The effectiveness and efficiency of outpatient geriatric evaluation and management (GEM) was compared with usual outpatient primary care (UPC). One hundred sixty frail elderly outpatients were assigned randomly to GEM or UPC and assessed at baseline and at 8 months on measures of (1) health and functional status, (2) psychosocial well-being, (3) quality of health and social care, (4) use of inpatient and outpatient services, and (5) cost of care. The results indicate that GEM was significantly more effective than UPC in reducing mortality, increasing patient satisfaction, and improving the quality of health and social care. However, it was not effective in reducing health care use or the cost of care.
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http://dx.doi.org/10.1097/00005650-199606000-00011 | DOI Listing |
Asia Pac J Oncol Nurs
November 2024
Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Objective: This study aimed to clarify the physical activity level of patients with upper gastrointestinal cancer during outpatient chemotherapy and the factors associated with decreased physical activity levels after drug administration.
Methods: In this cross-sectional study, activity intensity and steps were measured using an accelerometer in 39 patients with upper gastrointestinal cancer for 1 week before and after drug administration. Furthermore, the participants responded to a questionnaire on their lifestyles.
Clin Epidemiol
January 2025
Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Purpose: The COVID-19 pandemic had a severe influence on the entire health sector. Until today, the effect of a SARS-CoV-2 infection on older patients with a proximal humeral fracture (PHF) is unknown. This study examined the following questions: Did the incidence of PHF of older people in Germany vary during the pandemic? Did the treatment change between the lockdown and non-lockdown periods? Was a SARS-CoV-2 infection associated with a worse outcome?
Methods: Retrospective claims data of the BARMER health insurance were analysed.
Aging Ment Health
January 2025
Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Objectives: This study aimed to evaluate the results of sleep hygiene education via a comprehensive geriatric assessment.
Method: A cross-sectional research was conducted on insomnia outpatients at a tertiary hospital, and all participants received sleep hygiene education as well as a comprehensive geriatric assessment. Sleep parameters were assessed before and four weeks after education.
Front Med (Lausanne)
January 2025
Instituto de Medicina Fisica e Reabilitacao, IMREA, Hospital das Clínicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Background: Knee osteoarthritis (KOA) is the most common form of arthritis in adults and a leading cause of years lived with disability, representing a significant burden on healthcare worldwide.
Objective: Describe the structure and educational elements of the Knee-SCHOOL, a brief patient-centered multidisciplinary educational program for patients with KOA.
Design: Observational prospective study.
Rev Esp Geriatr Gerontol
January 2025
Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Ctra. de Colmenar Viejo, km. 9,100, 28034, Madrid C.P. 28034, Mexico.
Background And Aim: To evaluate the association between sarcopenia and metabolic syndrome.
Patients And Methods: A case-control study.
Setting: Geriatric Care Clinic of Metepec (México).
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