Almost 30 years since Sharon Inouye, MD introduced the CAM for #delirium. Why is accurate use still so challenging? Eric Wong Justin Lee newest paper in Age_and_Ageing on why: academic.oup.com/ageing/advance…

Our editorial on The BMJ study on intensification of antihypertensives in older adults hospitalized for non-cardiac conditions: bmj.com/content/362/bm…. Great work by @MikeSteinman @TimAndersonMD Charlie M. Wray, DO, MS Bocheng Jing! cc UofTGIM Mount Sinai Department of Medicine University of Toronto Sinai/UHN Healthy Ageing and Geriatrics Program

Increased major bleeds (intracranial & GI) with ASA 100mg daily for 1º prevention in older adults age >70. #ASPREE trial shows that ASA should not be used for 1º prevention in most healthy older adults. Note exclusion criteria (clinicaltrials.gov/ct2/show/NCT01…). nejm.org/doi/pdf/10.105…

A great new "drug" improves overall survival in advanced cancer patients in meta-analysis. It is is cross-tumor effect. Amazing findings -- it is called "multidisciplinary palliative care". #SupportiveCare #hpm chadi nabhan MD, MBA, FACP Amy Berman Supportive Oncology @NCISymptomMgmt

Beautiful piece on caregiving by @audreymdmph in NEJM. Makes me recall something Barry Goldlist told me early on in my training; dementia is such a cruel illness because familes mourn the loss of their loved one twice...first when they lose their faculties, and second when they die

Our commentary on an important study published today in CMAJ by Dr. Jennifer Watt, Tara Gomes, @sebskill, Joanne Ho @ktstihr and colleagues: cmaj.ca/content/190/47…. Bottom line...there is currently no universally safe drug therapy for BPSD. @WCRInstitute IHPME Department of Medicine University of Toronto

Very relevant to geriatric medicine. Patients at highest risk for UGIB and most likely to benefit from PPI co-therapy were older, resided in a nursing home, had other cardiovascular disease, and met criteria for frailty. cc Ken Covinsky GeriMedJC Camilla Wong 黃朗欣 🇨🇦 Eric Wong Eric Widera, MD

Acute care assessment of older adults with frailty. Review: bmj.com/content/364/bm…

Staying focused on Canada’s 1st dementia strategy| involves a multifaceted approach- research, stigma, caregivers, diagnostic clarity, education- great read. |⁦CMAJ⁩ by ⁦Nathan Stall⁩ ⁦Samir Sinha⁩ ⁦Alzheimer Society of Canada⁩ cmaj.ca/content/191/31…

On average, OECD countries spend 65% of their #longtermcare dollars on care in designated buildings like nursing homes & only 35% on home-based care. Canada spends 87% of our #longtermcare dollars on care in designated buildings and only 13% on home-based care. #cdnpoli

Want to learn what this year's top geriatrics-related articles are? Come to our Toronto Geriatrics Update Course to hear Dr. Dov Gandell of Sunnybrook Health Sciences Centre review this year's best articles! #MedicalEducation Register now: sinaigeriatrics.ca/events-and-edu…

KEY EDITORIAL: 'Exploring options when previously free open access cognitive screening tools such as the MMSE and MoCA become proprietary and charge for use and/or training' via Frank Molnar Canadian Geriatrics canadiangeriatrics.ca/wp-content/upl…

A nice article about something I spend an inordinate amount of time on. Finding the Right Words to Stop Cancer Screening in Older Adults ja.ma/2m4MO1A

Summarizing findings from our NMA, to help you choose the most effective interventions for agitation and aggression in persons living with dementia. #makedementiamatter #nonpharmacological #nonpharm #recreationtherapy #multidisciplinarycare #outdoors Jennifer Watt⁩ ⁦

#Deprescribing of acetylcholinesterase inhibitors associated with a reduced likelihood of falls and fractures in older NH residents with dementia. onlinelibrary.wiley.com/doi/abs/10.111…

Older People Need Geriatricians! Where Will They Come From? Find out from Paula Span nyti.ms/2rV6EQc Canadian Geriatrics Canadian RGIG

Research led by St. Michael's Hospital's Dr. Tara Kiran found patients and caregivers across Ontario consistently prioritized insufficient home care as the biggest challenge to overcome after being released from hospital. bit.ly/2sSUXd5

#ResidentAwareness week. The Division would like to acknowledge our sub specialty residents-Drs. Ben Lee, Alishya Burrell, Sara Kelly-and our CoE residents-Pratik Kalani, Baraa Achtar. Thank you for all that you do!

There is just something different about how Geriatricians think. There really is. I am becoming more sure of this the longer I work in this field. Sometimes I feel like I speak "common-sense" and it's not a popular language.