Jane A. Driver
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View article: Perspectives of Nurses in the <scp>VA</scp> Coordinated Transitional Care ( <scp>CTraC</scp> ) Program: A Qualitative Study
Perspectives of Nurses in the <span>VA</span> Coordinated Transitional Care ( <span>CTraC</span> ) Program: A Qualitative Study Open
Background The Coordinated Transitional Care (CTraC) program is an evidence‐based, nurse‐driven, low‐cost intervention that improves transitional care for geriatric patients following hospital admission. CTraC reduces readmissions and enha…
View article: Ethics of overtreatment and undertreatment in older adults with cancer
Ethics of overtreatment and undertreatment in older adults with cancer Open
View article: 0965 Perceptions of Sleep and Physical Abilities in Older Veterans During VA Subacute Rehabilitation: Preliminary Findings from a Feasibility Study
0965 Perceptions of Sleep and Physical Abilities in Older Veterans During VA Subacute Rehabilitation: Preliminary Findings from a Feasibility Study Open
Introduction Poor sleep raises the risk for physical functioning difficulties and safety concerns, such as falls, in older adult populations. However, there is insufficient literature on sleep in older Veterans receiving care in VA inpatie…
View article: 0963 Insomnia Symptoms and Physical Function in Older Veterans During and After VA Rehabilitation: A Feasibility Study
0963 Insomnia Symptoms and Physical Function in Older Veterans During and After VA Rehabilitation: A Feasibility Study Open
Introduction Older adults admitted to subacute rehabilitation are at a critical window in the recovery of physical function, yet older Veterans are susceptible to sleep difficulties which may impact this recovery. This study aimed to deter…
View article: Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review
Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review Open
The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS ar…
View article: Risk of Incident Cancer in Veterans with Diabetes Who Use Metformin Versus Sulfonylureas
Risk of Incident Cancer in Veterans with Diabetes Who Use Metformin Versus Sulfonylureas Open
Prior research suggests metformin has anti-cancer effects, yet data are limited. We examined the association between diabetes treatment (metformin versus sulfonylurea) and risk of incident diabetes-related and non- diabetes-related cancers…
View article: TRAUMA-INFORMED CARE IN LONG-TERM CARE SETTINGS
TRAUMA-INFORMED CARE IN LONG-TERM CARE SETTINGS Open
By older adulthood, most older adults will have been exposed to at least one potentially traumatic event. Older veterans are likely to experience three traumatic events during their lifetime, with 93% reporting exposure to at least one eve…
View article: BELIEFS ABOUT AGING AND TRAUMA-INFORMED CARE WITHIN SKILLED NURSING FACILITIES
BELIEFS ABOUT AGING AND TRAUMA-INFORMED CARE WITHIN SKILLED NURSING FACILITIES Open
Pessimism about aging is ubiquitous and impacts emotional well-being and willingness to implement healthcare strategies with older adults. Individuals experiencing increased stress may be motivated to differentiate themselves from an older…
View article: Let home care be the <scp>GUIDE</scp> : Integrating quality dementia care into existing home care teams
Let home care be the <span>GUIDE</span> : Integrating quality dementia care into existing home care teams Open
View article: Risk of cancer development associated with disease-modifying therapies for multiple sclerosis: study protocol for a systematic review and meta-analysis of randomised and non-randomised studies
Risk of cancer development associated with disease-modifying therapies for multiple sclerosis: study protocol for a systematic review and meta-analysis of randomised and non-randomised studies Open
View article: Measuring Frailty Using Self‐Report or Automated Tools to Identify Risk of Cardiovascular Events and Mortality: The Million Veteran Program
Measuring Frailty Using Self‐Report or Automated Tools to Identify Risk of Cardiovascular Events and Mortality: The Million Veteran Program Open
Background Frailty, a syndrome of physiologic vulnerability, increases cardiovascular disease (CVD) risk. Whether in person or automated frailty tools are ideal for identifying CVD risk remains unclear. We calculated 3 distinct frailty sco…
View article: Natural Language Processing Algorithm to Extract Multiple Myeloma Stage From Oncology Notes in the Veterans Affairs Healthcare System
Natural Language Processing Algorithm to Extract Multiple Myeloma Stage From Oncology Notes in the Veterans Affairs Healthcare System Open
PURPOSE Stage in multiple myeloma (MM) is an essential measure of disease risk, but its measurement in large databases is often lacking. We aimed to develop and validate a natural language processing (NLP) algorithm to extract oncologists'…
View article: Insomnia Symptoms and Environmental Disruptors: A Preliminary Evaluation of Veterans in a Subacute Rehabilitation
Insomnia Symptoms and Environmental Disruptors: A Preliminary Evaluation of Veterans in a Subacute Rehabilitation Open
Providers should assess sleep at admission and lessen environmental sleep disruptors by reducing noise, light, and non-essential awakenings at night.
View article: New horizons in frailty identification via electronic frailty indices: early implementation lessons from experiences in England and the United States
New horizons in frailty identification via electronic frailty indices: early implementation lessons from experiences in England and the United States Open
Frailty represents an integrative prognostic marker of risk that associates with a myriad of age-related adverse outcomes in older adults. As a concept, frailty can help to target scarce resources and identify subgroups of vulnerable older…
View article: New statin use, mortality, and first cardiovascular events in older <scp>US</scp> Veterans by frailty status
New statin use, mortality, and first cardiovascular events in older <span>US</span> Veterans by frailty status Open
Background Statins are part of long‐term medical regimens for many older adults. Whether frailty modifies the protective relationship between statins, mortality, and major adverse cardiovascular events (MACE) is unknown. Methods This was a…
View article: DEVELOP AND EXTERNALLY VALIDATE A RISK PREDICTION MODEL FOR SCREENING COGNITIVE FRAILTY IN OLDER ADULTS
DEVELOP AND EXTERNALLY VALIDATE A RISK PREDICTION MODEL FOR SCREENING COGNITIVE FRAILTY IN OLDER ADULTS Open
Cognitive frailty, the combination of physical frailty and mild cognitive impairment, is a growing public health concern in aging populations. We aimed to develop and validate a risk prediction model for screening cognitive frailty in comm…
View article: ASSOCIATION BETWEEN MULTIPLE FRAILTY INDICES AND CVD MORTALITY
ASSOCIATION BETWEEN MULTIPLE FRAILTY INDICES AND CVD MORTALITY Open
Introduction Frailty, a syndrome of physiologic vulnerability, increases cardiovascular disease (CVD) risk. Which frailty tool is ideal for risk stratification remains unclear. We calculated three frailty scores from the Million Veteran Pr…
View article: Measuring Frailty Using Self-Report or Automated Tools to Identify Risk of Cardiovascular Events and Mortality: The Million Veteran Program
Measuring Frailty Using Self-Report or Automated Tools to Identify Risk of Cardiovascular Events and Mortality: The Million Veteran Program Open
Background Frailty, a syndrome of physiologic vulnerability, increases cardiovascular disease (CVD) risk. Whether in person or automated frailty tools are ideal for identifying CVD risk remains unclear. We calculated three distinct frailty…
View article: Baseline correlates of frailty and its association with survival in United States veterans with acute myeloid leukemia
Baseline correlates of frailty and its association with survival in United States veterans with acute myeloid leukemia Open
Frailty is an important construct to measure in acute myeloid leukemia (AML). We used the Veterans Affairs Frailty Index (VA-FI) - calculated using readily available data within the VA's electronic health records - to measure frailty in U.…
View article: NEW STATIN USE IS ASSOCIATED WITH A LOWER RISK OF INCIDENT FRAILTY IN US VETERANS 65 YEARS AND OLDER
NEW STATIN USE IS ASSOCIATED WITH A LOWER RISK OF INCIDENT FRAILTY IN US VETERANS 65 YEARS AND OLDER Open
Therapeutic Area: CVD Prevention – Primary and Secondary Background: Frailty is a syndrome of decreased physiologic reserve that is increasingly recognized as a risk factor for cardiovascular disease (CVD), yet no pharmacotherapeutics are …
View article: Construct validity of the electronic Veterans Affairs Frailty Index against clinician frailty assessment
Construct validity of the electronic Veterans Affairs Frailty Index against clinician frailty assessment Open
Background Electronic frailty indices (eFIs) can expand measurement of frailty in research and practice and have demonstrated predictive validity in associations with clinical outcomes. However, their construct validity is less well studie…
View article: More intensive therapy has a better effect for frail parents with multiple myeloma
More intensive therapy has a better effect for frail parents with multiple myeloma Open
Although randomized controlled trial data suggest that the more intensive triplet bortezomib-lenalidomide-dexamethasone (VRd) is superior to the less intensive doublet lenalidomide-dexamethasone (Rd) in patients newly diagnosed with multip…
View article: What matters most to older adults: Racial and ethnic considerations in values for current healthcare planning
What matters most to older adults: Racial and ethnic considerations in values for current healthcare planning Open
Background Clarifying what matters most informs current care planning for adults with multiple comorbidities. We describe how adults aged 55+ rate what matters most and differences in Black and White participants. Methods Participants ( N …
View article: Marital status, frailty, and survival in older adults with blood cancer
Marital status, frailty, and survival in older adults with blood cancer Open
View article: Comparison of Claims-Based Frailty Indices in U.S. Veterans 65 and Older for Prediction of Long-Term Institutionalization and Mortality
Comparison of Claims-Based Frailty Indices in U.S. Veterans 65 and Older for Prediction of Long-Term Institutionalization and Mortality Open
Background Frailty is increasingly recognized as a useful measure of vulnerability in older adults. Multiple claims-based frailty indices (CFIs) can readily identify individuals with frailty, but whether 1 CFI improves prediction over anot…
View article: 0358 Prevalence of Insomnia Symptoms and Insomnia Disorder within VA Subacute Rehabilitation
0358 Prevalence of Insomnia Symptoms and Insomnia Disorder within VA Subacute Rehabilitation Open
Introduction Approximately 40% of Veterans report insomnia symptoms and 12% of Veterans have a formal insomnia disorder diagnosis. While these numbers reflect outpatient prevalence rates, there is little data on the prevalence of insomnia …
View article: 0921 Insomnia Symptoms and Environmental Disruptors: A preliminary evaluation of Veterans within a VA subacute rehabilitation unit
0921 Insomnia Symptoms and Environmental Disruptors: A preliminary evaluation of Veterans within a VA subacute rehabilitation unit Open
Introduction Insomnia symptoms during rehabilitation admission are associated with slower rehabilitation progression, increased healthcare utilization, worse functional recovery one-month post discharge, and decreased survival rates one-ye…
View article: Preoperative frailty and adverse outcomes following coronary artery bypass grafting surgery in <scp>US</scp> veterans
Preoperative frailty and adverse outcomes following coronary artery bypass grafting surgery in <span>US</span> veterans Open
Background Contemporary guidelines emphasize the value of incorporating frailty into clinical decision‐making regarding revascularization strategies for coronary artery disease. Yet, there are limited data describing the association betwee…
View article: Benefits and Barriers of Technology for Home Function and Mobility Assessment: Perspectives of Older Patients With Blood Cancers, Caregivers, and Clinicians
Benefits and Barriers of Technology for Home Function and Mobility Assessment: Perspectives of Older Patients With Blood Cancers, Caregivers, and Clinicians Open
PURPOSE Advances in digital health technology can overcome barriers to measurement of function and mobility for older adults with blood cancers, but little is known about how older adults perceive such technology for use in their homes. ME…
View article: Table of Contents
Table of Contents Open