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News, opinions and meeting coverage in primary care.

A photo of a young male physician in his office talking to his senior male patient

Knowing When to Start, Knowing When to Stop

Discussions about screening recommendations can be difficult, but they're worth having

A photo of a female physician checking on her senior female patient鈥檚 recovery after total hip arthroplasty

Three-Drug Combo Wins for Opioid-Sparing Pain Relief After Hip Replacement

Less morphine needed with multiple analgesics

An overhead shot of a woman holding a glass of water and steadying her hand with her other hand

Dementia More Common in People With Essential Tremor

Prevalence greater than normal aging, but not as high as Parkinson's disease

FDA APPROVED Interchangeable biosimilars to Prolia and Xgeva over a computer rendering of bone affected by osteoporosis.

FDA OKs First Interchangeable Biosimilars for Denosumab

New products will carry all the same indications as Prolia and Xgeva, though launch date unclear

A close up photo of a senior woman holding a glass of water and a white pill.

Seniors, Doctors at Odds on Opioid Risks and 'Deprescribing'

Conversations between primary care physicians and older patients often "challenging"

A photo of surgeons helping each other put on rubber gloves prior to surgery.

Emergency Surgery Rates Higher in Primary Care Shortage Areas, Study Suggests

Retrospective study on Medicare patients shows disparities in serious complications, readmissions

A photo of Donald Berwick, MD

Obama CMS Chief: Medicare Advantage Plans Game the System

Don Berwick says MA growth "should be slowed or stopped"

A computer rendering of a respiratory syncytial virus

CDC Monitoring Rare Neurologic Events After RSV Vaccination

Cases of Guillain-Barre syndrome in vaccinated older adults slightly higher than background rates

A photo of a male physician inspecting his senior female patient鈥檚 knee replacement scars.

Multimodal Pre-Op Program Aids Knee Replacement Candidates

Patients feel better as they wait for surgery; a few find they no longer need it

A photo of a senior man wearing a protective mask who is waiting for a COVID vaccination

Older Adults Should Get Another COVID Booster, CDC Advisors Say

High hospitalization rates, low vaccine uptake behind decision

A photo of President Joe Biden during a visit to Walter Reed National Military Medical Center

Biden's Annual Physical Results Will Be Closely Watched as Election Nears

Last year, doctors declared Biden "healthy, vigorous" and "fit"

A photo of a crop duster flying over a farm field in Oklahoma

Parkinson's Risk Tied to More Pesticides

Simazine, atrazine, lindane in the Rocky Mountain and Great Plains region emerge in new analysis

Side by side photos of President Joe Biden and former President Donald Trump

Trump, Biden, and Cognition

Diagnosing impairment requires careful assessment by trained clinician, says Jason Karlawish, MD

A photo of bottles of galantamine supplement capsules.

Alzheimer's Supplements Fail Compared With Generic Drugs

Prescription galantamine drugs were labeled accurately, but dietary supplements were not

A photo of a hospital palliative care unit sign.

Palliative Care Has a Branding Problem

Changing how it's perceived can break down silos

A computer rendering of nerve cells affected by Alzheimer鈥檚 disease.

Alzheimer's Biomarkers Show Specific Changes 20 Years Before Diagnosis

CSF and imaging markers changed in a temporal sequence

A photo of seniors playing pickleball outdoors.

Net Danger? Ophthalmologists Have Their Eyes on Pickleball

While it's not as risky as many other sports, growing pastime still spawns optical injuries

A photo of foods rich in thiamine

Dietary Thiamine Linked With Cognition

J-shaped curve emerges between vitamin B1 in diet and cognitive decline

Computer renderings of COVID, RSV, and flu viruses

When It Comes to Isolation, COVID Shouldn't Be Singled Out From the Pack

It's time for CDC to update its guidance

A photo of a senior woman receiving a covid vaccination at a drive through clinic.

Do We Simply Not Care About Old People?

The pandemic was a wake-up call on how we care for older adults

AAOS over a photo of Moscone Center in San Francisco, CA

Looking for Source of Knee Implant Failure? Biomarkers May Help

Blood or synovial fluid tests can help pinpoint what went wrong, studies suggest

A photo of boxes and blister packs of Paxlovid

COVID's Latest Adaptation: It Has Lulled Us to Sleep

My doctor's refusal to prescribe "just-in-case" Paxlovid speaks volumes

AAOS over a photo of Moscone Center in San Francisco, CA

Clear Opportunity to Identify Patients With Osteoporosis Commonly Missed

Hip surgeons could, but mostly don't, send at-risk patients for screening

AAOS over a photo of Moscone Center in San Francisco, CA

Study: Let's Revisit Extended Antibiotic Prophylaxis in Joint Replacement

One center's experience puts recent policy in doubt

A photo of a Prolia auto injector

Denosumab Protective Against Diabetes?

Study found lower diabetes incidence with osteoporosis drug for patients who stayed on treatment

A computer rendered cutaway of a blood flowing through a vessel

Dementia Predicted 10 Years Before Diagnosis

Blood proteins identified those at risk for all-cause, Alzheimer's, or vascular dementia

AAOS over a photo of Moscone Center in San Francisco, CA

Could Weight-Loss Drug Improve Hip Replacement Outcomes?

Two studies, two conclusions

A photo of PDE5 inhibitor erectile dysfunction drugs

Erectile Dysfunction Drugs Tied to Less Alzheimer's Risk

Large U.K. study tracked health records of 270,000 men

A microscope image of uric acid crystals

Early Marker Found for Long-Term Gout Flare Potential

And the bad news: urate-lowering therapy seemed to make no difference

A computer rendering beta amyloid accumulating between neurons

Even With Alzheimer's Pathology, Healthy Lifestyles May Preserve Cognition

More data support the idea of "cognitive reserve"

A computer rendering of a diseased liver.

Undiagnosed Liver Disease May Be Common in Patients With Dementia

Hepatic encephalopathy could be contributing to cognitive symptoms, study suggested

A photo of the packaging and vial of Aduhelm.

Controversial Alzheimer's Drug Abandoned

Biogen will stop developing and selling aducanumab

A photo of a young male doctor sitting across the desk from his senior female patient.

Some 'Choosing Wisely' Recs Protect Older Folks From Low-Value Care

Study looked at how three recommendations changed primary care decisions

A photo of a frozen pizza in an electric oven.

Dietary Factors Tied to Osteoarthritis Pain

But radiographic parameters not affected, raising questions about the link

Cancer After Weight Loss; How Older Adults Use the Healthcare System

Also in TTHealthWatch: PFAS guidelines for clinicians

A computer rendering of neurons containing Lewy bodies

New Parkinson's Definition Proposed Based on Biomarkers

Framework focuses on the biology of Lewy body diseases

A photo of a female nurse hugging her senior female patient at they sit on her bed together.

A Reminder of the Value of Hospice

What it is, what it isn't

A photo of the box of and blisterpack of diazepam tablets lying on the prescribing information

Benzodiazepines Tied to Worse Outcomes in Progressive Supranuclear Palsy

Drugs are commonly prescribed to treat insomnia, anxiety in PSP

A photo of a senior man walking on the beach in Australia

Adults Who Cite Walking Difficulty Face Higher Fracture Risk

Australian study suggests walking ability can help identify candidates for more assessment

A photo of gabapentinoid capsules in the palm of a man鈥檚 hand.

Gabapentinoid Use Continues to Climb

Gabapentin still commonly prescribed off-label for chronic pain

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