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FMDA Journal Club

FMDA’s new “virtual” Journal Club is a means for busy clinicians to maintain proficiency with ever-evolving medical science. Today, more than 5,000 biomedical publications appear every day and, as a result, keeping current has not become any easier. Developing a skill set to find, appraise, and implement practice-changing advancements in the medical literature is fundamental.

This virtual Journal Club is designed to develop a learner-based community of those seeking to improve health care and health through enhanced care in the post-acute and long-term care continuum (PA/LTC). It is a forum where people who care can meet, share, learn, and create change.

FMDA’s Journal Club helps you stay current with the latest evidence-based clinical information relevant to PA/LTC medicine. Journal Club participants will share in reviewing articles that are interesting, provide relevant takeaways, and highlight best practices. It will be an effective way to gain new knowledge.

The Journal Club will be scheduled for 30-minutes, once a month, via conference call, and could be hosted by rotating club members. During these meetings the group will critically analyze recent literature using evidence-based medicine principles including: patient preferences, clinician expertise, and scientific findings, each weighted equally.

We will quickly review two to three papers and present highlights and takeaways in a concise, high-yield manner. Each paper will be reviewed in 10-15 minutes, and discussion will be encouraged. We look forward to your interest and participation.

The Co-chairs of this exciting new committee are Marianne Novelli, MD, FACP, FHM and Diane Sanders-Cepeda, DO, both with OPTUMCare. Dr. Novelli can be reached at mnovelli@optum.com and Dr. Sanders-Cepeda at diane.l.sanders@optum.com.

Please join us for the next scheduled meeting on Wednesday, July 25th, 2018, 12:30 p.m E.T.

Join from PC, Mac, Linux, iOS or Android: https://zoom.us/j/352531762

Or iPhone one-tap :US: +16468769923,,454112726# or +16699006833,,454112726#

Or Telephone:
Dial(for higher quality, dial a number based on your current location):
US: +1 646 876 9923 or +1 669 900 6833

Meeting ID: 454 112 726

International numbers available: https://zoom.us/j/454112726

These are the 1 published articles that we will be reviewing on Wednesday, September 19, 2018 at 12:30 p.m. (E.T.)


  1. Screening for Osteoporosis to Prevent Fractures

Past Journal Clubs

These are 2 published articles we reviewed on Wednesday, August 22, 2018


  1. Obesity Paradox

  2. Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture

These are 2 published articles we reviewed on Wednesday, July 25th, 2018


  1. Randomized Trial of Verubecestat for Mild-to-Moderate Alzheimer’s Disease

  2. Anticholinergic drugs and risk of dementia: case-control study

These are 7 published articles we reviewed on Wednesday, April 18th, 2018


  1. 2017 Summary Hypertension Guideline

  2. 2017 Summary Hypertension Guideline

  3. HTN Guideline Resource for Practicing Clinicians

  4. Highlights From The 2017 Guideline HTN Guidlines Too Much Too Little

  5. 2017 High Blood Pressure Clinical Practice Guideline

  6. 2017 Blood Pressure Guideline Slides

  7. Highlight Reel -ACC/AHA HTN Guideline 2017

This is the 1 published article that we reviewed on Wednesday, March 14th, 2018


  1. 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment

These are 2 published articles that we reviewed on February 21st:


  1. Diabetes Care and Dementia Among Older Adults: A Nationwide 3-Year Longitudinal Study

  2. Prevalence of Long-Term Opioid Use in Long-Stay Nursing Home Residents

These are 2 published articles that we reviewed on January 17th:


  1. Discontinuing Inappropriate Medication Use in Nursing Home Residents A Cluster Randomized

  2. An Even Distribution of Protein Intake Daily Promotes Protein Adequacy but Does Not Influence Nutritional Status in Institutionalized Elderly

These are 3 published articles that we reviewed on November 15th:


  1. Surveillance Definitions of Infections in Long-Term Care Facilities

  2. Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

  3. Colorectal Cancer Screening and Surveillance in the Elderly: Updates and Controversies

These are 3 published articles that we reviewed on October 14th:


  1. Choosing Wisely? Measuring the Burden of Medications in Older Adults near the End of Life:Nationwide, Longitudinal Cohort Study

  2. Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia

  3. Colorectal Cancer Screening and Surveillance in the Elderly: Updates and Controversies

These are 3 published articles that we reviewed on August 23:



  1. Temporal Trends in the Numbers of Skilled Nursing Facility Specialists From 2007 Through 2014

  2. Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical

  3. Reducing Excessive Use of Antipsychotic Agents in Nursing Homes

These were the two published articles that we reviewed on June 2017. The titles include,

  1. Deprescribing proton pump inhibitors
  2. Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

These were the four published articles that we reviewed on April 2017. The titles include,

  1. Introduction for the FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
  2. CDC GUIDELINE FOR PRESCRIBING OPIOIDS FOR CHRONIC PAIN
  3. CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
  4. Association of Opioids with Falls, Fractures, and Physical Performance among Older Men with Persistent Musculoskeletal Pain

These were the four published articles that we reviewed on February 2017. The titles include,

  1. Stopping antibiotics after 5 days in clinically stable community-acquired pneumonia was noninferior to usual care
  2. Duration of Antibiotic Treatment in Community-Acquired Pneumonia A Multicenter Randomized Clinical Trial
  3. Duration of Antibiotic Treatment in Community-Acquired Pneumonia A Multicenter Randomized Clinical Trial
  4. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

These were the three published articles that we reviewed on January 2017. The titles include,

  1. Association of β-Blockers With Functional Outcomes, Death, and Rehospitalization in Older Nursing Home Residents After Acute Myocardial Infarction
  2. Supplementary Online Content
  3. Appropriate use of serum troponin testing in general practice: a narrative review

These were the five published articles that we reviewed on November 15th 2016. The titles include,

  1. Cranberry for Prevention of Urinary Tract Infection?
  2. Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes
  3. Medications Associated with Geriatric Syndrome (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities
  4. Medications Associated with Geriatric Syndrome (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities
  5. Medications Associated With Geriatric Syndromes and Their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities

These were the five published articles that we reviewed on October 15th 2016. The titles include,

  1. Elder Abuse in Nursing Homes: How Do We Advance the Field of Elder Justice?
  2. Preoperative Frailty Assessment and Outcomes at 6 Months or Later in Older Adults Undergoing Cardiac Surgical Procedures
  3. Frailty and Surgical Decision Making
  4. Journal Club
  5. The Prevalence of Resident-to-Resident Elder Mistreatment inNursing Homes

These were the three published articles that we reviewed on August 24th 2016. The titles include,

  1. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial
  2. Comparative Survival among Older Adults with Advanced Kidney Disease Managed Conservatively Versus with Dialysis
  3. Does the Evidence Support Conservative Management as an Alternative to Dialysis for Older Patients with Advanced Kidney Disease?

These were the 2 published articles that we reviewed on July 13th 2016. The titles include,

  1. Efficacy and Harms of Direct Oral Anticoagulants in the Elderly for Stroke Prevention in Atrial Fibrillation and Secondary Prevention of Venous Thromboembolism
  2. Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years

These were the three published articles that we reviewed on June 15th 2016. The titles include,

  1. Importation, Antibiotics, and Clostridium difficile Infection in Veteran Long-Term Care
  2. Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease Dementia A Randomized Clinical Trial
  3. Dextromethorphan and Quinidine for Treating Agitation in Patients With Alzheimer Disease Dementia

These are the three published articles that we reviewed on May 16 2014 and they are all from JAMA Internal Medicine. The titles include,

  1. Safety and Benefit of Discontinuing Statin Therapy in the Setting of Advanced, Life-Limiting Illness: A Randomized Clinical Trial
  2. Hip Fracture: A Trigger for Palliative Care in Vulnerable Older Adults
  3. Survival and Functional Outcomes After Hip Fracture: Among Nursing Home Residents

Save the Date!

Best Care Practices in the Post-Acute & Long-Term Care continuum 2018 is October 11-14, 2018 at Disney’s Grand Floridian Resort, Lake Buena Vista, FL


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