Articles related to Geriatrics

Recent findings underscore the importance of addressing sedentary behavior in older adults as an independent risk factor for dementia, highlighting a significant opportunity for interventions focused on lifestyle modifications.

Treatment-resistant depression in older adults requires a nuanced approach, considering coexisting medical and psychiatric conditions. These insights highlight the significance of collaborative care models and the potential of augmentation strategies in achieving remission.

The trial demonstrated that a behavioral science-informed intervention, combining clinical decision support tools with case-based education, can effectively reduce the overuse of certain medical tests and treatments in older adults. Specifically, the study found significant reductions in PSA testing, unspecified urine testing, and diabetes overtreatment, showcasing the potential of such interventions to enhance patient safety and care quality.

In a rigorously designed trial involving more than 5,000 participants, researchers observed that testosterone treatment in hypogonadal men aged 45-80 was associated with a 1.43 times higher risk of clinical fractures compared to placebo. These findings are crucial in re-evaluating the therapeutic approach to testosterone replacement in this demographic.

In this case study, a 75-year-old patient’s persistent fevers and truncal rash, initially resistant to standard treatments, were key indicators of an underlying infective endocarditis. Elevated inflammatory markers and positive blood cultures for Streptococcus mitis pointed towards a dental source of infection, emphasizing the importance of oral health in systemic diseases.

In a landmark study, researchers found that each doubling of PSA levels in men over 70 doubles the risk of prostate cancer death, highlighting the critical need for tailored screening approaches in older patients.