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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for May 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.<\/p>\n
Comprehensive Primary Care Initiative Improves Care Delivery<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — Introducing the Comprehensive Primary Care Initiative (CPC), a health care delivery model developed by the Centers for Medicare and Medicaid Services (CMS), improves primary care delivery but does not reduce Medicare spending enough to cover care management fees, according to a study published online May 23 in Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Consistent Cardiovascular Benefit Seen for Supplements<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — The data on popular supplements show no consistent cardiovascular benefit, according to a study published in the June 5 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Variables ID’d to Predict Height Loss in Postmenopausal Women<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — A set of commonly available variables may be useful in predicting the five-year risk of height loss \u22651 inch in postmenopausal women, according to a study published online May 7 in Menopause<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Review IDs Exercise ‘Dose’ That May Improve Cognition in Seniors<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — For older adults, exercise is associated with improved cognition, with exercising for at least 52 hours over a six month period for about an hour each session associated with improved cognitive skills, according to a review published online May 30 in Neurology: Clinical Practice<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).<\/p>\n More Information<\/a><\/p>\n ACS Updates Colorectal Cancer Screening to Start at Age 45<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Colorectal cancer (CRC) screening should begin at age 45 for people at average risk, according to updated guidelines from the American Cancer Society published online May 30 in CA: A Cancer Journal for Clinicians<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Older Adults Often Reluctant to Set Up Secure Patient Portal<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — About half of older adults report having set up a patient portal, according to survey results from the National Poll on Healthy Aging.<\/p>\n More Information<\/a><\/p>\n Annual Health Care Expenditure Higher for Hypertensive Patients<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Individuals with hypertension have a higher annual adjusted incremental expenditure of $1,920, according to a study published online May 30 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Senior CA Patients Also Benefit From Palliative Radiotherapy<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — All patients with painful bone metastasis should be referred for palliative radiotherapy to relieve the pain, regardless of age, according to a study published online May 23 in the Journal of Medical Imaging and Radiation Oncology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Recommendations Developed for Improving Women’s Health Care<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Women face unique health challenges across their lifetimes, and policies should be implemented to improve their health outcomes, according to a position paper published online May 29 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n CDC: Outpatient Rehab Rates Suboptimal for Stroke Survivors<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — In 2015, 35.5 percent of adult stroke survivors used outpatient rehabilitation, up from 31.2 percent in 2013, according to research published in the May 25 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Associative Memory Test Aids Prediction of Dementia Risk<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — Among older adults with a minor decline on a screening test for cognitive ability, an additional three-minute test of associative memory can improve identification of patients at increased risk of developing dementia over the next several years, according to a study published in the May\/June issue of the Annals of Family Medicine<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Gaps in Care Post Discharge for Mild Traumatic Brain Injury<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — There are considerable gaps in follow-up care for patients with mild traumatic brain injury (mTBI) who have been discharged from the hospital, according to a study published online May 25 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n New Hypertension Guideline Discussed for Older Adults<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — Clinicians caring for older adults with hypertension should be mindful of the specific blood pressure (BP) goals proven to reduce cardiovascular disease events, while adopting the new 2017 American College of Cardiology\/American Heart Association (ACC\/AHA) hypertension guideline, according to an article published online May 20 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Insomnia Found to Be Common but Mild in Older Adults<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — Insomnia is common in older community-dwelling adults, but usually mild, according to a study published online May 21 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Increase in Tx Candidates With 2017 Hypertension Guidelines<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — The 2017 American College of Cardiology\/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the 2014 guideline, according to a study published online May 23 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial 1 (subscription or payment may be required)<\/a><\/p>\n Editorial 2 (subscription or payment may be required)<\/a><\/p>\n CDC IDs Outbreak Trends Tied to Treated Recreational Water<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — Outbreaks associated with treated recreational water with confirmed infectious etiology are usually caused by Cryptosporidium<\/i>, Legionella<\/i>, or Pseudomonas<\/i>, according to research published in the May 18 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CPAP Use May Improve Sexual QOL in Those With Sleep Apnea<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — Successful continuous positive airway pressure (CPAP) use for obstructive sleep apnea may be associated with improved sexual quality of life (QOL), according to a study published online May 24 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Congress Approves Bill Expanding Private Care for VA Patients<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.<\/p>\n AMA Statement<\/a><\/p>\n More Information<\/a><\/p>\n Social Isolation Tied to Worse Heart Failure Outcomes<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — Greater perceived social isolation is associated with an increased risk of death and health care use among patients with heart failure, according to a study published online May 23 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Global Variation in Personal Health Care Access and Quality<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n 12 County-Level Factors Affect Individual Well-Being in U.S.<\/font><\/p>\n WEDNESDAY, May 23, 2018 (HealthDay News) — Twelve county-level factors, including social and economic, clinical care, and physical environment, explain the majority of variation in resident well-being in the United States, according to a study published online May 23 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: No Change in Level of Uninsured in U.S. in 2017<\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention’s National Centers for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n From 2008 to 2014, Prostate Cancer Testing, Treatment Down<\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — Fewer men are being screened for, diagnosed with, and treated for prostate cancer, according to a study published online May 21 in Cancer<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Exercise Modifies Predisposition to Obesity After Menopause<\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — Physical activity modifies the association between the body mass index (BMI) genetic risk score (GRS) and BMI, according to a study published online May 16 in Menopause<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Patterns of Potential Misuse Help Assess Risk of Opioid Overdose<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — Patterns of potential opioid misuse are positively associated with subsequent opioid overdose, according to a study published online May 22 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Robust Immune Responses for Herpes Zoster Subunit Vaccine<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — Recipients of the herpes zoster subunit vaccine (HZ\/su), consisting of varicella-zoster virus glycoprotein E (gE) and AS01B<\/sub> Adjuvant System, develop robust immune responses, according to a study published in the June 1 issue of The Journal of Infectious Diseases<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Risk of Dementia Up for Older Adults With Lowest Wealth<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — The risk of dementia is increased for adults in the lowest versus the highest wealth quintile, according to a study published online May 16 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Starting Exercise Even in Older Age Cuts Heart Failure Risk<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — Increasing patients’ physical activity is an effective strategy to lower future risk of heart failure, according to a study published in the May issue of Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Semaglutide Found to Be Effective Against Type 2 Diabetes<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — Semaglutide is safe and effective for the treatment of type 2 diabetes, according to a review published online May 13 in Diabetes, Obesity and Metabolism<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Language Used in Medical Record Can Affect Patient Care<\/font><\/p>\n FRIDAY, May 18, 2018 (HealthDay News) — Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — Acute kidney injury (AKI) is independently associated with a higher risk of cardiovascular events, especially heart failure, after hospital discharge, according to a study published online May 17 in the Clinical Journal of the American Society of Nephrology<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n U.S. Nursing Home Costs Due to Diabetes Vary Greatly by State<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — Diabetes-attributable nursing home costs are substantial, but vary greatly across the nation, according to a study published online May 14 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Seafood Recommended 1 to 2 Times\/Week for Cardiac Benefit<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — One to two servings of seafood per week is recommended for cardiovascular benefits, according to an American Heart Association science advisory published online May 17 in Circulation<\/i>.<\/p>\n Abstract \/Full Text (subscription or payment may be required)<\/a><\/p>\n Aerobic + Strength Exercise Doesn’t Slow Cognitive Decline<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — An aerobic and strength exercise program does not slow cognitive impairment among people with mild-to-moderate dementia, according to a study published online May 16 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Nonprofit Manufacturer Could Keep Generic Drug Costs Down<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Sleep Apnea Rarely Investigated in Older Adults<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — A high risk of obstructive sleep apnea (OSA) is common among older adults but is seldom investigated, though when it is investigated, it is almost always confirmed, according to a study published online May 9 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Best Practices Developed for Use of EHR to Enhance Patient Care<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Study IDs Factors Linked to Quality of Life With Dementia<\/font><\/p>\n MONDAY, May 14, 2018 (HealthDay News) — Good relationships, social engagement, better every day functioning, good physical and mental health, and high-quality care are linked to better quality of life (QoL) for patients with dementia, according to a review published online May 8 in Psychological Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Anxiety Levels Tied to Bone Mineral Density Post-Menopause<\/font><\/p>\n MONDAY, May 14, 2018 (HealthDay News) — Anxiety levels are associated with bone mineral density (BMD) and fracture risk in the lumbar spine and femoral neck among postmenopausal women, according to a study published online May 7 in Menopause<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Rate of Deaths From Falls in Seniors Up From 2007 to 2016<\/font><\/p>\n MONDAY, May 14, 2018 (HealthDay News) — From 2007 to 2016, the rate of deaths from falls among older adults increased by an average of 3.0 percent per year, according to research published in the May 11 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Resistance Exercise May Reduce Depressive Symptoms in Adults<\/font><\/p>\n FRIDAY, May 11, 2018 (HealthDay News) — Resistance exercise training (RET) is associated with reduced depressive symptoms among adults, according to a meta-analysis published online May 9 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Fx Risk Should Be Monitored in Bisphosphonate Drug Holiday<\/font><\/p>\n FRIDAY, May 11, 2018 (HealthDay News) — For patients with osteopenia or osteoporosis, taking a bisphosphonate (BP) drug holiday is associated with increased risk of fracture for patients with lower femoral neck bone mineral density (BMD) or T scores, according to a recent study published in Endocrine Practice<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Malnutrition Is Associated With Poor Prognosis in Heart Failure<\/font><\/p>\n FRIDAY, May 11, 2018 (HealthDay News) — Patients with heart failure frequently have malnutrition, which is associated with increased mortality, according to a study published online May 9 in JACC: Heart Failure<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n FDA Targets Clinics Offering Unapproved Stem Cell Therapies<\/font><\/p>\n THURSDAY, May 10, 2018 (HealthDay News) — The U.S. Food and Drug Administration has launched legal action to stop two stem cell clinics from providing unapproved treatments that have caused serious, long-term harm to some patients.<\/p>\n More Information<\/a><\/p>\n Lymphoma, Leukemia Survivors Have Increased Health Care Use<\/font><\/p>\n WEDNESDAY, May 9, 2018 (HealthDay News) — Survivors of lymphoma and chronic lymphocytic leukemia (CLL) have increased use of health care services versus a normative population, according to a study published online April 26 in Cancer<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Psychological Therapies May Help Older Adults With Chronic Pain<\/font><\/p>\n WEDNESDAY, May 9, 2018 (HealthDay News) — For older adults with chronic pain, psychological interventions have small benefits, including reducing pain and catastrophizing beliefs, according to a review published online May 7 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Coaching to Up H2<\/sub>O Intake Does Not Slow eGFR Decline in CKD<\/font><\/p>\n WEDNESDAY, May 9, 2018 (HealthDay News) — Coaching to increase water intake does not significantly slow the decline in kidney function among adults with chronic kidney disease, according to a study published in the May 8 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Surgery for Hip Fx Cuts Mortality in NH Residents With Dementia<\/font><\/p>\n WEDNESDAY, May 9, 2018 (HealthDay News) — For nursing home (NH) residents with dementia and hip fracture, surgical hip fracture repair is associated with lower mortality, according to a study published online May 7 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n USPSTF: Decision to Undergo PSA Screening Should Be Individual<\/font><\/p>\n TUESDAY, May 8, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that the decision to undergo periodic prostate-specific antigen (PSA) screening for prostate cancer should be an individual one for men aged 55 to 69 years. These findings form the basis of a final recommendation statement, published in the May 8 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Evidence Report<\/a><\/p>\n Final Recommendation Statement<\/a><\/p>\n Editorial<\/a><\/p>\n Regulatory Requirements Drive Dissatisfaction With EHRs<\/font><\/p>\n TUESDAY, May 8, 2018 (HealthDay News) — Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Approaches to Firearms for Persons With Dementia Discussed<\/font><\/p>\n TUESDAY, May 8, 2018 (HealthDay News) — Approaches to addressing the potential complications of owning firearms for persons with dementia (PWD) are presented in an article published online May 8 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Cancer Incidences and Burden Expected to Shift in HIV-Positive<\/font><\/p>\n MONDAY, May 7, 2018 (HealthDay News) — The cancer burden among persons living with HIV (PLWH) is projected to shift by 2030, according to a study published online May 8 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients<\/font><\/p>\n MONDAY, May 7, 2018 (HealthDay News) — Hypertensive patients may lower their stroke risk with folic acid supplements, according to a study published in the May 15 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n