Randall J. Morse, MD; Catherine E. DuBeau, MD
This article was published online first at www.annals.org on 30 April 2015.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0298.
Requests for Single Reprints: Catherine E. DuBeau, MD, Division of Geriatric Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, 365 Plantation Street, Biotech One, Suite 100, Worcester, MA 01605; e-mail, email@example.com.
Current Author Addresses: Drs. Morse and DuBeau: Division of Geriatric Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, 365 Plantation Street, Biotech One, Suite 100, Worcester, MA 01605.
Author Contributions: Conception and design: C.E. DuBeau.
Analysis and interpretation of the data: C.E. DuBeau.
Drafting of the article: R.J. Morse, C.E. DuBeau.
Critical revision of the article for important intellectual content: R.J. Morse, C.E. DuBeau.
Final approval of the article: R.J. Morse, C.E. DuBeau.
Collection and assembly of data: C.E. DuBeau.
Morse R., DuBeau C.; Update in Geriatric Medicine: Evidence Published in 2014. Ann Intern Med. 2015;162:W102-W105. doi: 10.7326/M15-0298
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Published: Ann Intern Med. 2015;162(9):W102-W105.
“First, do no harm” is especially germane in geriatric medicine. Patient-centered care of the older person requires a deliberate balance of treatment benefit versus risk in the setting of complex multiple comorbid conditions, polypharmacy, heterogeneous life expectancy, and diverse goals of care ranging from curative to comfort care. In 2014, the American Geriatrics Society published its second “Five Things Physicians and Patients Should Question” for the American Board of Internal Medicine's Choosing Wisely initiative (Table). This update continues a similar theme of avoiding overtreatment in cardiovascular disease and dementia care and reducing polypharmacy and adverse drug effects overall. We identified studies by hand-searching the American College of Physicians' JournalWise list of top articles in 2014, as well as hand-searching all studies published in 2014 in the Journal of the American Geriatrics Society and Age and Aging.
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