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Geriatric Medicine

General Primary Care   

Questions discussed in this category

What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
2 Answers available
What is your approach to the use of GLP-1 agonists in older adults with diabetes with or at risk of sarcopenia?
3 Answers available
Would you recommend a GLP-1 agonist as an option to reduce the risk of dementia in patients with a strong family history?
Seminer et al., PMID 40193122
1 Answer available
For patients over 70 with elevated ASCVD risk but no prior cardiovascular events, do you ever recommend continuing or initiating low-dose aspirin?
Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication
1 Answer available
What is your systolic blood pressure target for patients over 80 with frailty and multiple comorbidities?
1 Answer available
What are some practical tips in distinguishing between metabolic bone disease due to chronic kidney disease and osteoporosis?
1 Answer available
How can we approach tapering or discontinuing biologic DMARDs in patient in their 80s with well controlled rheumatoid arthritis?
3 Answers available
How soon after a fracture would it be safe to start anti-resorptive therapy?
2 Answers available
What is your antipsychotic of choice and general titration regimen in the outpatient setting for a patient with dementia and behavioral disturbances (assuming reversible causes such as urinary retention, constipation, etc. have been addressed)?
2 Answers available
Should we be recommending a specific daily protein intake to prevent sarcopenia in geriatric patients, or do you find it more beneficial to focus on encouraging activity within their mobility limitations to preserve muscle mass?
1 Answer available
How do you approach balancing the treatment of urinary incontinence with anticholinergic medications with the use of cholinesterase inhibitors in dementia?
1 Answer available
How do you counsel older adults regarding the use, dosing, and safety of CBD-containing products for insomnia?
1 Answer available
Do you routinely adjust your interpretation of SLUMS and/or MOCA tests in patients depending on their level of education?
1 Answer available
What suggestions for environmental modifications do you find most helpful to reduce the risk of falls in the geriatric population?
Are there certain modifications to the home or aid devices that you commonly recommend? Some that are more cost-effective? 
1 Answer available
Do you consider using buspirone for the management of anxiety in older patients?
4 Answers available
How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?
7 Answers available
Do you routinely prescribe vitamin D to reduce the risk of fall-related fractures in elderly patients regardless of their serum levels?
1 Answer available
What is the next best osteoporosis treatment option for patients who completed 2 years of teriparatide, but has contraindication to bisphosphosnate therapy (e.g. history of atypical femur fracture)?
1 Answer available
Would you use a parathyroid hormone analog for treatment of osteoporosis in a patient with mildly elevated AlkPhos of unclear etiology?
1 Answer available
Would you start romosozumab in an active smoker?
1 Answer available
What is your approach to bisphosphonate use in patients with advanced chronic kidney disease and osteoporosis?
1 Answer available
During treatment of severe osteoporosis with PTH analogs (abaloparatide), would a rise in alkaline phosphatase level >200 (in the setting of normal GGT) warrant discontinuation of medication?
There is concern for elevation in alkaline phosphatase as a precursor for bone pathology, such as an increase in risk of bone malignancy, potentially ...
1 Answer available
How do you recommend counseling patients on the prognosis of advanced cancer as a generalist who is not highly specialized in cancer literature or cancer-directed therapies?
2 Answers available
How do you counsel non-diabetic patients who wish to start metformin to reduce the risk of developing dementia?
2 Answers available


Papers discussed in this category

Lancet (London, England), 2015 Mar 12
A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial.
Journal of palliative medicine, 2012-02
Systematic review of cancer presentations with a median survival of six months or less.
Journal of the American Medical Directors Association, 2022 Mar 23
Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.
Palliative medicine, 2022 Jul
The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis.
JAMA, 2021 Apr 13
Screening for Vitamin D Deficiency in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.
Journal of the American Geriatrics Society, 2025 Jan 29
Updating STEADI for Primary Care: Recommendations From the American Geriatrics Society Workgroup.
The journals of gerontology. Series A, Biological sciences and medical sciences, 2023 Jun 16
Nutritional Interventions: Dietary Protein Needs and Influences on Skeletal Muscle of Older Adults.
Mayo Clinic proceedings, 2000 Jan
The biology of aging.
Journal of the American Geriatrics Society, 2000 Jun
Epidemiology of sarcopenia.
The Journal of clinical endocrinology and metabolism, 2022 Dec 17
Inpatient Zoledronic Acid and Integrated Orthopedic and Fracture Liaison Services Improve Osteoporosis Treatment Rates.
J Bone Miner Res, 2024 Aug 21
Zoledronic acid for hip fracture during initial hospitalization.
J Clin Endocrinol Metab, 2023 Oct 18
Safety of Inpatient Zoledronic Acid in the Immediate Postfracture Setting.
Arthritis Rheumatol, 2021 Jul
2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis.
Rheumatology (Oxford, England), 2023 Oct 19
A real-world 2-year prospective study of medication tapering in patients with well-controlled rheumatoid arthritis within the rheumatoid arthritis medication tapering (RHEUMTAP) cohort.
Arthritis research & therapy, 2015 Aug 03
Sustained biologic-free and drug-free remission in rheumatoid arthritis, where are we now?
Arthritis and rheumatism, 2009 Aug
Prevalence of and predictive factors for sustained disease-modifying antirheumatic drug-free remission in rheumatoid arthritis: results from two large early arthritis cohorts.
Journal of pain and symptom management, 2002-05
An open-label, crossover trial of mirtazapine (15 and 30 mg) in cancer patients with pain and other distressing symptoms.
The Cochrane database of systematic reviews, 2006-07-19
Azapirones for generalized anxiety disorder.
Psychiatry and clinical neurosciences, 2010 Feb 01
Randomized, single-blind, trial of sertraline and buspirone for treatment of elderly patients with generalized anxiety disorder.
Basic & clinical pharmacology & toxicology, 2023 Jun 20
Serotonin syndrome-A focused review.
Ochsner journal, 2013 Winter
Serotonin syndrome.
Diabetes research and clinical practice, 2021 Mar 08
GLP-1 receptor agonists and SGLT2 inhibitors for older people with type 2 diabetes: A systematic review and meta-analysis.
Journal of diabetes, 2025 Jun
Monitoring Sarcopenia With Incretin Receptor Activator Treatment.
Annals of internal medicine, 2021 Nov 23
Risk for Recurrent Venous Thromboembolism in Patients With Subsegmental Pulmonary Embolism Managed Without Anticoagulation : A Multicenter Prospective Cohort Study.
JAMA, 2011-09-28
Efficacy and comparative effectiveness of atypical antipsychotic medications for off-label uses in adults: a systematic review and meta-analysis.
Drugs & aging, 2001
Hypertension in the Very Elderly Trial (HYVET): protocol for the main trial.
Circulation research, 2019 Mar 29
Hypertension Management in Older and Frail Older Patients.

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