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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Geriatrics

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    Should I prescribe statins for primary prevention of cardiovascular disease in older adults?
    Muhammad Saad Abbas, MBBS, Abdulla A. Damluji, MD, PhD, MBA, MPH and Ardeshir Z. Hashmi, MD, MBA
    Cleveland Clinic Journal of Medicine July 2026, 93 (7) 403-407; DOI: https://doi.org/10.3949/ccjm.93a.26010

    This decision should reflect the patient’s biological age and functional status rather than chronological age alone.

  • You have access
    Hyperactive delirium in hospitalized older adults: Balancing medication choices and QTc prolongation risk
    Emily Hao, MD, Tamara Lhungay, MD, Jessica Arabi, PharmD, BCCCP, Colin J. Harrington, MD and Iva Neupane, MD
    Cleveland Clinic Journal of Medicine June 2026, 93 (6) 325-330; DOI: https://doi.org/10.3949/ccjm.93a.25092

    Medications for managing delirium symptoms, particularly antipsychotics, are associated with prolongation of the QT interval, which is a risk factor for the development of fatal arrhythmias.

  • You have access
    Fighting ageism: Preserving patient agency in critical care
    Astefanos Al-Dalakta, MD, Ruth Diana Lee, MD, Chadi Tabaja, MD, Issam Motairek, MD and Eduardo Mireles-Cabodevila, MD
    Cleveland Clinic Journal of Medicine May 2026, 93 (5) 263-265; DOI: https://doi.org/10.3949/ccjm.93a.25105

    To avoid falling into ageism bias, we must maintain a framework grounded in respect for the patient, one that deliberately centers on the patient’s voice.

  • You have access
    Failure to thrive in hospitalized older adults: More than a ‘social admission’
    Shoshana Streiter, MD and Samir Tulebaev, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 662-666; DOI: https://doi.org/10.3949/ccjm.92a.25033

    Failure to thrive documented as an admitting diagnosis presents an opportunity to identify, articulate, and begin to ameliorate the true underlying causes of the patient’s health deficits.

  • You have access
    Managing obesity in older adults
    CME article
    Shyam Sundaresh, MD, Sara Saliba, MD, RD, Farah Ziyadeh, MD, Yael Mauer, MD, MPH and Willy Marcos Valencia, MD, MSc
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 686-692; DOI: https://doi.org/10.3949/ccjm.92a.24094

    The goals of treating obesity in older adults are to ease its complications and improve functional status and quality of life, with or without weight loss.

  • You have access
    In Reply: Most elderly patients with subclinical hypothyroidism do not need to be treated
    Risheng Xu, DO, Nicola Abate, MD, Nalini Ram, MD and Kristina Little, MD
    Cleveland Clinic Journal of Medicine July 2025, 92 (7) 395; DOI: https://doi.org/10.3949/ccjm.92c.07002
  • You have access
    Most elderly patients with subclinical hypothyroidism do not need to be treated
    Scott Selinger, MD
    Cleveland Clinic Journal of Medicine July 2025, 92 (7) 395; DOI: https://doi.org/10.3949/ccjm.92c.07001
  • Most elderly patients with subclinical hypothyroidism do not need to be treated
    You have access
    Most elderly patients with subclinical hypothyroidism do not need to be treated
    Risheng Xu, DO, Nicola Abate, MD, Nalini Ram, MD and Kristina Little, MD
    Cleveland Clinic Journal of Medicine April 2025, 92 (4) 221-231; DOI: https://doi.org/10.3949/ccjm.92a.24098

    Age-adjusted thyrotropin reference ranges, consideration of individual circumstances, and a wait-and-see approach for mild subclinical hypothyroidism might be more suitable than a universal treatment strategy.

  • You have access
    Subclinical hypothyroidism: What’s in a name?
    Jennifer S. Mammen, MD, PhD
    Cleveland Clinic Journal of Medicine April 2025, 92 (4) 233-235; DOI: https://doi.org/10.3949/ccjm.92a.25028

    Clinicians should remain thoughtful about the variability in aging biology and not be blinded by a name.

  • You have access
    Insomnia in older adults
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine March 2025, 92 (3) 143-144; DOI: https://doi.org/10.3949/ccjm.92c.03004

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