The first book dedicated explicitly to the care of elderly patients with rheumatic diseases, this comprehensive resource is a practical guide for navigating the medical concerns of these complex patients. While patients over 65 years of age comprise roughly 15% of the population, they consume about 50% of rheumatology resources. This book presents current clinical practices with an eye toward achieving economically sustainable models of care. The world's leading authorities have come together to cover the full spectrum of rheumatic diseases, the immune system in aging, and ultrasound evaluation and arthrocentesis. The book also addresses the milieu of co-morbidities that the clinician may encounter with an older patient, as well as the accompanying concerns about multiple pharmacologic therapies and drug interactions. Bringing in experts from a wide array of subspecialties, the editors present the essentials of multidisciplinary care, an approach which is the hallmark of geriatrics and which naturally translates into the field of gerontorheumatology. Designed for primary care physicians and rheumatology consultants, Geriatric Rheumatology is an invaluable guide to caring for this rapidly growing patient population.
Part 1 Aging and Comorbidity in Rheumatology Chapter 1 The Immune System in Aging Anjali Desai and Raymond L. Yung Chapter 2 Bone Aging Jonathan D. Adachi Chapter 3 Atherosclerosis in the Rheumatic Diseases: Compounding the Age Risk Naoto Yokogawa and Joan M. Von Feldt Chapter 4 Neuropsychiatric Manifestations of Rheumatic Diseases in the Elderly Jamal Mikdashi Chapter 5 Tuberculosis and Rheumatoid Arthritis in the Elderly Eduardo M. Acevedo-Vásquez, Darío Ponce de León, and Rocío V. Gamboa-Cárdenas Chapter 6 Widespread Pain in Older Adults Cheryl D. Bernstein, Jordan F. Karp, and Debra K. Weiner Part 2 Multidisciplinary Approach to Geriatric Rheumatology Chapter 7 Pharmacotherapy Considerations Unique to the Older Patient Keith A. Swanson and Mark A. Stratton Chapter 8 Rheumatic Disease in the Nursing Home Patient Joanne Sandberg-Cook Chapter 9 Post Acute Care for Rheumatologists Deborah W. Robin Chapter 10 The Gerontorheumatology Outpatient Service: Towards an International Classification of Function Based Health Care Provision for the Elderly with Musculoskeletal Conditions Wim Van Lankveld, Josien Goossens and Marcel Franssen Chapter 11 Health Policy, Public Health, and Arthritis Among Older Adults Kristina A. Theis, Debra R. Lubar, and Teresa J. Brady Chapter 12 Physical Therapy Management of Select Rheumatic Conditions in Older Adults Maura Daly Iversen and Madhuri K. Kale Chapter 13 Arthrocentesis in the Elderly Ahmed Zayat and Richard J. Wakefield Chapter 14 Physical Activity in Older Adults with Arthritis Dorothy D. Dunlop, Pamela A. Semanik, and Rowland W. Chang Chapter 15 Systemic Lupus Erythematosus in Elderly Populations Ana M. Bertoli, Guillermo J. Pons-Estel, Paula I. Burgos, and Graciela S. Alarcón Chapter 16 Elderly Onset Rheumatoid Arthritis Venkata Sri Cherukumilli and Arthur Kavanaugh Chapter 17 Disease-Modifying Anti-Rheumatic Drug Use in Older Rheumatoid Arthritis Patients Sogol S. Amjadi, Veena K. Ranganath, and Daniel E. Furst Chapter 18 Epidemiology, Risk Factors and Aging of Osteoarthritis Crisostomo Baliog and Anthony M. Reginato Chapter 19 Osteoarthritis in the Elderly Roy D. Altman Chapter 20 Medium- and Small-Vessel Vasculitis Rafael G. Grau Chapter 21 Management of Geriatric Gout Lan X. Chen Chapter 22 Calcium-Containing-Crystals-Associated Arthropathies in the Elderly Elisabeth B. Matson and Anthony M. Reginato Chapter 23 Polymyalgia Rheumatica and Giant Cell Arteritis in the Elderly Wolfgang A. Schmidt Chapter 24 Antiphospholipid Syndrome in the Older Population Silvia S. Pierangeli, Alan M. Seif, and Emilio B. González Chapter 25 Osteoporosis and Metabolic Bone Diseases of the Elderly Lora Giangregorio and Alexandra Papaioannou Chapter 26 Infectious Arthritis in the Elderly Nicole Melendez and Luis R. Espinoza Chapter 27 Sarcopenia and Myopathies in the Elderly Kenneth S. O'Rourke Chapter 28 Scleroderma in the Elderly Rebecca L. Manno and Fredrick M. Wigley Chapter 29 Sjögren's Syndrome in the Elderly Raymond L. Yung and Sheeja Francis
From the reviews:
"This book is unique in its focus on rheumatologic diseases in the geriatric population -no other book in adult rheumatology focuses on a particular population. ... covers a range of topics including myopathies, vasculitides, arthralgias, arthritis, and bone health. It does a good job focusing on geriatric issues related to decreased renal function, fall risk, etc. ... The book is easy to read and meets its stated objectives. ... it may be a good reference for geriatricians." (Hyon Ju Park, Doody's Review Service, February, 2012)
"Present information regarding most of the common rheumatic diseases and their effects and outcomes in elderly persons ... . I would recommend Geriatric Rheumatology to academic and clinical rheumatologists, geriatricians, and rheumatology and geriatrics fellows. This book is an appreciated and useful source of current information, providing insights necessary to better treat the increasing population of geriatric patients with rheumatic disease. It points to the need for more basic and clinical research aimed at therapeutic trials and outcomes research in the elderly population." (Robert J. Quinet, Journal of the American Medical Association, Vol. 307 (7), February, 2012)
Über den Autor
As a rheumatologist, Dr. Yuri Nakasato, MD, specializes in rheumatology, offering joint, muslces and bone treatments at the Sanford Southpoint Clinic. He diagnoses and treats arthritis, bursitis/tendonitis and connective tissue diseases that are not injury-related.
The first book dedicated to the subspecialty of gerontorheumatology
Key to understanding the aging process as it relates to musculoskeletal medicine
Elucidates the salient clinical aspects of the aging immune system, including inflamm-aging
Navigates complex problems of comorbidities and pharmacotherapy in elderly patients