Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for September 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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Oral Health Symptoms in Seniors Associated With Cognitive Decline

THURSDAY, Sept. 26, 2019 (HealthDay News) — Among U.S. Chinese older adults, oral (teeth and gums) health symptoms are associated with a decline in cognitive function, according to a study published online Aug. 12 in the Journal of the American Geriatrics Society.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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Hurricanes Up Mortality Risk for Seniors With Diabetes

TUESDAY, Sept. 24, 2019 (HealthDay News) — Living through a hurricane increases both the short- and long-term risk for death among seniors with diabetes, according to a study published online Sept. 23 in Diabetes Care.

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For Seniors With T2DM, Insulin Use Up With Poor Health

TUESDAY, Sept. 24, 2019 (HealthDay News) — Among older individuals with type 2 diabetes, those with poor health have more prevalent insulin use, according to a study published online Sept. 23 in JAMA Internal Medicine.

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Guideline Updated for Prevention, Management of Hep C in CKD

MONDAY, Sept. 23, 2019 (HealthDay News) — In a synopsis of the 2018 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline, published online Sept. 24 in the Annals of Internal Medicine, updated recommendations are presented for the prevention, diagnosis, treatment, and management of hepatitis C virus (HCV) infection in adults with chronic kidney disease (CKD).

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Higher Fat Mass May Up Risk for Major Adverse CV Events in T2DM

MONDAY, Sept. 23, 2019 (HealthDay News) — In patients with type 2 diabetes, higher fat mass is associated with a higher risk for major adverse cardiovascular events, according to a study published in the Sept. 23 issue of CMAJ, the journal of the Canadian Medical Association.

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Exercise May Slow Brain Deterioration in Alzheimer Disease

MONDAY, Sept. 23, 2019 (HealthDay News) — Exercising may delay brain deterioration in people at high risk for Alzheimer disease, according to a proof-of-concept study published Sept. 17 in the Journal of Alzheimer’s Disease.

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Multifaceted Home-Based PT Does Not Aid Walking After Hip Fracture

FRIDAY, Sept. 20, 2019 (HealthDay News) — A multicomponent home-based physical therapy intervention does not improve the ability of older patients recovering from hip fracture to walk again, according to a study published in the Sept. 10 issue of the Journal of the American Medical Association.

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SGLT2 Inhibitors Linked to Lower Risk for Heart Failure

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Use of sodium glucose cotransporter 2 (SGLT2) inhibitors for type 2 diabetes is associated with a reduced risk for heart failure, but not a reduced risk for major cardiovascular events, compared with use of dipeptidyl peptidase 4 (DPP4) inhibitors, according to a study published online Aug. 29 in The BMJ.

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Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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Seniors Should Undergo Annual Cognitive Health Assessment

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Adults aged 65 years and older should undergo annual cognitive health assessments to improve recognition of mild cognitive impairment (MCI), according to a special article published online Sept. 18 in Neurology.

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Nonphysician Providers Rarely Interpret Diagnostic Images

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.

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Aortic, Mitral Regurgitation Risk Up With Fluoroquinolone Use

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — The risk for aortic and mitral regurgitation is increased with current and recent fluoroquinolone (FQ) use, according to a study published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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Many Older Patients With AML Not Receiving Active Treatment

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Many older patients with acute myeloid leukemia (AML) do not receive any active treatment, and they have worse survival than those receiving active treatment, according to a study published online Sept. 4 in Cancer.

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Migraines Linked to Higher Risk for Dementia, Alzheimer Disease

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Migraines are a significant risk factor for Alzheimer disease (AD) and all-cause dementia, according to a study published online Sept. 4 in the International Journal of Geriatric Psychiatry.

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Stepwise Approach Effective for Primary Care Dementia Screening

TUESDAY, Sept. 17, 2019 (HealthDay News) — Assessment of dementia risk using three common screening tools at baseline predicts incident dementia over the course of about seven years, according to a study published in the September/October issue of the Annals of Family Medicine.

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Screening for Breast Cancer in Men Has Increased Over Time

TUESDAY, Sept. 17, 2019 (HealthDay News) — Screening for breast cancer in men has increased over time, with high sensitivity and specificity for mammographic screening, according to a study published online Sept. 17 in Radiology.

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Aspirin for Primary Prevention May Offer Net Benefit for Some

MONDAY, Sept. 16, 2019 (HealthDay News) — Aspirin for primary prevention of cardiovascular disease (CVD) is likely to result in net benefit for some patients, according to a study published online Sept. 17 in the Annals of Internal Medicine.

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Donepezil Ups Risk for Hospital Admission for Rhabdomyolysis

MONDAY, Sept. 16, 2019 (HealthDay News) — Initiating donepezil to manage symptoms of Alzheimer disease or other dementias is associated with a higher risk for 30-day admission to the hospital with rhabdomyolysis compared with initiating rivastigmine or galantamine, according to a study published in the Sept. 16 issue of CMAJ, the journal of the Canadian Medical Association.

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Biopsychosocial Frailty Measure Predicts Risk for Dementia

MONDAY, Sept. 16, 2019 (HealthDay News) — Biopsychosocial frailty (BF) can predict short- and longer-term dementia risk, according to a study published in the August issue of Alzheimer’s & Dementia.

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Most Diagnosed With Dementia Do Not Receive Specialty Care

THURSDAY, Sept. 12, 2019 (HealthDay News) — The majority of older adults diagnosed with dementia do not receive specialty care, according to a study published online Sept. 4 in Alzheimer’s & Dementia.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
More Information: EPA

Spending Up With Treatment in Hospital-Owned Practices

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.

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USPSTF: Evidence Lacking for Cognitive Screening in Older Adults

TUESDAY, Sept. 10, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is currently inadequate for weighing the benefits and harms of screening for cognitive impairment among older adults. These findings form the basis of a draft recommendation statement published online Sept. 10 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation

Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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Malnutrition Common in Older Brazilians Hospitalized for Cancer

TUESDAY, Sept. 10, 2019 (HealthDay News) — The prevalence of malnutrition is high among older, Brazilian patients hospitalized for cancer, according to a study published online Sept. 9 in Cancer.

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Use of Pain Reliever Tramadol May Up Risk for Hypoglycemia

MONDAY, Sept. 9, 2019 (HealthDay News) — Use of the widely prescribed opioid tramadol is associated with a greater risk for developing hypoglycemia compared with almost every other opioid, according to a study published online Aug. 28 in Scientific Reports.

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Mammos May Not Benefit Elderly Women With Chronic Illness

FRIDAY, Sept. 6, 2019 (HealthDay News) — For older women, the cumulative incidence of death from other causes is many times higher than breast cancer incidence and death, according to a study published online Sept. 6 in the Journal of the National Cancer Institute.

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Hearing Aid Use Tied to Lower Risk for Dementia, Depression, Falls

FRIDAY, Sept. 6, 2019 (HealthDay News) — Use of hearing aids is associated with lower risks for being diagnosed with Alzheimer disease, dementia, depression, anxiety, and injurious falls among elderly adults diagnosed with hearing loss, according to a study published online Sept. 5 in the Journal of the American Geriatrics Society.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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Poll: Not All Older Adults Prepared for Emergency Situations

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Many older adults have not taken adequate steps to prepare for emergency situations, according to a report published online Sept. 4 based on the University of Michigan National Poll on Healthy Aging.

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Ultrasonography Helps Differentiate Arthritis Types

TUESDAY, Sept. 3, 2019 (HealthDay News) — Ultrasound is effective for differentiating between the major types of arthritis when combined with a physical exam and patient history, according to a review recently published in The Open Medical Imaging Journal.

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Evidence Says Antipsychotics Do Not Prevent Delirium in Adults

TUESDAY, Sept. 3, 2019 (HealthDay News) — Current evidence does not support routine use of haloperidol or second-generation antipsychotics for prevention or treatment of delirium in hospitalized adults, according to two reviews published online Sept. 3 in the Annals of Internal Medicine.

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Marriage Associated With Lower Dementia Risk

TUESDAY, Sept. 3, 2019 (HealthDay News) — People who remain married in older age may have a lower dementia risk, according to a study recently published in The Journals of Gerontology: Series B.

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