Innovative Use of Cognitive Interviewing for Nursing Home Research
Due to nursing home (NH) regulatory and payment changes emphasizing person-centered care and value-based payment,1,2 we conducted a follow-up of a 2009 –2010 survey3 to understand NH practice changes. In particular, our focus was on understanding NH culture change (CC) practices aimed at advancing person-centered care and deinstitutionalizing NHs.4,5 Unlike the 2009–2010 survey of directors of nursing (DONs) and NH administrators (NHAs), this f ollow-up survey's budget could only accommodate responses from 1 survey recipient at a facility. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Ren ée Shield, Denise Tyler, Clara Berridge, Melissa Clark, Susan C. Miller Tags: Research Letter Source Type: research

An Exoskeleton in the Rehabilitation of Institutionalized Elderly Patients at High Risk of Falls: A Pilot Study
Age-related changes in balance control combined with inactivity can lead to decreased physical performance resulting in increased risk of falling for many elderly people.1 Physical training exerts several beneficial effects in the elderly people including improvement in muscle strength and body coordination, thus, reducing the risk of falls.2,3 However, poor adherence to exercise, especially in the long term, represents a problematic issue in the elderly people. New strategies to quickly improve gait and balance control in the elderly people are needed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Walter Verrusio, Alessia Renzi, Maurizio Ripani, Mauro Cacciafesta Tags: Letter to the Editor Source Type: research

Comparison of Computerized and Paper-and-Pencil Memory Tests in Detection of Mild Cognitive Impairment and Dementia: A Systematic Review and Meta-analysis of Diagnostic Studies
To compare the diagnostic performance of computerized and paper-and-pencil memory tests in detection of mild cognitive impairment (MCI) and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 16, 2018 Category: Health Management Authors: Joyce Y.C. Chan, Joey S.W. Kwong, Adrian Wong, Timothy C.Y. Kwok, Kelvin K.F. Tsoi Tags: Review Article Source Type: research

The Development of a Decision Tool for the Empiric Treatment of Suspected Urinary Tract Infection in Frail Older Adults: A Delphi Consensus Procedure
Nonspecific signs and symptoms combined with positive urinalysis results frequently trigger antibiotic therapy in frail older adults. However, there is limited evidence about which signs and symptoms indicate urinary tract infection (UTI) in this population. We aimed to find consensus among an international expert panel on which signs and symptoms, commonly attributed to UTI, should and should not lead to antibiotic prescribing in frail older adults, and to integrate these findings into a decision tool for the empiric treatment of suspected UTI in this population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 14, 2018 Category: Health Management Authors: Laura W. van Buul, Hilde L. Vreeken, Suzanne F. Bradley, Christopher J. Crnich, Paul J. Drinka, Suzanne E. Geerlings, Robin L.P. Jump, Lona Mody, Joseph J. Mylotte, Mark Loeb, David A. Nace, Lindsay E. Nicolle, Philip D. Sloane, Rhonda L. Stuart, P är-Da Tags: Original Study Source Type: research

Comparing Mini Sarcopenia Risk Assessment With SARC-F for Screening Sarcopenia in Community-Dwelling Older Adults
The Mini Sarcopenia Risk Assessment (MSRA), a new sarcopenia screening tool, has 2 versions: MSRA-7 (full version, 7 items) and MSRA-5 (short version, 5 items). We aimed to compare the diagnostic values of MSRA-7 and MSRA-5 to SARC-F for screening sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 13, 2018 Category: Health Management Authors: Ming Yang, Xiaoyi Hu, Lingling Xie, Luoying Zhang, Jie Zhou, Jing Lin, Ying Wang, Yaqi Li, Zengli Han, Daipei Zhang, Yun Zuo, Ying Li Tags: Original Study Source Type: research

The Prevalence of Sarcopenia in Chinese Elderly Nursing Home Residents: A Comparison of 4 Diagnostic Criteria
To investigate the prevalence and associated factors of sarcopenia defined by different criteria in nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2018 Category: Health Management Authors: Yanli Zeng, Xiaoyi Hu, Lingling Xie, Zengli Han, Yun Zuo, Ming Yang Tags: Original Study Source Type: research

Safety of Direct Oral Anticoagulants and Vitamin K Antagonists in Oldest Old Patients: A Prospective Study
This study examined the safety of DOACs and dicumarol (a vitamin K antagonist) in NVAF geriatric patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 8, 2018 Category: Health Management Authors: Carlos Rodr íguez-Pascual, Ivett Torres-Torres, Alejandro Gómez-Quintanilla, Ana Isabel Ferrero-Martínez, Jagdish Sharma, Alba Guitián, Maria Carmen Basalo, Marina Montero-Magan, Arturo Vilches-Moraga, Maria-Teresa Olcoz-Chiva, Emilio Paredes-Galán, Tags: Original Study Source Type: research

Sex Difference in the Association Between Protein Intake and Frailty: Assessed Using the Kihon Checklist Indexes Among Older Adults
Dietary protein intake is inversely associated with physical frailty risk. However, it is unknown whether an association exists between dietary protein intake and comprehensive frailty. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2018 Category: Health Management Authors: Hinako Nanri, Yosuke Yamada, Tsukasa Yoshida, Yuki Okabe, Yoshizu Nozawa, Aya Itoi, Eiichi Yoshimura, Yuya Watanabe, Miwa Yamaguchi, Keiichi Yokoyama, Kazuko Ishikawa-Takata, Hisamine Kobayashi, Misaka Kimura, Kyoto-Kameoka Study Group Tags: Original Study Source Type: research

Association of Polypharmacy With 1-Year Trajectories of Cognitive and Physical Function in Nursing Home Residents: Results From a Multicenter European Study
To test the association between polypharmacy and 1-year change in physical and cognitive function among nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2018 Category: Health Management Authors: Davide Liborio Vetrano, Emanuele Rocco Villani, Giulia Grande, Silvia Giovannini, Maria Camilla Cipriani, Ester Manes-Gravina, Roberto Bernabei, Graziano Onder Tags: Original Study-Brief Report Source Type: research

Isn't It Time We Stop Counting the Number of Drugs to Define Polypharmacy in This New Era of Deprescribing and What Related Outcomes Should Be Measured?
In this issue appears a paper titled “Association of Polypharmacy With 1-Year Trajectories of Cognitive and Physical Function in Nursing Home Residents: Results From a Multicentre European Study.” The authors defined polypharmacy by medication count as either 5 to 9 drugs or ≥10 drugs, with 0 to 4 drugs as the reference. They fou nd a relationship between polypharmacy and decline in cognitive function as measured by the Cognitive Performance Scale but not with functional status decline as measured by the Activities of Daily Living (ADL) Hierarchy scale. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2018 Category: Health Management Authors: Joseph T. Hanlon, Emily R. Hajjar Tags: Editorial Source Type: research

Oropharyngeal Dysphagia in Community-Dwelling Older Patients with Dementia: Prevalence and Relationship with Geriatric Parameters
To define the prevalence of oropharyngeal dysphagia (OD) in community-dwelling older persons with dementia, using V-VST (Volume-Viscosity Swallow Test), the reference clinical screening test for swallowing disorders, to assess the feasibility of the V-VST in an ambulatory care setting, to search for associations between geriatric parameters and OD, and to identify a relationship between severities of cognitive impairment and OD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 31, 2018 Category: Health Management Authors: Anne Michel, Eric V érin, Xavier Gbaguidi, Laurent Druesne, Frédéric Roca, Philippe Chassagne Tags: Original Study Source Type: research

Associations of Body Mass Index and Waist Circumference with 3-Year All-Cause Mortality Among the Oldest Old: Evidence from a  Chinese Community-Based Prospective Cohort Study
Current international and national guidelines for body mass index (BMI) and waist circumference (WC) have been recommended to all adults. However, whether recommendations applied to the oldest old (aged 80+) is poorly known. The study objective was to investigate the relation of BMI and WC with 3-year all-cause mortality among the oldest old. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2018 Category: Health Management Authors: Yue-Bin Lv, Simin Liu, Zhao-Xue Yin, Xiang Gao, Virginia Byers Kraus, Chen Mao, Jin-Qiu Yuan, Juan Zhang, Jie-Si Luo, Hua-Shuai Chen, Yi Zeng, Xiao-Ming Shi Tags: Original Study Source Type: research

Frail Elderly, Inconspicuous Finance System, Complex Healthcare: Are We Realists or Optimists?
According to behavioral economics, humans make 95% of their decisions using mental shortcuts or rules of thumb, which means broad theory or applications that are not intended to be strictly accurate or reliable for every situation. Unfortunately, this holds true when individuals choose health care insurance policies or choose whether and when to consume health care.1 Older adults have low financial and health insurance literacy, which pose challenges in making decisions, especially with declining health and fixed incomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 25, 2018 Category: Health Management Authors: Rakhi Mittal Tags: Letter to the Editor Source Type: research

Using PROMIS Pain Interference Items to Improve Quality Measurement in Inpatient Rehabilitation Facilities
To evaluate the Patient-Reported Outcomes Measurement Information System (PROMIS) pain interference items for use in a quality measure and to compare the resulting quality score, along with internal reliability and validity, to a similar item set in the Minimum Data Set Version 3.0 (MDS). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2018 Category: Health Management Authors: Benjamin D. Schalet, Michael A. Kallen, Allen W. Heinemann, Anne Deutsch, Karon F. Cook, Linda Foster, David Cella Tags: Original Study Source Type: research

Effects of Horticulture on Frail and Prefrail Nursing Home Residents: A Randomized Controlled Trial
Frail nursing home residents face multiple health challenges as a result of their frail status. The aim of this study was to examine the effects of HT on the psychosocial well-being of frail and prefrail nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 24, 2018 Category: Health Management Authors: Claudia K.Y. Lai, Rick Y.C. Kwan, Shirley K.L. Lo, Connie Y.Y. Fung, Jordan K.H. Lau, Mimi M.Y. Tse Tags: Original Study Source Type: research

Early Identification and Management of Sepsis in Nursing Facilities: Challenges and Opportunities
In this issue of JAMDA, Sloane and collaborators share the results of a retrospective study among 236 patients in 31 nursing facilities (NFs) that examines signs and symptoms prior to a hospitalization related to sepsis.1 The authors compared the frequency of various clinical parameters among patients diagnosed with sepsis and those diagnosed with other conditions. They also compared the accuracy of 4 different tools and 2 different temperature thresholds to screen for sepsis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Authors: Bernardo J. Reyes, Joseph Chang, Lena Vaynberg, Sanya Diaz, Joseph G. Ouslander Tags: Editorial Source Type: research

Frailty Defined by FRAIL Scale as a Predictor of Mortality: A Systematic Review and Meta-analysis
To conduct a systematic review of the literature on prospective cohort studies examining mortality risk according to frailty defined by FRAIL scale, and to perform a meta-analysis to synthesize the pooled risk estimates. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Authors: Gotaro Kojima Tags: Review Article Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 22, 2018 Category: Health Management Source Type: research

Short-term Resource Utilization and Cost-Effectiveness of Comprehensive Geriatric Assessment in Acute Hospital Care for Severely Frail Elderly Patients
The objective of this study was to estimate the 3-month within-trial cost-effectiveness of comprehensive geriatric assessment (CGA) in acute medical care for frail elderly patients compared to usual medical care, by estimating health-related quality of life and costs from a societal perspective. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 18, 2018 Category: Health Management Authors: Niklas Ekerstad, Bj örn W. Karlson, David Andersson, Magnus Husberg, Per Carlsson, Emelie Heintz, Jenny Alwin Tags: Original Study Source Type: research

SARC-F for Screening of Sarcopenia Among Older Adults: A Meta-analysis of Screening Test Accuracy
To examine the screening ability of SARC-F for older adults using a meta-analysis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 17, 2018 Category: Health Management Authors: Satoshi Ida, Ryutaro Kaneko, Kazuya Murata Tags: Original Study Source Type: research

The Impact of Dysphagia on Mortality of Nursing Home Residents: Results From the nutritionDay Project
Dysphagia is a frequent finding in nursing home residents. The aim of this study is to evaluate the association of dysphagia and mortality in nursing home residents and identify further risk factors for mortality in residents with dysphagia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 17, 2018 Category: Health Management Authors: Rainer Wirth, Maryam Pourhassan, Melanie Streicher, Michael Hiesmayr, Karin Schindler, Cornel Christian Sieber, Dorothee Volkert Tags: Original Study Source Type: research

Predictors of Falls and Fractures Leading to Hospitalization in People With Dementia: A Representative Cohort Study
Investigate predictors of falls and fractures leading to hospitalization in a large cohort of people with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 8, 2018 Category: Health Management Authors: Shalini Sharma, Christoph Mueller, Robert Stewart, Nicola Veronese, Davy Vancampfort, Ai Koyanagi, Sarah E. Lamb, Gayan Perera, Brendon Stubbs Tags: Original Study Source Type: research

“Eeny, Meeny, Miny, Moe”: Prioritizing Medications on the Prescription as an Unexplored Avenue Towards Optimizing Geriatric Pharmacotherapy
As clinicians practicing in the field of geriatric care, we are interested in the research perspectives that may help us to improve practices in terms of prescription, dispensing, administration, and follow-up of medications in elderly patients. In this regard, we read with avid interest the recent article by Tan et  al, outlining research priorities for optimizing geriatric pharmacotherapy.1 In their article, reporting an expert consensus further to an international workshop, Tan et al propose a range of areas that merit particular research focus, including overuse/underuse/misuse of medications, deprescribi ng ...
Source: Journal of the American Medical Directors Association - May 4, 2018 Category: Health Management Authors: Mounir Rhalimi, Fiona Ecarnot Tags: Letter to the Editor Source Type: research

Comparative Effectiveness of Disease Management With Information Communication Technology for Preventing Hospitalization and Readmission in Adults With Chronic Congestive Heart Failure
Critical appraisal of all available evidence regarding the role of noninvasive communication technology for improving patient survival and reducing hospital admissions in adults with chronic heart failure (HF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2018 Category: Health Management Authors: Wilbert S. Aronow, Tatyana A. Shamliyan Tags: Review Article Source Type: research

Antibiotics by Subcutaneous Route: A Safe and Efficient Alternative
Infectious diseases represent a common cause of morbidity and mortality in older persons and have deleterious effects if effective treatment is not received. Antibiotics are usually given by the oral, intravenous, or intramuscular route, with proven efficacy. However, in specific situations and in certain patients, it becomes necessary to use alternative routes for drug administration. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2018 Category: Health Management Authors: Oscar Duems Noriega, Sulema N. Yarlequ é León Tags: Letter to the Editor Source Type: research

Can Bisphosphonates Prevent Recurrent Fragility Fractures? A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Although a few trials have explored whether bisphosphonates (BPs) prevented recurrent fragility fractures (FFs), little is known about the secondary preventative effects of BPs. Thus, we performed a meta-analysis to examine the effects of BPs on prevention of subsequent fractures, mortality, and on bone metabolic and functional parameters related to FF. We compared BP and control groups. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Sang Yoon Lee, Se Hee Jung, Shi-Uk Lee, Yong-Chan Ha, Jae-Young Lim Tags: Review Article Source Type: research

A Pilot Randomized Trial of Asynchronous and Synchronous Telepsychiatry in Skilled Nursing Facilities
More than 10 million Americans with serious mental illnesses require skilled nursing facility (SNF) level of care to manage activities of daily living and functional impairments. The critical shortages of inpatient psychiatric beds have added to “trans-institutionalization” of people with serious mental illnesses from psychiatric institutions to SNFs.1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Glen L. Xiong, Ana-Maria Iosif, Haley T. Godwin, Murtaza Khan, Michelle B. Parish, Peter Yellowlees, Debra Kahn Tags: Letter to the Editor Source Type: research

Socially Assistive Robots and Their Potential in Enhancing Older People's Activity and Social Participation
We learned from 2 highly innovative, RCT-based studies1,2 published in your journal that if a companion robot or “interactive surfaces” technology is introduced into the care mix, older people smile and socialize more frequently, become more active and talkative, and their Behavioural and Psychological Symptoms of Dementia (BPSD) decreased. Others3–5 similarly report positive impacts. But how can we meas ure the impacts of robotics-aided care on older people's quality of life? In order to answer this question, Japanese researchers designed a study, using the International Classification of Functioning, Di...
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Kazuko Obayashi, Naonori Kodate, Shigeru Masuyama Tags: Letter to the Editor Source Type: research

Language as an Application of Mindfulness
In December 2017, word spread that staff and scientists in the U.S. Centers for Disease Control and Prevention were prohibited from using seven words or phrases: vulnerable, entitlement, diversity, transgender, fetus, evidence-based, and science-based.1 One month later, it was reported that avoiding those terms was not actually a mandate but rather a suggestion. “Nobody ever told them they couldn't use these seven words. It was just said, 'if you think these words would cause someone to jump to a conclusion, then use a substitute. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Sheryl Zimmerman, Paul R. Katz, Philip D. Sloane, Malaz Boustani, Mallory Brown, Matteo Cesari, Gustavo Duque, Kathryn Hyer, Francesco Landi, David Nace, Barbara Resnick, Martin Smalbrugge, David A. Smith, Karl E. Steinberg, Ladislav Volicer, Gregg Warsha Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Source Type: research

Going Beyond the Mortality: The Forgotten Quality of Life in the Very Elderly
We read with great interest the article by Alegre et  al,1 who reported the prognostic impact of frailty measured by the Fatigue, Resistance, Ambulation, Illnesses,& Loss of Weight (FRAIL) scale in very elderly patients with acute coronary syndrome (ACS). The authors should be congratulated on this original article. Although the article is both exhaustive and clinically relevant, there is currently no information about the impact of frailty in the quality of life or in functional impairment in the very elderly patients with non-ST segment elevation acute coronary syndrome (NSTEACS) at 6  months. (Source: Jour...
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Alberto Dominguez-Rodriguez, Magali Gonzalez-Cola ço Harmand, Nestor Baez-Ferrer, Pedro Abreu-Gonzalez Tags: Letter to the Editor Source Type: research

Update of the 6-Item Brief Geriatric Assessment Screening Tool of Older Inpatients at Risk for Long Length of Hospital Stay: Results From a Prospective and Observational Cohort Study
Chronic multimorbidities and disabilities characterize older inpatients, who are the fastest-increasing group of patients admitted to hospitals.1 Because hospitals are configured for disease-oriented and episodic model rather than chronic multimorbidities and disabilities, adverse outcomes like long length of hospital stay are one of the main challenges that hospitals face.1 –3 Assessing the needs of the growing number of older inpatients is, thus, a priority to reduce the occurrence of adverse outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2018 Category: Health Management Authors: Olivier Beauche, Julia Chabot, Shek Fung, Cyrille P. Launay Tags: Letter to the Editor Source Type: research

Social Frailty Has a Stronger Impact on the Onset of Depressive Symptoms than Physical Frailty or Cognitive Impairment: A 4-Year Follow-up Longitudinal Cohort Study
To examine the association between each type of frailty status and the incidence rate of depressive symptoms among community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 24, 2018 Category: Health Management Authors: Kota Tsutsumimoto, Takehiko Doi, Hyuma Makizako, Ryo Hotta, Sho Nakakubo, Minji Kim, Satoshi Kurita, Takao Suzuki, Hiroyuki Shimada Tags: Original Study Source Type: research

Readmission Patterns Over 90-Day Episodes of Care Among Medicare Fee-for-Service Beneficiaries Discharged to Post-acute Care
Examine readmission patterns over 90-day episodes of care in persons discharged from hospitals to post-acute settings. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 21, 2018 Category: Health Management Authors: Addie Middleton, Yong-Fang Kuo, James E. Graham, Amol Karmarkar, Yu-Li Lin, James S. Goodwin, Allen Haas, Kenneth J. Ottenbacher Tags: Original Study Source Type: research

Cognitive-Based Interventions to Improve Mobility: A Systematic Review and Meta-analysis
The objective of this study was 2-fold: (1) to review the existing literature on cognitive-based interventions aimed at improving mobility in older adults and (2) to assess the clinical effectiveness of cognitive interventions on gait performance. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Authors: Uros Marusic, Joe Verghese, Jeannette R. Mahoney Source Type: research

Consolidated Medication Review Algorithm to Improve Medications Use in Older Adults: Components, Scoring Scheme, and Implementation
Medication review algorithms and minimization frameworks are known to aid reviewers in identifying and discontinuing potentially inappropriate medications, which may otherwise lead older population to harmful events.1 There have been many algorithms and minimization frameworks that have been developed to aid to evaluate medication reviews, with each one offering benefits in various settings. In 2007, Pollock et  al proposed an 8-step approach to improve prescribing by family physicians.2 Scott et al further developed the concept proposed by Pollock et al to a 10-step framework that aimed to improve medicine ...
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Authors: Kaeshaelya Thiruchelvam, Pei Se Wong, Therese Kairuz, Zaheer Ud-Din Babar, Syed Shahzad Hasan Tags: Letter to the Editor Source Type: research

Erratum
The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10/1016/j.jamda.2017.09.014) "Relationship Between Sarcopenia and Frailty in the Toledo Study of Healthy Aging: A Population Based Cross-Sectional Study". (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Tags: Erratum Source Type: research

Cognitive-Based Interventions to Improve Mobility: A Systematic Review and Meta-analysis
The objective of this study was 2-fold: (1) to review the existing literature on cognitive-based interventions aimed at improving mobility in older adults and (2) to assess the clinical effectiveness of cognitive interventions on gait performance. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Authors: Uros Marusic, Joe Verghese, Jeannette R. Mahoney Source Type: research

Consolidated Medication Review Algorithm to Improve Medications Use in Older Adults: Components, Scoring Scheme, and Implementation
Medication review algorithms and minimization frameworks are known to aid reviewers in identifying and discontinuing potentially inappropriate medications, which may otherwise lead older population to harmful events.1 There have been many algorithms and minimization frameworks that have been developed to aid to evaluate medication reviews, with each one offering benefits in various settings. In 2007, Pollock et  al proposed an 8-step approach to improve prescribing by family physicians.2 Scott et al further developed the concept proposed by Pollock et al to a 10-step framework that aimed to improve medicine ...
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Authors: Kaeshaelya Thiruchelvam, Pei Se Wong, Therese Kairuz, Zaheer Ud-Din Babar, Syed Shahzad Hasan Tags: Letter to the Editor Source Type: research

Erratum
The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10/1016/j.jamda.2017.09.014) "Relationship Between Sarcopenia and Frailty in the Toledo Study of Healthy Aging: A Population Based Cross-Sectional Study". (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 18, 2018 Category: Health Management Tags: Erratum Source Type: research

Sarcopenic Obesity Revisited: Insights From the Mr and Ms Os Cohort
Following the concept of a metabolic load-capacity model, we propose the use of appendicular skeletal muscle mass (ASM) to total body fat (TBF) ratio in predicting 4-year physical limitations, physical performance measures, 6-year incident diabetes and cardiovascular diseases, and 12-year mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 17, 2018 Category: Health Management Authors: Jean Woo, Jason Leung Tags: Original Study Source Type: research