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Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

Dataset: VHA-CDW data from 2007-2020. The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. OASI is the sum number of care elements offered (NSAID fills, opioid fills, intra-articular injection, knee x-ray, knee advanced imaging, and physical therapy). years (SD 8.8), 78.2%

Diagnosis 130
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it. Nadine: I’m going to go back to behavior change. Absolutely.

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PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Physical exam Vital Signs: Temperature: 37.9 °C, 2020 Jun 5;38:e2018158. doi: 10.1590/1984-0462/2020/38/2018158. This is the fourth of the four cases. Normal tracking Cardiovascular: Tachycardia.

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Fantastic.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. That started in November of 2020. Annals of Int Med.

Hospital 115
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Ageism and Elections: Louise Aronson and Ken Covinsky

GeriPal

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Of note, we talk about candidates from all parties today.

Diagnosis 141