The 5Ms of Geriatrics in Gastroenterology: The Path to Creating Age-Friendly Care for Older Adults With Inflammatory Bowel Diseases and Cirrhosis.
The 5Ms of Geriatrics in Gastroenterology: The Path to Creating Age-Friendly Care for Older Adults With Inflammatory Bowel Diseases and Cirrhosis.
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DOI：
10.14309/ctg.0000000000000445
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发表时间：
2022-01-12
影响因子：
3.6
通讯作者：
Lai JC
中科院分区：
文献类型：
--
作者：
Kochar B;Ufere NN;Ritchie CS;Lai JC
到2060年，65岁及以上的美国人数量将是2014年的两倍多。在美国胃肠病学（GI）和肝病学实践中，大约40%的患者年龄在60岁或以上。调整护理提供模式，整理与老年综合征相关的风险-收益决策数据，理解适当的评估，并专注于量身定制的实施策略，这些都是我们在为迅速增长的老年人提供护理时积极面临的挑战。老年病学专家的有限可用性导致照顾老年人的专家（如胃肠病学家）有责任创新和开发针对老年人的量身定制的、全面的和基于证据的护理。在本文中，我们介绍了老年病学的5M框架，以实现对年龄友好的医疗保健。这五个ms分别是药物、思维、流动性、多重复杂性和最重要的东西。我们将5M框架应用于临床GI实践中常见的两种慢性疾病：炎症性肠病和肝硬化。我们强调了知识差距，概述了扩大循证护理和推进老年人友好型胃肠道护理的未来方向。
The number of Americans 65 years or older in 2060 will be more than double what it was in 2014. Approximately 40% of patients seen in gastroenterology (GI) and hepatology practices in the United States are 60 years or older. Adapting care delivery models, curating data on shifting risk-benefit decisions with geriatric syndromes, understanding appropriate assessments, and focusing on tailored implementation strategies are challenges that are actively confronting us as we provide care for a burgeoning population of older adults. Limited availability of geriatric specialists results in an onus of specialists caring for older adults, such as gastroenterologists, to innovate and develop tailored, comprehensive, and evidence-based care for adults in later life stages. In this article, we present the 5M framework from geriatrics to achieve age-friendly healthcare. The 5Ms are medications, mind, mobility, multicomplexity, and what matters most. We apply the 5M framework to 2 chronic conditions commonly encountered in clinical GI practice: inflammatory bowel diseases and cirrhosis. We highlight knowledge gaps and outline future directions to expand evidence-based care and advance the creation of age-friendly GI care.
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DOI：
10.1016/j.cgh.2020.03.033
发表时间：
2020-12
期刊：
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
影响因子：
--
作者：
Bajaj JS;Duarte-Rojo A;Xie JJ;Acharya C;Wade JB;Robles C;Thacker LR;Flud C;Fagan A;Garcia-Saenz-de-Sicilia M;White MB;Kelly M;Nguyen V;Gavis EA;Vargas HE
通讯作者：
Vargas HE
影响因子：
5.9
作者：
Ezaz, Ghideon;Murphy, Susan L.;Tapper, Elliot B.
通讯作者：
Tapper, Elliot B.
影响因子：
45.3
作者：
Hurria, Arti;Levit, Laura A.;Cohen, Harvey J.
通讯作者：
Cohen, Harvey J.
影响因子：
6.3
作者：
Haugen CE;Holscher CM;Garonzik-Wang J;Pozo M;Warsame F;McAdams-DeMarco M;Segev DL
通讯作者：
Segev DL
影响因子：
35.7
作者：
Alatab, Sudabeh;Sepanlou, Sadaf G.;Naghavi, Mohsen
通讯作者：
Naghavi, Mohsen