|Year : 2021 | Volume
| Issue : 1 | Page : 1
From the editor's desk…
Department of Geriatrics, Christian Medical College, Vellore, Tamil Nadu, India
|Date of Web Publication||17-Aug-2021|
Dr. Surekha Viggeswarpu
Department of Geriatrics, Christian Medical College, Vellore, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Viggeswarpu S. From the editor's desk…. J Indian Acad Geriatr 2021;17:1
It gives me immense pleasure to pen the editorial for the Journal of the Indian Academy of Geriatrics in its new Avatar. This is the brainchild of Dr. Arvind Mathur, who has succeeded in not only changing the publisher but also moved us from a state of inertia to review and edit articles on various topics sent by doctors from all specialties. This was not only an academic exercise but also one which teased our computer prowess as we moved through the dashboard. I thank the authors for painstakingly documenting their research and presenting it. I also extend my heartfelt thanks to the reviewers and editors, competent in their own fields, who took time off to correct each manuscript given to them.
The articles presented in this edition of the journal make an interesting read.
“Think before you ink” and “start low, go slow” mantras still stand the test of time. Potentially inappropriate medication – this article traces the development and modification of Beers criteria from 1997. This has been upgraded to the 2020 version and each one of us should be aware of the potential toxins we are prescribing to these individuals who have numerous comorbidities, who are on multiple medications and have varying pharmacodynamics and pharmacokinetics. An important point that was highlighted included the fact that the criteria do not include native medications, which come with their own baggage. A brown bag check – a physical check of all the medications the patient is on, recent drug dosage changes, etc., should all be documented appropriately and the amount each drug contributes to the illness should be assessed, and appropriate changes should be made in the drug regimen.
The authors in the article on cancers in the older persons have given us a descriptive analysis of a cohort of people. Lung cancer was the main neoplasm found in this cohort, and comorbidities, medication use and abuse, social support, nutritional, ECOG, and functional status in these patients were highlighted along with the presence of cognitive impairment and depression. All these factors had an impact on the choice of treatment in these individuals. In older persons with cancer, it is ideal to have a comprehensive geriatric assessment at the outset and correct any correctable factor, in order to improve the quality of life and survival.
Closely following on the heels of Potentially Inappropriate Medication, a case report on the adverse drug reaction to statins appears in this edition of the journal. The authors have clearly described the risk factors, clinical features, pathogenesis, and management of an older patient on statins. They have also highlighted the difference in progression and treatment of statin-induced rhabdomyolysis and statin-induced myositis. In the end, all is well that ends well – the offending drug was discontinued, and the patient improved significantly, both clinically and biochemically.
A rare case of spontaneous regression of a patient with Chronic Active Epstein Barr Virus (EBV) infection causing classical Hodgkin's lymphoma has been described. It is not very clear if the EBV levels were high before the diagnosis of Hodgkin's lymphoma. Spontaneous regression of Hodgkin's, though rare, has been described in literature.
The next article is a descriptive analysis of physical disability as measured by the Barthel Index. The message the authors are trying to convey is that prevention and control of chronic disease will decrease the burden of physical disability among the geriatric population. It would have been appropriate if they had included problems with sight and hearing also. The thrust of all programs should be on the promotive, curative, and rehabilitative services which will serve this segment of the population. Increasing age, lower educational status, and being unemployed at the time of the study were factors which were associated with physical disability on the bivariate analysis.
I hope you enjoy this edition of the journal as much as I have. I sincerely hope that this will encourage you to document and publish your own research, case report, or an interesting CT or MRI finding so that the community can be benefitted from your academic input.