Scholars@Duke
Cathleen Sellner Colon-Emeric

Cathleen Sellner Colon-Emeric

Professor of Medicine
Medicine, Geriatrics and Palliative Care
colon001@mc.duke.edu
Duke Box 3003, Durham, NC 27710
3502 Hosp South, Durham, NC 27710

Selected Publications

Enhancing team communication to improve implementation of a supervised walking program for hospitalized veterans: Evidence from a multi-site trial in the Veterans Health Administration.

Journal Article PM R · July 5, 2024 INTRODUCTION: The timely translation of evidence-based programs into real-world clinical settings is a persistent challenge due to complexities related to organizational context and team function, particularly in inpatient settings. Strategies are needed t ... Full text Link to item Cite

Deprescribing electronic case reviews for older veterans at risk for falls: Effects on drug burden and falls.

Journal Article J Am Geriatr Soc · February 2024 BACKGROUND: Falls are the most common medication-related safety event in older adults. Deprescribing fall risk-increasing drugs (FRIDs) may mitigate fall risk. This study assesses the effects of an innovative deprescribing program in reducing FRID burden a ... Full text Link to item Cite

Preoperative electroencephalographic alpha-power changes with eyes opening are associated with postoperative attention impairment and inattention-related delirium severity.

Journal Article Br J Anaesth · January 2024 BACKGROUND: In the eyes-closed, awake condition, EEG oscillatory power in the alpha band (7-13 Hz) dominates human spectral activity. With eyes open, however, EEG alpha power substantially decreases. Less alpha attenuation with eyes opening has been associ ... Full text Link to item Cite

Ageing and physical resilience after health stressors.

Journal Article Stress Health · September 2023 The objectives of this article are to introduce a conceptual framework for physical resilience in the context of ageing and to discuss key elements and challenges in the design of studies of physical resilience after health stressors. Advancing age is asso ... Full text Link to item Cite

Perspectives on Deprescribing in long-term care: qualitative findings from nurses, aides, residents, and proxies.

Journal Article BMC Nurs · January 31, 2023 BACKGROUND: Deprescribing initiatives in the long-term care (LTC) setting are often unsuccessful or not sustained. Prior research has considered how physicians and pharmacists feel about deprescribing, yet little is known about the perspectives of frontlin ... Full text Link to item Cite

Strengthening Resident, Proxy, and Staff Engagement in Injury Prevention in Skilled Nursing Facilities.

Journal Article Gerontologist · September 7, 2022 BACKGROUND AND OBJECTIVES: Engaging residents, their proxies, and skilled nursing facility (SNF) staff through effective communication has potential for improving fall-related injury prevention. The purpose of this study was to understand how multiple stak ... Full text Link to item Cite

Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness.

Journal Article BMC Health Serv Res · July 29, 2022 BACKGROUND: Clinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based prac ... Full text Open Access Link to item Cite

Effect of Varying Repositioning Frequency on Pressure Injury Prevention in Nursing Home Residents: TEAM-UP Trial Results.

Journal Article Adv Skin Wound Care · June 1, 2022 OBJECTIVE: To investigate the clinical effectiveness of three nursing-home-wide repositioning intervals (2-, 3-, or 4-hour) without compromising pressure injury (PrI) incidence in 4 weeks. METHODS: An embedded pragmatic cluster randomized controlled trial ... Full text Link to item Cite

Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.

Journal Article Journal of the American Geriatrics Society · March 2022 As a method of research, pragmatic trials are recommended so as to generate results that are applicable to real-world care. This intent is especially important for the millions of older adults who receive long-term care in thousands of nursing homes and as ... Full text Cite

Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care.

Journal Article J Am Geriatr Soc · March 2022 As a method of research, pragmatic trials are recommended so as to generate results that are applicable to real-world care. This intent is especially important for the millions of older adults who receive long-term care in thousands of nursing homes and as ... Full text Link to item Cite

Improving shared decision-making for osteoporosis pharmacologic therapy in nursing homes: a qualitative analysis.

Journal Article Arch Osteoporos · January 3, 2022 UNLABELLED: Decisions on whether to use pharmacologic osteoporosis therapy in skilled nursing facility residents are complex and require shared decision-making. Residents, proxies, and staff desire individualized fracture risk estimates that consider advan ... Full text Link to item Cite

Protocol for the models of primary osteoporosis screening in men (MOPS) cluster randomized trial.

Journal Article Contemp Clin Trials · January 2022 Current guidelines recommend primary osteoporosis screening for at-risk men to reduce the morbidity, mortality, and cost associated with osteoporotic fractures. However, analyses in a national Veterans Health Administration cohort of over 4,000,000 men dem ... Full text Link to item Cite

Pragmatic trials in long-term care: Research challenges and potential solutions in relation to key areas of care.

Journal Article Geriatr Nurs · 2022 As a method of research, pragmatic trials are recommended so as to generate results that are applicable to real-world care. This intent is especially important for the millions of older adults who receive long-term care in thousands of nursing homes and as ... Full text Link to item Cite

Falls and fracture risk assessment-The role of osteoporosis, obesity, and sarcopenia

Chapter · January 1, 2022 Osteosarcopenia is an important shared risk factor for the overlapping geriatric syndromes of falls and fractures. Importantly, the occurrence of falls and fractures frequently sets off a negative cycle of decreased physical activity which further worsens ... Full text Cite

A template for physical resilience research in older adults: Methods of the PRIME-KNEE study.

Journal Article J Am Geriatr Soc · November 2021 BACKGROUND: Older adults with similar health conditions often experience widely divergent outcomes following health stressors. Variable recovery after a health stressor may be due in part to differences in biological mechanisms at the molecular, cellular, ... Full text Link to item Cite

Quality improvement studies in nursing homes: a scoping review.

Journal Article BMC Health Serv Res · August 12, 2021 BACKGROUND: Quality improvement (QI) is used in nursing homes (NH) to implement and sustain improvements in patient outcomes. Little is known about how QI strategies are used in NHs. This lack of information is a barrier to replicating successful strategie ... Full text Link to item Cite

Factors Associated With Adherence to Osteoporosis Medications Among Male Veterans.

Conference JBMR Plus · August 2021 Risk factors for nonadherence to osteoporosis medication have been well described for cohorts of women with osteoporosis, but little is known about predictors or mediators of nonadherence in men. We conducted a secondary analysis of a national cohort of ma ... Full text Link to item Cite

Towards "mobility is medicine": Socioecological factors and hospital mobility in older adults.

Journal Article J Am Geriatr Soc · July 2021 BACKGROUND: Understanding the factors that influence hospital mobility, especially in the context of a heightened focus on falls prevention, is needed to improve care. OBJECTIVE: This qualitative study uses a socioecological framework to explore factors th ... Full text Link to item Cite

Risks associated with continuation of potentially inappropriate antihypertensive medications in older adults receiving hemodialysis.

Journal Article BMC Nephrol · June 19, 2021 BACKGROUND AND OBJECTIVES: After dialysis initiation, older adults may experience orthostatic or post-dialysis hypotension. Some orthostasis-causing antihypertensives (i.e., central alpha agonists and alpha blockers), are considered potentially inappropria ... Full text Link to item Cite

Zoledronic acid reduces the rate of clinical fractures after surgical repair of a hip fracture regardless of the Pretreatment bone mineral density.

Journal Article Osteoporos Int · June 2021 UNLABELLED: In patients with surgical repair of a low-trauma hip fracture, zoledronic acid (ZA) reduced the risk of subsequent fractures regardless of pretreatment femoral neck and total hip bone mineral density (BMD). INTRODUCTION: Zoledronic acid reduces ... Full text Link to item Cite

Efficacy and Safety of Bimagrumab in Sporadic Inclusion Body Myositis: Long-term Extension of RESILIENT.

Journal Article Neurology · March 23, 2021 OBJECTIVE: To assess long-term (2 years) effects of bimagrumab in participants with sporadic inclusion body myositis (sIBM). METHODS: Participants (aged 36-85 years) who completed the core study (RESILIENT [Efficacy and Safety of Bimagrumab/BYM338 at 52 We ... Full text Link to item Cite

FRAX without BMD can be used to risk-stratify Veterans who recently sustained a low trauma non-vertebral/non-hip fracture.

Journal Article Osteoporos Int · March 2021 UNLABELLED: We evaluated the fracture risk assessment tool (FRAX) without bone mineral density (BMD) in predicting treatment recommendations for patients with a recent low trauma fracture other than hip or vertebral. The concordance, sensitivity, and speci ... Full text Link to item Cite

Transitional care from skilled nursing facilities to home: study protocol for a stepped wedge cluster randomized trial.

Journal Article Trials · February 5, 2021 BACKGROUND: Skilled nursing facility (SNF) patients are medically complex with multiple, advanced chronic conditions. They are dependent on caregivers and have experienced recent acute illnesses. Among SNF patients, the rate of mortality or acute care use ... Full text Link to item Cite

Extent of and reasons for osteoporosis medication non-adherence among veterans and feasibility of a pilot text message reminder intervention.

Conference Arch Osteoporos · February 2, 2021 UNLABELLED: We determined the extent of and reasons for non-adherence to oral bisphosphonates among veterans and conducted a pilot text message reminder application aimed at the most commonly cited reason for non-adherence. The intervention was found to be ... Full text Link to item Cite

Machine Learning Algorithms to Predict Mortality and Allocate Palliative Care for Older Patients With Hip Fracture.

Journal Article J Am Med Dir Assoc · February 2021 OBJECTIVES: To evaluate a machine learning model designed to predict mortality for Medicare beneficiaries aged >65 years treated for hip fracture in Inpatient Rehabilitation Facilities (IRFs). DESIGN: Retrospective design/cohort analysis of Centers for Med ... Full text Link to item Cite

Perioperative Optimization of Senior Health (POSH): A Descriptive Analysis of Cancelled Surgery.

Conference World J Surg · January 2021 BACKGROUND: Geriatric collaborative care models improve postoperative outcomes for older adults. However, there are limited data exploring how preoperative geriatric assessment may affect surgical cancellations. METHODS: This is a single-center retrospecti ... Full text Link to item Cite

Are Nursing Home Residents With Dementia Appropriately Treated for Fracture Prevention?

Journal Article J Am Med Dir Assoc · January 2021 Clinicians struggle with whether to prescribe osteoporosis medications for fracture prevention for older nursing home (NH) residents with dementia, given the lack of evidence in this population. To better understand real-world clinical practice, we conduct ... Full text Link to item Cite

Electroencephalogram-Based Complexity Measures as Predictors of Post-operative Neurocognitive Dysfunction.

Journal Article Front Syst Neurosci · 2021 Physiologic signals such as the electroencephalogram (EEG) demonstrate irregular behaviors due to the interaction of multiple control processes operating over different time scales. The complexity of this behavior can be quantified using multi-scale entrop ... Full text Link to item Cite

Cost trajectories as a measure of functional resilience after hospitalization in older adults.

Journal Article Aging Clin Exp Res · December 2020 BACKGROUND: Administrative data sets lack functional measures. AIM: We examined whether trajectories of cost can be used as a marker of functional recovery after hospitalization. METHODS: Secondary analysis of the National Health and Aging Trends Study mer ... Full text Link to item Cite

Biomarkers Associated with Physical Resilience After Hip Fracture.

Journal Article J Gerontol A Biol Sci Med Sci · September 25, 2020 BACKGROUND: Clinically similar older adults demonstrate variable responses to health stressors, heterogeneity attributable to differences in physical resilience. However, molecular mechanisms underlying physical resilience are unknown. We previously derive ... Full text Link to item Cite

Implementing a Standardized Transition Care Plan in Skilled Nursing Facilities.

Journal Article J Appl Gerontol · August 2020 Prior studies have not described strategies for implementing transitional care in skilled nursing facilities (SNFs). As part of the Connect-Home study, we pilot tested the Transition Plan of Care (TPOC) template, an implementation tool that SNF staff used ... Full text Link to item Cite

Determinants of Maintenance and Recovery of Function in a Representative Older Community-Resident Biracial Sample.

Journal Article J Am Med Dir Assoc · August 2020 OBJECTIVES: Focus on decline in performance of activities of daily living (ADL) has not been matched by studies of recovery of function. Advised by a broad conceptual model of physical resilience, we ascertain characteristics that identify (1) maintenance, ... Full text Link to item Cite

Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis.

Journal Article J Aging Phys Act · April 24, 2020 This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical ... Full text Link to item Cite

Two Approaches to Classifying and Quantifying Physical Resilience in Longitudinal Data.

Journal Article J Gerontol A Biol Sci Med Sci · March 9, 2020 BACKGROUND: Approaches for quantifying physical resilience in older adults have not been described. METHODS: We apply two conceptual approaches to defining physical resilience to existing longitudinal data sets in which outcomes are measured after an acute ... Full text Link to item Cite

Quality of life in older adults receiving hemodialysis: a qualitative study.

Journal Article Qual Life Res · March 2020 PURPOSE: Patient priorities for quality of life change with age. We conducted a qualitative study to identify quality of life themes of importance to older adults receiving dialysis and the extent to which these are represented in existing quality of life ... Full text Link to item Cite

Acetylcholinesterase Inhibitors Are Associated with Reduced Fracture Risk among Older Veterans with Dementia.

Journal Article J Bone Miner Res · March 2020 Acetylcholinesterase inhibitors (AChEIs) have been noted to increase bone density and quality in mice. Human studies are limited but suggest an association with improved bone healing after hip fracture. We examined the relationship between AChEI use and fr ... Full text Link to item Cite

Accelerometer-Measured Hospital Physical Activity and Hospital-Acquired Disability in Older Adults.

Journal Article J Am Geriatr Soc · February 2020 BACKGROUND: Hospital-acquired disability (HAD) is common and often related to low physical activity while in the hospital. OBJECTIVE: To examine whether wearable hospital activity trackers can be used to predict HAD. DESIGN: A prospective observational stu ... Full text Link to item Cite

Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.

Journal Article Anesth Analg · January 2020 Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe ... Full text Open Access Link to item Cite

AGS and NIA Bench-to Bedside Conference Summary: Osteoporosis and Soft Tissue (Muscle and Fat) Disorders.

Journal Article J Am Geriatr Soc · January 2020 This report summarizes the presentations and recommendations of the eleventh annual American Geriatrics Society and National Institute on Aging research conference, "Osteoporosis and Soft Tissue (Muscle/Fat) Disorders," on March 11-12, 2019, in Bethesda, M ... Full text Link to item Cite

Physical Function Assessment in Older Hemodialysis Patients.

Journal Article Kidney Med · 2020 RATIONALE & OBJECTIVE: Physical function is not routinely measured in older adults receiving dialysis. We evaluated the appropriateness of repeated measurements of physical function, including Short Physical Performance Battery (SPPB), handgrip strength, a ... Full text Link to item Cite

Unmet Needs of Older Adults Receiving In-Center Hemodialysis: A Qualitative Needs Assessment.

Journal Article Kidney Med · 2020 RATIONALE & OBJECTIVE: Attention to geriatric impairments is not routinely provided to older adults receiving dialysis. Our objective was to identify patient and personnel perspectives on experiences with geriatric problems, unmet needs that may affect a p ... Full text Link to item Cite

Resiliency Groups Following Hip Fracture in Older Adults.

Journal Article J Am Geriatr Soc · December 2019 OBJECTIVES: Defining common patterns of recovery after an acute health stressor (resiliency groups) has both clinical and research implications. We sought to identify groups of patients with similar recovery patterns across 10 outcomes following hip fractu ... Full text Link to item Cite

Glycemic Control and Insulin Treatment Alter Fracture Risk in Older Men With Type 2 Diabetes Mellitus.

Journal Article J Bone Miner Res · November 2019 Diabetes mellitus among older men has been associated with increased bone mineral density but paradoxically increased fracture risk. Given the interactions among medication treatment, glycemic control, and diabetes-associated comorbidities, the relative ef ... Full text Link to item Cite

GRECC Connect: Geriatrics Telehealth to Empower Health Care Providers and Improve Management of Older Veterans in Rural Communities.

Journal Article Fed Pract · October 2019 A telehealth program supports meaningful partnerships between urban geriatric specialists and rural health care providers to facilitate increased access to specialty care. ... Link to item Cite

Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study.

Journal Article BMC Nephrol · July 15, 2019 BACKGROUND: There is limited evidence on the relationship between social support and renal outcomes in African Americans. We sought to determine the association of social support with prevalent chronic kidney disease (CKD) and kidney function decline in an ... Full text Link to item Cite

A Path To High-Quality Team-Based Care For People With Serious Illness.

Journal Article Health Aff (Millwood) · June 2019 Although most care for people with serious illness is delivered by multiple providers and agencies, there is no gold standard for how to assemble, train, unify, and sustain strong teams. Using lessons from complexity science, a way of studying complex syst ... Full text Link to item Cite

AGS Report on Engagement Related to the NIH Inclusion Across the Lifespan Policy.

Journal Article J Am Geriatr Soc · February 2019 After passage of the 21st Century Cures Act, the National Institutes of Health held a workshop in 2017 to consider expanding its inclusion policy to encompass individuals of all ages. American Geriatrics Society (AGS) leaders and members participated in th ... Full text Link to item Cite

Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers.

Journal Article Health Care Manag (Frederick) · 2019 The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissio ... Full text Link to item Cite

Self-reported Physical Function Decline and Mortality in Older Adults Receiving Hemodialysis.

Journal Article Kidney Med · 2019 RATIONALE & OBJECTIVE: Timely recognition of functional decline in older adults receiving dialysis will allow clinicians to pursue interventions to prevent further disability and/or lead patient-centered goals of care discussions. Annual change in the 12-I ... Full text Link to item Cite

Limited Osteoporosis Screening Effectiveness Due to Low Treatment Rates in a National Sample of Older Men.

Journal Article Mayo Clin Proc · December 2018 OBJECTIVE: To determine the association between dual-energy x-ray absorptiometry (DXA) testing for osteoporosis and subsequent fractures in US male veterans without a previous fracture. PATIENTS AND METHODS: This is a propensity score-matched observational ... Full text Link to item Cite

Automated versus Manual Data Extraction of the Padua Prediction Score for Venous Thromboembolism Risk in Hospitalized Older Adults.

Journal Article Appl Clin Inform · July 2018 OBJECTIVE: Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algor ... Full text Link to item Cite

Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Journal Article Arch Phys Med Rehabil · June 2018 OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: To ... Full text Link to item Cite

Resident Vignettes for Assessing Care Quality in Nursing Homes.

Journal Article J Am Med Dir Assoc · May 2018 OBJECTIVES: Validated process measures that correlate with patient outcomes are needed for research and quality improvement. DESIGN: Cross-sectional analysis within a cluster-randomized fall prevention study. SETTING: Nursing homes in North Carolina (n = 1 ... Full text Link to item Cite

Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol.

Journal Article Implement Sci · April 20, 2018 BACKGROUND: Successful implementation of new clinical programs depends on effectively establishing, reorganizing, or enhancing team structures and processes to coordinate the work of individuals who are interdependent in their tasks, manage relationships, ... Full text Open Access Link to item Cite

Is objective mobility data associated with pharmacologic venous thromboembolism (VTE) prophylaxis use among hospitalized older adults?

Conference Journal of Hospital Medicine · April 10, 2018 Background: Clinical practice guidelines state that mobility is supposed to play an important role in determining use and duration of pharmacologic VTE prophylaxis. This study examines whether measured mobility levels relate to pharmacologic VTE prophylaxi ... Open Access Link to item Cite

Age Threshold for Primary Osteoporosis Screening in Men

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2018 Link to item Cite

Quality of Life Priorities in Older Dialysis Patients

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2018 Link to item Cite

Competing Risks of Fracture and Death in Older Adults with Chronic Kidney Disease.

Journal Article J Am Geriatr Soc · March 2018 OBJECTIVES: To examine whether chronic kidney disease (CKD) at any stage is associated with fracture risk after adjusting for competing mortality and to determine whether age or race modify the relationship between CKD and fracture risk. DESIGN: Prospectiv ... Full text Link to item Cite

TEAM-UP for quality: a cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors.

Journal Article BMC Geriatr · February 20, 2018 BACKGROUND: Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths. PrUs occur most commonly in older adults and NH residence is a risk factor for ... Full text Link to item Cite

Association of Kidney Disease Quality of Life (KDQOL-36) with mortality and hospitalization in older adults receiving hemodialysis.

Journal Article BMC Nephrol · January 15, 2018 BACKGROUND: For older adults receiving dialysis, health-related quality of life is not often considered in prognostication of death or future hospitalizations. To determine if routine health-related quality of life measures may be useful for prognosticatio ... Full text Link to item Cite

Clinical Fractures Among Older Men With Diabetes Are Mediated by Diabetic Complications.

Journal Article J Clin Endocrinol Metab · January 1, 2018 INTRODUCTION: Type 2 diabetes mellitus among older women has been associated with increased bone mineral density, but paradoxically with increased fracture risk. Findings among older men have varied, and potential mechanisms have not been fully elucidated. ... Full text Link to item Cite

Management Team Perceptions of Risks and Strategies for Preventing Falls Among Short-Stay Patients in Nursing Homes.

Journal Article Health Care Manag (Frederick) · 2018 We sought to understand strategies reported by members of the nursing home management team used to prevent falls in short-stay nursing home patients. Using Donabedian's model of structure, process, and outcomes, we interviewed 16 managers from 4 nursing ho ... Full text Link to item Cite

Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial.

Journal Article JAMA Intern Med · November 1, 2017 IMPORTANCE: New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. OBJECTIVE: To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interac ... Full text Link to item Cite

Connect-Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers.

Journal Article J Am Geriatr Soc · October 2017 BACKGROUND: Older adults that transfer from skilled nursing facilities (SNF) to home have significant risk for poor outcomes. Transitional care of SNF patients (i.e., time-limited services to ensure coordination and continuity of care) is poorly understood ... Full text Link to item Cite

Choice of Hemodialysis Access in Older Adults: A Cost-Effectiveness Analysis.

Journal Article Clin J Am Soc Nephrol · June 7, 2017 BACKGROUND AND OBJECTIVES: Although arteriovenous fistulas have been found to be the most cost-effective form of hemodialysis access, the relative benefits of placing an arteriovenous fistula versus an arteriovenous graft seem to be least certain for older ... Full text Link to item Cite

Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.

Journal Article J Am Geriatr Soc · April 2017 BACKGROUND: Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake. O ... Full text Link to item Cite

Study of Individualization and Bias in Nursing Home Fall Prevention Practices.

Journal Article J Am Geriatr Soc · April 2017 OBJECTIVES: Little is known about how nursing home staff use resident characteristics to individualize care delivery or whether care is affected by implicit bias. DESIGN: Randomized factorial clinical vignette survey. SETTING: Sixteen nursing homes in Nort ... Full text Link to item Cite

Incorporating Geriatric Assessment into a Nephrology Clinic: Preliminary Data from Two Models of Care.

Journal Article J Am Geriatr Soc · October 2016 Older adults with advanced chronic kidney disease (CKD) experience functional impairment that can complicate CKD management. Failure to recognize functional impairment may put these individuals at risk of further functional decline, nursing home placement, ... Full text Link to item Cite

Use and Interpretation of Propensity Scores in Aging Research: A Guide for Clinical Researchers.

Journal Article J Am Geriatr Soc · October 2016 Observational studies are an important source of evidence for evaluating treatment benefits and harms in older adults, but lack of comparability in the outcome risk factors between the treatment groups leads to confounding. Propensity score (PS) analysis i ... Full text Link to item Cite

Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers.

Journal Article Implement Sci · July 16, 2016 BACKGROUND: Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staf ... Full text Link to item Cite

Transitional care in skilled nursing facilities: a multiple case study.

Journal Article BMC Health Serv Res · May 17, 2016 BACKGROUND: Among hospitalized older adults who transfer to skilled nursing facilities (SNF) for short stays and subsequently transfer to home, twenty two percent require additional emergency department or hospital care within 30 days. Transitional care se ... Full text Link to item Cite

Automated versus manual data extraction of venous thromboembolism risk among hospitalized older adults

Conference Journal of the American Geriatrics Society, Special Issue 2016: Annual Scientific Meeting Abstract Book · April 22, 2016 Full text Link to item Cite

Physical Resilience in Older Adults: Systematic Review and Development of an Emerging Construct.

Journal Article J Gerontol A Biol Sci Med Sci · April 2016 BACKGROUND: Resilience has been described in the psychosocial literature as the capacity to maintain or regain well-being during or after adversity. Physical resilience is a newer concept that is highly relevant to successful aging. Our objective was to ch ... Full text Link to item Cite

Fracture Rates and Bone Density Among Postmenopausal Veteran and Non-Veteran Women From the Women's Health Initiative.

Journal Article Gerontologist · February 2016 PURPOSE OF THE STUDY: Postmenopausal osteoporosis can impact quality-of-life even prefracture. To determine whether osteoporosis should be a greater concern in women Veterans versus non-Veterans, we compared fracture rates and bone mineral density (BMD) fo ... Full text Link to item Cite

Geographic scope and accessibility of a centralized, electronic consult program for patients with recent fracture.

Journal Article Rural Remote Health · 2016 INTRODUCTON: Low-trauma, osteoporotic fractures among older men are associated with a significant increase in morbidity and mortality. Despite effective therapies for osteoporosis, several studies have demonstrated that management and treatment after a low ... Link to item Cite

Transitional care of older adults in skilled nursing facilities: A systematic review.

Journal Article Geriatr Nurs · 2016 Transitional care may be an effective strategy for preparing older adults for transitions from skilled nursing facilities (SNF) to home. In this systematic review, studies of patients discharged from SNFs to home were reviewed. Study findings were assessed ... Full text Link to item Cite

Correlation of hip fracture with other fracture types: Toward a rational composite hip fracture endpoint.

Journal Article Bone · December 2015 PURPOSE: With ethical requirements to the enrollment of lower risk subjects, osteoporosis trials are underpowered to detect reduction in hip fractures. Different skeletal sites have different levels of fracture risk and response to treatment. We sought to ... Full text Link to item Cite

Functional Impairments Mediate Association Between Clinical Fracture Risk and Type 2 Diabetes Mellitus in Older Women.

Journal Article J Am Geriatr Soc · August 2015 OBJECTIVES: To examine the effect of functional impairments in older women with diabetes mellitus (DM) on incident clinical fractures. DESIGN: Secondary analysis of two large prospective cohort studies. SETTING: North Carolina Established Populations for E ... Full text Link to item Cite

Implementing Culture Change in Nursing Homes: An Adaptive Leadership Framework.

Journal Article Gerontologist · August 2015 PURPOSE OF THE STUDY: To describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. DESIGN AND METHODS: The study design was a qualitative, observational study of nursing home staff perceptions of the im ... Full text Link to item Cite

Toward a Rational Combined Hip Fracture Endpoint

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2015 Link to item Cite

Utilization of acute care among patients with ESRD discharged home from skilled nursing facilities.

Journal Article Clin J Am Soc Nephrol · March 6, 2015 BACKGROUND AND OBJECTIVES: Older adults with ESRD often receive care in skilled nursing facilities (SNFs) after an acute hospitalization; however, little is known about acute care use after SNF discharge to home. DESIGN, SETTING, PARTICIPANTS, & MEASUREMEN ... Full text Link to item Cite

Chronic kidney disease and recurrent falls in nursing home residents: a retrospective cohort study.

Journal Article Geriatr Nurs · 2015 This study examined whether chronic kidney disease (CKD) is associated with recurrent falls in older adults in nursing homes (NHs). We used data abstracted over a six month period from 510 NH residents with a history of falls. Thirty-five percent of the NH ... Full text Link to item Cite

Fractures and mortality in relation to different osteoporosis treatments

Journal Article Clinical and Experimental Rheumatology · January 1, 2015 Objective: Few studies have assessed the effectiveness of different drugs for osteoporosis (OP). We aimed to determine if fracture and mortality rates vary among patients initiating different OP medications. Methods: We used the Medicare 5% sample to ident ... Cite

Subgroup variations in bone mineral density response to zoledronic acid after hip fracture.

Journal Article J Bone Miner Res · December 2014 Minimizing post-fracture bone loss is an important aspect of recovery from hip fracture, and determination of factors that affect bone mineral density (BMD) response to treatment after hip fracture may assist in the development of targeted therapeutic inte ... Full text Link to item Cite

Local interaction strategies and capacity for better care in nursing homes: a multiple case study.

Journal Article BMC Health Serv Res · June 5, 2014 BACKGROUND: To describe relationship patterns and management practices in nursing homes (NHs) that facilitate or pose barriers to better outcomes for residents and staff. METHODS: We conducted comparative, multiple-case studies in selected NHs (N = 4). Dat ... Full text Link to item Cite

Osteoporosis screening and treatment among veterans with recent fracture after implementation of an electronic consult service.

Journal Article Calcif Tissue Int · June 2014 Fewer than 24% of Veterans received appropriate evaluation and/or treatment for osteoporosis within 6 months of an index fracture. An electronic consult (E-consult) service was implemented at three Veterans Affairs Medical Centers to facilitate the identif ... Full text Link to item Cite

Connecting the learners: improving uptake of a nursing home educational program by focusing on staff interactions.

Journal Article Gerontologist · June 2014 PURPOSE OF THE STUDY: The CONNECT intervention is designed to improve staff connections, communication, and use of multiple perspectives for problem solving. This analysis compared staff descriptions of the learning climate, use of social constructivist le ... Full text Link to item Cite

Restarting the cycle: incidence and predictors of first acute care use after nursing home discharge.

Journal Article J Am Geriatr Soc · January 2014 OBJECTIVES: To describe the time to first acute care use (e.g., emergency department (ED) use without hospitalization or rehospitalization) for older adults discharged to home after receiving postacute care in skilled nursing facilities (SNFs); to identify ... Full text Link to item Cite

CONNECT for better fall prevention in nursing homes: results from a pilot intervention study.

Journal Article J Am Geriatr Soc · December 2013 OBJECTIVES: To determine whether an intervention that improves nursing home (NH) staff connections, communication, and problem solving (CONNECT) would improve implementation of a falls reduction education program (FALLS). DESIGN: Cluster randomized trial. ... Full text Link to item Cite

Recent advances: osteoporosis in the "oldest old".

Journal Article Curr Osteoporos Rep · December 2013 Osteoporosis and related fractures disproportionately impact patients with advanced age, those with the frailty phenotype, and those with multiple comorbidities. Recent studies report a changing incidence in fracture type among the oldest old throughout th ... Full text Link to item Cite

A team approach: comprehensive evaluation for functional decline in older patients.

Journal Article American family physician · September 15, 2013 Cite

A team approach: Comprehensive evaluation for functional decline in older patients

Journal Article American Family Physician · September 15, 2013 Cite

Functional decline in older adults.

Journal Article Am Fam Physician · September 15, 2013 Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external ... Link to item Cite

First evidence on the validity and reliability of the Safety Organizing Scale-Nursing Home version (SOS-NH).

Journal Article J Am Med Dir Assoc · August 2013 BACKGROUND: The Safety Organizing Scale is a valid and reliable measure on safety behaviors and practices in hospitals. PURPOSE OF THE STUDY: This study aimed to explore the psychometric properties of the Safety Organizing Scale-Nursing Home version (SOS-N ... Full text Link to item Cite

Transitional Care Partners: a hospital-to-home support for older adults and their caregivers.

Journal Article J Am Assoc Nurse Pract · August 2013 PURPOSE: To describe the development, implementation, and preliminary results of the Transitional Care (TLC) Partners, a clinical demonstration program that supports the transition from hospital to home of older veterans. DATA SOURCES: Hospital records of ... Full text Link to item Cite

An advanced course in long term care for geriatric medicine fellows.

Journal Article J Am Med Dir Assoc · July 2013 Long term care deserves focused attention within a geriatric medicine fellowship curriculum to ensure that graduates are prepared not only for clinical care but also for the leadership, administrative, educational, quality improvement, and health policy as ... Full text Link to item Cite

Bisphosphonate use is associated with reduced risk of myocardial infarction in patients with rheumatoid arthritis.

Journal Article J Bone Miner Res · May 2013 Bisphosphonates have been shown to reduce mortality in patients with osteoporotic fractures, but the mechanism is unclear. Bisphosphonates have immunomodulatory effects that may influence the development of vascular disease. We sought to determine if bisph ... Full text Link to item Cite

Comparison of cost-effectiveness of vitamin D screening with that of universal supplementation in preventing falls in community-dwelling older adults.

Journal Article J Am Geriatr Soc · May 2013 OBJECTIVES: To compare the cost-effectiveness of population screening for vitamin D insufficiency with that of universal vitamin D supplementation in community-dwelling older adults. DESIGN: A Markov decision model simulating follow-up over a 36-month peri ... Full text Link to item Cite

End-stage renal disease in nursing homes: a systematic review.

Journal Article J Am Med Dir Assoc · April 2013 OBJECTIVES/INTRODUCTION: Demand for nursing home (NH) care by patients with end-stage renal disease (ESRD) is likely to increase with growing numbers of older adults initiating chronic dialysis. We completed a systematic review to summarize the literature ... Full text Link to item Cite

CONNECT for Fall Prevention: a Randomized Controlled Pilot Study

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2013 Link to item Cite

Tool for evaluating research implementation challenges: a sense-making protocol for addressing implementation challenges in complex research settings.

Journal Article Implement Sci · January 2, 2013 BACKGROUND: Many challenges arise in complex organizational interventions that threaten research integrity. This article describes a Tool for Evaluating Research Implementation Challenges (TECH), developed using a complexity science framework to assist res ... Full text Link to item Cite

Postoperative management of hip fractures: interventions associated with improved outcomes.

Journal Article Bonekey Rep · December 12, 2012 The annual number of hip fractures worldwide is expected to exceed 6 million by 2050. Currently, nearly 50% of hip fracture patients will develop at least one short-term complication including infection, delirium, venous thromboembolism (VTE), pressure ulc ... Full text Link to item Cite

Effectiveness of osteoporosis therapy among frail, older adults: Should we carry out more trials?

Journal Article Aging Health · October 1, 2012 Despite the increasing number of treatment options for osteoporosis, healthcare providers continue to face clinical conundrums when deciding if and how to treat frail, older adults. The under-representation of this population in randomized controlled trial ... Full text Cite

How much vitamin D should I take?

Journal Article J Clin Invest · May 2012 Clinical vignette: A 68-year-old woman consults you after a recent bone mineral density screening revealed osteopenia, total hip T score of –1.8. Further evaluation shows her only other abnormal lab value is a serum 25-hydroxyvitamin D [25(OH)D] level of 1 ... Full text Link to item Cite

Prioritizing culture change in nursing homes: perspectives of residents, staff, and family members.

Journal Article J Am Geriatr Soc · March 2012 OBJECTIVES: To explore the perspectives and priorities of nursing home residents, family members, and frontline nursing staff concerning a broad range of items representing common targets of culture change initiatives. DESIGN: Qualitative study. SETTING: A ... Full text Link to item Cite

CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes.

Journal Article Implement Sci · February 29, 2012 BACKGROUND: Quality improvement (QI) programs focused on mastery of content by individual staff members are the current standard to improve resident outcomes in nursing homes. However, complexity science suggests that learning is a social process that occu ... Full text Link to item Cite

Associations between published quality ratings of skilled nursing facilities and outcomes of medicare beneficiaries with heart failure.

Journal Article J Am Med Dir Assoc · February 2012 INTRODUCTION: Nursing Home Compare quality ratings are designed to allow patients, families, and clinicians to compare facilities based on quality, but associations of the current measures with important clinical outcomes are not known. Our study examined ... Full text Link to item Cite

Staff interaction strategies that optimize delivery of transitional care in a skilled nursing facility: a multiple case study.

Journal Article Fam Community Health · 2012 After hospitalization, more than 1.5 million older adults each year receive postacute care in skilled nursing facilities (SNFs). Transitional care services, designed to prepare older SNF patients (and their family caregivers) for their transitions from an ... Full text Link to item Cite

Establishing faculty needs and priorities for peer-mentoring groups using a nominal group technique.

Journal Article Med Teach · 2012 Peer-mentoring groups are purported to enhance faculty productivity and retention, but the literature about implementation is sparse. Nominal Group Sessions (n=5) with 66 faculty members in different tracks developed prioritized lists of unmet professional ... Full text Link to item Cite

Subtrochanteric fractures in bisphosphonate-naive patients: results from the HORIZON-recurrent fracture trial.

Journal Article Calcif Tissue Int · December 2011 Our purpose was to characterize the risks of osteoporosis-related subtrochanteric fractures in bisphosphonate-naive individuals. Baseline characteristics of patients enrolled in the HORIZON-Recurrent Fracture Trial with a study-qualifying hip fracture were ... Full text Link to item Cite

Once-yearly zoledronic acid in older men compared with women with recent hip fracture.

Journal Article J Am Geriatr Soc · November 2011 OBJECTIVES: To assess the efficacy of once-yearly zoledronic acid (ZOL) 5 mg in increasing bone mineral density (BMD) in men with a recent hip fracture participating in the Health Outcomes and Reduced Incidence with Zoledronic Acid Once- Yearly Recurrent F ... Full text Link to item Cite

Zoledronic acid results in better health-related quality of life following hip fracture: the HORIZON-Recurrent Fracture Trial.

Journal Article Osteoporos Int · September 2011 UNLABELLED: This study evaluated the benefits of ZOL versus placebo on health-related quality of life (HRQoL) among patients from HORIZON-RFT. At month 24 and end of the study visit, ZOL significantly improved patients' overall health state compared to pla ... Full text Link to item Cite

Cost-effectiveness of oral bisphosphonates for osteoporosis at different ages and levels of life expectancy.

Journal Article J Am Geriatr Soc · September 2011 OBJECTIVES: To evaluate the cost-effectiveness of oral bisphosphonate therapy for osteoporosis in women at different ages and life expectancies. DESIGN: A Markov model was used to analyze oral bisphosphonate treatment for 5 years compared to no interventio ... Full text Link to item Cite

Association between timing of zoledronic acid infusion and hip fracture healing.

Journal Article Osteoporos Int · August 2011 UNLABELLED: Patients in the Health Outcomes and Reduced Incidence with Zoledronic Acid Once Yearly (HORIZON) Recurrent Fracture Trial were assessed for evidence of delayed hip fracture healing. No association was observed between zoledronic acid (ZOL) and ... Full text Link to item Cite

Clinical risk factors for recurrent fracture after hip fracture: a prospective study.

Journal Article Calcif Tissue Int · May 2011 Additional fractures after hip fracture are common, but little is known about the risk factors associated with these events. We determined the clinical risk factors associated with fracture following a low-trauma hip fracture and whether clinical risk fact ... Full text Link to item Cite

Osteoporosis piece of multi-morbidity puzzle in geriatric care.

Journal Article Mt Sinai J Med · 2011 Osteoporosis frequently coexists with other chronic diseases and syndromes of aging, and therefore multimorbidity interactions can potentially complicate its evaluation and treatment. This article reviews osteoporosis comorbidity interactions with select c ... Full text Link to item Cite

Is withholding osteoporosis medication after fracture sometimes rational? A comparison of the risk for second fracture versus death.

Journal Article J Am Med Dir Assoc · October 2010 INTRODUCTION: Undertreatment of osteoporosis is common, even for high-risk patients. Among the reasons for undertreatment may be a clinician's perception of a lack of treatment benefit, particularly in light of patients' expected future mortality. Among US ... Full text Link to item Cite

Regulation and mindful resident care in nursing homes.

Journal Article Qual Health Res · September 2010 Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindf ... Full text Link to item Cite

CLINICAL RISK FACTORS FOR RECURRENT FRACTURE AFTER HIP FRACTURE

Conference OSTEOPOROSIS INTERNATIONAL · May 1, 2010 Link to item Cite

Inpatient medication reconciliation at admission and discharge: A retrospective cohort study of age and other risk factors for medication discrepancies.

Journal Article Am J Geriatr Pharmacother · April 2010 BACKGROUND: Medication discrepancies are unintended differences between medication regimens (ie, between a patient's home regimen and medications prescribed on admission to the hospital). OBJECTIVE: The goal of this study was to describe the incidence, dru ... Full text Link to item Cite

Meta-analysis: excess mortality after hip fracture among older women and men.

Journal Article Ann Intern Med · March 16, 2010 BACKGROUND: Although an increased risk for death after hip fracture is well established, whether this excess mortality persists over time is unclear. PURPOSE: To determine the magnitude and duration of excess mortality after hip fracture in older men and w ... Full text Link to item Cite

Extraskeletal effects of vitamin D in older adults: cardiovascular disease, mortality, mood, and cognition.

Journal Article Am J Geriatr Pharmacother · February 2010 BACKGROUND: Vitamin D insufficiency is prevalent among older adults and may be associated with higher risk for cardiovascular (CV) disease, mortality, depression, and cognitive deficits. OBJECTIVE: The aim of this article was to review published observatio ... Full text Link to item Cite

A review of the effect of anticonvulsant medications on bone mineral density and fracture risk.

Journal Article Am J Geriatr Pharmacother · February 2010 BACKGROUND: Osteoporosis and seizure disorders are common diagnoses in older adults and often occur concomitantly. OBJECTIVE: The goal of this review was to discuss the current hypothesis for the pathogenesis of anticonvulsant-induced bone density loss and ... Full text Link to item Cite

Efficacy and safety of a once-yearly intravenous zoledronic acid 5 mg for fracture prevention in elderly postmenopausal women with osteoporosis aged 75 and older.

Journal Article J Am Geriatr Soc · February 2010 OBJECTIVES: To determine the efficacy of once-yearly intravenous zoledronic acid (ZOL) 5 mg in reducing risk of clinical vertebral, nonvertebral, and any clinical fractures in elderly osteoporotic postmenopausal women. DESIGN: A post hoc subgroup analysis ... Full text Link to item Cite

Potential mediators of the mortality reduction with zoledronic acid after hip fracture.

Journal Article J Bone Miner Res · January 2010 Zoledronic acid reduces the risk of death by 28% after hip fracture, but the mechanisms are not known. This exploratory analysis sought to identify potential pathways for the reduction in mortality with zoledronic acid after hip fracture. This was a retros ... Full text Link to item Cite

Do physicians within the same practice setting manage osteoporosis patients similarly? Implications for implementation research.

Journal Article Osteoporos Int · November 2009 UNLABELLED: Using data from long-term glucocorticoid users and long-term care residents, we evaluated osteoporosis prescribing patterns related to physician behavior and common practice settings. We found no significant clustering effect for common practic ... Full text Link to item Cite

Osteoporosis in older women

Journal Article Clinical Geriatrics · October 1, 2009 Cite

Development and pilot testing of computerized order entry algorithms for geriatric problems in nursing homes.

Journal Article J Am Geriatr Soc · September 2009 OBJECTIVES: To develop order entry algorithms for five common nursing home problems and to test their acceptance, use, and preliminary effect on nine quality indicators and resource utilization. DESIGN: Pre-post, quasi-experimental study. SETTING: Two Depa ... Full text Link to item Cite

The Nature of Staff - Family Interactions in Nursing Homes: Staff Perceptions.

Journal Article J Aging Stud · August 2009 Each year thousands of older adults are admitted to nursing homes. Following admission, nursing home staff and family members must interact and communicate with each other. This study examined relationship and communication patterns between nursing home st ... Full text Link to item Cite

Antifracture efficacy and reduction of mortality in relation to timing of the first dose of zoledronic acid after hip fracture.

Journal Article J Bone Miner Res · July 2009 Annual infusions of zoledronic acid (5 mg) significantly reduced the risk of vertebral, hip, and nonvertebral fractures in a study of postmenopausal women with osteoporosis and significantly reduced clinical fractures and all-cause mortality in another stu ... Full text Link to item Cite

Management of osteoporosis among home health and long-term care patients with a prior fracture.

Journal Article South Med J · April 2009 Osteoporosis is a growing health concern as the number of senior adults continues to increase worldwide. Falls and fractures are very common among frail older adults requiring home health and long-term care. Preventative strategies for reducing falls have ... Full text Link to item Cite

Secondary stroke prevention strategies for the oldest patients: possibilities and challenges.

Journal Article Drugs Aging · 2009 Older adults are not only at higher risk of experiencing stroke, but also have multiple co-morbidities that make treatment for secondary stroke prevention challenging. Very few clinical trials specifically related to secondary stroke prevention treatment e ... Full text Link to item Cite

Certified nursing assistants' explanatory models of nursing home resident depression.

Journal Article West J Nurs Res · October 2008 In this study, the authors describe certified nursing assistants' (CNA) Explanatory Models (EMs) of depression and aspects of their EMs that may contribute to the underdetection of depression in nursing homes. Interviews with 18 CNAs working in two nursing ... Full text Link to item Cite

Osteoporosis: Advances and controversies

Journal Article Revue de Geriatrie · September 1, 2008 Cite

Hip and other osteoporotic fractures increase the risk of subsequent fractures in nursing home residents.

Journal Article Osteoporos Int · August 2008 UNLABELLED: Nursing home residents with a history of hip fractures or prior osteoporotic fractures were found to have an increased risk of another osteoporotic fracture over the ensuing two years when compared to nursing home residents with no fracture his ... Full text Link to item Cite

Zoledronate, fractures, and mortality after hip fracture [4]

Journal Article New England Journal of Medicine · February 28, 2008 Cite

Zoledronate, fractures, and mortality after hip fracture [4]

Journal Article New England Journal of Medicine · 2008 Full text Cite

Distribution and correlates of serum 25-hydroxyvitamin D levels in a sample of patients with hip fracture.

Journal Article Am J Geriatr Pharmacother · December 2007 BACKGROUND: Vitamin D deficiency is common in older populations, particularly during the winter months due to low levels of ultraviolet light exposure, and in nursing home residents. OBJECTIVE: The main objective of the current study was to assess the dist ... Full text Link to item Cite

Randomized trial to improve fracture prevention in nursing home residents.

Journal Article Am J Med · October 2007 BACKGROUND: Interventions to improve the fracture prevention in nursing homes are needed. METHODS: Cluster-randomized, single-blind, controlled trial of a multi-modal quality improvement intervention. Nursing homes (n=67) with > or =10 residents with a dia ... Full text Link to item Cite

Barriers to and facilitators of clinical practice guideline use in nursing homes.

Journal Article J Am Geriatr Soc · September 2007 OBJECTIVES: To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs). DESIGN: Qualitative analysis. SETTING: Four randomly selected community nursing homes. PARTICIPANTS: ... Full text Link to item Cite

Prevalence and predictors of osteoporosis treatment in nursing home residents with known osteoporosis or recent fracture.

Journal Article Osteoporos Int · April 2007 SUMMARY: We studied nursing home residents with osteoporosis or recent fracture to determine the frequency and predictors of osteoporosis treatment. There was wide variation in performance, and both clinical and systems variables predicted use. This study ... Full text Link to item Cite

Zoledronic Acid in Reducing Clinical Fracture and Mortality after Hip Fracture.

Journal Article N Engl J Med · 2007 BACKGROUND: Mortality is increased after a hip fracture, and strategies that improve outcomes are needed. METHODS: In this randomized, double-blind, placebo-controlled trial, 1065 patients were assigned to receive yearly intravenous zoledronic acid (at a d ... Full text Link to item Cite

Exit interview-consultation for research validation and dissemination.

Journal Article West J Nurs Res · December 2006 Dissemination of research findings to practice and maintenance of rigor and validity in qualitative research are continuing challenges for nurse researchers. Using three nursing home case studies as examples, this article describes how exit interview-consu ... Full text Link to item Cite

Translating evidence-based falls prevention into clinical practice in nursing facilities: Results and lessons from a quality improvement collaborative.

Journal Article J Am Geriatr Soc · September 2006 OBJECTIVES: To describe the changes in process of care before and after an evidence-based fall reduction quality improvement collaborative in nursing facilities. DESIGN: Natural experiment with nonparticipating facilities serving as controls. SETTING: Comm ... Full text Link to item Cite

Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention.

Journal Article J Am Med Dir Assoc · September 2006 BACKGROUND: Barriers prevent osteoporosis care in nursing homes. Successful interventions designed to circumvent these barriers benefit from target recipient input during development. OBJECTIVE: To elicit suggestions for an osteoporosis quality improvement ... Full text Link to item Cite

Osteoporotic fractures in older adults.

Journal Article Best Pract Res Clin Rheumatol · August 2006 Osteoporotic fractures are emerging as a major public health problem in the aging population. Fractures result in increased morbidity, mortality and health expenditures. This article reviews current evidence for the management of common issues following os ... Full text Link to item Cite

MDS coordinator relationships and nursing home care processes.

Journal Article West J Nurs Res · April 2006 This study describes how Minimum Data Set (MDS) coordinators' relationship patterns influence nursing home care processes. MDS coordinators interact with nursing home staff to coordinate resident assessment and care planning, but little is known about how ... Full text Link to item Cite

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

Journal Article Qual Health Res · February 2006 Complexity science teaches that relationships among health care providers are key to our understanding of how quality care emerges. The authors sought to compare the effects of differing patterns of medicine-nursing communication on the quality of informat ... Full text Link to item Cite

Connection, regulation, and care plan innovation: a case study of four nursing homes.

Journal Article Health Care Manage Rev · 2006 We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth ... Full text Link to item Cite

Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents.

Journal Article Qual Health Res · October 2005 In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do ... Full text Link to item Cite

Care-planning in skilled nursing facilities through a complexity science lens.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2005 Link to item Cite

"The Golden Rule": Only a starting point for quality care.

Journal Article Director · 2005 The Golden Rule guides people to choose for others what they would choose for themselves. The Golden Rule is often described as 'putting yourself in someone else's shoes', or 'Do unto others as you would have them do unto you'(Baumrin 2004). The viewpoint ... Link to item Cite

Barriers to providing osteoporosis care in skilled nursing facilities: Perceptions of medical directors and directors of nursing

Journal Article Journal of the American Medical Directors Association · January 1, 2005 Objectives: The objectives of this study were to identify the barriers to osteoporosis clinical practice guideline use perceived by Medical Directors (MED DIR) and Directors of Nursing (DON) in skilled nursing facilities; and to describe differences in the ... Full text Cite

Barriers to providing osteoporosis care in skilled nursing facilities: perceptions of medical directors and directors of nursing.

Journal Article J Am Med Dir Assoc · 2005 OBJECTIVES: The objectives of this study were to identify the barriers to osteoporosis clinical practice guideline use perceived by Medical Directors (MED DIR) and Directors of Nursing (DON) in skilled nursing facilities; and to describe differences in the ... Full text Link to item Cite

Does this woman have osteoporosis?

Journal Article JAMA · December 15, 2004 CONTEXT: Although recent US Preventive Services Task Force guidelines recommend bone densitometry for all women older than 65 years, identifying younger women at increased risk for osteoporosis and women with occult vertebral fractures remains a clinical c ... Full text Link to item Cite

The HORIZON Recurrent Fracture Trial: design of a clinical trial in the prevention of subsequent fractures after low trauma hip fracture repair.

Journal Article Curr Med Res Opin · June 2004 OBJECTIVE: To present the novel design of a trial testing the safety and efficacy of a yearly bisphosponate, zoledronic acid, in preventing new clinical fractures in patients with recent low trauma hip fracture repair. RESEARCH DESIGN AND METHODS: Randomiz ... Full text Link to item Cite

Elder enrollment barriers in clinical trials: Principal investigator and study coordinator

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2004 Link to item Cite

Barriers to providing osteoporosis care in skilled nursing facilities: perceptions of medical directors and directors of nursing.

Journal Article J Am Med Dir Assoc · 2004 OBJECTIVES: The objectives of this study were to identify the barriers to osteoporosis clinical practice guideline use perceived by Medical Directors (MED DIR) and Directors of Nursing (DON) in skilled nursing facilities; and to describe differences in the ... Full text Link to item Cite

The contribution of hip fracture to risk of subsequent fractures: data from two longitudinal studies.

Journal Article Osteoporos Int · November 2003 BACKGROUND: The contribution of hip fracture to the risk of subsequent fractures is unclear. METHODS: Data from the Baltimore Hip Studies and the Established Populations for Epidemiologic Studies of the Elderly (EPESE) were used. Baltimore subjects enrolle ... Full text Link to item Cite

After the fall: Biology, treatment, and outcomes of hip fractures

Journal Article Annals of Long-Term Care · August 1, 2003 Cite

Risk factors for hip fracture in skilled nursing facilities: who should be evaluated?

Journal Article Osteoporos Int · July 2003 This paper aims to identify risk factors for hip fracture in Medicare skilled nursing facility (SNF) residents and to develop a predictive model based on routinely collected administrative data (the Minimum Data Set, MDS) to identify high-risk residents. P ... Full text Link to item Cite

An economic analysis of external hip protector use in ambulatory nursing facility residents.

Journal Article Age Ageing · January 2003 OBJECTIVE: to evaluate the economic impact of external hip protector use in nursing facilities. DESIGN: cost-effectiveness and cost-utility analyses. MEASUREMENTS: event probabilities, intervention effectiveness, treatment costs, and utility of hip fractur ... Full text Link to item Cite

Can historical and functional risk factors be used to predict fractures in community-dwelling older adults? development and validation of a clinical tool.

Journal Article Osteoporos Int · December 2002 The objectives of the study were: (1) to evaluate the contribution of impaired functional status, cognition and medication to fracture risk; (2) to determine whether risk factor profiles differ between regionally and socially diverse populations; and (3) t ... Full text Link to item Cite

Predicting hip fracture in nursing facilities using the Minimum Data Set.

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2002 Link to item Cite

Development of a fracture prediction tool for community dwelling elders.

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2001 Link to item Cite

Expert physician recommendations and current practice patterns for evaluating and treating men with osteoporotic hip fracture.

Journal Article J Am Geriatr Soc · October 2000 OBJECTIVES: To develop recommendations for the evaluation and the treatment of men with osteoporotic hip fracture from expert publications in the field of male osteoporosis, and to define the current practice patterns in a tertiary care VA Medical Center i ... Full text Link to item Cite

Hip fractures in elderly men: Expert recommendations, current practice, and subsequent fracture rate.

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1, 1999 Link to item Cite

Case report: Catatonia and neuroleptic malignant syndrome in the nursing home

Journal Article Annals of Long-Term Care · February 4, 1999 Because many illnesses present with fever and confusion in the long- term care setting, neuroleptic malignant syndrome (NMS) in the elderly is a challenging, yet uncommon, diagnosis. Catatonia is implicated as a predisposing factor for the development of N ... Cite