Internal Medicine - Geriatrics News & Articles

What makes MDLinx Internal Medicine different from all the other primary care literature reviews? Our team of medical editors read over 2,000 medical journals every day so you can stay current in less than 5 minutes! They sort, rank and summarize every article that will impact your daily practice. They even mark which articles are available in free full text, which are clinical or evidence-based, and which have MDLinx Exclusive Author Commentary from the people who actually performed the research.

Also on this page you’ll see bonus content from our physician editor, D. Scott Cunningham, MD, PhD, in the form of his top highlights you can’t miss, along with clinical pearls from The Smartest Internist, a quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education.

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Ranked, sorted, and summarized by MDLinx editors from the latest literature

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121 Optimal management of renal cell carcinoma in the elderly: a review Full Text Clinical Interventions in Aging, April 22, 2013 Review Article

122 Effect of Azithromycin on Anticoagulation-Related Outcomes in Geriatric Patients Receiving Warfarin Clinical Therapeutics, April 22, 2013 Clinical Article

123 Effects of municipality factors on care transitions Scandinavian Journal of Public Health, April 22, 2013 Review Article

124 Voluntary leadership roles in religious groups and rates of change in functional status during older adulthood Journal of Behavioral Medicine, April 19, 2013 Review Article

125 The influence of culture in the oral expression of pain: comparative study between French and Syrian cancer patients Bulletin du Cancer, April 19, 2013 Review Article

126 Association Between Left Ventricular Ejection Fraction Post-Cardiac Resynchronization Treatment and Subsequent Implantable Cardioverter Defibrillator Therapy for Sustained Ventricular Tachyarrhythmias Circulation: Arrhythmia and Electrophysiology, April 18, 2013 Clinical Article

127 Impact of Residual Chronic Total Occlusion of Right Coronary Artery on the Long-term Outcome in Patients Treated for Unprotected Left Main Disease Circulation: Cardiovascular Interventions, April 18, 2013 Clinical Article

128 Trends in selection and timing of first-line pharmacotherapy in older patients with Type 2 diabetes diagnosed between 1994 and 2006 Diabetic Medicine, April 18, 2013 Clinical Article

129 The Ability of Self-Rated Health to Predict Mortality among Community-Dwelling Elderly Individuals Differs according to the Specific Cause of Death: Data from the NEDICES Cohort Gerontology, April 18, 2013 Clinical Article

130 Long term survival in elderly patients with stable coronary disease European Journal of Clinical Investigation, April 17, 2013 Clinical Article

131 Opportunistic Screening for Osteoporosis Using Abdominal Computed Tomography Scans Obtained for Other Indications Annals of Internal Medicine, April 17, 2013 Clinical Article

132 Mortality and incident vertebral fractures after 3 years of follow-up among geriatric patients Osteoporosis International, April 17, 2013 Review Article

133 Peripheral arterial disease increases the risk of subsequent hip fracture in older men: the Health in Men Study Osteoporosis International, April 17, 2013 Clinical Article

134 Mortality and Disability Outcomes of Self-Reported Elder Abuse: A 12-Year Prospective Investigation Journal of the American Geriatrics Society, April 17, 2013 Clinical Article

135 Clinical Changes in Older Adults During Hospitalization: Responsiveness of the interRAI Acute Care Instrument Journal of the American Geriatrics Society, April 17, 2013 Clinical Article

136 Exclusion of Older Adults from Ongoing Clinical Trials About Type 2 Diabetes Mellitus Journal of the American Geriatrics Society, April 17, 2013 Clinical Article

137 Ethnic differences in the association between blood pressure components and chronic kidney disease in middle aged and older Asian adults Full Text BMC Nephrology, April 17, 2013 Clinical Article

138 Longitudinal study of regional cerebral blood flow in elderly patients with idiopathic rapid eye movement sleep behavior disorder Geriatrics and Gerontology International, April 17, 2013 Clinical Article

139 Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics European Journal of Clinical Pharmacology, April 17, 2013 Review Article

140 Quality of life of older frail persons receiving a post-discharge program Full Text Health and Quality of Life Outcomes , April 17, 2013 Review Article

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Clinical Pearls in Internal Medicine

Vitamin D deficiency is more common with non-Caucasian patients, and those with lower social support, no insurance, diabetes, lower activity levels, higher parathyroid hormone levels, and higher body mass indexes
Eating an early breakfast and dinner when taking PPIs can lower FSSG scores and improve GERD symptoms. (Factors leading to increased FSSG scores were female gender, inadequate sleep, lack of breakfast, antihypertensive agent non-users and dinner just before bedtime.)
No single method of contraception is contraindicated by age alone, but caution should be exercised with estrogen-containing preparations in obese women over 40

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Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Among 130 patients requiring mechanical ventilation, 107 were vitamin D-deficient (< 20 ng/ml). Of the patients who did not survive, the length of survival was shorter in the vitamin D-deficient patients (15.3 vs. 24.2 days, respectively).

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Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

Researchers at Tel-Aviv University have conducted a study to determine the value of coronary artery calcium (CAC) measurements in cardiovascular risk stratification in patients with T2DM and HTN. The study involved 423 patients enrolled in the International Nifedipine Study: Intervention as Goal for Hypertension Therapy. The patients had baseline CT scans for CAC measurement at baseline and were shown to be free of disease. Follow-up CT scans were performed at 3 and 15 years. Cardiovascular events (CVEs) occurred in 41 of 423 patients at 3 years and 111 of 268 patients at 15 years of follow-up. CVEs occurred in 15% and 52% (CAC+) and 7% and 32% (CAC-) of patients with T2DM at 3 and 15 years of follow-up, respectively. Compared to patients without T2DM and no CAC, the HRs for a CVE were 6.6 and 3.9 in T2DM patients with and without CAC, respectively.

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CAC scores add predictability to Framingham

Researchers at Erasmus University Medical Center in Rotterdam have evaluated 12 measures (N-terminal fragment of prohormone B-type natriuretic peptide levels, von Willebrand factor antigen levels, fibrinogen levels, chronic kidney disease, leukocyte count, C-reactive protein levels, homocysteine levels, uric acid levels, coronary artery calcium [CAC] scores, carotid intima–media thickness, peripheral arterial disease, and pulse wave velocity), in addition to Framingham risk scores for predicting coronary heart disease. Only the CAC was shown to add significantly to the Framingham risk score in predicting coronary heart disease.

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1 Safety of Herpes Zoster Vaccine in the Shingles Prevention Study Annals of Internal Medicine, May 5, 2010 Free full text

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Internal Medicine - Geriatrics News & Articles

Articles

Clinical Pearls in Internal Medicine

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

CAC scores add predictability to Framingham

Most Popular Internal Medicine Articles

Other Topics in Internal Medicine