The Portal of Geriatrics Online Education

Repository of Electronic Critically Appraised Papers

The purpose of ReCAP (Repository of Electronic Critically Appraised Papers) is to provide a forum for geriatrics fellows and faculty where they can discuss the practice of evidence-based medicine in a systematic way, and hone their skills of clinical decision-making by critically examining evidence presented in recent clinical research papers. These are reviews of the validity of a single study; the ‘bottom lines’ do not reflect comparison with the rest of the literature on the subject.
Title Critique datesort ascending
Elderly survivors of in-hospital cardiac arrest have 1, 2 and 3-year survival rates ranging from 44% to 59% 04/27/2013
Medicare beneficiaries increasingly have hospice care at the time of death but also have increased intensive care unit use in the last 30 days of life 04/27/2013
Difficulties in diagnosing urinary tract infections in nursing home residents with advanced dementia. 04/19/2013
Balance and Strength Exercise Integrated into Daily Routines Prevents Falls in Older Adults. 03/11/2013
Virtual Reality Gaming may improve gait performance and confidence in balance in older adults. 03/11/2013
Discontinuation of risperidone in patients with Alzheimer's dementia increases risk of relapse of behavioral symptoms. 03/03/2013
Vitamin D supplementation does not prevent progression of knee pain and cartilage volume loss in patients with symptomatic osteoarthritis. 02/28/2013
Daily multivitamin has small effect in preventing cancer in men over 50. 02/15/2013
Elevated blood pressure associated with decreased risk of stroke in functionally or cognitively impaired elderly. 02/03/2013
Insufficient evidence to support the effectiveness of pregabalin in treating neuropathic pain in cancer patients. 01/19/2013
Meta-analysis finds equivocal results from controlled studies on percutaneous vertebroplasty for compression fractures in the elderly. 01/19/2013
Hospitalization and delirium in elderly patients with Alzheimer’s are independent risk factors for cognitive decline, institutionalization, and death. 01/10/2013
Tight control of diabetes mellitus in nursing-home eligible older adults may be associated with poor outcomes. 01/09/2013
Donepezil may improve cognition and reduce behavioral symptoms in patients with Dementia with Lewy Bodies. 09/30/2012
USPSTF guideline recommends physical therapy or exercise and vitamin D supplementation to reduce falls in community dwelling elderly. 09/18/2012
Prognostic tools may be limited in predicting mortality in heart failure patients. 09/05/2012
Transcatheter AVR can decrease mortality at 2 years in inoperable patients with severe Aortic Stenosis. 08/16/2012
Nutritional supplementation may shorten length of stay after hip fracture. 08/16/2012
Tools for risk stratification are limited in identifying older patients at risk of readmissions after emergency visits. 08/15/2012
Palliative Sedation may not shorten survival in terminal cancer patients. 08/14/2012
Continuation of donepezil in patients with moderate-to-severe Alzheimer’s disease may improve cognition at 52 weeks. 08/07/2012
Discontinuation of SSRIs, with careful monitoring, may be tolerated in some patients with dementia but may worsen symptoms in others. 08/07/2012
Telemonitoring didn't result in fewer hospitalizations or ED visits among older adults. 07/26/2012
Analgesic medications can reduce behavioral disturbances in nursing home residents with dementia. 07/26/2012
Behavioral therapy is as effective as oxybutynin in men with overactive bladder without obstruction. 07/20/2012


Subscribe to Repository of electronic Critically Appraised Papers