Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
From:
J Am Geriatr Soc. Author manuscript; available in PMC 2008 June 3.
Published in final edited form as:
J Am Geriatr Soc. 2007 May; 55(5): 780–791.
doi: 10.1111/j.1532-5415.2007.01156.x

Table 3

A Call to Action to Enhance Progress in Geriatric Syndromes

Clinical:
  • Develop preliminary evidence-based criteria and guidelines for common geriatric syndromes through professional organizations
  • Regularly update criteria and guidelines over time
  • Apply criteria and guidelines in clinical practice across disciplines to improve recognition, diagnosis, and management of common geriatric syndromes
  • Local demonstration projects for implementation of clinical guidelines and programs to manage common geriatric syndromes

Research:
  • Test broader pleiotropic effects of agents (e.g. hormones, statins, antioxidants) or behavioral modifications (e.g. exercise, improved nutrition and weight loss) on relevant outcomes
  • Explore mechanisms by which such interventions exert effects which are beneficial in specific geriatric syndromes.
  • Develop and test unified intervention strategies (based on shared risk factors) across geriatric syndromes, and determine the impact of these strategies on long-term outcomes
  • Improve the basic pathophysiologic understanding of common geriatric syndromes through elucidation of complex mechanistic models which account for multiple pathways and potential synergisms between pathways
  • Design more targeted, more effective, and safer therapeutic strategies based on these new mechanistic models.

Policy:
  • Enhance the translation of research into practice at institutional, local, and national levels
  • Work to develop national mandates to overcome barriers to translation, including development of clinical guidelines, quality improvement initiatives, Medicare reimbursement strategies, etc.