From @jama.com: Among adults with advanced chronic #kidney #disease (#CKD) stage 4 or 5 or on #dialysis, low-dose rivaroxaban did not lower #cardiovascular risk but did raise major bleeding rates, supporting guideline caution in this group.
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Older adults living alone with cognitive impairment are at elevated risk for medication-related harm due to barriers at multiple levels, including lack of reminders, regimen complexity, and unwitnessed adverse effects.
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Among older adults after surgery, postoperative delirium was independently associated with long-term cognitive decline; rehospitalization did not mediate this association. ja.ma/4umBqui
#Arthritis is a leading cause of pain and disability that affects nearly one-third of older US adults, many have inflammatory arthritis.
💡 This Clinical Insights discusses inflammatory arthritis in older adults and offers practical guidance. ja.ma/4a6Cf3p
From JAMA: In this observational study of adults in Stockholm, measured GFR (mGFR) values below 90 mL/min/1.73 m² were associated with progressively higher rates of #mortality, #kidney failure, #heart failure, acute kidney injury, and major #cardiovascular events.
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A financial incentive for hypertension control increased guideline-adherent blood pressure remeasurement but did not improve overall control or health outcomes, highlighting potential unintended harms among patients with borderline hypertension.
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A community health worker-led, telehealth #diabetes intervention improved HbA1c, cholesterol, and ADA guideline adherence vs usual care in low-income Hispanic adults, addressing 87% of participant concerns via a structured feedback loop. ja.ma/3QuDtyy
Older adults living alone with cognitive impairment are at elevated risk for medication-related harm due to barriers at multiple levels, including lack of reminders, regimen complexity, and unwitnessed adverse effects.
ja.ma/4ohJwTT
A cohort study of >1 million first-time handgun purchasers in California found no increased risk of homicide during the 10-day waiting period compared with matched individuals who had not purchased a handgun. ja.ma/3Re5mLz
In adults at risk for chronic low back pain, clinician-supported biopsychosocial self-management was more effective than #medical care at reducing LBP impact and chronicity, while #spinal manipulation showed no added benefit.
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