Repository of electronic Critically Appraised Papers

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The purpose of ReCAP (Repository of Electronic Critically Appraised Papers) is to provide a forum for geriatrics fellows and faculty where they can discuss the practice of evidence-based medicine in a systematic way, and hone their skills of clinical decision-making by critically examining evidence presented in recent clinical research papers. These are reviews of the validity of a single study; the ‘bottom lines’ do not reflect comparison with the rest of the literature on the subject.

View 2002 to 2005 ReCAP archives

Title Article date Critique datesort icon PubMed ID/Article Link
Sertraline or Mirtazapine did not improve depressive symptoms more than placebo among patients with dementia. 07/30/2011 04/26/2012 21764118
The interval of osteoporosis screening should be determined by baseline T scores. 01/19/2012 03/14/2012 22256806
Incident dementia is associated with increased hospitalizations. 01/11/2012 03/03/2012 22235087
Collaborative care for depression and chronic medical illness management improved quality of life and social disability. 11/10/2011 02/21/2012 22074851
Burdensome transitions are experienced near the end of life by ~20% of nursing home residents with advanced dementia. 09/29/2011 01/18/2012 21991894
Electronic medical record reminders and panel management improves primary care of elderly patients. 09/26/2011 01/17/2012 21949163
A multifaceted podiatry intervention was successful in decreasing the rate of falls in community dwelling older adults with disabling foot pain. 06/16/2011 01/10/2012 21680622
Proton Pump Inhibitor Use May Reduce Antifracture Efficacy of Alendronate. 06/13/2011 01/09/2012 21321287
Medical students’ understanding of code status occurs through an informal, hidden curriculum. 11/01/2011 01/08/2012 22007934
Use of a video tool to enhance advanced care planning in dementia. 05/28/2009 12/19/2011 19477893
Treatment-limiting advance directives are associated with decreased end-of-life expenditures in high spending regions. 10/05/2011 12/15/2011 21972306
Lithium Treatment Reduced CSF P-tau Levels in Amnestic Mild Cognitive Impairment. 05/01/2011 11/18/2011 21525519
Elevating head of the bed during sleep does not improve symptoms of orthostatic hypotension. 03/01/2011 11/18/2011 21233091
Lack of conclusive evidence for the efficacy of antidepressants in depressed patients with dementia. 04/01/2011 11/09/2011 21453380
Disease severity influences illness experience more than disease diagnosis. 09/01/2011 11/02/2011 21276704
Decitabine prolongs progression-free-survival but not overall survival in older patients with myelodysplastic syndrome (MDS). 05/20/2011 10/17/2011 21483003
Physicians frequently fail to identify impaired medical decision-making capacity. 07/27/2011 09/27/2011 21791691
Single-lens distance glasses lower risk of falls in active older multifocal glasses wearers. 06/06/2011 08/29/2011 20501583
Treatment with conventional antipsychotics was associated with an increased risk of death in the nursing home. 04/19/2011 08/16/2011 21444611
Levothyroxine therapy associated with increased risk of fractures in older adults. 05/20/2011 08/03/2011 21527461
Home treatment of depression is better than office-based care in community dwelling older adults. 12/01/2010 07/26/2011 21119152
Calcium supplementation may increase risk of cardiovascular events especially myocardial infarction. 05/20/2011 07/22/2011 21505219
Combining diet and exercise increased physical performance more than either diet or exercise alone in obese older community dwelling adults. 03/31/2011 06/30/2011 21449785
Individualized nutritional intervention may reduce 6-month mortality in hospitalized older adults. 01/01/2011 06/13/2011 21087222
Thrombolysis for Acute Ischemic Stroke in older adults increased risks of intracranial hemorrhage and in-hospital mortality. 10/01/2010 06/08/2011 20829516
Vitamin D treatment reduces the risk of falls in older adults. 07/01/2010 05/31/2011 20579169
Guided care interdisciplinary teams minimally impact the use of health services. 03/14/2011 05/27/2011 21403043
Galantamine does not improve cognitive scores in vascular dementia. 07/31/2007 05/19/2011 17664404
In community-dwelling older adults, gait speed is independently associated with survival. 01/05/2011 05/05/2011 21205966
When compared to NSAIDs, narcotic analgesics are associated with higher risk of adverse outcomes in elderly patients with arthritis. 12/13/2010 05/05/2011 21149752
Discontinuing cholinesterase inhibitors in nursing home (NH) residents with dementia was associated with aggressive behaviors. 04/01/2009 05/05/2011 19447360
Increased risk of subtrochanteric or femoral shaft fracture was associated with >5 year use of bisphosphonates in older women. 02/23/2011 04/26/2011 21343577
PPI use is not associated with hip fracture. 05/10/2010 04/26/2011 20458083
Risk score predicts adverse drug reactions among hospitalized older adults. 07/12/2010 04/15/2011 20625022
Antioxidant vitamin and mineral supplements do not prevent age-related macular degeneration (AMD). 01/23/2008 03/30/2011 18253971
Docosahexaenoic Acid does not slow rate of cognitive and functional decline in Alzheimer patients. 11/03/2010 03/08/2011 21045096
Opioid use may increase the risk of injury in older adults. 09/01/2010 03/08/2011 20863326
Dabigatran is a cost effective alternative to warfarin among older patients with atrial fibrillation. 01/04/2011 03/07/2011 21041570
Transcatheter aortic-valve implementation for severe aortic stenosis reduced mortality at one year. 10/21/2010 02/23/2011 20961243
Trail walking exercise program reduced fall incidence among older adults. 10/01/2010 02/22/2011 20831723
Biobehavioral home-based intervention improved outcomes for patients with dementia and their caregivers. 09/01/2010 02/10/2011 20810376
Prophylaxis with thigh-high stockings lowered risk of DVT compared with below-knee stockings. 11/02/2010 02/10/2011 20855784
Initiation of dialysis associated with decline in functional status. 10/15/2009 02/07/2011 19828531
PEG better than lactulose for constipation. 06/01/2010 01/26/2011 20584228
New tool only modestly better than hospice eligibility guidelines at predicting survival in advanced dementia. 11/03/2010 01/18/2011 21045099
Intensive blood pressure control in diabetic patients reduces the risk of stroke but not mortality. 03/14/2010 01/14/2011 20228401
Proton pump inhibitors may increase the risk of recurrent Clostridium difficile infection. 05/10/2010 01/10/2011 20458084
A model of geriatric intervention may decrease risk of frailty. 06/01/2010 01/10/2011 20053673
Most social support interventions do not reduce depressive symptoms in stroke survivors. 05/01/2010 11/24/2010 20053402
A county-level system improves the rates and outcomes of advance care planning. 07/01/2010 10/16/2010 20649688
Multifactorial fall-prevention program does not reduce falls in high-risk, cognitively intact older adults. 07/12/2010 10/14/2010 20625015
Donepezil improves cognitive function in vascular dementia. 06/01/2010 10/12/2010 20395618
No cost savings, but some favorable outcomes, from Medicare Coordinated Care Demonstration 02/11/2009 09/16/2010 19211468
Lasofoxifene reduced risk of osteoporotic fractures. 02/25/2010 09/07/2010 20181970
Mortality risk of commonly prescribed antipsychotic medications. 05/07/2010 09/07/2010 20487081
Frailty index, using a deficit accumulation approach, predicts 10 year mortality. 04/01/2010 08/25/2010 20345864
Executive dysfunction and depressive symptoms predict post-operative delirium 04/01/2009 05/24/2010 19326494
Escitalopram and Enhancement of Cognitive Recovery Following Stroke 02/01/2010 04/20/2010 20124118
Anemia Associated with Higher Mortality Among Adults 85 and Over 08/04/2009 02/12/2010 19635749
Vertebroplasty no better than simulated procedure for pain and disability due to osteoprotic spinal fractures. 08/06/2009 02/09/2010 19657122
Effect of Age on Survival Benefit of Adjuvant Chemotherapy in Elderly Patients with Stage III Colon Cancer 08/01/2009 01/27/2010 19563521
Prediction of Mortality in Community-living Frail Elderly People with Long-Term Care Needs 01/01/2008 01/11/2010 18031487
An Italian Model of Home-Based Care of Elderly with Acute Decompensated CHF Was Feasible And Efficacious Compared To Traditional Inpatient Hospital Care. 09/28/2009 12/01/2009 19786675
A computerized decision support program significantly decreases prescribing of potentially inappropriate medications to older patients. 08/01/2009 09/04/2009 19549022
Hypoglycemic Events in Older Patients with Type 2 DM increases risk of dementia 04/15/2009 05/07/2009 19366776
A Practice-Based Intervention to Improve Primary Care for Falls, Urinary Incontinence and Dementia 03/01/2009 05/01/2009 19175441
Delirium: a persistent problem; a persistent risk 01/01/2009 05/01/2009 19170790
Statins Associated with Poorer than Expected Neuropsychological Test Performance in Hypercholesterolemic Adults 12/01/2004 05/03/2005 15589485
Vitamin D Supplements Reduce the Risk of Falls in the Elderly 04/28/2004 01/31/2005 15113819
Disease Severity at Diagnosis is Associated with Decreased Survival in Individuals Diagnosed with Alzheimer's Dementia 04/06/2004 01/12/2005 15068977
New Standardized Risk Score Better Predicts 6 Month Mortality of Newly Admitted Nursing Home Patients with Advanced Dementia 06/09/2004 01/12/2005 15187055
Screening for Alzheimer's Disease: The Memory Impairment Screen (MIS) is more accurate than the 3-word memory test 06/01/2002 04/26/2004 12110070
Over the Years, Inactive Women May Lose Function 11/24/2003 02/04/2004 14638556