Higher Serum Levels of Resistin Are Associated With Knee Synovitis and Structural Abnormalities in Patients With Symptomatic Knee Osteoarthritis
Resistin acts as an endogenous ligand of Toll-like receptor (TLR)-4 that triggers major inflammatory pathways and mediates inflammatory processes. The role of resistin in osteoarthritis (OA) pathogenesis is unclear. The aim of this study is to describe the longitudinal associations of serum levels of resistin with knee synovitis measures and structural abnormalities in patients with knee OA. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 19, 2019 Category: Health Management Authors: Weiyu Han, Dawn Aitken, Shuang Zheng, Binghui Wang, Anita E. Wluka, Zhaohua Zhu, Leigh Blizzard, Xia Wang, Tania Winzenberg, Flavia Cicuttini, Graeme Jones, Changhai Ding Tags: Original Study Source Type: research

Thyroid Function as a Predictor of Handgrip Strength Among Middle-Aged and Older Euthyroid Adults: The TCLSIH Cohort Study
Thyroid hormones (THs) play a critical role in skeletal muscle function, such as protein synthesis and energy metabolism, suggesting that thyroid function may be involved in the decline of muscle strength. Studies regarding the long-term effects of THs on muscle strength are limited. Therefore, this large-scale longitudinal study aimed to explore how TH levels were associated with handgrip strength (HGS) among middle-aged and older euthyroid adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 13, 2019 Category: Health Management Authors: Yeqing Gu, Ge Meng, Hongmei Wu, Qing Zhang, Li Liu, Xue Bao, Yawen Wang, Shunming Zhang, Shaomei Sun, Xing Wang, Ming Zhou, Qiyu Jia, Kun Song, Kaijun Niu Tags: Original Study Source Type: research

Introducing Goals of Patient Care in Residential Aged Care Facilities to Decrease Hospitalization: A Cluster Randomized Controlled Trial
The “Goals of Patient Care” (GOPC) process uses shared decision making to incorporate residents' prior advance care planning (ACP) or preferences into medical treatment orders, guiding health care decisions at a time of clinical deterioration should they be unable to voice their opinions. The object ive was to determine whether GOPC medical treatment orders were more effective than ACP alone in preventing emergency department (ED) visits (no hospitalization), ED visits (with hospitalization), and deaths outside the residential aged care facility (RACF). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 13, 2019 Category: Health Management Authors: Ruth S. Martin, Barbara J. Hayes, Anastasia Hutchinson, Mark Tacey, Paul Yates, Wen Kwang Lim Tags: Original Study Source Type: research

Oral Health, Disability and Physical Function: Results From Studies of Older People in the United Kingdom and United States of America
Studies examining the associations between oral health and disability have limited oral health measures. We investigated the association of a range of objectively and subjectively assessed oral health markers with disability and physical function in older age. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 9, 2019 Category: Health Management Authors: Eftychia Kotronia, S. Goya Wannamethee, A. Olia Papacosta, Peter H. Whincup, Lucy T. Lennon, Marjolein Visser, Robert J. Weyant, Tamara B. Harris, Sheena E. Ramsay Tags: Original Study Source Type: research

Validity of Nutritional Screening Tools for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
The aim of this systematic review was to summarize the validity of nutritional screening tools to detect the risk of malnutrition in community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 9, 2019 Category: Health Management Authors: Jennifer M.J. Isautier, Marija Bosni ć, Suey S.Y. Yeung, Marijke C. Trappenburg, Carel G.M. Meskers, Anna C. Whittaker, Andrea B. Maier Tags: Review Article Source Type: research

Exergaming as a Physical Exercise Strategy Reduces Frailty in People With Dementia: A Randomized Controlled Trial
People with dementia are known to be physically frailer, more sedentary, and participate less in regular physical exercise compared to their healthy peers. Physical activity interventions have the potential to reduce the level of frailty in community-dwelling older adults. Exergaming combines physical exercise with cognitive stimulation in a virtual environment. It is an innovative and fun way of exercising, which may aid people with dementia to be more physically active. The primary aim of this study was to investigate the efficacy of a 12-week exergame training and equally long aerobic training, both compared to an activ...
Source: Journal of the American Medical Directors Association - August 9, 2019 Category: Health Management Authors: Esther G.A. Karssemeijer, Willem J.R. Bossers, Justine A. Aaronson, Lianne M.J. Sanders, Roy P.C. Kessels, Marcel G.M. Olde Rikkert Tags: Original Study Source Type: research

Cluster-Controlled Trial of an Intervention to Improve Prescribing in Nursing Homes Study
To investigate the impact of a complex multifaceted intervention on the appropriateness of prescribing for Belgian nursing home (NH) residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2019 Category: Health Management Authors: Goedele Strauven, Pauline Anrys, Eline Vandael, S éverine Henrard, Jan De Lepeleire, Anne Spinewine, Veerle Foulon Tags: Original Study Source Type: research

The Effectiveness of Horticultural Therapy on Older Adults: A Systematic Review
Although the therapeutic effects of horticulture on older adults have been widely investigated, a recent and comprehensive synthesis of available evidence on outcomes is lacking. We systematically reviewed evidence for the therapeutic effects of horticulture on older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 7, 2019 Category: Health Management Authors: Sean O. Nicholas, Anh T. Giang, Philip L.K. Yap Tags: Review Article Source Type: research

Circulating Micronutrient Biomarkers Are Associated With 3 Measures of Frailty: Evidence From the Irish Longitudinal Study on  Ageing
To examine the associations between 3 frailty instruments and circulating micronutrients in a large representative sample of older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Aisling M. O'Halloran, Eamon J. Laird, Joanne Feeney, Martin Healy, Rachel Moran, Stephen Beatty, John M. Nolan, Anne M. Molloy, Rose Anne Kenny Tags: Original Study Source Type: research

A 4-Item Case-Finding Tool to Detect Dementia in Older Persons
This study investigated whether a small subset of MoCA would suffice to match the performance of the full MoCA in detecting dementia and, hence, be useful in nonspecialty clinics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 6, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study Source Type: research

When Less is More, but Still Not Enough: Why Focusing on Limiting Antipsychotics in People With Dementia Is the Wrong Policy Imperative
Antipsychotic reductions have been the primary focus of efforts to improve dementia care in nursing homes by the Centers for Medicare& Medicaid Services National Partnership. Although significant antipsychotic reductions have been achieved, this policy focus is myopic in 2 ways; there is no evidence for any increases in use of nonpharmacologic interventions, and there are indications for compensatory increases in the use of other (unmeasured) sedating psychotropics. This increased use of other sedating psychotropics is more concerning than the antipsychotics that they replaced, as there is even less support of efficacy...
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Helen C. Kales, Laura N. Gitlin, Constantine G. Lyketsos Tags: Controversies in Care Source Type: research

The Geriatric Patient: The Ideal One for Chest Ultrasonography? A Review From the Chest Ultrasound in the Elderly Study Group (GRETA) of the Italian Society of Gerontology and Geriatrics (SIGG)
To investigate the current evidence on the use of point-of-care chest ultrasonography in older patients and geriatric settings and present the current state of the art of chest ultrasound applications. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Andrea Ticinesi, Simone Scarlata, Antonio Nouvenne, Fulvio Lauretani, Raffaele Antonelli Incalzi, Andrea Ungar, GRETA (Gruppo di Ricerca sull ’Ecografia Toracica nell’Anziano) Group of the Italian Society of Gerontology and Geriatrics (SIGG) Tags: Special Article Source Type: research

The Clinical Potential of Frailty Indicators on Identifying Recurrent Fallers in the Community: The Mr. Os and Ms. OS Cohort Study in Hong Kong
To compare the clinical value of 3 frailty indicators in a screening pathway for identifying older men and women who are at risk of falls. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Freddy M.H. Lam, Jason C.S. Leung, Timothy C.Y. Kwok Tags: Original Study Source Type: research

Factors Associated With Nurses' Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context
We examined demographic, individual, and organizational context factors associated with nurses' job satisfaction in residential long-term care (LTC) settings. Job satisfaction has implications for staff turnover, staff health, and quality of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Laura D. Aloisio, Wendy A. Gifford, Katherine S. McGilton, Michelle Lalonde, Carole A. Estabrooks, Janet E. Squires Tags: Original Study Source Type: research

Carotid Atherosclerosis Is Associated With Poorer Hearing in Older Adults
Cardiovascular disease may be linked to hearing loss through narrowing of the nutrient arteries of the cochlea, but large-scale population-based evidence for this association remains scarce. We investigated the association of carotid atherosclerosis as a marker of generalized cardiovascular disease with hearing loss in a population-based cohort. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 5, 2019 Category: Health Management Authors: Pauline H. Croll, Daniel Bos, Meike W. Vernooij, Banafsheh Arshi, Frank R. Lin, Robert J. Baatenburg de Jong, M. Arfan Ikram, Andr é Goedegebure, Maryam Kavousi Tags: Original Study Source Type: research

Home-Based Gait Speed Assessment: Normative Data and Racial/Ethnic Correlates Among Older Adults
To determine home-based gait speed performance and its associations with sociodemographic and health-related factors among older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2019 Category: Health Management Authors: David A. Boulifard, Emmeline Ayers, Joe Verghese Tags: Original Study Source Type: research

Physician Availability in Long-term Care and Resident Hospital Transfer: A Retrospective Cohort Study
To investigate whether same-day physician access in long-term care homes reduces resident emergency department (ED) visits and hospitalizations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2019 Category: Health Management Authors: Daniel M. Kobewka, Elizabeth Kunkel, Amy Hsu, Robert Talarico, Peter Tanuseputro Tags: Original Study Source Type: research

Effects of Statins on Relative Risk of Fractures for Older Adults: An Updated Systematic Review With Meta-Analysis
Basic and translational studies have found statin treatment may have beneficial effects on bone metabolism; however, whether statins reduce the risk of fractures in older adults is still in debate. Therefore, we aimed to summarize the up-to-date evidence on risk of fracture among older individuals with statin use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - August 4, 2019 Category: Health Management Authors: Rui Shi, Zubing Mei, Zhijun Zhang, Zhenjun Zhu Tags: Original Study Source Type: research

The Rising Frequency of Continuous Deep Sedation in the Netherlands, a Repeated Cross-Sectional Survey in 2005, 2010, and 2015
We describe its clinical characteristics in 2015 and compare it with 2010 and  2005. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 31, 2019 Category: Health Management Authors: Judith A.C. Rietjens, Madelon T. Heijltjes, Johannes J.M. van Delden, Bregje D. Onwuteaka-Philipsen, Agnes van der Heide Tags: Original Study Source Type: research

Physical Therapists' Ethical Dilemmas in Treatment, Coding, and Billing for Rehabilitation Services in Skilled Nursing Facilities: A Mixed-Method Pilot Study
Reimbursement in skilled nursing facilities (SNFs) is driven by the number of minutes a patient receives rehabilitation. Physical therapists' (PTs) clinical decisions in evaluation and appropriate treatment of patients drive the dosing of rehabilitation services. Many times these 2 dynamics clash. The purpose of this study was to determine how PTs in SNFs viewed their ethical work environment, what primary issues drove their views, and what potential solutions were identified for the issues. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 31, 2019 Category: Health Management Authors: Roberto Cantu Tags: Original Study Source Type: research

Effect of Clinical Pharmacy Services in an Older Adult Emergency Medicine Unit on Unplanned Rehospitalization of Older Adults Admitted for Falls: MUPA-PHARM Study
A significant percentage of the older adult population (25% to 50% of patients older than 85  years) is frail.1 One of the most important symptoms of frailty is falling, which is a risk factor for hospitalization and/or death. Inappropriate prescriptions and polypharmacy are important contributors to the risk for falls.2 The older adult emergency medicine (OAEM) unit in our teaching hospit al treats people older than 75 years with comorbid and complex conditions. The ability of geriatricians and emergency medicine physicians to access clinical pharmacy services is associated with better medication use. (Source: J...
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Authors: Alice Clementz, Jeremy Jost, Aurore Lacour, Charlotte Bimou, Caroline Gayot, Voahirana Ratsimbazafy, Achille Tchalla Tags: Emergency Department Source Type: research

It Is Time to Revamp Approaches to Managing Dysphagia in Nursing Homes
Practices and knowledge about the diagnosis and treatment of dysphagia vary widely. Over time, some current beliefs and approaches have been questioned, for example, the limited evidence of the efficacy of some interventions, inadequate medical assessments of the symptom, and unnecessarily stringent diet restrictions. Some staff and practitioners recognize these concerns and the supporting evidence; they strive to identify and address underlying causes of swallowing issues and minimize diet modifications and restrictions on intake. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Authors: Steven A. Levenson, Victoria L. Walker Tags: Editorial Source Type: research

Increasing the Value of Emergency Visits for Long-term Care Patients: When Less is More and More is More
Current models for reimbursement for healthcare in the United States (US) are a patchwork quilt, with some regions remaining largely in the fee-for-service paradigm whereas others have a significant proportion or even a majority of patients in alternative payment models broadly described as value-based care. But regardless of where one resides within the US, the trajectory is clear —there is a movement from fee-for service to value-based care. This change will have profound consequences for all patients, including patients in long-term care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Authors: Timothy F. Platts-Mills, Sheryl Zimmerman, Philip D. Sloane Tags: Emergency Department Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2019 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 - July 26, 2019 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 26, 2019 Category: Health Management Source Type: research

Interventions to Reduce Anticholinergic Burden in Adults Aged 65 and Older: A Systematic Review
Older age is associated with multimorbidity and polypharmacy with high anticholinergic burden (ACB). High ACB is linked to adverse events such as poor physical functioning, dementia, cardiovascular disease, and falls. Interventions are needed to reduce this burden. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2019 Category: Health Management Authors: Athagran Nakham, Phyo K. Myint, Christine M. Bond, Rumana Newlands, Yoon K. Loke, Moira Cruickshank Tags: Review Article Source Type: research

The Health Impact of Living in a Nursing Home With a Predominantly Different Spoken Language
Abundant research shows that linguistic barriers can have a negative impact on access to and quality of health care, as well as a patient's health outcomes.1 –3 Establishing a culturally appropriate environment, by providing care to nursing home residents in their preferred language, is key in providing good-quality long-term care (LTC) services.4,5 French is one of Canada's 2 official languages. In Ontario, Canada, studies using population-based data have shown that Francophones have a lower perception of good health, higher prevalence of chronic diseases, and greater dependency on LTC services compared to Anglophon...
Source: Journal of the American Medical Directors Association - July 23, 2019 Category: Health Management Authors: Ricardo Batista, Denis Prud'homme, Amy T. Hsu, Eva Gu érin, Louise Bouchard, Emily Rhodes, Robert Talarico, Jacinthe Desaulniers, Douglas Manuel, Peter Tanuseputro Tags: Research Letter Source Type: research

Frailty Status Predicts All-Cause and Cause-Specific Mortality in Community Dwelling Older Adults
To examine the relationship between frailty status and risk of all-cause and cause-specific mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2019 Category: Health Management Authors: Igor Grabovac, Sandra Haider, Christina Mogg, Barbara Majewska, Deborah Drgac, Moritz Oberndorfer, Thomas E. Dorner Tags: Original Study Source Type: research

Severe Fear of Falling Is Associated With Cognitive Decline in Older Adults: A 3-Year Prospective Study
Fear of falling (FOF) is common in older adults. We investigated whether FOF affects development of cognitive decline over a 3-year period in community-dwelling older adults with intact cognition. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 23, 2019 Category: Health Management Authors: Hye-Mi Noh, Yong Kyun Roh, Hong Ji Song, Yong Soon Park Tags: Original Study Source Type: research

Association Between Muscular Strength and Mortality in Clinical Populations: A Systematic Review and Meta-Analysis
To assess the relationship between muscular strength measures and mortality in outpatient populations with chronic diseases such as cancer, chronic obstructive pulmonary disease, renal disease, and metabolic and vascular diseases, and in critically ill hospitalized patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 18, 2019 Category: Health Management Authors: Carmen Jochem, Michael Leitzmann, Konstantinos Volaklis, Dagfinn Aune, Barbara Strasser Tags: Original Study Source Type: research

Decrease in Antibacterial Use and Facility-Level Variability After the Introduction of Guidelines and Implementation of Physician-Pharmacist-Nurse Quality Circles in Swiss Long-term Care Facilities
The objective of this study is to describe antibacterial use in long-term care facilities and to investigate the determinants of use. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 17, 2019 Category: Health Management Authors: Catherine Pl üss-Suard, Anne Niquille, Delphine Héquet, Séverine Krähenbühl, Renaud Pichon, Giorgio Zanetti, Olivier Bugnon, Christiane Petignat Tags: Original Study Source Type: research

A Group-based Trajectory Analysis of Longitudinal Psychotropic Agent Use and Adverse Outcomes Among Older People
This study aims to identify distinct trajectories of longitudinal psychotropic agent use and to examine the association with the risk of mortality and unplanned hospitalization according to distinct trajectories. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 16, 2019 Category: Health Management Authors: Shih-Tsung Huang, Yu-Wen Wen, Susan Shur-Fen Gau, Liang-Kung Chen, Fei-Yuan Hsiao Tags: Original Study Source Type: research

A Graphical Exploration of Oral Health-Related Quality of Life: Resident vs Caregiver Perceptions
Limitations in physical functioning, mental health, and/or cognitive functioning are the primary reasons why older adults need help.1 In a care setting, caregivers not only support residents with daily activities but also assess the health status of the residents. Because oral health has a strong impact on general health and quality of life,2 a correct perception of the residents' oral health status by the caregivers is important. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 16, 2019 Category: Health Management Authors: Trung Dung Tran, Emmanuel Lesaffre, Stefanie Krausch-Hofmann, Johanna de Almeida Mello, Jan De Lepeleire, Dominique Declerck, Anja Declercq, Joke Duyck Tags: Research Letter Source Type: research

High-Intensity Telemedicine Reduces Emergency Department Use by Older Adults With Dementia in Senior Living Communities
Individuals with dementia have high rates of emergency department (ED) use for acute illnesses. We evaluated the effect of a high-intensity telemedicine program that delivers care for acute illnesses on ED use rates for individuals with dementia who reside in senior living communities (SLCs; independent and assisted living). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 13, 2019 Category: Health Management Authors: Suzanne M. Gillespie, Erin B. Wasserman, Nancy E. Wood, Hongyue Wang, Ann Dozier, Dallas Nelson, Kenneth M. McConnochie, Manish N. Shah Tags: Original Study - Brief Report Source Type: research

Factors Associated With Improvement in Frailty Status Defined Using the Frailty Phenotype: A Systematic Review and Meta-analysis
Frailty is a state characterized by decreased reserve across multiple physiological systems due to aged-related cumulative deficits.1 Once frailty has developed, it often leads to a downward spiral in overall health.1 However, frailty is not necessarily an irreversible process but a dynamic continuum state that can both worsen and improve over time.2 Although numerous previous studies have examined various factors associated with increased frailty risks,3 little is known regarding frailty status improvement and related factors, and there is no systematic review and meta-analysis found in the literature. (Source: Journal of...
Source: Journal of the American Medical Directors Association - July 9, 2019 Category: Health Management Authors: Gotaro Kojima, Yu Taniguchi, Steve Iliffe, Tomohiko Urano, Kate Walters Tags: Research Letter Source Type: research

Association of Benzodiazepine and Anticholinergic Drug Usage With Incident Dementia: A Prospective Cohort Study of Community-Dwelling Older Adults
To examine the association of benzodiazepines and anticholinergic drug usage with the risk of dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 8, 2019 Category: Health Management Authors: Melanie Hafdi, Marieke P. Hoevenaar-Blom, Cathrien R.L. Beishuizen, Eric P. Moll van Charante, Edo Richard, Willem A. van Gool Tags: Original Study Source Type: research

Nursing Home Star Ratings and New Onset of Depression in Long-Stay Nursing Home Residents
To examine the association between nursing home (NH) quality and new onset of depression and severity of depressive symptoms in a national cohort of long-stay NH residents in the United States. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 3, 2019 Category: Health Management Authors: Yiyang Yuan, Kate L. Lapane, Jonggyu Baek, Bill M. Jesdale, Christine M. Ulbricht Tags: Original Study - Brief Report Source Type: research

Advance Directive Preferences Among Terminally Ill Older Patients and Its Facilitators and Barriers in China: A Scoping Review
To explore advance directive (AD) preferences and the facilitators and barriers of promoting ADs among terminally ill older patients in China. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 3, 2019 Category: Health Management Authors: Jing Liao, Bei Wu, Ping Ni, Jing Mao Tags: Review Article Source Type: research

Ultra-brief Screeners for Detecting Delirium Superimposed on Dementia
Delirium superimposed on dementia (DSD) is common, morbid, and costly, yet frequently undiagnosed. Our study aimed to develop a brief screening test to improve health care worker recognition of DSD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 2, 2019 Category: Health Management Authors: Erika Steensma, Wenxiao Zhou, Long Ngo, Jacqueline Gallagher, Sharon Inouye, Douglas Leslie, Marie Boltz, Ann Kolanowski, Lorraine Mion, Edward R. Marcantonio, Donna Fick Tags: Original Study Source Type: research

Severe Apathy as a Risk Factor for Falls in Older Adults With Frailty Symptoms
Identification of unknown risk factors for falls is important in order for adults to reduce fall risk. Recently, apathy has been recognized as a complex behavioral syndrome represented by declined motivation in cognition, behavior, and emotion.1 The more severe symptoms of apathy affect executive functions,2 which is associated with fall risk.3 However, it is unclear whether the severity of apathy has an impact on fall risk and is modified by physical frailty, which is one of the notorious risk factors for falls. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - July 2, 2019 Category: Health Management Authors: Koutatsu Nagai, Kyoko Sano, Kayoko Tamaki, Hiroshi Kusunoki, Yosuke Wada, Shotaro Tsuji, Masako Itoh, Soji Shimomura, Manabu Amano, Momoka Okada, Mayu Kawaoka, Sayaka Yukimitsu, Ken Shinmura Tags: Research Letter Source Type: research

Sedentary Behavior, Physical Activity, and All-Cause Mortality: Dose-Response and Intensity Weighted Time-Use Meta-analysis
This study investigated if sedentary behavior –related mortality risk can be offset by moderate- to vigorous-intensity physical activity (MVPA) considered in a time-use fashion. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2019 Category: Health Management Authors: Chang Xu, Luis Furuya-Kanamori, Yu Liu, Kristine F ærch, Mette Aadahl, Rebecca A. Seguin, Andrea LaCroix, F. Javier Basterra-Gortari, David W. Dunstan, Neville Owen, Suhail A.R. Doi Tags: Original Study Source Type: research

Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study
To examine how relatives evaluate the quality of communication with the treating physician of a dying resident in long-term care facilities (LTCFs) and to assess its differences between countries. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2019 Category: Health Management Authors: Ilona Bara ńska, Violetta Kijowska, Yvonne Engels, Harriet Finne-Soveri, Katherine Froggatt, Giovanni Gambassi, Teija Hammar, Mariska Oosterveld-Vlug, Sheila Payne, Nele Van Den Noortgate, Tinne Smets, Luc Deliens, Lieve Van den Block, Katarzyna Szczerbi Tags: Original Study Source Type: research

Director of Nursing Perceptions of Physicians' Roles in US Nursing Homes
Nursing homes (NHs) are increasingly recognized as critical components of the long-term care continuum. Acute care systems have come to recognize the need for high-quality and easily accessible post-acute and long-term care avenues, a niche NHs have embraced over the past several years. Indeed, post-acute patients receiving NH rehabilitation account for more than 2.2 million Medicare-covered stays across 15,000 facilities.1 The quality of care in NHs remains inconsistent and, in many respects, suboptimal. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2019 Category: Health Management Authors: Laura M. Wagner, Paul Katz, Jurgis Karuza, Lori Sharp, Andrea Seet, Connie Kwong, Joanne Spetz Tags: Research Letter Source Type: research

Reply to Deprescribing in Nursing Homes
We read with interest the letter concerning our recently published systematic review and meta-analysis on deprescribing and clinical outcomes in nursing homes.1 We thank Dr Woodford for reading our manuscript with interest and for expressing his critical comments. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2019 Category: Health Management Authors: Chong-Han Kua, Vivienne S.L. Mak, Shaun Wen Huey Lee Tags: Letter to the Editor Source Type: research

Importance of Frailty for Association of Antipsychotic Drug Use with Risk of Fracture: Cohort Study Using Electronic Health Records
To evaluate association of first- or second-generation antipsychotic (AP) drugs with fracture risk at different levels of frailty over the age of 80  years. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 30, 2019 Category: Health Management Authors: Rafael Gafoor, Judith Charlton, Rathi Ravindrarajah, Martin C. Gulliford Tags: Original Study Source Type: research

Predictors of Nurses' Research Use in Canadian Long-term Care Homes
We examined the influence of individual characteristics and organizational context features on nurses' self-reported use of research evidence in long-term care (LTC) homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 26, 2019 Category: Health Management Authors: Melissa G. Demery Varin, Dawn Stacey, Jennifer L. Baumbusch, Carole Estabrooks, Janet E. Squires Tags: Original Study Source Type: research

Estimated Glomerular Filtration Rate and Muscle Mass: Their Relationship in Older Inpatients
The assessment of renal function drives many therapeutic and diagnostic decisions in everyday practice. Serum creatinine concentration (Cr) provides an unreliable estimate of glomerular filtration rate (eGFR), the optimal measure of which relies on exogenous substances. Because this is unfeasible in daily practice, the surrogate eGFR through Cr-based equations has become the clinical standard. The age-related decline of muscle mass may affect Cr and influence eGFR. The Modification Diet in Renal Disease 4-variable (MDRD),1 the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI),2 and Berlin Initiative Study 1 (BIS-...
Source: Journal of the American Medical Directors Association - June 26, 2019 Category: Health Management Authors: Vincenzo Carnevale, Maria Giulia Tinti, Alfredo Scillitani, Luciano Nieddu Tags: Research Letter Source Type: research

Deprescribing in Nursing Homes
I read with interest the recent article by Kua et  al regarding deprescribing for nursing home residents.1 The authors reported a significant reduction in mortality associated with deprescribing (odds ratio [OR] 0.90, 95% confidence interval [CI] 0.82-0.99). In addition, they suggest that medication review–directed deprescribing interventions sp ecifically could reduce the risk of death by 26% (OR 0.74, 95% CI 0.65-0.84). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - June 26, 2019 Category: Health Management Authors: Henry J. Woodford Tags: Letter to the Editor Source Type: research