Geriatrics

Home Geriatrics
Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014

Hospital Prices Growing Faster Than Physician Prices

Efforts to reduce health care spending should focus on hospital prices
Fewer older men than women undergo evaluation for or management of osteoporosis

Fewer Older Men Assessed, Treated for Osteoporosis

Fewer older men than women, even with higher risk, undergo DXA screening, 25(OH)D measurement
Medicare patients with multiple sclerosis face increasing out-of-pocket costs for disease-modifying therapies

Medicare Patients With MS Face Higher Out-of-Pocket Rx Costs

Projected cumulative out-of-pocket spending for disease-modifying therapies for 2019 was $6,894
People with a wide variety of chronic diseases are less physically active than individuals without chronic diseases

Physical Activity Down Across Chronic Disease Subgroups

Mental health disorders tied to lowest moderate activity; those with CVD have lowest vigorous activity
In older adults

CVD Does Not Modify Depression-Mortality Link in Elderly

Depression tied to higher death risk in older adults; CVD explains just small fraction of excess mortality
For denosumab-treated women with postmenopausal osteoporosis

Rates of Osteonecrosis of the Jaw Low for Denosumab-Treated Women

Invasive oral procedures associated with increased incidence of ONJ, but rate low overall
The American Academy of Orthopaedic Surgeons hip preservation surgery appropriateness classification system is driven almost entirely by age and radiographic hip osteoarthritis evaluation

Hip Preservation Appropriateness Guidelines May Be Limited

Patient age, radiographic OA severity dominate prediction of hip preservation sx appropriateness
The 2018 to 2019 influenza season has been low in severity so far

CDC: Severity of Influenza Season Low Through Feb. 2, 2019

Vaccine effectiveness 47 percent against all flu virus infection associated with acute respiratory illness
From 2003 to 2016

Improved Outcomes Seen With Liver Grafts From Older Donors

However, liver graft discard from older donors remained increased from 2003 to 2016
Incident fragility fractures are associated with long-term impacts on health-related quality of life in older people

Fractures Have Long-Term Impact on Quality of Life for Older Adults

Hip, spine fragility fractures tied to negative impact on mobility, self-care, ambulation