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Featured
New Multidisciplinary Clinic Aims to Improve Surgical Outcomes in Older Adults
A multidisciplinary team at Massachusetts General Hospital offers specialized geriatric assessments and personalized interventions to optimize surgical outcomes in older adults.
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Featured
Frailty Status Affects Outcomes of Medicare Beneficiaries Hospitalized With HF
Tamra Keeney, DPT, PhD, and team found that from 2008–2015, post-acute care use increased among frail Medicare beneficiaries discharged after hospitalization for heart failure. Although the number of days spent alive at home improved, mortality and readmission rates were highest among beneficiaries classified as frail.
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Social Frailty Index Predicts Mortality in Older Adults
Sachin J. Shah, MD, MPH, and colleagues have developed an easy-to-use Social Frailty Index. In a nationally representative cohort of older adults, they found that just 10 social predictors meaningfully stratified four-year mortality risk—better than the Charlson Comorbidity Index or Lee Index.
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Frailty Assessment May Be Useful for Risk Stratification of Older Adults With IBD
Bharati Kochar, MD, MS, and colleagues have demonstrated that among older adults with new-onset inflammatory bowel disease, a higher risk of frailty is associated with a three-fold higher risk of all-cause mortality and two-fold higher risk of all-cause hospitalization, even after accounting for comorbidities.
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Metastatic Spinal Tumor Frailty Index Does Not Perform Consistently
Surgeons at Massachusetts General Hospital found the Metastatic Spinal Tumor Frailty Index did not predict complications, in-patient mortality or length of stay following metastatic spinal tumor surgery when applied to data outside the development cohort.
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Frailty Is a Risk Factor for Immunosuppression-related Infection in Inflammatory Bowel Disease
Independent of age and comorbidities, pretreatment frailty doubled the risk of infection in the first year after immunosuppressive therapy in patients with inflammatory bowel disease.
Frailty Contributors
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Bharati D. Kochar, MD, MSCR
Gastroenterologist, Division of Gastroenterology, Massachusetts General Hospital, Assistant Professor in Medicine, Harvard Medical School
Recent Article
PPI, H2RA Use by Older Adults Not Associated With Dementia or Cognitive Impairment -
Masaya Higuchi, MD, MPH
Medical Director, Perioperative Optimization of Senior Health (POSH) Clinic, Massachusetts General Hospital, Instructor in Medicine, Harvard Medical School
Recent Article
New Multidisciplinary Clinic Aims to Improve Surgical Outcomes in Older Adults -
Matthew L. Russell, MD
Geriatrician, Clinical Director of Geriatrics, Perioperative Optimization of Senior Health (POSH) Clinic, Massachusetts General Hospital, Instructor in Medicine, Harvard Medical School
Recent Article
New Multidisciplinary Clinic Aims to Improve Surgical Outcomes in Older Adults -
Tamra Keeney, DPT, PhD
Physical Therapist, Division of Palliative Care and Geriatric Medicine, Research Scientist, Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital
Recent Article
Frailty Status Affects Outcomes of Medicare Beneficiaries Hospitalized With HF
Geriatrics & Palliative Care
The Division of Palliative Care & Geriatric Medicine at Massachusetts General Hospital offers a wide range of clinical expertise including inpatient services, outpatient programs and home based programs.