Friday 23 October 2015

October 2015 #GeriMedJC

In an era of mounting evidence for comprehensive geriatric assessment in many settings (orthopedics, oncology), the question becomes whether this is not just clinically effective, but also cost-effective.  Another question remains as to how CGA be delivered -- in specialized geriatric wards or consultation models.  This randomized trial was chosen for this month's long discussion:

Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. Lancet. 2015 Apr 25;385(9978):1623-33.

The choice of using the Short Performance Physical Battery as the main outcome measure was questioned.  It should be noted that the SPPB predicts other important outcomes.  It was reassuring to see that the primary and many of the secondary outcomes were favourable for geriatric care.

The short article generated a lot of interest! Ageism seen in the health care context may differ from attitudes about older people in general.  #GeriMedJC had a nice surprise today with first author, Rajvinder Samra, joining in for the tweet chat and fielding questions pertaining to the study:  

Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation. Age Ageing. 2015 Sep;44(5):776-83. 

Our tweeps agreed with one of the study participants, that positive role-modelling and mentorship are important in formulating attitudes toward older patients. Our tweets identified specific mentors who influenced a career choice in geriatric medicine, check out some of the tweets here.

#GeriMedJC continues to grow, with a record of 264 tweets during this journal club session! 

Thanks to all those who participated:

Thanks once again to Dr. Bernadette Keefe (@nxtstop1) for Storifying this month’s tweet chat!!  If you missed the #GeriMedJC tweet chat, download the full transcript here.

We'll see you next time on #GeriMedJC on November 27 at 08:00 Eastern Time.

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