Making Prevention Recommendations Relevant for an Aging Population
Authors: Mary E. Tinetti
Journal: Annals of Internal Medicine (2010)

Editorials21 December 2010Making Prevention Recommendations Relevant for an Aging PopulationMary E. Tinetti, MDMary E. Tinetti, MDFrom Yale University School of Medicine, New Haven, CT 06520-8025.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-153-12-201012210-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail With its systematic review of fall prevention interventions (1) and the accompanying article that articulates specific considerations for prevention in geriatric populations (2), the U.S. Preventive Services Task Force (USPSTF) takes a major step toward ensuring that its work remains relevant. Primary care has evolved considerably since the USPSTF was established in 1984, with a focus on encouraging evidenced-based screening for discrete diseases, disease risk, and disease events. Compared with that of 1984, today's typical primary care patient is older, takes more medications, has more chronic conditions, and visits more specialists who perform more tests and procedures and recommend more ...References1. Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R. Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2010;153:815-25. LinkGoogle Scholar2. Leipzig RM, Whitlock EP, Wolff TA, Barton MB, Michael YL, Harris R, et al; U.S. Preventive Services Task Force Geriatric Workgroup. Reconsidering the approach to prevention recommendations for older adults. Ann Intern Med. 2010;153:809-14. LinkGoogle Scholar3. Cherry D, Lucas C, Decker SL. Population Aging and the Use of Office-Based Physician Services. NCHS Data Brief No. 41. Hyattsville, MD: National Center for Health Statistics; 2010. Google Scholar4. 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Fried TR, McGraw S, Agostini JV, Tinetti ME. Views of older persons with multiple morbidities on competing outcomes and clinical decision-making. J Am Geriatr Soc. 2008;56:1839-44. [PMID: 18771453] CrossrefMedlineGoogle Scholar14. Fried TR, Tinetti M, Agostini J, Iannone L, Towle V. Health outcome prioritization to elicit preferences of older persons with multiple health conditions. Patient Educ Couns. 2010;:. [PMID: 20570078] MedlineGoogle Scholar15. VanLare JM, Conway PH, Sox HC. Five next steps for a new national program for comparative-effectiveness research. N Engl J Med. 2010;362:970-3. [PMID: 20164480] CrossrefMedlineGoogle Scholar16. U.S. Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2009;151:716-26, W-236. [PMID: 19920272] MedlineGoogle Scholar17. Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L; U.S. Preventive Services Task Force. Screening for breast cancer: an update for the U.S. Preventive Services Task Force. Ann Intern Med. 2009;151:727-37, W237-42. [PMID: 19920273] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Mary E. Tinetti, MDAffiliations: From Yale University School of Medicine, New Haven, CT 06520-8025.Grant Support: By the Yale Pepper Center (P30 AG021342) from the National Institute on Aging.Disclosures: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2363.Corresponding Author: Mary E. Tinetti, MD, Department of Internal Medicine/Geriatrics, Yale University School of Medicine, 333 Cedar Street, Box 208025, New Haven, CT 06520-8025; e-mail, mary.tinetti@yale.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoReconsidering the Approach to Prevention Recommendations for Older Adults Rosanne M. Leipzig , Evelyn P. Whitlock , Tracy A. Wolff , Mary B. Barton , Yvonne L. Michael , Russell Harris , Diana Petitti , Timothy Wilt , and Al Siu , for the U.S. Preventive Services Task Force Geriatric WorkgroupPrimary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force Yvonne L. Michael , Evelyn P. Whitlock , Jennifer S. Lin , Rongwei Fu , Elizabeth A. O'Connor , and Rachel Gold Metrics Cited byPredictors of Health Satisfaction in Spanish Physically Active Older Adults: A Cross-Sectional Observational StudyComprehensive Geriatric AssessmentComprehensive Geriatric AssessmentComprehensive Geriatric AssessmentConsejo y prevención a pacientes mayores en hospitales y residencias geriátricas en EspañaEvaluation of a nurse-led fall prevention education program in Turkish nursing home residentsInkjet Printed Pressure Sensing Platform for Postural Imbalance MonitoringDecision Making in Acute Stroke CareComprehensive Geriatric AssessmentGuidelines for the Older Adult With CKDScreening and Preventive Services for Older Adults 21 December 2010Volume 153, Issue 12 Page: 843-844 Keywords Clinical trials Elderly Falls Geriatrics Medicare Mortality Quality of life Risk assessments Systematic reviews ePublished: 21 December 2010 Issue Published: 21 December 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. 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