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In a case vignette published in the Feb. 11 issue of the New England Journal of Medicine

Vignette Highlights Management of Recurrent UTI in Older Men

Case presented of patient with extended-spectrum beta-lactamase E. coli infection
Primary care physicians can play an important role in preserving visual health and maximizing quality of life for elderly patients with visual loss

PCPs Have Important Role to Play in Senior Visual Health

Role includes providing referrals, promoting behavioral modifications and low-vision rehab
Driving cessation in older adults is tied to a variety of health problems

Driving Cessation Tied to Adverse Effects on Health in Older Adults

Declines seen in general health and physical, social, and cognitive function
Many older Americans are unnecessarily screened for breast and prostate cancer

Many Seniors Getting Unneeded Mammography, PSA Screens

Rate of non-recommended screening 15.7 percent in those 65 years and older
Physical frailty among older patients who have elective surgery is linked to a greater risk of death one year later

Frailty Ups Mortality Risk After Surgery in Seniors

Risk for death one year after major surgery significantly higher for frail patients
Regular mammograms still benefit elderly women

Research Supports Annual Mammograms for Elderly Women

Screenings tied to improved breast cancer mortality among those over 69
Higher monthly doses of vitamin D have no benefit on lower extremity function and correlate with increased risk of falls compared with lower doses in elderly adults

High Dose of Vitamin D Tied to Higher Risk of Falls in Elderly

No benefit on lower extremity function and increased risk of falls for higher monthly doses
For healthy long-term multifocal wearers

Intermediate Addition Multifocals Provide Good Gait Safety

Similar effects for intermediate addition progression-addition lenses, distance single-vision spectacles
Primary debulking surgery and chemotherapy in an optimal timeframe is associated with the longest survival time for elderly women with advanced ovarian cancer

Surgery, Chemo Best for Elderly With Advanced Ovarian Cancer

Longest survival time for primary debulking surgery, chemotherapy with optimal timeframe
Very old patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention (PCI) have increased rates of PCI failure

Poor PCI Outcomes Up for Very Old With STEMI

However, successful percutaneous coronary intervention benefits all age groups