2024
Leveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions
Naimark J, Tinetti M, Delbanco T, Dong Z, Harcourt K, Esterson J, Charpentier P, Walker J. Leveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions. JMIR Formative Research 2024, 8: e56332. PMID: 39207829, PMCID: PMC11393498, DOI: 10.2196/56332.Peer-Reviewed Original ResearchConceptsPatient portalsPatient prioritiesElectronic health record patient portalEnd-of-life carePatient Priorities CareFamily medicine practiceMixed methods evaluationHealth care goalsComplex medication regimensEnd-of-lifeMedian completion timeMedian session timePrevisit questionnaireCare goalsInvited patientsPilot interventionPriority careSession timeHealth priorityFocus groupsPhone interviewsYears of ageMedication regimensMedicine practiceEPIC questionnaire“What Matters” in the Emergency Department
Chera T, Tinetti M, Travers J, Galske J, Venkatesh A, Southerland L, Dresden S, McQuown C, Gettel C. “What Matters” in the Emergency Department. Medical Care 2024, 62: s50-s56. PMID: 39514495, PMCID: PMC11548826, DOI: 10.1097/mlr.0000000000002053.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency departmentEmergency careED visitsAssociated with meetingAssociated with older adultsEnd-of-lifeFollow-upPatient characteristicsMultivariate logistic regression modelCare of oneselfLogistic regression modelsFollow-up interviewsMulticenter prospective observational studyHealthcare settingsED encountersFunctional independenceProspective observational studySecondary analysisSymptom identificationAssess concernsSecondary outcomesPrimary outcomeCareObservational studyCarta of Florence Against Ageism; No Place for Ageism in Health Care
Ungar A, Cherubini A, Fratiglioni L, de la Fuente-Núñez V, Fried L, Krasovitsky M, Tinetti M, Officer A, Vellas B, Ferrucci L. Carta of Florence Against Ageism; No Place for Ageism in Health Care. The Gerontologist 2024, 64: gnae001. PMID: 38419364, DOI: 10.1093/geront/gnae001.Peer-Reviewed Original ResearchCarta of Florence Against Ageism: No Place for Ageism in Health Care
Ungar A, Cherubini A, Fratiglioni L, de la Fuente-Núñez V, Fried L, Krasovitsky M, Tinetti M, Officer A, Vellas B, Ferrucci L. Carta of Florence Against Ageism: No Place for Ageism in Health Care. The Journals Of Gerontology Series B 2024, 79: gbad176. PMID: 38419388, PMCID: PMC11491742, DOI: 10.1093/geronb/gbad176.Peer-Reviewed Original ResearchPatient Priorities–Aligned Care for Older Adults With Multiple Conditions
Tinetti M, Hashmi A, Ng H, Doyle M, Goto T, Esterson J, Naik A, Dindo L, Li F. Patient Priorities–Aligned Care for Older Adults With Multiple Conditions. JAMA Network Open 2024, 7: e2352666. PMID: 38261319, PMCID: PMC10807252, DOI: 10.1001/jamanetworkopen.2023.52666.Peer-Reviewed Original ResearchConceptsPatient Priorities CarePatient-Reported Outcomes Measurement Information SystemPerceived treatment burdenUsual careUC participantsOutcomes Measurement Information SystemPatients' health prioritiesTreatment burden scoresHealth outcome goalsHealth care preferencesMeasurement Information SystemTreatment burdenDecision quality measuresPrescribing decision-makingFollow-upNonrandomized controlled trialsPatient-reported outcomesAlign careCare preferencesPriority careMultisite practiceHealth professionalsHealth priorityChronic conditionsSocial rolesOne Size Fits All—An Underappreciated Health Inequity
Tinetti M, Hladek M, Ejem D. One Size Fits All—An Underappreciated Health Inequity. JAMA Internal Medicine 2024, 184: 7-8. PMID: 37983054, DOI: 10.1001/jamainternmed.2023.6035.Peer-Reviewed Original Research
2023
Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality
Zogg C, Cooper Z, Peduzzi P, Falvey J, Castillo-Angeles M, Kodadek L, Staudenmayer K, Davis K, Tinetti M, Lichtman J. Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality. JAMA Surgery 2023, 158: e234856. PMID: 37792354, PMCID: PMC10551815, DOI: 10.1001/jamasurg.2023.4856.Peer-Reviewed Original ResearchConceptsHospital-level factorsTraumatic brain injurySevere traumatic brain injuryHospital mortalityTrauma QualityOlder adultsHip fractureComposite scoreHigher risk-adjusted oddsLevel 1 trauma centerIn-Hospital MortalityRisk-adjusted oddsLong-term outcomesMultivariable logistic regressionNontrauma centersTrauma patientsTerm outcomesTrauma centerPrimary diagnosisBrain injuryTrauma systemMAIN OUTCOMEMedicare feeService claimsForms of traumaA qualitative study of coaching patient priorities‐aligned decision‐making through virtual case‐based discussions
Ouellet J, Kiwak E, Tinetti M, Hashmi A, Ng H, Esterson J, Davenport C. A qualitative study of coaching patient priorities‐aligned decision‐making through virtual case‐based discussions. Journal Of The American Geriatrics Society 2023, 71: e34-e37. PMID: 37787061, PMCID: PMC11045177, DOI: 10.1111/jgs.18609.Peer-Reviewed Original ResearchPersons living with dementia and multiple chronic conditions identifying health priorities with care partners
Vu T, Mroz E, Hernandez‐Bigos K, Chow D, Ternent R, Johnson K, Tinetti M, Monin J. Persons living with dementia and multiple chronic conditions identifying health priorities with care partners. Journal Of The American Geriatrics Society 2023, 71: 2005-2008. PMID: 36705432, PMCID: PMC10836201, DOI: 10.1111/jgs.18257.Peer-Reviewed Original Research
2022
Benefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia
Ouellet GM, O'Leary JR, Leggett CG, Skinner J, Tinetti ME, Cohen AB. Benefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia. Journal Of The American Geriatrics Society 2022, 71: 561-568. PMID: 36310367, PMCID: PMC9957933, DOI: 10.1111/jgs.18108.Peer-Reviewed Original ResearchConceptsNursing home residentsAtrial fibrillationAdvanced dementiaHome residentsStroke riskLong-stay nursing home residentsMedicare Part D claimsDementia-related mortalityGuideline-recommended thresholdHarms of anticoagulationRetrospective cohort studyMultivariable survival analysisValvular heart diseaseRisk of deathPart D claimsMonths of lifeMinimum Data SetAnticoagulant discontinuationAnticoagulated individualsMean CHAVASc scoreCause mortalityMultivariable adjustmentOral anticoagulantsCohort study
2021
Outcome Goals and Health Care Preferences of Older Adults With Multiple Chronic Conditions
Tinetti ME, Costello DM, Naik AD, Davenport C, Hernandez-Bigos K, Van Liew JR, Esterson J, Kiwak E, Dindo L. Outcome Goals and Health Care Preferences of Older Adults With Multiple Chronic Conditions. JAMA Network Open 2021, 4: e211271. PMID: 33760091, PMCID: PMC7991967, DOI: 10.1001/jamanetworkopen.2021.1271.Peer-Reviewed Original ResearchConceptsMultiple chronic conditionsHealth care preferencesHealth care activitiesCare preferencesChronic conditionsCare activitiesOlder adultsRealistic outcome goalsEmergency department visitsHealth care visitsPrimary care practicesCross-sectional studyHealth-related barriersOutcome goalsEligible patientsPain medicationCare visitsDepartment visitsSleep medicationHealth outcome goalsMean ageCare studiesGlucose levelsMAIN OUTCOMEMedications
2019
Challenges 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 problemsDecision 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 decisionsPatientsReviewGeriatriciansCardiologists
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 decisionPolypharmacyFeasibility of Implementing Patient Priorities Care for Older Adults with Multiple Chronic Conditions
Blaum CS, Rosen J, Naik AD, Smith CD, Dindo L, Vo L, Hernandez‐Bigos K, Esterson J, Geda M, Ferris R, Costello D, Acampora D, Meehan T, Tinetti ME. Feasibility of Implementing Patient Priorities Care for Older Adults with Multiple Chronic Conditions. Journal Of The American Geriatrics Society 2018, 66: 2009-2016. PMID: 30281777, PMCID: PMC7015118, DOI: 10.1111/jgs.15465.Peer-Reviewed Original ResearchConceptsPatient Priorities CarePrimary care providersMultiple chronic conditionsOlder adultsChronic conditionsElectronic health record supportStudy-Act cyclesImplementation feasibility studyClinical championsHealth outcome goalsPrimary careClinicians' perceptionsTreatment decisionsPatient prioritiesClinic workflowClinician concernsCardiology practiceCare providersPDSA cyclesEHR documentationClinical settingHealthcare preferencesPriority discussionInterprofessional communicationClinicians
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
2015
Association between guideline recommended drugs and death in older adults with multiple chronic conditions: population based cohort study
Tinetti ME, McAvay G, Trentalange M, Cohen AB, Allore HG. Association between guideline recommended drugs and death in older adults with multiple chronic conditions: population based cohort study. The BMJ 2015, 351: h4984. PMID: 26432468, PMCID: PMC4591503, DOI: 10.1136/bmj.h4984.Peer-Reviewed Original ResearchConceptsSerotonin-norepinephrine reuptake inhibitorsMultiple chronic conditionsSelective serotonin reuptake inhibitorsAdjusted hazard ratioRisk of deathCalcium channel blockersChronic conditionsHazard ratioΒ-blockersCohort studyReuptake inhibitorsAtrial fibrillationOlder adultsChannel blockersCardiovascular drugsSSRIs/serotonin-norepinephrine reuptake inhibitorsRenin-angiotensin system blockersNorepinephrine reuptake inhibitorsSerotonin reuptake inhibitorsCommon combinationRAS blockersSystem blockersStudy drugHeart failureThromboembolic disease
2014
A Cluster-Randomized Controlled Trial of a Multicomponent Intervention Protocol for Pneumonia Prevention Among Nursing Home Elders
Juthani-Mehta M, Van Ness PH, McGloin J, Argraves S, Chen S, Charpentier P, Miller L, Williams K, Wall D, Baker D, Tinetti M, Peduzzi P, Quagliarello VJ. A Cluster-Randomized Controlled Trial of a Multicomponent Intervention Protocol for Pneumonia Prevention Among Nursing Home Elders. Clinical Infectious Diseases 2014, 60: 849-857. PMID: 25520333, PMCID: PMC4415071, DOI: 10.1093/cid/ciu935.Peer-Reviewed Original ResearchConceptsNursing home residentsUsual careHome residentsIntervention protocolFirst pneumoniaControl armClinical trialsNursing homesMultivariable Cox regression modelsElderly nursing home residentsCluster-randomized clinical trialImportant public health problemChlorhexidine oral rinseModifiable risk factorsRespiratory tract infectionsCox regression modelNursing home eldersPublic health problemHazard ratioPneumonia preventionSecondary outcomesTract infectionsControlled TrialsPrimary outcomeOral rinseTests for Urinary Tract Infection in Nursing Home Residents
Juthani-Mehta M, Datunashvili A, Tinetti M. Tests for Urinary Tract Infection in Nursing Home Residents. JAMA 2014, 312: 1687-1688. PMID: 25335152, DOI: 10.1001/jama.2014.13554.Peer-Reviewed Original ResearchAntihypertensive Medications and Serious Fall Injuries in a Nationally Representative Sample of Older Adults
Tinetti ME, Han L, Lee DS, McAvay GJ, Peduzzi P, Gross CP, Zhou B, Lin H. Antihypertensive Medications and Serious Fall Injuries in a Nationally Representative Sample of Older Adults. JAMA Internal Medicine 2014, 174: 588-595. PMID: 24567036, PMCID: PMC4136657, DOI: 10.1001/jamainternmed.2013.14764.Peer-Reviewed Original ResearchConceptsSerious fall injuriesAdjusted hazard ratioAntihypertensive medicationsMultiple chronic conditionsFall injuriesAntihypertensive groupHazard ratioOlder adultsChronic conditionsAntihypertensive medication classesStandardized daily doseAntihypertensive medication useCommunity-living adultsPropensity score adjustmentTraumatic brain injuryHealthy older adultsMedication intensityCardiovascular eventsMedication classesDaily doseHip fractureMedication useNationally Representative SampleHead injuryBrain injury
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