D R Thomas

Summary

Affiliation: Saint Louis University
Country: USA

Publications

  1. doi request reprint Nutrition assessment in long-term care
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Saint Louis, MO 63104, USA
    Nutr Clin Pract 23:383-7. 2008
  2. ncbi request reprint Weight loss in older adults
    David R Thomas
    The Division of Geriatric Medicine, Saint Louis Health Sciences Center, 1402 South Grand Blvd, M238, Saint Louis, MO 63104, USA
    Rev Endocr Metab Disord 6:129-36. 2005
  3. ncbi request reprint A controlled, randomized, comparative study of a radiant heat bandage on the healing of stage 3-4 pressure ulcers: a pilot study
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St Louis, MO 63104, USA
    J Am Med Dir Assoc 6:46-9. 2005
  4. ncbi request reprint The new F-tag 314: prevention and management of pressure ulcers
    David R Thomas
    Saint Louis University Medical Center, Saint Louis, MO 63104, USA
    J Am Med Dir Assoc 8:e117-25. 2007
  5. doi request reprint Cachexia: new advances in the management of wasting diseases
    John E Morley
    J Am Med Dir Assoc 9:205-10. 2008
  6. doi request reprint Managing peripheral arterial disease and vascular ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:425-31. 2013
  7. doi request reprint Managing venous stasis disease and ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:415-24. 2013
  8. doi request reprint Clinical management of pressure ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:397-413. 2013
  9. doi request reprint Clinical management of diabetic ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:433-41. 2013
  10. doi request reprint Understanding clinical dehydration and its treatment
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA
    J Am Med Dir Assoc 9:292-301. 2008

Detail Information

Publications65

  1. doi request reprint Nutrition assessment in long-term care
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Saint Louis, MO 63104, USA
    Nutr Clin Pract 23:383-7. 2008
    ..This review focuses on the available tools used in the long-term care setting and provides an overview of their characteristics and performance measures...
  2. ncbi request reprint Weight loss in older adults
    David R Thomas
    The Division of Geriatric Medicine, Saint Louis Health Sciences Center, 1402 South Grand Blvd, M238, Saint Louis, MO 63104, USA
    Rev Endocr Metab Disord 6:129-36. 2005
  3. ncbi request reprint A controlled, randomized, comparative study of a radiant heat bandage on the healing of stage 3-4 pressure ulcers: a pilot study
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St Louis, MO 63104, USA
    J Am Med Dir Assoc 6:46-9. 2005
    ..In addition to providing a moist wound environment, it has been theorized that preventing hypothermia in a wound and maintaining a normothermic state might improve wound healing...
  4. ncbi request reprint The new F-tag 314: prevention and management of pressure ulcers
    David R Thomas
    Saint Louis University Medical Center, Saint Louis, MO 63104, USA
    J Am Med Dir Assoc 8:e117-25. 2007
  5. doi request reprint Cachexia: new advances in the management of wasting diseases
    John E Morley
    J Am Med Dir Assoc 9:205-10. 2008
  6. doi request reprint Managing peripheral arterial disease and vascular ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:425-31. 2013
    ..Surgical correction of vascular insufficiency by bypass, angioplasty, or stenting improves outcomes when feasible. Supervised exercise rehabilitation is superior to both medical therapy and surgical therapy...
  7. doi request reprint Managing venous stasis disease and ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:415-24. 2013
    ..Surgical procedures to reduce venous hypertension do not accelerate healing of a chronic ulcer, but trials suggest a decreased rate of future recurrence after surgery...
  8. doi request reprint Clinical management of pressure ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:397-413. 2013
    ..Nutritional status should be addressed as a process of good care. Debridement may improve time to a clean wound bed, but no clearly superior approach has been demonstrated...
  9. doi request reprint Clinical management of diabetic ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, 1402 South Grand Boulevard, St Louis, MO 63104, USA
    Clin Geriatr Med 29:433-41. 2013
    ..No single dressing has been shown to be superior to another. Clinical infections are common but probably overdiagnosed. The question of how much and how often a diabetic foot wound needs to be debrided is controversial...
  10. doi request reprint Understanding clinical dehydration and its treatment
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA
    J Am Med Dir Assoc 9:292-301. 2008
    ..With the availability of recombinant hyaluronidase, subcutaneous infusion of fluids (hypodermoclysis) provides a better opportunity to treat mild to moderate dehydration in the nursing home and at home...
  11. ncbi request reprint Vitamins in health and aging
    David R Thomas
    The Division of Geriatric Medicine, Saint Louis University Health Sciences Center, 1402 South Grand Boulevard, M238, Saint Louis, MO 63104, USA
    Clin Geriatr Med 20:259-74. 2004
    ..Failing compliance with a natural source of essential nutrients, and in populations at high risk of vitamin deficiency, vitamin supplements should be encouraged...
  12. ncbi request reprint Pharmacologic management of urinary incontinence
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, 1402 South Grand Boulevard, Room M238, St Louis, MO 63104, USA
    Clin Geriatr Med 20:511-23, vii-viii. 2004
    ..The low therapeutic success of current treatments and obnoxious side effects, however, limit patient satisfaction and compliance. There is a considerable need for improved therapeutic options to treat this devastating condition...
  13. doi request reprint Anemia in diabetic patients
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, 1402 S Grand Boulevard, Room M238, St Louis, MO 63104, USA
    Clin Geriatr Med 24:529-40, vii. 2008
    ..Anemia is associated with a poorer prognosis in diabetic-associated comorbid conditions, but targeted correction of anemia has improved diabetic patients' quality of life...
  14. ncbi request reprint Physician misdiagnosis of dehydration in older adults
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Saint Louis, Missouri 63104, USA
    J Am Med Dir Assoc 5:S30-4. 2004
    ..The diagnosis is a sentinel event for nursing homes, and often is made at transfer to a hospital...
  15. ncbi request reprint Nutritional management in long-term care: development of a clinical guideline. Council for Nutritional Strategies in Long-Term Care
    D R Thomas
    Division of Geriatric Medicine, Saint Louis University School of Medicine, Missouri 63104, USA
    J Gerontol A Biol Sci Med Sci 55:M725-34. 2000
    ..Although body weight is easily measured, the evaluation of unintended weight loss in long-term care facilities is difficult...
  16. ncbi request reprint Are older people starving to death in a world of plenty?
    David R Thomas
    Division of Geriatric Medicine, Saint Louis Health Sciences Center, St Louis University, 1402 Grand Boulevard, St Louis, MO 63104, USA
    Nestle Nutr Workshop Ser Clin Perform Programme 10:15-23; discussion 23-9. 2005
  17. pmc Vitamins in aging, health, and longevity
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Saint Louis, MO 63104, USA
    Clin Interv Aging 1:81-91. 2006
    ..There is increasing concern from these trials that pharmacological supplementation of vitamins may be associated with a higher mortality risk...
  18. ncbi request reprint Prevention and treatment of pressure ulcers
    David R Thomas
    Division of Geriatric Medicine, St Louis University Health Sciences Center, St Louis, MO 63104, USA
    J Am Med Dir Assoc 7:46-59. 2006
    ....
  19. ncbi request reprint Guidelines for the use of orexigenic drugs in long-term care
    David R Thomas
    Division of Geriatric Medicine, St Louis Universit Health Sciences Center, St Louis, MO, USA
    Nutr Clin Pract 21:82-7. 2006
    ..General guidelines for the use of orexigenic agents are presented. Although much work remains to be done, anticytokine drugs seem to be a promising avenue for the treatment of involuntary weight loss...
  20. ncbi request reprint Loss of skeletal muscle mass in aging: examining the relationship of starvation, sarcopenia and cachexia
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Medical Center, Saint Louis, MO 63104, USA
    Clin Nutr 26:389-99. 2007
    ..Failure to distinguish among these causes of skeletal muscle loss often results in frustration over the clinical response to therapeutic interventions...
  21. ncbi request reprint The new F-tag 314: prevention and management of pressure ulcers
    David R Thomas
    Saint Louis University Medical Center, Saint Louis, MO 63104, USA
    J Am Med Dir Assoc 7:523-31. 2006
  22. ncbi request reprint Malnutrition in subacute care
    David R Thomas
    Division of Geriatric Medicine, St Louis Health Sciences Center and The Geriatric Research, Education, and Clinical Center, St Louis Veterans Administration Medical Center, MO 63104, USA
    Am J Clin Nutr 75:308-13. 2002
    ..Dramatic weight loss and hypoalbuminemia often follow acute hospitalization...
  23. ncbi request reprint Dietary prescription for chronic obstructive pulmonary disease
    David R Thomas
    Division of Geriatric Medicine, Saint Louis Health Sciences Center, Saint Louis University, 1402 South Grand Boulevard M238, Saint Louis, MO 63104, USA
    Clin Geriatr Med 18:835-9, viii. 2002
    ..The association of cytokine-induced inflammatory markers in COPD patients suggests that interventions aimed at controlling cytokine production may be required to reverse the cachexia syndrome and improve functional status...
  24. ncbi request reprint Age-related changes in wound healing
    D R Thomas
    Division of Geriatric Medicine, St Louis University Health Science Center, Missouri 63104, USA
    Drugs Aging 18:607-20. 2001
    ..Improved wound healing may require different clinical designs or the use of these factors in a precisely timed sequential administration...
  25. ncbi request reprint Do objective measurements of physical function in ambulatory nursing home women improve assessment of functional status?
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University, St Louis, MO 63104, USA
    J Am Med Dir Assoc 8:469-76. 2007
    ..To compare the functional status of ambulatory women in four academic nursing homes using standardized rating scales and physical performance measures used in community settings...
  26. ncbi request reprint Distinguishing starvation from cachexia
    David R Thomas
    Division of Geriatric Medicine, Saint Louis Health Sciences Center, 1402 South Grand Boulevard M238, Saint Louis, MO 63140, USA
    Clin Geriatr Med 18:883-91. 2002
    ..Simple starvation should respond to voluntary or involuntary hypercaloric feedings. The failure to demonstrate a more positive response may be caused by underlying cachexic states...
  27. ncbi request reprint Physician misdiagnosis of dehydration in older adults
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Saint Louis, Missouri 63104, USA
    J Am Med Dir Assoc 4:251-4. 2003
    ..The diagnosis is a sentinel event for nursing homes, and often is made at transfer to a hospital...
  28. ncbi request reprint Improving outcome of pressure ulcers with nutritional interventions: a review of the evidence
    D R Thomas
    St Louis Health Sciences Center, Veterans Administration, Division of Geriatric Medicine, St Louis, Missouri 63104, USA
    Nutrition 17:121-5. 2001
    ..No study has demonstrated that improvement in nutritional status can prevent pressure ulcers. There is at least suggestive evidence that improvement in nutritional status can improve outcome in pressure ulcer healing...
  29. doi request reprint Does pressure cause pressure ulcers? An inquiry into the etiology of pressure ulcers
    David R Thomas
    Saint Louis University Health Sciences Center, MO 63104, USA
    J Am Med Dir Assoc 11:397-405. 2010
    ..A more comprehensive understanding of unique individual intrinsic factors may lead to more effective interventions...
  30. doi request reprint Sarcopenia
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Medical Center, Saint Louis University School of Medicine, 1402 South Grand Boulevard, M28, St Louis, MO 63104, USA
    Clin Geriatr Med 26:331-46. 2010
    ..Administration of growth hormone in pharmacologic doses increases muscle mass but not muscle strength. Nutritional therapy is promising, but the effects in clinical trials have been small...
  31. doi request reprint Anorexia: aetiology, epidemiology and management in older people
    David R Thomas
    Division of Geriatric Medicine, Saint Louis, Missouri 63104, USA
    Drugs Aging 26:557-70. 2009
    ..Pharmacological stimulants of appetite appear to be a promising intervention for anorexia...
  32. ncbi request reprint Issues and dilemmas in the prevention and treatment of pressure ulcers: a review
    D R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, Missouri, USA
    J Gerontol A Biol Sci Med Sci 56:M328-40. 2001
    ..The accumulating data for the prevention and management of pressure ulcers permits an outline of clinical strategies...
  33. ncbi request reprint A prospective, randomized clinical study of adjunctive peripheral parenteral nutrition in adult subacute care patients
    D R Thomas
    Division of Geriatric Medicine and The GRECC, Jefferson Barracks VA Medical Center, Saint Louis, MO 63104, USA
    J Nutr Health Aging 9:321-5. 2005
    ..However, no data exists for the use of peripheral parenteral nutrition longer than two weeks and overall there are remarkably few studies on the efficacy of peripheral parenteral nutrition...
  34. ncbi request reprint Prevention and management of pressure ulcers
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, USA
    Mo Med 104:52-7. 2007
    ....
  35. ncbi request reprint Prevention and treatment of pressure ulcers: what works? what doesn't?
    D R Thomas
    Division of Geriatric Medicine, Saint Louis University, USA
    Cleve Clin J Med 68:704-7, 710-14, 717-22. 2001
    ..Treatment principles include assessing the severity of the wound; reducing pressure, friction, and shear forces; optimizing wound care; removing necrotic debris; managing bacterial contamination; and correcting nutritional deficits...
  36. ncbi request reprint The relationship of functional status, nutritional assessment, and severity of illness to in-hospital mortality
    D R Thomas
    Division of Geriatric Medicine, Saint Louis Health Sciences Center and, GRECC, Veterans Administration Center, MO 63104, USA
    J Nutr Health Aging 9:169-75. 2005
    ..The interaction among these predictors is less well described...
  37. ncbi request reprint Insulin resistance syndrome in the elderly: assessment of functional, biochemical, metabolic, and inflammatory status
    William A Banks
    Geriatric Research, Education and Clinical Center, Veterans Affairs Medical Center, St Louis, Missouri, USA
    Diabetes Care 30:2369-73. 2007
    ..Here, we determined the impact of IRS on functional, biochemical, metabolic, and inflammatory status in a high-risk population: elderly women in nursing homes...
  38. doi request reprint Supervised exercise to reduce agitation in severely cognitively impaired persons
    Edris Aman
    Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA
    J Am Med Dir Assoc 10:271-6. 2009
    ..These studies have not considered the short-term effects of exercise...
  39. doi request reprint Age as a deciding factor in the consideration of futility for a medical intervention in patients among internal medicine physicians in two practice locations
    Dulce M Cruz-Oliver
    Saint Louis University, MO 63104, USA
    J Am Med Dir Assoc 11:421-7. 2010
    ..This study explores physicians' concepts of futility and use of age as a deciding factor in considering medical futility in clinical interventions...
  40. ncbi request reprint Enteral nutrition and enteral tube feeding. Review of the evidence
    Rami Y Haddad
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, 1402 South Grand Boulevard M238, Saint Louis, MO 63104, USA
    Clin Geriatr Med 18:867-81. 2002
    ..Aspiration and other early complications are a serious risk and are not diminished by route of feeding. Long-term enteral feeding is associated with a high complication rate, with high mortality, and may not be effective...
  41. ncbi request reprint Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents
    Margaret Mary G Wilson
    Division of Geriatric Medicine, Saint Louis University, St Louis, MO 63104, USA
    Am J Clin Nutr 82:1074-81. 2005
    ..Without a simple tool to evaluate appetite, health care providers often use inaccurate surrogates, such as measurement of energy consumption and nutritional risk, to reflect appetite...
  42. ncbi request reprint The medical director, JAMDA, and the twenty-first century
    John E Morley
    Division of Geriatrics Medicine, Saint Louis University Medical Center, 1402 S Grand Boulevard, St Louis, MO 63104, USA
    J Am Med Dir Assoc 8:65-7. 2007
  43. ncbi request reprint Cachexia: pathophysiology and clinical relevance
    John E Morley
    Division of Geriatric Medicine, Saint Louis University School of Medicine, 1042 South Grand Boulevard M238, St Louis, MO 63104, USA
    Am J Clin Nutr 83:735-43. 2006
    ..Numerous diseases can result in cachexia, each by a slightly different mechanism. Both nutritional support and orexigenic agents play a role in the management of cachexia...
  44. ncbi request reprint Dietary factors in atherogenesis
    Margaret Mary G Wilson
    Department of Internal Medicine, Division of Geriatric Medicine, St Louis University Health Sciences Center, 1402 South Grand Boulevard, Room M238, St Louis, MO 63104, USA
    Curr Atheroscler Rep 5:324-30. 2003
    ..This article reviews recent evidence relating to the interface between dietary factors and biologic models of atherogenesis. Clinical implications and practical applications are also discussed...
  45. ncbi request reprint Office management of weight loss in older persons
    Yves Rolland
    Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA
    Am J Med 119:1019-26. 2006
    ..Early screening for anorexia can be undertaken in the physician's office utilizing the Simplified Nutritional Assessment Questionnaire. An algorithmic approach to the office management of weight loss is provided...
  46. ncbi request reprint Are all pressure ulcers avoidable?
    David R Thomas
    Geriatric Medicine, Saint Louis University School of Medicine and Geriatric Research and Education Clinical Center, Veterans Administration Jefferson Barracks, Saint Louis, MO 63104, USA
    J Am Med Dir Assoc 4:S43-8. 2003
    ..The published data on prevention of pressure ulcers do not support an assumption that all pressure ulcers are preventable. An effective prevention strategy demonstrated to eliminate pressure ulcers across healthcare settings is lacking...
  47. ncbi request reprint Medications and sexual function
    David R Thomas
    Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St Louis, MO 63104, USA
    Clin Geriatr Med 19:553-62. 2003
    ..Although polypharmacy is a problem for older persons, in some cases sildenafil can be used to correct drug-induced impotence...
  48. ncbi request reprint Starving in the hospital
    David R Thomas
    Nutrition 19:907-8. 2003
  49. ncbi request reprint Treatment of kidney disease and anemia in elderly, long-term care residents
    Eric G Tangalos
    J Am Med Dir Assoc 5:H1-6. 2004
  50. ncbi request reprint Geriatricians, continuous quality improvement, and improved care for older persons
    John E Morley
    J Gerontol A Biol Sci Med Sci 58:M809-12. 2003
  51. ncbi request reprint Is a pressure ulcer a marker for quality of care?
    David R Thomas
    J Am Med Dir Assoc 6:228-30. 2005
  52. ncbi request reprint Intensive session: New approaches to medical issues in long-term care
    Barbara J Messinger-Rapport
    Cleveland Clinic, Section of Geriatric Medicine, Cleveland, OH, USA
    J Am Med Dir Assoc 8:421-33. 2007
    ..The areas discussed are heart failure, vitamin D, falls, new treatments for diabetes mellitus, blood pressure measurement, anemia, clinical nutrition, pressure ulcers, Clostridium difficile, insomnia, and antipsychotic therapy...
  53. ncbi request reprint Managing pressure ulcers: learning to give up cherished dogma
    David R Thomas
    J Am Med Dir Assoc 8:347-8. 2007
  54. ncbi request reprint Assessment and management of chronic pressure ulcers in the elderly
    Aimée Dinorah Garcia
    Michael E DeBakey VA Medical Center, Baylor College of Medicine, 2002 Holcombe ECL 110, Houston, TX 77030, USA
    Med Clin North Am 90:925-44. 2006
    ..Although the goal continues to be prevention, once a pressure ulcer does occur, a systematic and comprehensive approach to assessment and treatment is necessary to reduce healing times...
  55. ncbi request reprint Anemia: it's all about quality of life
    David R Thomas
    J Am Med Dir Assoc 8:80-2. 2007
  56. ncbi request reprint The relationship between functional status and inflammatory disease in older adults
    David R Thomas
    J Gerontol A Biol Sci Med Sci 58:995-8. 2003
  57. ncbi request reprint Wearing the hip protector
    David R Thomas
    J Am Med Dir Assoc 4:281-2. 2003
  58. ncbi request reprint The promise of topical growth factors in healing pressure ulcers
    David R Thomas
    Ann Intern Med 139:694-5. 2003
  59. ncbi request reprint Incidence of venous thromboembolism in megestrol acetate users
    David R Thomas
    J Am Med Dir Assoc 5:65-6; author reply 66-7. 2004
  60. ncbi request reprint Anemia and quality of life: unrecognized and undertreated
    David R Thomas
    J Gerontol A Biol Sci Med Sci 59:238-41. 2004
  61. ncbi request reprint Guidelines for the treatment of venous ulcers
    Martin C Robson
    University of South Florida, Tampa, FL, USA
    Wound Repair Regen 14:649-62. 2006
  62. doi request reprint Pharmacological assessment of m1 muscarinic acetylcholine receptor-gq/11 protein coupling in membranes prepared from postmortem human brain tissue
    Hasib Salah-Uddin
    Department of Cell Physiology and Pharmacology, University of Leicester, Henry Wellcome Building, Lancaster Road, Leicester LE1 9HN, United Kingdom
    J Pharmacol Exp Ther 325:869-74. 2008
    ....
  63. doi request reprint Writing an article for a geriatrics journal: guidelines from the Journal of the American Medical Directors Association
    Barbara J Messinger-Rapport
    Section of Geriatric Medicine, The Cleveland Clinic, Cleveland, OH 44195, USA
    J Am Med Dir Assoc 9:4-8. 2008
    ..The editors of JAMDA are committed to assisting authors in developing ideas for manuscripts, structuring the article and providing thoughtful reviewer comment to assist in revising the document...
  64. ncbi request reprint Randomized, placebo-controlled trial showing that finasteride reduces prostatic vascularity rapidly within 2 weeks
    John F Donohue
    Department of Urology, Good Hope Hospital, Birmingham, UK
    BJU Int 96:1319-22. 2005
    ..To measure expression of vascular endothelial growth factor (VEGF) and microvessel density (MVD) in the prostates of men after transurethral resection of the prostate (TURP) following 2 weeks of treatment with finasteride...
  65. ncbi request reprint The future history of geriatrics: consulting the experts
    David R Thomas
    J Gerontol A Biol Sci Med Sci 58:92. 2003