New England Journal of Medicine - Geriatry

1. Platelet-Rich Plasma to Ease Greater Trochanteric Pain?

   This blinded trial of autologous PRP showed no benefit for pain or function.

2. Cephalosporins for Outpatient Pyelonephritis?

   The guidelines say no, but this study says OK.

3. Feeding Tube Placement in Hospitalized Older Patients with Dementia

   In a large study, in-hospital and 1-year mortality were higher among patients who received feeding tubes than among those who didn't.

4. Reduced-Dose vs. Full-Dose Anticoagulation to Prevent Recurrent Venous Thromboembolism

   In patients at high risk for recurrent VTE, reduced-dose anticoagulation provided comparable efficacy and was associated with less bleeding.

5. Should Physicians Recommend Driving Restrictions After STEMI?

   Older patients probably should limit driving for a brief time following acute ST-segment–elevation myocardial infarction.

6. Is Semaglutide Use Associated with Nonarteritic Anterior Ischemic Optic Neuropathy?

   Several observational studies suggest this link is real.

7. Anticoagulation in Patients with Transient Subclinical Atrial Fibrillation

   Anticoagulation appeared to be beneficial in a subgroup with past strokes or transient ischemic attacks.

8. Clinical Risk Score to Predict Serious Causes of Vertigo

   The Sudbury Vertigo Risk Score uses 7 patient characteristics to predict serious causes.

9. Interventional Procedures for Chronic Spine Pain

   A panel recommends against a group of commonly performed procedures.

10. Managing Portal Vein Thrombosis in Patients with Cirrhosis

    A clinical practice update provides best practice recommendations for anticoagulation, monitoring, and duration of therapy.