Hospice and Palliative Care: The Year in Review 2014
by Christian Sinclair, MD, FAAHPMLooking back on 2014, it seemed like hospice and palliative care issues were constantly in the news. But then again, I may be standing in the single loudest position in the echo chamber of palliative care. Even with the awareness of that bias, it is clear to me that we had many significant events this year in our field that will really influence where we go in 2015 and beyond. (Although if you look at the graph below hospice and palliative care are steady to declining in percentage of search on Google.)We have never done a formal year in review here at Pallimed, and now that we are finally doing one, I’m sorry that I don’t have the past years to reflect back upon. Big shout out to Kathy Brandt for also doing a year-end review on her fantastic site the kb group (if you have not yet subscribed, you should.) She brought up a few ideas I had not had considered myself. CAPC also published a year in review worth a look. In addition, last week at #hpm chat, Dr. Meredith MacMartin hosted on just this topic. There was a lot of great discussion and some new topics were brought up that I was not aware of.So what were the big events of 2014 for hospice and palliative care? (in no particular order and with categories I just made up)And if you want to have a bit of fun with us, please join us in a poll to pick the top news stories of the year for hospice and palliative care.In the media spotlightBrittany Maynard and the national conversatio...
Exercise is beneficial for skeletal muscle functions across all ages. However, the response to exercise shifts with aging, resulting in anabolic resistance and limited gain in muscle strength and endurance. These changes likely reflect age-related alterations in transcriptional response underlying the muscular adaptation to exercise. The exact changes in gene expression accompanying exercise are largely unknown, and elucidating them is of a great clinical interest for optimizing the exercise-based therapies for sarcopenia.
Telehealth has become mainstream during the COVID-19 pandemic, but its role in managing older patients is not well defined. This systematic review aims to assess the postoperative benefits of perioperative telehealth interventions in older adults.
With rising life expectancy and low birth rates, elderly people make up an increasing proportion of the population of the United States. Studies estimate that by 2050, the nonagenarian population will reach 8.7 million. Elderly people have significant medical care needs and their need for surgical care will require nuanced evaluation of their surgical candidacy and operative risks.
The hypoxia signaling pathway plays a pivotal role in the regulation of metabolic response during muscular adaptation to exercise. To explore the role of hypoxia signaling in exercise performance, we generated a transgenic mouse model with inducible, skeletal muscle-specific knockout of ARNT (ARNT mKO).
In this study, we identified geriatric surgical service interventions most relevant to EGS patients.
Woman,over age 70, compose 30% of breast cancer cases. Over expression of HER2 occurs in 15% of cases. NCCN guidelines recommend systemic treatment for tumors over 1 cm. The Charlson Comorbidity Index can quantify multiple comorbidities and predict a limited life expectancy that allows stratification of women over age 70 who may not benefit from systemic treatment of HER2 breast cancer.
The association of frailty on postoperative outcomes after elective and emergency general surgery (EGS) procedures are widely examined. However, this association has not been examined in the geriatric population stratified by EGS procedural risk.
Existing injury severity metrics are insufficient to predict outcomes in older adults (age ≥65). We sought to develop and validate a new metric, the Outcome-Specific Injury Score (OSIS), as a practical tool to predict outcome-specific risks for older adults using fall-related injuries as a model.
Palliative care (PC) is an essential aspect of high-quality pancreatic cancer-care, however, its national utilization is unknown. Among patients with metastatic pancreatic cancer, we sought to (1) identify factors associated with PC, and (2) assess hospital variation in utilization of PC.
As the US population ages, surgeons face new questions regarding operating on older adults. However, the epidemiology of frailty among older patients undergoing hernia surgery has not been reported.