Geriatric care in European countries where geriatric medicine is still emerging

Soulis, George; Kotovskaya, Y.; Bahat, Gülistan; Duque, Sofía; Gouiaa, Radhouane; Ekdahl, Anne; Sieber, Cornel; Petrovic, Mirko; Bénétos, Athanase

doi:10.1007/s41999-020-00419-7

Cited by 15 publications

(14 citation statements)

References 8 publications

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“…When to refer an older person living with HIV to a geriatrician is also not well defined which is not unsurprising as the criteria for referring to a geriatrician generally varies not only across Europe but also within individual countries [ 48 , 49 ]. Some centres may use chronological age whilst others favour alternate measures looking at indicators of biological age such as frailty scores [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

How do geriatricians feel about managing older people living with HIV? A scoping review

Jones

Barber

2022

Eur Geriatr Med

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Purpose The proportion of people living with HIV being older adults is increasing and due to high rates of multimorbidity and frailty within this group geriatricians are well placed to contribute to their care. However, little is known about how geriatricians feel about this new opportunity. Methods A scoping review was performed following the Arksey & O’Malley’s methodological framework with nine databases searched in December 2021 for studies reporting the experiences or views of geriatricians on caring for people living with HIV. Study inclusion was not limited by language or year of publication. Narrative reviews were excluded. Two reviewers independently performed the extraction using predetermined criteria. A descriptive analysis of extracted information was performed. Results Six publications reporting four studies, all conducted in the USA, were identified. The current barriers to geriatricians being involved in the care of older people living with HIV are: their current experience in managing people living with HIV, their knowledge of HIV, specific issues related to older people living with HIV and screening for HIV in older people as well as their attitudes to people living with HIV and experience of managing older LGBTQ + people. Conclusion Prior to geriatricians being routinely involved in the care of older people living with HIV further research outside of the USA is required. Geriatricians will also require specific training which should be incorporated into geriatric medicine training curricula as well as the creation of learning tools and quality clinical practice guidelines ideally created in collaboration with HIV organisations.

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Section: Discussionmentioning

confidence: 99%

How do geriatricians feel about managing older people living with HIV? A scoping review

Jones

Barber

2022

Eur Geriatr Med

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“…Centers in Turkey that apply the orthogeriatric care concept are limited in number, with the first comprehensive orthogeriatric care concept in Turkey being established in our faculty -the Istanbul University Faculty of Medicine, followed by Istanbul Prof. Dr. Cemil Taşçıoğlu City Hospital [98]. Similar to FLS, the limited application of the orthogeriatric approach in Turkey can be linked to a lack of education, awareness, and resources and the limited number of geriatricians in the country [99].…”

Section: Orthogeriatricsmentioning

confidence: 99%

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

et al. 2021

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Purpose The total number of older adults in Turkey is striking, amounting to around 8 million, and this translates into considerably higher numbers of cases of osteoporosis (OP) and fractures in older adults. In this article, we outlined the current situation of OP in older adults in Turkey and investigated the differences between Turkey and a representative developed European country (Belgium), in terms of the screening, diagnosis, and treatment of OP. Our intention in this regard was to identify areas in need of improvement and subsequently to make a clear call for action to address these issues. Methods Herein, considering the steps related to the OP approach, we made a complete review of the studies conducted in Turkey and compared with the literature recommendations. Results There is a need for a national osteoporotic fracture registry; measures should be taken to improve the screening and treatment of OP in older males, such as educational activities; technicians involved in dual-energy X-ray absorptiometry (DXA) scanning should undergo routine periodic training; all DXA centers should identify center-specific least significant change values; all older adults should be considered for routine lateral dorsolumbar X-ray imaging for the screening of vertebral fractures while ordering DXA scans; the inclusion of vertebral fracture assessment (VFA) software in DXA assessments should be considered; screening using a fracture risk assessment tool (FRAX) algorithm that is specific to Turkey should be integrated; the fortification of foods with vitamin D is required; the high fracture risk by country-specific FRAX algorithm and the presence of falls/high fall risk should be integrated in reimbursement terms; and finally, more "fracture liaison services" should be established. ConclusionWe suggest that the practical consideration of our suggestions will provide considerable support to the efforts for combating with the adverse consequences of OP in society. This approach can be subsequently modeled for other populations to improve the management of OP globally. KeywordsOsteoporosis • Current situation • Turkey • Older • Improvement Abbreviations BMD Bone mineral density DXA Dual-energy X-ray absorptiometry eGFR Estimated glomerular filtration rate ESCEO Economic evaluation of osteoporosis and osteoarthritis * Gulistan Bahat

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“…Geriatric Medicine (GM), the medical specialty concerned with the health and wellbeing of older adults, displays a highly variable stage of development across countries, with several Balkan countries lacking a formal recognition of Geriatric Medicine as a medical specialty [ 2 , 3 ]. Consequently, basic principles of GM, essential for dealing with older people, are commonly unknown.…”

Section: Introductionmentioning

confidence: 99%

The Relevance and Added Value of Geriatric Medicine (GM): Introducing GM to Non-Geriatricians

Kotsani

Kravvariti

Avgerinou

et al. 2021

JCM

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Geriatric Medicine (GM) holds a crucial role in promoting health and managing the complex medical, cognitive, social, and psychological issues of older people. However, basic principles of GM, essential for optimizing the care of older people, are commonly unknown or undermined, especially in countries where GM is still under development. This narrative review aims at providing insights into the role of GM to non-geriatrician readers and summarizing the main aspects of the added value of a geriatric approach across the spectrum of healthcare. Health practitioners of all specialties are frequently encountered with clinical conditions, common in older patients (such as cancer, hypertension, delirium, major neurocognitive and mental health disorders, malnutrition, and peri-operative complications), which could be more appropriately managed under the light of the approach of GM. The role of allied health professionals with specialized knowledge and skills in dealing with older people’s issues is essential, and a multidisciplinary team is required for the delivery of optimal care in response to the needs and aspirations of older people. Thus, countries should assure the educational background of all health care providers and the specialized health and social care services required to meet the demands of a rapidly aging society.

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Geriatric care in European countries where geriatric medicine is still emerging

Cited by 15 publications

References 8 publications

How do geriatricians feel about managing older people living with HIV? A scoping review

How do geriatricians feel about managing older people living with HIV? A scoping review

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

The Relevance and Added Value of Geriatric Medicine (GM): Introducing GM to Non-Geriatricians

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