Publications by authors named "J Bolt"
Article Synopsis
- Clinical practice guidelines (CPGs) for diabetes management face challenges in older adults due to factors like frailty and multiple health issues.
- * The systematic review analyzed 23 CPGs from the last decade, focusing on HbA1c targets and treatment recommendations for older and frail individuals.
- * Results showed most CPGs recommend stricter HbA1c targets for healthier older adults, while suggesting more lenient targets for frail individuals, though there's variability in pharmacotherapy advice, especially for frail patients.
Background And Objective: Cannabis use is increasing among older adults, with use primarily for medicinal purposes. Much of the evidence on perceptions of cannabis is derived from younger populations and current users of cannabis. The purpose of this study was to describe community-dwelling older Canadians' perceptions of cannabis effectiveness, safety and accessibility for medicinal purposes and to identify factors influencing cannabis perceptions.
View Article and Find Full Text PDFBackground: Three landmark trials on the use of acetylsalicylic acid (ASA) for primary prevention of cardiovascular disease (CVD) were published in 2018. Since then, major clinical practice guidelines have been updated with recommendations against the routine use of ASA for primary CVD prevention, particularly in older adults. However, little is known about the uptake of this evidence into real world practice.
View Article and Find Full Text PDFBackground: Proton pump inhibitors are considered potentially inappropriate medications in the geriatric population. The use of proton pump inhibitors by older adults has increased over the past several decades; however, existing literature suggests that only one-third of patients prescribed these medications have a valid indication for use. The aim of this study was to assess the appropriateness of proton pump inhibitor therapy in a population of ambulatory geriatric patients and to determine the impact of an interdisciplinary clinic on their use.
View Article and Find Full Text PDFPurpose: The primary objective of this study was to identify the barriers and enablers to deprescribing from the viewpoint of community-dwelling older adults and their caregivers.
Methods: This meta-synthesis included a systematic review of the literature and an inductive thematic synthesis. Medline and EMBASE were searched for studies that qualitatively explored the perspectives of older adults or their caregivers on deprescribing.