Mary Tinetti

Summary

Affiliation: Yale University
Country: USA

Publications

  1. ncbi Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care
    Mary E Tinetti
    JAMA 287:2098-105. 2002
  2. ncbi Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept
    Sharon K Inouye
    Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
    J Am Geriatr Soc 55:780-91. 2007
  3. ncbi Association between antihypertensive medication use and non-cardiovascular outcomes in older men
    Joseph V Agostini
    Clinical Epidemiology Research Center 151B, VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, USA
    J Gen Intern Med 22:1661-7. 2007
  4. ncbi Contribution of individual diseases to death in older adults with multiple diseases
    Mary E Tinetti
    Department of Internal Medicine, School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 60:1448-56. 2012
  5. ncbi Effect of a restorative model of posthospital home care on hospital readmissions
    Mary E Tinetti
    Department of Medicine, Yale School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 60:1521-6. 2012
  6. ncbi Effect of chronic disease-related symptoms and impairments on universal health outcomes in older adults
    Mary E Tinetti
    Department of Medicine, School of Medicine, Yale University, New Haven, Connecticut 06520 8025, USA
    J Am Geriatr Soc 59:1618-27. 2011
  7. ncbi The patient who falls: "It's always a trade-off"
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine Section of Geriatrics, 333 Cedar St, PO Box 208025, New Haven, CT 06520, USA
    JAMA 303:258-66. 2010
  8. ncbi Effect of dissemination of evidence in reducing injuries from falls
    Mary E Tinetti
    Department of Medicine, Yale School of Medicine, New Haven, CT, USA
    N Engl J Med 359:252-61. 2008
  9. ncbi Health outcome priorities among competing cardiovascular, fall injury, and medication-related symptom outcomes
    Mary E Tinetti
    Department of Internal Medicine and Epidemiology, New Haven, Connecticut 06504, USA
    J Am Geriatr Soc 56:1409-16. 2008
  10. ncbi Fall-risk evaluation and management: challenges in adopting geriatric care practices
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine, 20 York St, TMP15, New Haven, CT 06504, USA
    Gerontologist 46:717-25. 2006

Research Grants

  1. Death as a multifactorial cumulative health event in older adults
    Mary Tinetti; Fiscal Year: 2009
  2. Need for tailored clinical trials: hypertension and fall risk
    Mary Tinetti; Fiscal Year: 2006
  3. Claude D. Pepper Older Americans Independence Center at*
    Mary Tinetti; Fiscal Year: 2006
  4. GERIATRIC LEADERSHIP ACADEMIC AWARD (K07)
    Mary Tinetti; Fiscal Year: 2003
  5. SHARED IMPAIRMENTS FOR GERIATRIC SYNDROMES & DISABILITY
    Mary Tinetti; Fiscal Year: 2002

Detail Information

Publications52

  1. ncbi Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care
    Mary E Tinetti
    JAMA 287:2098-105. 2002
    ..Illness and hospitalization often trigger functional decline among older persons. Home care services implemented for functional decline provide an opportunity to intervene to improve outcomes...
  2. ncbi Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept
    Sharon K Inouye
    Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
    J Am Geriatr Soc 55:780-91. 2007
    ..National strategic initiatives are required to overcome barriers and to achieve clinical, research, and policy advances that will improve quality of life for older persons...
  3. ncbi Association between antihypertensive medication use and non-cardiovascular outcomes in older men
    Joseph V Agostini
    Clinical Epidemiology Research Center 151B, VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, USA
    J Gen Intern Med 22:1661-7. 2007
    ....
  4. ncbi Contribution of individual diseases to death in older adults with multiple diseases
    Mary E Tinetti
    Department of Internal Medicine, School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 60:1448-56. 2012
    ..To determine empirically the diseases contributing most commonly and strongly to death in older adults, accounting for coexisting diseases...
  5. ncbi Effect of a restorative model of posthospital home care on hospital readmissions
    Mary E Tinetti
    Department of Medicine, Yale School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 60:1521-6. 2012
    ..To compare readmissions of Medicare recipients of usual home care and a matched group of recipients of a restorative model of home care...
  6. ncbi Effect of chronic disease-related symptoms and impairments on universal health outcomes in older adults
    Mary E Tinetti
    Department of Medicine, School of Medicine, Yale University, New Haven, Connecticut 06520 8025, USA
    J Am Geriatr Soc 59:1618-27. 2011
    ..To determine the extent to which disease-related symptoms and impairments, which constitute measures of disease severity or targets of therapy, account for the associations between chronic diseases and universal health outcomes...
  7. ncbi The patient who falls: "It's always a trade-off"
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine Section of Geriatrics, 333 Cedar St, PO Box 208025, New Haven, CT 06520, USA
    JAMA 303:258-66. 2010
    ..While challenges and barriers exist, fall prevention strategies can be incorporated into clinical practice...
  8. ncbi Effect of dissemination of evidence in reducing injuries from falls
    Mary E Tinetti
    Department of Medicine, Yale School of Medicine, New Haven, CT, USA
    N Engl J Med 359:252-61. 2008
    ..Falling is a common and morbid condition among elderly persons. Effective strategies to prevent falls have been identified but are underutilized...
  9. ncbi Health outcome priorities among competing cardiovascular, fall injury, and medication-related symptom outcomes
    Mary E Tinetti
    Department of Internal Medicine and Epidemiology, New Haven, Connecticut 06504, USA
    J Am Geriatr Soc 56:1409-16. 2008
    ..To determine the priority that older adults with coexisting hypertension and fall risk give to optimizing cardiovascular outcomes versus fall- and medication symptom-related outcomes...
  10. ncbi Fall-risk evaluation and management: challenges in adopting geriatric care practices
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine, 20 York St, TMP15, New Haven, CT 06504, USA
    Gerontologist 46:717-25. 2006
    ....
  11. ncbi Development of a tool for eliciting patient priority from among competing cardiovascular disease, medication-symptoms, and fall injury outcomes
    Mary E Tinetti
    Department of Medicine, Section of Geriatrics, New Haven, Connecticut 06520 8025, USA
    J Am Geriatr Soc 56:730-6. 2008
    ..To develop a choice task for eliciting priorities in the face of competing cardiovascular disease (CVD) outcomes, medication-related symptoms, and fall injuries...
  12. ncbi The end of the disease era
    Mary E Tinetti
    Departments of Internal Medicine, Yale School of Medicine, New Haven, Connecticut 06520 8025, USA
    Am J Med 116:179-85. 2004
    ..Notwithstanding these barriers, medical care must evolve to meet the health care needs of patients in the 21st century...
  13. ncbi Modifiable impairments predict progressive disability among older persons
    Mary E Tinetti
    Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06504, USA
    J Aging Health 17:239-56. 2005
    ..Our purpose was to determine the extent to which a predetermined set of modifiable impairments predicted progression of disability...
  14. ncbi Contribution of multiple chronic conditions to universal health outcomes
    Mary E Tinetti
    Department of Medicine, School of MedicineSchool of Public Health, Yale University, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 59:1686-91. 2011
    ..To determine the relative effect of five chronic conditions on four representative universal health outcomes...
  15. ncbi Pilot testing of intervention protocols to prevent pneumonia in nursing home residents
    Vincent Quagliarello
    Department of Internal Medicine, Infectious Diseases Section, School of Medicine, Yale University, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 57:1226-31. 2009
    ..To test intervention protocols for feasibility, staff adherence, and effectiveness in reducing pneumonia risk factors (impaired oral hygiene, swallowing difficulty) in nursing home residents...
  16. ncbi Interobserver variability in the assessment of clinical criteria for suspected urinary tract infection in nursing home residents
    Manisha Juthani-Mehta
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USA
    Infect Control Hosp Epidemiol 29:446-9. 2008
    ..Pairs of nursing home staff caring for 30 residents were interviewed at the time UTI was suspected. At least one measure from each of 7 clinical criteria categories was reliably assessed by nursing home staff members...
  17. ncbi Clinical features to identify urinary tract infection in nursing home residents: a cohort study
    Manisha Juthani-Mehta
    Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    J Am Geriatr Soc 57:963-70. 2009
    ..To identify clinical features associated with bacteriuria plus pyuria in noncatheterized nursing home residents with clinically suspected urinary tract infection (UTI)...
  18. ncbi Health outcome prioritization to elicit preferences of older persons with multiple health conditions
    Terri R Fried
    Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
    Patient Educ Couns 83:278-82. 2011
    ..To develop and test a simple tool to elicit the preferences of older persons based on prioritization of universal health outcomes...
  19. ncbi Diagnostic accuracy of criteria for urinary tract infection in a cohort of nursing home residents
    Manisha Juthani-Mehta
    Department of Internal Medicine, Section of Infectious Disease, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 55:1072-7. 2007
    ....
  20. ncbi Dissemination of an evidence-based multicomponent fall risk-assessment and -management strategy throughout a geographic area
    Dorothy I Baker
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut
    J Am Geriatr Soc 53:675-80. 2005
    ..Project results have implications for efforts to diffuse evidence-based practices for multifactorial geriatric conditions such as falls...
  21. ncbi The impact of chronic illnesses on the use and effectiveness of adjuvant chemotherapy for colon cancer
    Cary P Gross
    Section of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    Cancer 109:2410-9. 2007
    ..It is unclear how noncancer conditions affect the use or effectiveness of adjuvant therapy among older patients with colon cancer...
  22. ncbi Range and severity of symptoms over time among older adults with chronic obstructive pulmonary disease and heart failure
    Lisa M Walke
    Yale School of Medicine, New Haven, CT 06504, USA
    Arch Intern Med 167:2503-8. 2007
    ..Symptoms are a central component of health status; however, little is known about the full range and trajectory of symptoms experienced by persons with chronic diseases other than cancer...
  23. ncbi Assessing multiple medication use with probabilities of benefits and harms
    Terrence E Murphy
    Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
    J Aging Health 20:694-709. 2008
    ..A quantitative framework to assess harms and benefits of candidate medications in the context of drugs that a patient is already taking is proposed...
  24. ncbi Views of older persons with multiple morbidities on competing outcomes and clinical decision-making
    Terri R Fried
    Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    J Am Geriatr Soc 56:1839-44. 2008
    ....
  25. ncbi Primary care clinicians' experiences with treatment decision making for older persons with multiple conditions
    Terri R Fried
    Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA
    Arch Intern Med 171:75-80. 2011
    ..Understanding how primary care clinicians approach treatment decision making for these patients is critical to the design of interventions to improve the decision-making process...
  26. ncbi Effects of statin use on muscle strength, cognition, and depressive symptoms in older adults
    Joseph V Agostini
    Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    J Am Geriatr Soc 55:420-5. 2007
    ..To determine the relationship between hydroxymethyl glutaryl coenzyme A reductase inhibitor (statin) use and proximal muscle strength, cognition, and depression in older adults...
  27. ncbi Multimorbidity and survival in older persons with colorectal cancer
    Cary P Gross
    General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 54:1898-904. 2006
    ..To ascertain the effect of common chronic conditions on mortality in older persons with colorectal cancer...
  28. ncbi Nursing home practitioner survey of diagnostic criteria for urinary tract infections
    Manisha Juthani-Mehta
    Infectious Diseases Section, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    J Am Geriatr Soc 53:1986-90. 2005
    ..To determine practitioner knowledge of the most commonly used consensus criteria (i.e., McGeer criteria) for UTIs...
  29. ncbi Experimental designs for multicomponent interventions among persons with multifactorial geriatric syndromes
    Heather G Allore
    Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
    Clin Trials 2:13-21. 2005
    ..We also propose elements of multicomponent interventions for multifactorial health conditions that should be reported in publications and areas where future research is needed...
  30. ncbi A case study found that a regression tree outperformed multiple linear regression in predicting the relationship between impairments and Social and Productive Activities scores
    Heather Allore
    Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA
    J Clin Epidemiol 58:154-61. 2005
    ..Therefore, methods to detect levels of a predictor variable that predict the outcome and determine the threshold for clinical intervention would provide a beneficial tool for clinical investigators and epidemiologists...
  31. ncbi Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice
    William C Chou
    Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
    J Gen Intern Med 21:117-22. 2006
    ..Falls are common, treatable, and result in considerable morbidity in older adults. However, fall risk factor evaluation and management targeted at high-risk patients is largely neglected in clinical practice...
  32. ncbi Potential pitfalls of disease-specific guidelines for patients with multiple conditions
    Mary E Tinetti
    Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
    N Engl J Med 351:2870-4. 2004
  33. ncbi The burden of symptoms among community-dwelling older persons with advanced chronic disease
    Lisa M Walke
    Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn 06504, USA
    Arch Intern Med 164:2321-4. 2004
    ..The objectives of our study were to determine (1) the prevalence of a range of symptoms among older persons with advanced chronic disease and (2) whether the prevalence of symptoms is similar across diagnoses...
  34. ncbi Relation between Medicare screening reimbursement and stage at diagnosis for older patients with colon cancer
    Cary P Gross
    Section of General Internal Medicine, Department of Medicine, Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, Primary Care Center, New Haven, Conn 06520, USA
    JAMA 296:2815-22. 2006
    ..Medicare's reimbursement policy was changed in 1998 to provide coverage for screening colonoscopies for patients with increased colon cancer risk, and expanded further in 2001 to cover screening colonoscopies for all individuals...
  35. ncbi The effect of age and chronic illness on life expectancy after a diagnosis of colorectal cancer: implications for screening
    Cary P Gross
    Robert Wood Johnson Clinical Scholars Program and Primary Care Center, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    Ann Intern Med 145:646-53. 2006
    ..Older adults with shorter life expectancies may receive less benefit from colorectal cancer screening than younger, healthier patients...
  36. ncbi The relationship between number of medications and weight loss or impaired balance in older adults
    Joseph V Agostini
    Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    J Am Geriatr Soc 52:1719-23. 2004
    ..To examine the relationship between cumulative medication exposure and risk of two common manifestations of adverse drug effects: weight loss and impaired balance...
  37. ncbi Association between combined interleukin-6 and C-reactive protein levels and pulmonary function in older women: results from the Women's Health and Aging Studies I and II
    SANDY S CHANG
    Section of Geriatrics, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    J Am Geriatr Soc 59:113-9. 2011
    ....
  38. ncbi Role of dipstick testing in the evaluation of urinary tract infection in nursing home residents
    Manisha Juthani-Mehta
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USA
    Infect Control Hosp Epidemiol 28:889-91. 2007
    ..Nursing home dipstick testing effectively excluded the possibility of UTI...
  39. ncbi Modifiable risk factors for nursing home-acquired pneumonia
    Vincent Quagliarello
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520 8022, USA
    Clin Infect Dis 40:1-6. 2005
    ..This study sought to identify modifiable risk factors for pneumonia in elderly nursing home residents...
  40. ncbi Views of older adults on patient participation in medication-related decision making
    Vernee N Belcher
    Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06520-8025, USA
    J Gen Intern Med 21:298-303. 2006
    ..CONCLUSIONS: While evolution to greater patient involvement in medication decision making may be possible, and desirable to some older patients, findings suggest that the transition will be challenging...
  41. ncbi Clinical practice. Preventing falls in elderly persons
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine, 333 Cedar St, P.O. Box 208025, New Haven, CT 06520-8025, USA
    N Engl J Med 348:42-9. 2003
  42. ncbi Over-the-counter sales of statins and other drugs for asymptomatic conditions
    Mary E Tinetti
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    N Engl J Med 358:2728-32. 2008
  43. ncbi Fall-risk assessment and management in clinical practice: views from healthcare providers
    Richard H Fortinsky
    Center on Aging, University of Connecticut Health Center, Farmington, Connecticut 06030 5215, USA
    J Am Geriatr Soc 52:1522-6. 2004
    ....
  44. ncbi Changes in physical therapy providers' use of fall prevention strategies following a multicomponent behavioral change intervention
    Cynthia J Brown
    University of Alabama at Birmingham, VAMC GRECC 11 G Room 8225, 1530 3rd Ave S, Birmingham, AL 35294 0001, USA
    Phys Ther 85:394-403. 2005
    ....
  45. ncbi Measuring alcohol consumption among older adults: a comparison of available methods
    M Carrington Reid
    Clinical Epidemiology Unit, VA Connecticut Healthcare System, West Haven, USA
    Am J Addict 12:211-9. 2003
    ..Until optimal methods for measuring alcohol exposures in elderly adults are defined, we suggest that a combination of measures be used when obtaining alcohol histories in older persons...
  46. ncbi Depressive symptoms as a risk factor for disabling back pain in community-dwelling older persons
    M Carrington Reid
    Division of Geriatrics and Gerontology, Weill Medical College, Cornell University, New York, New York 10021, USA
    J Am Geriatr Soc 51:1710-7. 2003
    ..To determine whether the presence of depressive symptoms is an independent risk factor for disabling back pain in community-dwelling older persons...
  47. ncbi Extent of implementation of evidence-based fall prevention practices for older patients in home health care
    Richard H Fortinsky
    Center on Aging, University of Connecticut Health Center, Farmington, Connecticut 06030, USA
    J Am Geriatr Soc 56:737-43. 2008
    ..HHA-level comparisons hold the potential to illustrate the extent of diffusion of evidence-based fall prevention practices within and between agencies...
  48. ncbi Potentially modifiable resident characteristics that are associated with physical or verbal aggression among nursing home residents with dementia
    Ralph Leonard
    CALM-MD, LLC, St Louis Park, MN 55426, USA
    Arch Intern Med 166:1295-300. 2006
    ..CONCLUSION: If the associations we have estimated are causal, then treatment of depression, delusions, hallucinations, and constipation may reduce physical aggression among nursing home residents...
  49. ncbi Multifactorial fall-prevention strategies: time to retreat or advance
    Mary E Tinetti
    J Am Geriatr Soc 56:1563-5. 2008
  50. ncbi Recovery of kidney function after acute kidney injury in the elderly: a systematic review and meta-analysis
    Roland Schmitt
    Department of Nephrology, Hannover Medical School, Hannover, Germany
    Am J Kidney Dis 52:262-71. 2008
    ..The prevalence of elderly individuals continues to increase over time, as does the incidence of acute kidney injury (AKI). However, it is not known whether age is an important prognostic predictor for renal recovery after an episode of AKI...
  51. ncbi The role of pain in the recovery of instrumental and social functioning after hip fracture
    Christianna S Williams
    Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr Blvd, Campus Box 7590, Chapel Hill, NC 27599 7590, USA
    J Aging Health 18:743-62. 2006
    ..The authors examined the association between pain intensity and two functional endpoints-instrumental activities of daily living and social activity participation-after hip fracture...
  52. ncbi Drugs and falls: rethinking the approach to medication risk in older adults
    Joseph V Agostini
    J Am Geriatr Soc 50:1744-5. 2002

Research Grants11

  1. Death as a multifactorial cumulative health event in older adults
    Mary Tinetti; Fiscal Year: 2009
    ..With baby boomers heading into their late years, accurate estimates of the conditions contributing to mortality are essential for health and economic planning. ..
  2. Need for tailored clinical trials: hypertension and fall risk
    Mary Tinetti; Fiscal Year: 2006
    ..The proposed study will test this hypothesis. ..
  3. Claude D. Pepper Older Americans Independence Center at*
    Mary Tinetti; Fiscal Year: 2006
    ....
  4. GERIATRIC LEADERSHIP ACADEMIC AWARD (K07)
    Mary Tinetti; Fiscal Year: 2003
    ..abstract_text> ..
  5. SHARED IMPAIRMENTS FOR GERIATRIC SYNDROMES & DISABILITY
    Mary Tinetti; Fiscal Year: 2002
    ....