Featured Publications
Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity
Boyd C, Smith CD, Masoudi FA, Blaum CS, Dodson JA, Green AR, Kelley A, Matlock D, Ouellet J, Rich MW, Schoenborn NL, Tinetti ME. Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity. Journal Of The American Geriatrics Society 2019, 67: 665-673. PMID: 30663782, DOI: 10.1111/jgs.15809.Peer-Reviewed Original ResearchConceptsMultiple chronic conditionsPatients' health prioritiesHealth priorityAmerican Geriatrics SocietyOlder adultsChronic conditionsSpecialty careGeriatrics SocietySystematic reviewHealth trajectoriesOlder peopleAction stepsCareAdultsMultimorbidityCliniciansCommunication scriptsExecutive summaryHealthPotential benefitsAlign decisionsPatientsReviewGeriatriciansCardiologistsEvaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care
Tinetti ME, Baker D, Gallo WT, Nanda A, Charpentier P, O'Leary J. Evaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care. JAMA 2002, 287: 2098-2105. PMID: 11966384, DOI: 10.1001/jama.287.16.2098.Peer-Reviewed Original ResearchConceptsHome care episodeUsual care patientsCare patientsCare episodesRestorative careCare officesUsual careHome careFunctional statusFunctional declineUsual home careHealth care utilizationSelf-care functionSevere cognitive impairmentReceipt of MedicareHome care servicesAcute episodeBaseline characteristicsOlder patientsCare unitCare utilizationEmergency departmentTotal careHome care agenciesPatients
2023
HEALTH PRIORITIES ALIGNED DECISION MAKING FOR DISCRETE DECISIONS
Banks J, Soni S, Madrid V, Samper-Ternent R, Arain S, Tinetti M, Naik A. HEALTH PRIORITIES ALIGNED DECISION MAKING FOR DISCRETE DECISIONS. Innovation In Aging 2023, 7: 923-923. PMCID: PMC10739269, DOI: 10.1093/geroni/igad104.2965.Peer-Reviewed Original ResearchPeripheral arterial diseaseMultiple chronic conditionsOlder adultsDisease-specific markersOlder patientsRevascularization proceduresArterial diseaseChronic conditionsVascular surgeryPilot trialHealth professionalsPatient stakeholdersPatientsMean percentageRevascularizationCaregiversAdultsOutcomesParticipant feedbackComplicationsIntervention decisionsSurgeryDiscrete interventionsDiseaseCardiology
2019
IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC
Freytag J, Dindo L, Catic A, Naik A, Tinetti M. IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC. Innovation In Aging 2019, 3: s774-s774. PMCID: PMC6846413, DOI: 10.1093/geroni/igz038.2844.Peer-Reviewed Original ResearchPatient Priorities CareMultiple chronic conditionsGeriatric clinicPatient prioritiesUsual careOlder adultsSingle disease guidelinesRetrospective cohort studySelf-care recommendationsMore recommendationsUC patientsCohort studyPrimary clinicianChronic conditionsMedical recordsMultimorbid adultsSame clinicianCare workflowClinicCliniciansPatientsWay cliniciansCareMedicationsPriority careChallenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions
Tinetti M, Dindo L, Smith CD, Blaum C, Costello D, Ouellet G, Rosen J, Hernandez-Bigos K, Geda M, Naik A. Challenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions. PLOS ONE 2019, 14: e0218249. PMID: 31181117, PMCID: PMC6557523, DOI: 10.1371/journal.pone.0218249.Peer-Reviewed Original ResearchConceptsPatients' health prioritiesMultiple chronic conditionsHealth priorityChronic conditionsPatient prioritiesPatient Priorities CarePrimary care cliniciansCare of patientsCare cliniciansPrimary carePatient outcomesCardiology practicePatientsCare optionsCare PilotCliniciansOlder adultsSerial trialsCarePriority careImplementation teamQualitative studyMultiple conditionsAdditional settingsMultiplicity of problems
2018
Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus
Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez A, Nguyen TS, Brueckle M, Cesari M, Tinetti M, Valderas JM. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. Journal Of Internal Medicine 2018, 285: 272-288. PMID: 30357955, DOI: 10.1111/joim.12842.Peer-Reviewed Original ResearchConceptsGuideline reviewReview of medicationsCoordination of careHeterogeneity of patientsBetter clinical managementSelf-management issuesRisk prediction modelAriadne principlesMedication appropriatenessInformational continuityTreatment optionsMedical historyPatient preferencesClinical managementPsychosocial assessmentTreatment benefitCare planningCare plansMultimorbidityFeasible interventionExpert consensusHealthcare providersPatientsClinical decisionPolypharmacyPATIENT PRIORITIES CARE: MOVING FROM DISEASE-BASED TO PATIENT PRIORITIES-ALIGNED DECISION-MAKING
Tinetti M. PATIENT PRIORITIES CARE: MOVING FROM DISEASE-BASED TO PATIENT PRIORITIES-ALIGNED DECISION-MAKING. Innovation In Aging 2018, 2: 642-643. PMCID: PMC6227531, DOI: 10.1093/geroni/igy023.2400.Peer-Reviewed Original Research
2016
Patient Priority–Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions
Tinetti ME, Esterson J, Ferris R, Posner P, Blaum CS. Patient Priority–Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions. Clinics In Geriatric Medicine 2016, 32: 261-275. PMID: 27113145, DOI: 10.1016/j.cger.2016.01.012.Peer-Reviewed Original Research
2006
Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice
Chou W, Tinetti M, King M, Irwin K, Fortinsky R. Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice. Journal Of General Internal Medicine 2006, 21: 117-122. DOI: 10.1007/s11606-006-0244-3.Peer-Reviewed Original ResearchPrimary care providersFall risk evaluationCare providersPatient factorsPhysician factorsSelf-reported facilitatorsHigh-risk patientsAppropriateness of referralsFall risk managementRisk factor evaluationHealth care providersPerceptions of physiciansOlder patientsPatient barriersConsiderable morbidityLogistical factorsOutreach visitsPrimary carePhysicians' perceptionsImmobile patientsClinical practicePatientsAvailability of transportationOlder adultsRisk evaluation
2001
The Design and Implementation of a Restorative Care Model for Home Care
Baker D, Gottschalk M, Eng C, Weber S, Tinetti M. The Design and Implementation of a Restorative Care Model for Home Care. The Gerontologist 2001, 41: 257-263. PMID: 11327492, DOI: 10.1093/geront/41.2.257.Peer-Reviewed Original ResearchConceptsFunctional outcomeOlder adultsAcute disease processHome careMultidisciplinary work groupHome health aidesHome-based careOlder patientsChronic disabilityPractice patternsHome care agenciesCare modelPatient progressRehabilitative interventionsDisease processMedical treatmentHealth aidesFunctional independenceCareCare agenciesPersonal careAdultsOutcomesPatientsWork groupsValidation of Dizziness as a Possible Geriatric Syndrome
Kao A, Nanda A, Williams C, Tinetti M. Validation of Dizziness as a Possible Geriatric Syndrome. Journal Of The American Geriatrics Society 2001, 49: 72-75. PMID: 11207845, DOI: 10.1046/j.1532-5415.2001.49012.x.Peer-Reviewed Original ResearchConceptsReports of dizzinessRisk factorsGeriatric syndromesOlder personsClinic-based cohortCharacteristics of patientsSeverity of dizzinessCommunity-based cohortPopulation-based studyClinic-based populationCross-sectional studyPhysical examination dataEligible patientsPostural hypotensionMore medicationsMultifactorial interventionOlder patientsMedical historyMyocardial infarctionDizzinessMultifactorial etiologyDepressive symptomsAbnormal balancePatientsDiscrete disease
1999
Goal-setting in clinical medicine
Bradley E, Bogardus S, Tinetti M, Inouye S. Goal-setting in clinical medicine. Social Science & Medicine 1999, 49: 267-278. PMID: 10414834, DOI: 10.1016/s0277-9536(99)00107-0.Peer-Reviewed Original Research
1998
Physician Awareness of Alcohol Use Disorders Among Older Patients
Reid M, Tinetti M, Brown C, Concato J. Physician Awareness of Alcohol Use Disorders Among Older Patients. Journal Of General Internal Medicine 1998, 13: 729-734. PMID: 9824517, PMCID: PMC1497030, DOI: 10.1046/j.1525-1497.1998.00223.x.Peer-Reviewed Original ResearchConceptsAlcohol use disorderOlder patientsPrimary care physiciansInternal medicine physiciansCare physiciansPhysician awarenessMedicine physiciansUse disordersPrevalence estimatesPrimary care physicians' awarenessAnnual screening ratesQuantity-frequency questionsCross-sectional telephone surveyFamily practice physiciansGroup of physiciansCAGE questionsScreening ratesRegular screeningMiddle-aged physiciansPrevalence ratesPractice physiciansPhysician educationPatientsOlder physiciansBiochemical markersA Taxonomy for Goal Setting in the Care of Persons with Dementia
T. B, Bradley E, Tinetti M. A Taxonomy for Goal Setting in the Care of Persons with Dementia. Journal Of General Internal Medicine 1998, 13: 675-680. PMID: 9798814, PMCID: PMC1500896, DOI: 10.1046/j.1525-1497.1998.00203.x.Peer-Reviewed Original ResearchConceptsPrimary family caregiversCare of personsFamily caregiversCase managersLarge academic medical centerPhysicians of patientsGoals of careAcademic medical centerGoal-setting processGeriatric assessmentConsecutive patientsMedical CenterNegotiation of goalsPatientsPatient careCareCaregiversDementiaConstant comparative methodPhysiciansKey informant interviewsReported goalsQualitative studyOpen-ended interviewsMain measurementsMODELS OF GERIATRICS PRACTICE: When the Patient Cannot Come to the Doctor: A Medical Housecalls Program
Reuben D, Fried T, Wachtel T, Tinetti M. MODELS OF GERIATRICS PRACTICE: When the Patient Cannot Come to the Doctor: A Medical Housecalls Program. Journal Of The American Geriatrics Society 1998, 46: 226-231. PMID: 9475454, DOI: 10.1111/j.1532-5415.1998.tb02544.x.Peer-Reviewed Original ResearchConceptsUpper respiratory tract infectionFrail older patientsRespiratory tract infectionsCongestive heart failureMajority of patientsRoutine medical careSevere cognitive impairmentGERIATRICS PRACTICEAcute illnessOlder patientsTract infectionsHeart failureHomebound patientsUnscheduled visitsEmergency roomNurse practitionersDaily livingMedical residency programsPatientsPatient's homeScheduled visitsAmbulatory practiceCognitive impairmentComplex illnessMedical care
1989
Instability and Falling in Elderly Patients
Tinetti M. Instability and Falling in Elderly Patients. Seminars In Neurology 1989, 9: 39-45. PMID: 2756252, DOI: 10.1055/s-2008-1041303.Peer-Reviewed Original ResearchConceptsSingle disease processElderly patientsDisease processAppropriate walking aidSevere foot deformitiesOverall patient healthNormal pressure hydrocephalusLumbar stenosisCervical spondylosisPressure hydrocephalusCareful historyFoot deformityTreatable diseasePhysical therapyFall historyPatientsPreventive interventionsPatient healthWalking aidIdentifiable disabilitiesImpairmentMultiple diseasesSurgeryFall situationIntervention
1988
Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment?
Tinetti M, Ginter S. Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment? JAMA 1988, 259: 1190-1193. DOI: 10.1001/jama.1988.03720080024022.Peer-Reviewed Original ResearchNeuromuscular findingsElderly patientsNeuromuscular examinationKnee flexionNeuromuscular abnormalitiesFunctional mobilityClinical careMobility dysfunctionHip flexionMobility problemsElderly personsPatientsFlexionExaminationSubjectsSimple assessmentFindingsDirect assessmentManeuversDysfunctionAbnormalitiesCliniciansHipCare
1986
Use of the erythrocyte sedimentation rate in chronically III, elderly patients with a decline in health status
Tinetti M, Schmidt A, Baum J. Use of the erythrocyte sedimentation rate in chronically III, elderly patients with a decline in health status. The American Journal Of Medicine 1986, 80: 844-848. PMID: 3085493, DOI: 10.1016/0002-9343(86)90626-1.Peer-Reviewed Original ResearchConceptsErythrocyte sedimentation rateHealth statusElderly patientsMusculoskeletal complaintsDiagnostic evaluationConnective tissue diseaseSedimentation rateChronic care hospitalNew diseasePost-test probabilitySubacute deteriorationTissue diseaseProbability of diseasePatientsAge 65DiseaseInexpensive testComplaintsNonspecificPercentStatusLong-term residentsHoursGroupMalignancy