Pub Date : 2024-12-23DOI: 10.1016/j.regg.2024.101615
Sergio García-González, Sara Pilar Martínez-Cisneros, José González-Fernández, Victoria Lezcano-Biosca
{"title":"Manicura gualda, lo que esconden las uñas","authors":"Sergio García-González, Sara Pilar Martínez-Cisneros, José González-Fernández, Victoria Lezcano-Biosca","doi":"10.1016/j.regg.2024.101615","DOIUrl":"10.1016/j.regg.2024.101615","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101615"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101585
Dafne Lastra Landa , Oscar Flores-Flores , José F. Parodi
{"title":"El envejecimiento en poblaciones indígenas de la Amazonía peruana: una agenda pendiente de investigación","authors":"Dafne Lastra Landa , Oscar Flores-Flores , José F. Parodi","doi":"10.1016/j.regg.2024.101585","DOIUrl":"10.1016/j.regg.2024.101585","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101585"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101578
José María Ortega Morente, Leopoldo Bárcena Goitiandia, Salvador Cuevas Durón, José Luter Llanque Callata, Juliana Zuluaga Gómez, Johanna Pamela Vázquez Grande
{"title":"Neumovejiga y Neumaturia secundarios a Infecciones Enfisematosas del Tracto Urinario, signos poco comunes","authors":"José María Ortega Morente, Leopoldo Bárcena Goitiandia, Salvador Cuevas Durón, José Luter Llanque Callata, Juliana Zuluaga Gómez, Johanna Pamela Vázquez Grande","doi":"10.1016/j.regg.2024.101578","DOIUrl":"10.1016/j.regg.2024.101578","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101578"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101582
Leonor Cuadra-Llopart , Teresa Pareja Sierra , Pilar Sáez-López , Iñigo Etxebarria-Foronda , José R. Caeiro Rey
Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of the microarchitecture, resulting in bone fragility and risk of fractures.
As the life expectancy of the population increases, fragility fractures are expected to become more common. Indeed, the incidence rate for major fracture (hip, vertebra, pelvis, etc.) is highest among the population of adults aged 80 and over. Despite this, in Spain, three out of four patients who have experienced a fragility fracture do not receive drug treatment for the secondary prevention of new fractures. Therefore, it is crucial to raise awareness among healthcare professionals of the need to assess imminent fracture risk in older patients who have already sustained a fragility fracture and to initiate a rapid, appropriate, effective, and safe secondary fracture prevention strategy.
The various clinical guidelines on secondary prevention of fragility fractures published to date do not reflect the heterogeneity of older adults.
The aim of this paper is to provide a brief description of the available scientific evidence on the efficacy and safety of pharmacological treatments for osteoporosis in older adults and to submit a position paper proposed by the Spanish Society of Osteoporotic Fractures (SEFRAOS), which places greater emphasis on the specifics of the approach to and treatment of older adults who have sustained a fragility fracture.
{"title":"Efficacy and safety of osteoporosis treatment in older adults. Approach for the secondary prevention of fractures in older populations. A proposal by SEFRAOS","authors":"Leonor Cuadra-Llopart , Teresa Pareja Sierra , Pilar Sáez-López , Iñigo Etxebarria-Foronda , José R. Caeiro Rey","doi":"10.1016/j.regg.2024.101582","DOIUrl":"10.1016/j.regg.2024.101582","url":null,"abstract":"<div><div>Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of the microarchitecture, resulting in bone fragility and risk of fractures.</div><div>As the life expectancy of the population increases, fragility fractures are expected to become more common. Indeed, the incidence rate for major fracture (hip, vertebra, pelvis, etc.) is highest among the population of adults aged 80 and over. Despite this, in Spain, three out of four patients who have experienced a fragility fracture do not receive drug treatment for the secondary prevention of new fractures. Therefore, it is crucial to raise awareness among healthcare professionals of the need to assess imminent fracture risk in older patients who have already sustained a fragility fracture and to initiate a rapid, appropriate, effective, and safe secondary fracture prevention strategy.</div><div>The various clinical guidelines on secondary prevention of fragility fractures published to date do not reflect the heterogeneity of older adults.</div><div>The aim of this paper is to provide a brief description of the available scientific evidence on the efficacy and safety of pharmacological treatments for osteoporosis in older adults and to submit a position paper proposed by the Spanish Society of Osteoporotic Fractures (SEFRAOS), which places greater emphasis on the specifics of the approach to and treatment of older adults who have sustained a fragility fracture.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101582"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Colitis colágena en una paciente octogenaria: a propósito de un caso","authors":"Constanza Sepúlveda Gallardo , Carlota Toapanta Gaibor , Emilio Sacanella Meseguer , Marta Arroyo-Huidobro","doi":"10.1016/j.regg.2024.101581","DOIUrl":"10.1016/j.regg.2024.101581","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101581"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101586
Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón
{"title":"El arte como aliado para mejorar la calidad de la asistencia en geriatría","authors":"Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón","doi":"10.1016/j.regg.2024.101586","DOIUrl":"10.1016/j.regg.2024.101586","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101586"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101572
Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho
Antecedents and objective
The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.
Methodology
For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.
Results
The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.
Conclusions
We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.
{"title":"Un modelo de panel de las relaciones entre soledad y depresión en personas mayores","authors":"Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho","doi":"10.1016/j.regg.2024.101572","DOIUrl":"10.1016/j.regg.2024.101572","url":null,"abstract":"<div><h3>Antecedents and objective</h3><div>The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.</div></div><div><h3>Methodology</h3><div>For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.</div></div><div><h3>Results</h3><div>The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.</div></div><div><h3>Conclusions</h3><div>We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101572"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-16DOI: 10.1016/j.regg.2024.101575
Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González
The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.
IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.
The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).
With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.
{"title":"Marco conceptual y perspectiva histórica de la atención intermedia","authors":"Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González","doi":"10.1016/j.regg.2024.101575","DOIUrl":"10.1016/j.regg.2024.101575","url":null,"abstract":"<div><div>The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.</div><div>IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.</div><div>The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).</div><div>With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101575"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-16DOI: 10.1016/j.regg.2024.101573
Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman
Introduction
Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.
Objectives
Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.
Method
We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.
Results
We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.
Conclusions
The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.
{"title":"Envejecer con sentido. Un estudio cualitativo y multicultural","authors":"Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman","doi":"10.1016/j.regg.2024.101573","DOIUrl":"10.1016/j.regg.2024.101573","url":null,"abstract":"<div><h3>Introduction</h3><div>Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.</div></div><div><h3>Objectives</h3><div>Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.</div></div><div><h3>Method</h3><div>We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.</div></div><div><h3>Results</h3><div>We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.</div></div><div><h3>Conclusions</h3><div>The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101573"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-16DOI: 10.1016/j.regg.2024.101580
María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde
{"title":"Metástasis en coraza de adenocarcinoma de próstata","authors":"María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde","doi":"10.1016/j.regg.2024.101580","DOIUrl":"10.1016/j.regg.2024.101580","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101580"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}