Geriatrics

Most elderly patients with subclinical hypothyroidism do not need to be treated
- Cleveland Clinic Journal of Medicine October 2026, 93 (10) 623;
In Reply: Olanzapine in Parkinson disease and dementia with Lewy bodies
Emily Hao, MD, Tamara Lhungay, MD, Jessica Arabi, PharmD, BCCCP, Colin J. Harrington, MD and Iva Neupane, MD
- Cleveland Clinic Journal of Medicine August 2026, 93 (8) 453;
- DOI: https://doi.org/10.3949/ccjm.93c.08004
Letter: Olanzapine in Parkinson disease and dementia with Lewy bodies
Enmanuel A. Leiva-Murillo, MD and Jazmín Olmedo-Alvariza, MD
- Cleveland Clinic Journal of Medicine August 2026, 93 (8) 452-453;
- DOI: https://doi.org/10.3949/ccjm.93c.08003
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.
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.
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.
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.
Managing obesity in older adults
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.
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
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