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Toto, We’re Not in Fee-for-Service Anymore: Understanding MACRA and Beyond

Caring for the Ages
January 1, 2017
It is hard to believe that we spent almost 2 decades trying to repeal the flawed Sustainable Growth Rate (SGR) formula that defined how physicians got paid and now in a blink of an eye we must get used to a whole new way of doing business. The game...

Maintaining a Personal Touch in High-Tech Care

Caring for the Ages
January 1, 2017
Watch an old rerun of Marcus Welby, MD, and you will be transported to a simpler time, when the physician had all the answers and was known and revered by everyone in the community. The physician didn’t have to worry about technology, complex...

Palliative Care in Dementia 1986–2016: Progress and Remaining Challenges

JAMDA
December 31, 2016
Palliative or hospice care research and practice for people with advanced dementia have made great strides since in 1986, JAMA published on the development and evaluation of the first dementia-specific hospice program.1 This program, in a Bedford,...

Cochrane Dementia Group Turns 21—Older and (Slightly) Wiser

JAMDA
December 31, 2016
The Cochrane Dementia Group or, to use its full title, the Cochrane Dementia and Cognitive Improvement Group (CDCIG), was founded in 1995. To mark this 21st anniversary, in September 2016, more than 60 members, contributors, and colleagues of CDCIG...

Health Care–Associated Infections in the Home Care Setting: Is It Time for a Surveillance System?

JAMDA
December 31, 2016
In the last decade, Italian Health Authorities established the goal of reducing the number of hospital admissions and developing new settings of health care, such as home care assistance.

Three Decades of Comprehensive Geriatric Assessment: Evidence Coming From Different Healthcare Settings and Specific Clinical Conditions

JAMDA
December 31, 2016
Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies medical, psychosocial, and functional capabilities of older adults to develop a coordinated plan to maximize overall health with aging...

Adverse Drug Reactions Associated With Cholinesterase Inhibitors—Sequence Symmetry Analyses Using Prescription Claims Data

JAMDA
December 31, 2016
Clinicians must balance the likelihood of benefit with the risk of adverse drug reactions (ADRs) when deciding to initiate or discontinue cholinesterase inhibitors.1,2 The most common pharmacovigilance method is spontaneous ADR reporting. There were...

Utility of SARC-F for Assessing Physical Function in Elderly Patients With Cardiovascular Disease

JAMDA
December 31, 2016
A simple and inexpensive tool for screening of sarcopenia would be helpful for clinicians. The present study was performed to determine whether the SARC-F questionnaire is useful in screening of patients with cardiovascular disease (CVD) for...

Gait Performance Trajectories and Incident Disabling Dementia Among Community-Dwelling Older Japanese

JAMDA
December 31, 2016
Initial gait speed is a good predictor of dementia in later life. This prospective study used repeated measures analysis to identify potential gait performance trajectory patterns and to determine whether gait performance trajectory patterns were...

Risk Factors for Mild Cognitive Impairment, Dementia and Mortality: The Sydney Memory and Ageing Study

JAMDA
December 31, 2016
The nature and commonality of late-life risk factors for mild cognitive impairment (MCI), dementia, and mortality remain unclear. Our aim was to investigate potential risk factors, simultaneously in a single cohort including many individuals...