Lindquist Lee A, Covinsky Kenneth, Langa Kenneth M, Petty Brent G, Williams Brent C, Kutner Jean S
Division of Geriatrics and General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA,
J Gen Intern Med. 2014 Jun;29(6):915-9. doi: 10.1007/s11606-013-2719-3.
General Internal Medicine research evolves in response to the needs of the patients to whom we provide care. Currently, many studies exclude older adults who deeply affect the clinical care of this population. With the number of older adults increasing, creating research protocols that include older adults with multiple chronic comorbidities is imperative. Through funding from the Association of Specialty Physicians, a working group of aging-responsive researchers from the Society of General Internal Medicine was convened to tackle this issue. The goal of this article is threefold: 1) to shed light on the current exclusion of older adults in research; 2) to identify and propose research protocol solutions for overcoming barriers to including older adults in research; and 3) to provide suggestions for research funding. The extent to which these recommendations can create change depends greatly on our researcher colleagues. By embracing these challenges, we hope that the care provided to older adults with multiple chronic conditions will no longer be extrapolated, but become evidence-based.
普通内科研究是根据我们所护理患者的需求而发展的。目前,许多研究将对这一人群的临床护理有深远影响的老年人排除在外。随着老年人数量的增加,制定包含患有多种慢性合并症老年人的研究方案势在必行。通过专科医师协会的资助,来自普通内科协会的一组对老龄化有应对能力的研究人员召开了工作组会议来解决这个问题。本文的目标有三个:1)阐明目前研究中对老年人的排除情况;2)识别并提出克服将老年人纳入研究的障碍的研究方案解决方案;3)提供研究资金方面的建议。这些建议能够带来改变的程度在很大程度上取决于我们的研究同行。通过接受这些挑战,我们希望为患有多种慢性病的老年人提供的护理不再是推断而来的,而是基于证据的。