Journal of the American Geriatrics Society最新文献

{"title":"All Hypoglycemia Is Not Created Equal.","authors":"Alexandra K Lee, Sei J Lee","doi":"10.1111/jgs.70709","DOIUrl":"10.1111/jgs.70709","url":null,"abstract":"<p><p>A Proposed Hypoglycemia Taxonomy: Differences in Frequency, Detection, and Evidence of Harms.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066993","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":"Quiet Rage in Roth's Everyman.","authors":"Vangipuram Harshil Sai","doi":"10.1111/jgs.70750","DOIUrl":"https://doi.org/10.1111/jgs.70750","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043140","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":"Vitamin D and Risk of Falls: A Multidisciplinary Intervention.","authors":"Susana M S Dias","doi":"10.1111/jgs.70741","DOIUrl":"10.1111/jgs.70741","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032315","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":"Mapping the Landscape of AgeTech Standards and Guidelines: A Gray Literature Review.","authors":"Shahabeddin Abhari, Tithi Joshi, Ruah Al-Saghier, Gaya Bin Noon, Patricia Debergue, Heather McNeil, Josephine McMurray, Plinio Pelegrini Morita","doi":"10.1111/jgs.70711","DOIUrl":"https://doi.org/10.1111/jgs.70711","url":null,"abstract":"<p><strong>Background: </strong>AgeTech is increasingly promoted to support aging populations, yet it's safe, effective, and scalable adoption depends on clear standards and guidelines. Although previous research has examined AgeTech design in academic literature, the landscape of formal standards and guidelines has not been systematically mapped. This study aimed to identify and characterize standards and guidelines relevant to AgeTech through a structured gray literature review.</p><p><strong>Methods: </strong>Searches were conducted on May 10, 2024, across the online catalogs and search platforms of the International Organization for Standardization (ISO), International Electrotechnical Commission, ASTM International, IEEE, and CSA Group; the websites of the World Health Organization, World Bank, and AGE-WELL; and Google. No publication date restrictions were applied. In total, 3198 records were identified and screened using predefined eligibility criteria. Extracted data were analyzed using descriptive statistics and content analysis.</p><p><strong>Results: </strong>Twenty-two eligible standards and guidelines published between 2008 and 2024 were included. The largest number of documents was published in 2022 and 2024, with four documents in each year (18.2% each). Most documents were developed by the International Organization for Standardization (ISO; 55%, 12/22). The leading thematic goals were health and assistive technologies (54%, 12/22) and accessibility and usability (23%, 5/22), whereas safety, security, and privacy accounted for only 9% (2/22). Supportive homes and communities (32%, 7/22) and autonomy and independence (27%, 6/22) were the dominant AgeTech categories. Most documents focused on the general older adult population (73%, 16/22), with limited attention to specific subgroups.</p><p><strong>Conclusions: </strong>Although AgeTech standardization is advancing, critical gaps remain. Limited attention to safety, security, privacy, and digital economy and community inclusion raises concerns for trust, equity, and sustainable adoption. Addressing these gaps through targeted and coordinated standardization efforts is essential to support inclusive, trustworthy, and scalable AgeTech solutions in the context of rapid global population aging.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032318","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 Crosswalk of the IQCODE and AD8 Proxy Dementia Screening Tools.","authors":"Priyanka Shrestha, Erica K Husser, Abigail Overstreet, Donna M Fick, Shrunjal Trivedi, Emily A Wolfson, Shannon Malloy, Yoojin Jung, Sharon K Inouye, Edward R Marcantonio, Long H Ngo","doi":"10.1111/jgs.70736","DOIUrl":"10.1111/jgs.70736","url":null,"abstract":"<p><strong>Introduction: </strong>Since many hospitalized older adults have delirium, assessment of baseline cognitive function often requires proxy-based measures. While the 16-item Informant Questionnaire on Cognitive Decline in Elderly (IQCODE) specifies cutoff scores for mild cognitive impairment (MCI) and dementia, the 8-item Informant Interview to Differentiate Aging and Dementia (AD8) provides only a single cutoff for \"cognitive impairment,\" limiting its usefulness and precision. Our aim was to develop a crosswalk between the IQCODE and AD8 to identify cutoff scores on the AD8 for MCI and dementia.</p><p><strong>Methods: </strong>The IQCODE and AD8 were administered to proxies of hospitalized older adults. We used two methods: equipercentile, which matches percentiles between IQCODE and AD8 score distributions, and item response theory (IRT), which matches estimated latent traits of the two measures, to create a crosswalk of equivalent scores and identify AD8 cutoff scores for MCI and dementia.</p><p><strong>Results: </strong>A total of 264 hospitalized older adults (mean age 79.5 years, 55% women) and their proxies were recruited. Equipercentile and IRT methods yielded a crosswalk linking AD8 scores from 0 to 8 with IQCODE scores ranging from 1.0 to 5.0. An AD8 score of 2, corresponding to an IQCODE score of 3.2, was identified as the cutoff for MCI, while an AD8 score of 4, corresponding to an IQCODE score of 3.5, was identified as the cutoff for dementia.</p><p><strong>Discussion: </strong>Our crosswalk equates AD8 and IQCODE scores and provides cutoff values for MCI and dementia for the AD8, enhancing its clinical utility in acute care. By establishing empirically derived thresholds, this study strengthens comparability across proxy-based cognitive measures and expands the AD8's usefulness for distinguishing MCI from dementia. In acute settings, where delirium and time constraints limit direct testing, the AD8 offers a brief, reliable option for measuring baseline cognition and supporting early recognition of cognitive decline.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13708280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043060","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":"Death and Dying in Visual Paintings From a Palliative Care Perspective.","authors":"Manar Shalak","doi":"10.1111/jgs.70747","DOIUrl":"https://doi.org/10.1111/jgs.70747","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043156","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":"Development and Preliminary Feasibility Testing of PACERS, a Physical Activity-Centered Intervention for Rural Older Adults With Hypertension.","authors":"Stella T Lartey, Moonseong Heo, Joel Edward Williams, Tanya Lee Staton, Douglas Moore, Bailey Naples, Sarah Blythe Bacon, Zachary Skipper, James S Powers, Sarah F Griffin, Alyssa Ann Gamaldo-Roddy, Angela L Jefferson","doi":"10.1111/jgs.70726","DOIUrl":"https://doi.org/10.1111/jgs.70726","url":null,"abstract":"<p><strong>Background: </strong>A high prevalence of hypertension is observed among American rural residents. This study aimed to engage rural community members in designing, developing, and preliminarily testing the feasibility of a physical activity (PA)-centered health promotion intervention integrating Fitbit-based activity monitoring and text messaging among rural older adults (50+ years) with hypertension (PACERS). We also tested the feasibility of measuring candidate outcomes for future studies.</p><p><strong>Participants and setting: </strong>Sixteen participants residing in rural South Carolina communities were interviewed to inform the intervention design and development. Over 12 weeks, 10 older adults diagnosed with hypertension with no or low PA participated in preliminary feasibility testing of the intervention and pre- and post-intervention measurements. Finally, we conducted a post-intervention focus group discussion (FGD, n = 5).</p><p><strong>Methods: </strong>We reviewed health reports, analyzed EHR data, engaged the community to establish health needs, designed and developed PACERS, assessed barriers and facilitators, and tested the preliminary feasibility of the PACERS intervention. Preliminary feasibility was measured by recruitment, retention, fidelity, participants' attendance and acceptability, and candidate outcomes included blood pressure (BP), PA, arterial compliance, cognition, overall health, and quality of life.</p><p><strong>Results: </strong>Key pre-design themes included as follows: accessibility, intervention delivery through existing health systems, social isolation, hypertension-cognition relationship, accountability, and perceived positive health impacts. FGD themes included as follows: hypertension-cognition links, financial preparation for retirement and isolation management. Recruitment (90.9%), retention (100%), attendance (93%), adherence (90%), and intervention fidelity (98.5%) rates, as well as average acceptance (4.8/5), were promising. Some Candidate outcomes showed improvement: quality of life (0.084; 95% CI: 0.022, 0.146; p = 0.008), systolic BP (-34.28; 95% CI: -57.77, -10.78; p = 0.004), diastolic BP (-19.14; 95% CI: -31.68, -6.60; p = 0.003), arterial compliance (-15.13; 95% CI: -28.00, -2.30; p = 0.021), and average steps per day (3612; 95% CI: 855, 6370; p = 0.010).</p><p><strong>Conclusions: </strong>This study provides valuable insights into intervention development for older adults in under-resourced settings.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027167","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":"Comment on: Substitution Patterns After Discontinuation of CNS-Active Medications in Older Adults in Primary Care.","authors":"Kunlong Zhang, Xiaoqi Ying","doi":"10.1111/jgs.70751","DOIUrl":"https://doi.org/10.1111/jgs.70751","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032348","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":"Diagnosing Dementias: Many Names, Many Faces.","authors":"Michael Tran Duong","doi":"10.1111/jgs.70746","DOIUrl":"https://doi.org/10.1111/jgs.70746","url":null,"abstract":"","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032330","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":"Validating Administrative Data Markers for Elder Abuse Identification via Chart Review in a National Health System.","authors":"Joseph Shin, Hongwei Zhang, Maria K Mor, Tony Rosen, Naomi Shin, Lena K Makaroun","doi":"10.1111/jgs.70738","DOIUrl":"https://doi.org/10.1111/jgs.70738","url":null,"abstract":"<p><strong>Background: </strong>Elder abuse (EA) is a serious public health concern that is dramatically under-documented in electronic health records (EHRs). Although structured EHR markers for EA are commonly used in research to identify EA cases in large cohorts due to their accessibility, their validity for capturing clinical EA concerns is unknown.</p><p><strong>Participants and setting: </strong>Of 3,724,639 Veterans aged ≥ 60 years with an outpatient Veterans Health Administration (VHA) encounter in 2022, 8161 (0.2%) had an EA-related ICD-10 code and/or a structured social work consult marker for \"abuse/neglect\" recorded in the EHR that year. From the 7382 with complete race/ethnicity data, we randomly sampled 105 veterans for review, intentionally oversampling women and racial/ethnic minority groups.</p><p><strong>Methods: </strong>We conducted a retrospective chart review, systematically abstracting clinical notes within ±180 days of the structured EA marker to assess the positive predictive value (PPV) with 95% confidence intervals (CIs) against a reference standard of documented active clinical EA concerns in free text notes. Descriptive statistics were used to characterize the sample and documentation patterns.</p><p><strong>Results: </strong>Only 14 of 105 veterans (PPV [95% CI] 13.3% [7.5-21.4]) had free-text documentation of active clinical EA concern: 9 of 77 (11.7% [5.5-21.0]) with a social work consult marker, 4 of 27 (14.8% [4.2-33.7]) with an ICD-10 code, and 1 of 1 (100% [2.5-100.0]) with both. Among the 91 veterans without documented concern, 20 had documentation of historical abuse only (e.g., military sexual trauma), while the remainder had no clear explanation for the administrative marker.</p><p><strong>Conclusions: </strong>Structured EA data markers in the VHA EHR rarely corresponded to free-text documentation of active clinical EA concern, raising important questions about their validity as proxies for EA identification. These findings underscore the need for developing standardized, clinician-friendly approaches to EA documentation in EHRs.</p>","PeriodicalId":94112,"journal":{"name":"Journal of the American Geriatrics Society","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032283","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}