June 2019 Briefing - Geriatrics

Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for June 2019. 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.

Five-Year Survival Less Than 40 Percent in Seniors With DLBCL

FRIDAY, June 28, 2019 (HealthDay News) -- Overall survival among older adults with diffuse large B-cell lymphoma (DLBCL) has improved over time, but five-year survival is less than 40 percent, according to a study published online June 12 in Leukemia & Lymphoma.

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Nursing Home Costs Outpace Inflation, Other Medical Care

FRIDAY, June 28, 2019 (HealthDay News) -- Out-of-pocket costs for nursing home (NH) care are high and rising faster than other medical care and consumer prices, according to a study published online June 20 in Medical Care Research and Review.

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Functional Decline Seen in Many Older Adults Initiating Dialysis

FRIDAY, June 28, 2019 (HealthDay News) -- For older adults initiating dialysis, many experience a decline in functional status after six months, and the prevalence of high caregiver burden increases, according to a study published online June 27 in the Clinical Journal of the American Society of Nephrology.

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ACIP: Men as Old as 26 Should Get HPV Vaccine

THURSDAY, June 27, 2019 (HealthDay News) -- The recommended maximum age for male HPV vaccination should be raised from 21 to 26 years, a U.S. government advisory group said.

AP News Article - HPV
AP News Article - Prevnar 13

Higher Protein Intake May Cut Risk for Frailty in Older Women

THURSDAY, June 27, 2019 (HealthDay News) -- Higher levels of protein intake may prevent the onset of frailty in older women, according to a study recently published in the European Journal of Nutrition.

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Similar CV Event Rates Seen for Generic, Brand Levothyroxine

THURSDAY, June 27, 2019 (HealthDay News) -- Cardiovascular event rates are similar for patients with newly treated hypothyroidism receiving generic and brand levothyroxine (L-T4), according to a study published online April 26 in the Mayo Clinic Proceedings.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) -- After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) -- Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Short-Term Walking Intervention Offers Lasting Health Benefits

WEDNESDAY, June 26, 2019 (HealthDay News) -- Short-term primary care pedometer-based walking interventions can produce lasting health benefits, according to a study published online June 25 in PLOS Medicine.

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Older Kidney Donors With HTN at Higher Risk for ESKD Later

WEDNESDAY, June 26, 2019 (HealthDay News) -- Older kidney donors with hypertension have an increased risk for end-stage kidney disease (ESKD), but not mortality, through 15 years after donation, according to a study published online June 25 in the Clinical Journal of the American Society of Nephrology.

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Triclosan Exposure May Lower Bone Mineral Density in Women

WEDNESDAY, June 26, 2019 (HealthDay News) -- Urinary triclosan (TCS) concentration is negatively associated with bone mineral density (BMD) and positively associated with osteoporosis, according to a study published online June 25 in the Journal of Clinical Endocrinology & Metabolism.

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Older Americans Generally Current With Eye Exams

MONDAY, June 24, 2019 (HealthDay News) -- Rates of eye examinations within the past two years are generally high among U.S. adults aged 50 to 80 years, according to a study published online June 20 in JAMA Ophthalmology.

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Greater Long-Term Decline in Stroke Seen Among Older Adults

MONDAY, June 24, 2019 (HealthDay News) -- The decline in midlife ischemic strokes over time is less pronounced than the decline among older adults, according to a study published in the June issue of Stroke.

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Suicide Risk Seen Among Older Adults Living in Long-Term Care

MONDAY, June 24, 2019 (HealthDay News) -- More than 2 percent of suicides among adults 55 years and older are associated with patients living in or transitioning to long-term care (LTC), according to a study published online June 14 in JAMA Network Open.

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Seniors Who Develop Cancer Have Better Memory, Slower Decline

FRIDAY, June 21, 2019 (HealthDay News) -- Older individuals who develop cancer have better memory and slower memory decline than those who remain cancer-free, according to a study published online June 21 in JAMA Network Open.

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Incident A-Fib Linked to Increased Dementia Risk

FRIDAY, June 21, 2019 (HealthDay News) -- Incident atrial fibrillation (AF) is associated with increased dementia risk in elderly populations, according to a study published online June 18 in the European Heart Journal.

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Some Heart Failure Patients May Benefit From CRT Defibrillator

THURSDAY, June 20, 2019 (HealthDay News) -- Cardiac resynchronization therapy with defibrillator (CRT-D) implantation is associated with better outcomes than an implantable cardioverter-defibrillator (ICD) for patients with nonspecific intraventricular conduction delay (NICD) but not for those with right bundle branch block (RBBB), according to a study published in the June 25 issue of the Journal of the American College of Cardiology.

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2018 to 2019 Influenza Season in U.S. Was Longest in 10 Years

THURSDAY, June 20, 2019 (HealthDay News) -- In the United States, the 2018 to 2019 influenza season was of moderate severity and lasted 21 weeks, according to research published in the June 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) -- The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) -- Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Risk Factors ID'd for Atrial Fibrillation With Type 1 Diabetes

THURSDAY, June 20, 2019 (HealthDay News) -- Older age, cardiovascular comorbidities, and renal complications increase the risk for atrial fibrillation (AF) in patients with type 1 diabetes, according to a study published online June 6 in Diabetes Care.

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Elderly Women May Still Benefit From Osteoporosis Treatment

THURSDAY, June 20, 2019 (HealthDay News) -- Late-life women with osteoporosis, including those with comorbidities, may still be drug treatment candidates to prevent future hip fracture, according to a study published online June 17 in JAMA Internal Medicine.

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High Response Seen for Chemo in Seniors With High-Risk AML

THURSDAY, June 20, 2019 (HealthDay News) -- A substantial proportion of older patients with high-risk acute myeloid leukemia (AML) treated with chemotherapy are long-term survivors, according to research published online June 7 in Cancer Medicine.

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Late-Life Diabetes Status Tied to New Cognitive Impairment

WEDNESDAY, June 19, 2019 (HealthDay News) -- Having diabetes, poor glycemic control, and longer diabetes duration are associated with worse cognitive outcomes in older adults during a median follow-up of five years, according to a study recently published in Diabetes Care.

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USPSTF Addresses Screening for Abdominal Aortic Aneurysm

TUESDAY, June 18, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommendations on screening for abdominal aortic aneurysm (AAA) vary with sex, age, smoking status, and family history. These recommendations form the basis of a draft recommendation statement published online June 18 by the USPSTF.

Draft Recommendation Statement
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High Temperature Records Will be 'Smashed' in Coming Century

TUESDAY, June 18, 2019 (HealthDay News) -- Climate change will cause some regions of the world to "smash" high temperature records every year in the coming century, researchers warn. That will push "ecosystems and communities beyond their ability to cope," according to the authors of the study published online June 17 in Nature Climate Change.

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Cognitive Decline Faster After Incident Coronary Heart Disease Event

MONDAY, June 17, 2019 (HealthDay News) -- Incident coronary heart disease (CHD) is associated with accelerated cognitive decline after, but not before, the event, according to a study published in the June 25 issue of the Journal of the American College of Cardiology.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) -- Three large drug makers have launched a legal challenge against the Trump administration's rule requiring the prices of drugs to be included in television ads.

The New York Times Article

Nilvadipine Increases Cerebral Blood Flow in the Hippocampus

MONDAY, June 17, 2019 (HealthDay News) -- For patients with mild-to-moderate Alzheimer disease, treatment with nilvadipine lowers systolic blood pressure and increases cerebral blood flow (CBF) in the hippocampus, according to a study published online June 17 in Hypertension.

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High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) -- Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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Maine Legalizes Assisted Suicide

FRIDAY, June 14, 2019 (HealthDay News) -- Maine has become the eighth state to legalize medically assisted suicide.

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Vitamin D, Estradiol Deficiency Have Synergistic Effect on MetS

THURSDAY, June 13, 2019 (HealthDay News) -- For Chinese postmenopausal women, vitamin D (VitD) and estradiol (E2) deficiency have a synergistic effect on metabolic syndrome (MetS), according to a study published online June 10 in Menopause.

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Long-Term Opioid Prescribing Up Among Older Cancer Survivors

THURSDAY, June 13, 2019 (HealthDay News) -- The rates of prolonged opioid prescribing remain high for older cancer survivors five or more years after cancer diagnosis, according to a study published in the May issue of the Journal of the American Geriatrics Society.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Virtual Reality IDs Navigation Issues in Early Alzheimer Disease

WEDNESDAY, June 12, 2019 (HealthDay News) -- An entorhinal cortex-based virtual reality navigation task can differentiate patients with mild cognitive impairment at low and high risk for developing dementia, according to a study published in the June issue of Brain.

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In Most Older Adults, Prediabetes Stays Stable or Improves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Most older adults with prediabetes remained stable or reverted back to normal blood sugar levels during a 12-year follow-up period, according to a study published online June 4 in the Journal of Internal Medicine.

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Hot Water Therapy Aids Patients With Peripheral Arterial Disease

WEDNESDAY, June 12, 2019 (HealthDay News) -- Heat therapy can improve functional ability and also has potential to be an effective cardiovascular conditioning tool for people with peripheral arterial disease (PAD), according to a small study published online June 5 in the American Journal of Physiology-Heart and Circulatory Physiology.

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Health Care Aides Frequently Report Verbal Abuse

WEDNESDAY, June 12, 2019 (HealthDay News) -- More than one in five home care (HC) aides report verbal abuse from clients and their family members, according to a study published online June 11 in Occupational & Environmental Medicine.

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Diagnostic Yield of Lynch Syndrome Screening Drops With Age

TUESDAY, June 11, 2019 (HealthDay News) -- The incremental diagnostic yield of Lynch syndrome (LS) screening decreases substantially after age 70 to 75 years, according to a study published online June 11 in the Annals of Internal Medicine.

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Number of Cancer Survivors Set to Top 22 Million by 2030

TUESDAY, June 11, 2019 (HealthDay News) -- The number of cancer survivors is projected to increase to more than 22.1 million by Jan. 1, 2030, based on growth and aging of the population alone, according to a study published online June 11 in CA: A Cancer Journal for Clinicians.

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Targeting Barriers to Self-Care Benefits Seniors With Asthma

MONDAY, June 10, 2019 (HealthDay News) -- An intervention designed to address barriers to asthma self-management improves asthma outcomes among older adults, according to a study published online June 10 in JAMA Internal Medicine.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) -- Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Antibiotic Prophylaxis Before Dental Work Often Unnecessary

FRIDAY, June 7, 2019 (HealthDay News) -- Antibiotic prophylaxis before dental procedures is unnecessary more than 80 percent of the time, according to a study published online May 31 in JAMA Network Open.

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Individualized Care Plans Advised for T2DM With Heart Failure

FRIDAY, June 7, 2019 (HealthDay News) -- Team-based care emphasizing development of individualized care plans is recommended for management of type 2 diabetes mellitus (T2DM) and heart failure, according to a scientific statement issued by the American Heart Association and Heart Failure Society of America and published online June 6 in Circulation.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) -- A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) -- Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Gait Speed Is Prognostic in Older Patients With Blood Cancer

THURSDAY, June 6, 2019 (HealthDay News) -- For older patients with blood cancers, gait speed can identify frailty and predict outcomes, according to a study published online June 5 in Blood.

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No Evidence of Legacy Effect Seen for Intensive Glucose Lowering

WEDNESDAY, June 5, 2019 (HealthDay News) -- There seems to be no evidence of a legacy effect or mortality benefit for intensive glucose control among military veterans with type 2 diabetes, according to a study published in the June 6 issue of the New England Journal of Medicine.

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Postop Delirium May Briefly Up Risk for Cognitive Dysfunction

WEDNESDAY, June 5, 2019 (HealthDay News) -- Older patients who develop delirium after surgery are more likely to show signs of cognitive dysfunction one month later, according to a study published online May 28 in Anesthesiology.

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Lowering Cholesterol Levels May Worsen Nerve Damage in T2DM

WEDNESDAY, June 5, 2019 (HealthDay News) -- Lowering serum cholesterol levels in patients with type 2 diabetes is associated with diabetic polyneuropathy (DPN), according to a study published online May 31 in JAMA Network Open.

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2000 to 2016 Saw Mortality From Falls Increase for Seniors

TUESDAY, June 4, 2019 (HealthDay News) -- From 2000 to 2016, an increase was observed in mortality from falls for seniors; however, a home-based exercise program can reduce subsequent falls among older adults, according to research published in the June 4 issue of the Journal of the American Medical Association.

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Policy Changes Proposed to Meet Projected Need for Palliative Care

TUESDAY, June 4, 2019 (HealthDay News) -- Policies to support team-based palliative care are urgently needed to meet the growing demand for specialty palliative care, according to a study published in the June issue of Health Affairs.

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Most Older Adults Would Have to Liquidate Assets for Home Care

MONDAY, June 3, 2019 (HealthDay News) -- The oldest and sickest Americans are least likely to be able to afford home care, according to a study published online June 3 in Health Affairs.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) -- Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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