☆ 4.7 Editorial Material

Geriatric medicine and health care for older people in Australia COMMENT

AGE AND AGEING (2022)

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Article Medicine, General & Internal

Medication use and cognitive impairment among residents of aged care facilities

Leila Shafiee Hanjani et al.

Summary: The study found that potentially inappropriate polypharmacy is common in RACF residents, with cognitively intact residents receiving significantly more medications than those with cognitive impairment. While the proportions of residents receiving inappropriate medications were not significantly different across the groups, there is a need to optimize prescribing in RACF residents, with particular attention to medications with anti-cholinergic effects.

INTERNAL MEDICINE JOURNAL (2021)

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Article Geriatrics & Gerontology

Chronic Polypharmacy with Increasing Drug Burden Index Exacerbates Frailty and Impairs Physical Function, with Effects Attenuated by Deprescribing, in Aged Mice

John Mach et al.

Summary: The use of multiple medications and a high Drug Burden Index are linked with impaired physical function in older adults, but deprescribing may offer potential benefits. A preclinical study on mice found that chronic polypharmacy and a high DBI score can increase frailty and decrease function in old age, with drug withdrawal in old age able to reverse these outcomes. It was not the number of medications but the type and dose that caused adverse geriatric outcomes.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2021)

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Article Medicine, General & Internal

Organisational aspects and assessment practices of Australian memory clinics: an Australian Dementia Network (ADNeT) Survey

Inga Mehrani et al.

Summary: A national survey was conducted in Australia in 2019 involving 150 clinicians and administrators from specialised dementia assessment services. The results showed significant heterogeneity in the organisational aspects and assessment procedures of memory clinics in Australia, highlighting the need for harmonisation and development of national guidelines.

BMJ OPEN (2021)

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Article Medical Informatics

Supporting deprescribing in hospitalised patients: formative usability testing of a computerised decision support tool

Melissa T. Baysari et al.

Summary: Despite growing evidence supporting deprescribing, the practice is not widespread in hospitals. A computerized decision support tool based on DBI was tested for usability, revealing areas for improvement such as terminology and consistency. User feedback led to modifications to enhance the tool before pilot testing in hospital settings.

BMC MEDICAL INFORMATICS AND DECISION MAKING (2021)

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Editorial Material Medicine, General & Internal

Dementia prevention: the time to act is now

Terence W. H. Chong et al.

MEDICAL JOURNAL OF AUSTRALIA (2021)

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Editorial Material Geriatrics & Gerontology

Aducanumab and the certainty of evidence

Jenny McCleery et al.

AGE AND AGEING (2021)

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Article Medicine, General & Internal

Development and dissemination of the national strategic action plan for reducing inappropriate polypharmacy in older Australians

Lisa Kouladjian O'Donnell et al.

Summary: A national approach is necessary to tackle inappropriate polypharmacy in older adults. Initiatives taken to align with and implement this plan have been described.

INTERNAL MEDICINE JOURNAL (2021)

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Article Geriatrics & Gerontology

Patterns and preferences for accessing health and aged care services in older Aboriginal and Torres Strait Islander Australians

Benjamin M. Larke et al.

Summary: The study found that the majority of older Australian Aboriginal and Torres Strait Islander people prefer aged and disability care provided by Aboriginal services, especially in regional settings where there is a growing need for culturally safe services.

AUSTRALASIAN JOURNAL ON AGEING (2021)

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Article Health Care Sciences & Services

Let's CHAT (community health approaches to) dementia in Aboriginal and Torres Strait Islander communities: protocol for a stepped wedge cluster randomised controlled trial

Kate Bradley et al.

BMC HEALTH SERVICES RESEARCH (2020)

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Article Geriatrics & Gerontology

Geriatric medicine services for older surgical patients in acute hospitals: Results from a binational survey

Janani Thillainadesan et al.

AUSTRALASIAN JOURNAL ON AGEING (2019)

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Article Neurosciences

Factors Associated with the High Prevalence of Dementia in Older Aboriginal Australians

Kylie Radford et al.

JOURNAL OF ALZHEIMERS DISEASE (2019)

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Editorial Material Geriatrics & Gerontology

Deprescribing: the emerging evidence for and the practice of the 'geriatrician's salute'

Sarah N. Hilmer et al.

AGE AND AGEING (2018)

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Review Neurosciences

Alzheimer's Disease: A Journey (f)rom Amyloid Peptides and Oxidative Stress, to Biomarker Technologies and Disease Prevention Strategies-Gains from AIBL and DIAN Cohort Studies

Ralph N. Martins et al.

JOURNAL OF ALZHEIMERS DISEASE (2018)

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Article Geriatrics & Gerontology

Antipsychotic Deprescription for Older Adults in Long-term Care: The HALT Study

Henry Brodaty et al.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2018)

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Editorial Material Pharmacology & Pharmacy

Calculating and using the drug burden index score in research and practice

Sarah N. Hilmer

EXPERT REVIEW OF CLINICAL PHARMACOLOGY (2018)

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Article Geriatrics & Gerontology

The health of older Aboriginal and Torres Strait Islander peoples

Dina LoGiudice

AUSTRALASIAN JOURNAL ON AGEING (2016)

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Article Geriatrics & Gerontology

Prevalence and incidence of frailty in Aboriginal Australians, and associations with mortality and disability

Zoe Hyde et al.

MATURITAS (2016)

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Article Multidisciplinary Sciences

Deprescribing in Frail Older People: A Randomised Controlled Trial

Kathleen Potter et al.

PLOS ONE (2016)

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Article Medicine, General & Internal

Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial

Anne-Marie Hill et al.

LANCET (2015)

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Review Medicine, General & Internal

Reducing Inappropriate Polypharmacy The Process of Deprescribing

Ian A. Scott et al.

JAMA INTERNAL MEDICINE (2015)

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Article Medicine, General & Internal

Orthogeriatric services associated with lower 30-day mortality for older patients who undergo surgery for hip fracture

Justin Zeltzer et al.

MEDICAL JOURNAL OF AUSTRALIA (2014)

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Article Ergonomics

Implementing falls prevention research into policy and practice in Australia: Past, present and future

Stephen R. Lord et al.

JOURNAL OF SAFETY RESEARCH (2011)

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Review Geriatrics & Gerontology

Medication Withdrawal Trials in People Aged 65 Years and Older A Systematic Review

Shoba Iyer et al.

DRUGS & AGING (2008)

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Article Medicine, General & Internal

Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease - A randomized trial

Nicola T. Lautenschlager et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2008)

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Article Clinical Neurology

High prevalence of dementia and cognitive impairment in Indigenous Australians

K. Smith et al.

NEUROLOGY (2008)

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Article Medicine, General & Internal

Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital

Robert G. Cumming et al.

BMJ-BRITISH MEDICAL JOURNAL (2008)

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Article Medicine, General & Internal

Healthcare for older people in residential care - who cares?

L Flicker

MEDICAL JOURNAL OF AUSTRALIA (2000)

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