity burden, frailty, dual Medicaid eligibility, race and ethnicity, and major MA plans.</p><p><strong>Results: </strong>Out of 49,194 TM and 47,830 MA enrollees with ADRD, MA enrollees had fewer overall visits (TM = 8.89; MA = 7.97) and HBMC visits (TM = 2.09; MA = 1.37) compared to TM enrollees. Adjusted analyses showed that the number of HBMC visits was 25% lower (IRR = 0.75; 95% CI, 0.69-0.81) in MA compared to TM, arising from 19% and 7% lower user incidence and visit intensity, respectively. Office visits were 6% lower (IRR = 0.94; 95% CI, 0.91-0.96), telemedicine visits were similar (IRR = 1.02; 95% CI, 0.95-1.10), and overall visits were 10% lower (IRR = 0.90; 95% CI, 0.88-0.93) in MA relative to TM. Relative to TM, HBMC visits were lower in MA by a larger margin among non-Hispanic Black (47%), Hispanic (67%), and dual Medicaid-eligible (42%) MA enrollees. Within MA, HBMC visits were 27% higher (IRR = 1.27; 95% CI, 1.09-1.48) in PPO plans relative to HMO plans.</p><p><strong>Conclusions: </strong>HBMC user incidence and visit intensity were higher in TM than MA among enrollees with ADRD. The findings underscore the need for research and targeted interventions to ensure adequate and equitable access to HBMC services.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Limited English Proficiency on Glaucoma Outcomes, Access to Eye Care, and Health Literacy in the NIH All of Us Database.","authors":"Ahmad Santina, Vicki Liu, Allan I Puran, Timothy Banh, Fei Yu, Victoria L Tseng, Anne L Coleman","doi":"10.1111/jgs.70789","DOIUrl":"https://doi.org/10.1111/jgs.70789","url":null,"abstract":"<p><strong>Background: </strong>To explore the associations between limited English proficiency and glaucoma outcomes, access to eye care, and health literacy in a national database.</p><p><strong>Methods: </strong>This cross-sectional study included participants in the NIH All of Us Research Program with available health records and responses to surveys about language. Main Outcome Measures included glaucoma prevalence, severity, and surgical history as well as access to eye care and health literacy measures. Logistic regression analyses of associations between self-reported English proficiency and outcomes, adjusting for other demographic and socioeconomic characteristics, were conducted.</p><p><strong>Results: </strong>Of 79,635 individuals in the study population, 1268 (1.6%) had low English proficiency (LEP) and 3296 (4.1%) had a glaucoma diagnosis. Compared to those with high English proficiency (HEP), individuals with glaucoma with LEP had a higher likelihood of incisional glaucoma surgery (aOR = 4.79, 95% CI = 1.03-22.22). Those with LEP were more likely to understand health information only \"some or none of the time\" as opposed to \"always\" (aOR = 6.36, 95% CI = 1.17-34.57) and experience problems learning about medical conditions \"sometimes or occasionally\" as opposed to \"never\" (aOR = 3.18, 95% CI = 1.22-8.34). No statistically significant associations between LEP and glaucoma prevalence, severity, or eye care access were observed in adjusted analyses.</p><p><strong>Conclusions: </strong>Among individuals with glaucoma, those with LEP had a higher likelihood of undergoing incisional glaucoma surgery. Although LEP does not cause increased surgery, this correlation suggests that the decision to operate and its acceptance by the patient are more likely in individuals with LEP. Future studies on improving health literacy may reduce this association.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Modified Delphi Process to Identify Clinical and Research Priorities for Aging Transgender Adults.","authors":"Megan Lau, Jill Blumenthal, Maile Young Karris","doi":"10.1111/jgs.70771","DOIUrl":"https://doi.org/10.1111/jgs.70771","url":null,"abstract":"<p><strong>Background: </strong>Aging transgender adults experience unique medical and social challenges, but limited data exist regarding healthcare needs and priorities. Identifying these can help guide transgender-informed, patient-centered care and aging research.</p><p><strong>Methods: </strong>We employed a modified, two-round Delphi method with a consensus committee to identify clinical and research priorities for aging transgender adults. Expert panelists with experience in transgender, geriatric, and/or HIV care and research rated 15 clinical and 7 research topics using a 5-point Likert scale. Consensus was defined as > 80% of expert panelists ranking a topic as \"Very important\" or \"Extremely important.\" Following Round 1, a consensus committee of older transgender adults reviewed topics and write-in suggestions and could elevate, reinstate, or add priorities by unanimous agreement. Topics selected by the committee advanced to Round 2 for expert panel ranking, followed by consensus committee review.</p><p><strong>Results: </strong>Forty-eight expert panelists completed Round 1, and 31 completed Round 2. After Round 1, 11 clinical and 3 research topics reached consensus. Following consensus committee review, 10 clinical and 6 research priorities advanced to Round 2. After final review, the highest-ranked clinical priorities were \"Provider knowledge on the unique needs of older transgender adults,\" \"Evaluation of social isolation, loneliness, and social support networks,\" and \"Provider/clinic knowledge of social, legal, financial, and mental health resources for transgender persons.\" The highest-ranked research priorities were \"Clinical implications of long-term gender-affirming hormone therapy and hormone cessation,\" \"Biologic mechanisms of hormone therapy on aging and aging outcomes,\" and \"Health, social, and structural needs of older transgender persons.\"</p><p><strong>Conclusions: </strong>Using a community-engaged modified Delphi approach, this study identified key clinical and research priorities for older transgender adults. Findings highlight the importance of provider knowledge, social support, and addressing knowledge gaps in gender-affirming care and aging. These results provide direction for future research and best practice guidelines for this population.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187176","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}