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Clinical Practice Guidelines for Older Adults
Application of clinical practice guidelines to older adults presents unique challenges. The first few references shown below highlight these challenges and offer insights into the application of guidelines to older adults. These references are followed by a list of disease-specific guidelines that have particular relevance to older adults.
APPLICATION OF CLINICAL PRACTICE GUIDELINES TO OLDER ADULTS
Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6):716-724.
Boyd and colleagues reviewed clinical practice guidelines (CPGs) for diseases common in older adults, and evaluated implications of applying recommendations from these CPGs to older adults with multiple morbidities. Their review suggests that adhering to current CPGs in caring for an older person with several co-morbidities may have undesirable effects. Basing standards for quality of care and pay for performance on existing CPGs could lead to inappropriate judgment of the care provided to older individuals with complex co-morbidities and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care.
In 2012, Cynthia Boyd was co-chair of a panel sponsored by the American Geriatrics Society that developed Guiding Principles for the Care of Older Adults with Multimorbidity. These guidelines and related resource materials are very helpful and are available as open access documents on the AGS Web site.
Anticoagulation—Antithrombotic and thrombolytic therapy—CHEST Guidelines, 2012
Hyperlipidemia—2013 Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
Obesity—Guidelines for Managing Overweight and Obesity in Adults 2013, from ACC/AHA/Obesity Society
Opioid Prescribing Guidelines and Opioid Overdose Web Page, Centers for Disease Control and Prevention, 2016.
Sexually Transmitted Diseases—Treatment Guidelines, 2015, Centers for Disease Control and Prevention
CCGP welcomes input and suggestions from geriatric clinicians on recommended resources for inclusion in our list of clinical practice guidelines. If you have a resource to recommend, please use our Contact CCGP link. Thank you.