Featured Publications
Evaluation 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 interventionsDiseaseCardiologyImproving the preoperative assessment of older adults considering surgery: The need for a structured curriculum during surgery residency
Miller S, Morton C, Glerum K, White E, Becher R, Yoo P, Rosenthal R, Tinetti M. Improving the preoperative assessment of older adults considering surgery: The need for a structured curriculum during surgery residency. Surgery In Practice And Science 2023, 14: 100205. DOI: 10.1016/j.sipas.2023.100205.Peer-Reviewed Original Research
2013
The impact of medication use on symptom burden in older patients with multiple medical morbidities
Han M, Tinetti M, Agostini J, Han L, Lee H, Walke L. The impact of medication use on symptom burden in older patients with multiple medical morbidities. Journal Of Clinical Gerontology And Geriatrics 2013, 4: 84-88. DOI: 10.1016/j.jcgg.2013.03.002.Peer-Reviewed Original ResearchSymptom burdenMedical morbidityMedication useVeterans Affairs primary care clinicsGreater medication useMultiple medical morbiditiesNumber of medicationsMedical record reviewPrimary care clinicsSurvey of patientsAdverse drug eventsCross-sectional studySeverity of symptomsAdditional medicationOlder patientsCare clinicsRecord reviewRoutine appointmentsDrug eventsChi-square analysisMorbiditySevere symptomsMedicationsLinear regression analysisSymptom categories
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
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 markersMODELS 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