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June 19, 1991, Vol 265, No. 23 >
ARTICLE | June 19, 1991

Geriatric Medicine FREE

Eric B. Larson, MD, MPH
JAMA. 1991;265(23):3125-3126. doi:10.1001/jama.1991.03460230075017
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References

As physicians find themselves spending more time caring for older patients, American medicine has developed an increased appreciation of some of the important features of geriatric medicine. Medical problems of aging are less likely to be just "medical" and short-term. Rather, the conscientious physician practicing good geriatric medicine appreciates the social, environmental, economic, and ethical dimensions that are part of the patient's medical problems. The time horizon for most diseases of old age, their amelioration or prevention, is long-term. Advance planning and the availability of effective caregivers in a supportive environment have important effects on patient well-being.

As physicians have added the geriatric medicine perspective to their practice style, the knowledge base of geriatric medicine has also advanced. Advances have occurred from careful, painstaking, time-consuming clinical research on common chronic diseases, discoveries in clinical and basic science laboratories, and evaluation of programs designed to promote well-being (for example, "successful aging")

REFERENCES

1 +
Cummings SR, Black DM, Nevitt MC, et al.  Appendicular bone density and age predict hip fracture in women . JAMA . 1990;;263:665-668.
2 +
Cummings SR, Browner WS, Grady D, Ettinger B.  Should prescription of postmenopausal hormone therapy be based on the results of bone densitimetry? Ann Intern Med. 1990;; 113:565-567.
3 +
Riggs BL, Hodgson SF, O'Fallon WM, et al.  Effect of fluoride treatment on the fracture rate in postmenopausal women with osteoporosis . N Engl J Med. 1990;;322:802-809.
4 +
Storm T, Thamsborg G, Steiniche T, Genant HK, Sorensen OH.  Effect of intermittent cyclical etidronate therapy on bone mass and fracture rate in women with postmenopausal osteoporosis . N Engl J Med. 1990;;322:1256-1271.
5 +
Wetts NB, Harris ST, Genant HK, et al.  Intermittent cyclical etidronate treatment of postmenopausal osteoporosis . N Engl J Med. 1990;;323:73-79.
6 +
Paul TL, Kerrigan J, Kelly AM, Bravermen LE, Baran DT.  Long-term L-thyroxine therapy is associated with decreased hip bone density in premenopausal women . JAMA . 1988;;259: 3137-3141.
7 +
LaCroix AZ, Wienpahl J, White LR, et al.  Thiazide diuretic agents and the incidence of hip fracuture . N Engl J Med. 1990;;322:286-290.
8 +
Ott SM, Chestnut CH.  Calcitriol treatment is not effective in postmenopausal osteoporosis . Ann Intern Med. 1989;;110: 267-276.
9 +
Gallagher JC, Goldgar D.  Treatment of postmenopausal osteoporosis with high doses of synthetic calcitriol . Ann Intern Med. 1990;;113:645-655.
10 +
Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ.  High intensity strength training in nonagenarians . JAMA . 1990;;263:3029-3034.
11 +
Joachim CL, Mori H, Selkoe DJ.  Amyloid β-protein deposition in tissues other than brain in Alzheimer's disease . Nature . 1989;;341:226-230.
12 +
Yankner BA, Dawes LR, Fisher S, et al.  Neurotoxicity of a fragment of the amyloid precursor associated with Alzheimer's disease . Science . 1989;;245:417-420.
13 +
Whitson JG, Selkoe DJ, Cotman CW.  Amyloid β-protein enhances the survival of hippocampal neurons in vitro . Science . 1989;;243:1488-1490.
14 +
Thompson TL, Filley CR, Mitchell WD, Culig KM, LoVerde M, Byyny RL.  Lack of efficacy of hydergine in patients with Alzheimer's disease . N Engl J Med. 1990;;323:445-448.
15 +
Reifler BV, Teri L, Raskind M, et al.  Double-blind trial of imipramine in Alzheimer's disease patients with and without depression . Am J Psychiatry. 1989;;146:45-49.
16 +
Murphy DJ.  Improving advance directives for healthy older people . J Am Geriatr Soc. 1990;;38:1251-1256.
17 +
Hare J, Nelson C.  Will outpatients complete living wills? J Gen Intern Med. 1991;;6:41-46.

Figures

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Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Cummings SR, Black DM, Nevitt MC, et al.  Appendicular bone density and age predict hip fracture in women . JAMA . 1990;;263:665-668.
2 +
Cummings SR, Browner WS, Grady D, Ettinger B.  Should prescription of postmenopausal hormone therapy be based on the results of bone densitimetry? Ann Intern Med. 1990;; 113:565-567.
3 +
Riggs BL, Hodgson SF, O'Fallon WM, et al.  Effect of fluoride treatment on the fracture rate in postmenopausal women with osteoporosis . N Engl J Med. 1990;;322:802-809.
4 +
Storm T, Thamsborg G, Steiniche T, Genant HK, Sorensen OH.  Effect of intermittent cyclical etidronate therapy on bone mass and fracture rate in women with postmenopausal osteoporosis . N Engl J Med. 1990;;322:1256-1271.
5 +
Wetts NB, Harris ST, Genant HK, et al.  Intermittent cyclical etidronate treatment of postmenopausal osteoporosis . N Engl J Med. 1990;;323:73-79.
6 +
Paul TL, Kerrigan J, Kelly AM, Bravermen LE, Baran DT.  Long-term L-thyroxine therapy is associated with decreased hip bone density in premenopausal women . JAMA . 1988;;259: 3137-3141.
7 +
LaCroix AZ, Wienpahl J, White LR, et al.  Thiazide diuretic agents and the incidence of hip fracuture . N Engl J Med. 1990;;322:286-290.
8 +
Ott SM, Chestnut CH.  Calcitriol treatment is not effective in postmenopausal osteoporosis . Ann Intern Med. 1989;;110: 267-276.
9 +
Gallagher JC, Goldgar D.  Treatment of postmenopausal osteoporosis with high doses of synthetic calcitriol . Ann Intern Med. 1990;;113:645-655.
10 +
Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ.  High intensity strength training in nonagenarians . JAMA . 1990;;263:3029-3034.
11 +
Joachim CL, Mori H, Selkoe DJ.  Amyloid β-protein deposition in tissues other than brain in Alzheimer's disease . Nature . 1989;;341:226-230.
12 +
Yankner BA, Dawes LR, Fisher S, et al.  Neurotoxicity of a fragment of the amyloid precursor associated with Alzheimer's disease . Science . 1989;;245:417-420.
13 +
Whitson JG, Selkoe DJ, Cotman CW.  Amyloid β-protein enhances the survival of hippocampal neurons in vitro . Science . 1989;;243:1488-1490.
14 +
Thompson TL, Filley CR, Mitchell WD, Culig KM, LoVerde M, Byyny RL.  Lack of efficacy of hydergine in patients with Alzheimer's disease . N Engl J Med. 1990;;323:445-448.
15 +
Reifler BV, Teri L, Raskind M, et al.  Double-blind trial of imipramine in Alzheimer's disease patients with and without depression . Am J Psychiatry. 1989;;146:45-49.
16 +
Murphy DJ.  Improving advance directives for healthy older people . J Am Geriatr Soc. 1990;;38:1251-1256.
17 +
Hare J, Nelson C.  Will outpatients complete living wills? J Gen Intern Med. 1991;;6:41-46.

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