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Health services research

Section edited by Koen Milisen

The section considers manuscripts on management of elderly healthcare, practitioner/nursing viewpoints, finance (from a health service perspective), intensive care, systems, emergency care, admissions data/management, prescribing practices/errors, decision making, care homes/facilities, technology.

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  1. Up to one in three of older patients who are hospitalised develop functional decline, which is associated with sustained disability, institutionalisation and death. This study developed and validated a clinica...

    Authors: Bastiaan Van Grootven, Anthony Jeuris, Maren Jonckers, Els Devriendt, Bernadette Dierckx de Casterlé, Christophe Dubois, Katleen Fagard, Marie-Christine Herregods, Miek Hornikx, Bart Meuris, Steffen Rex, Jos Tournoy, Koen Milisen, Johan Flamaing and Mieke Deschodt

    Citation: BMC Geriatrics 2020 20:112

    Content type: Research article

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  2. Wellness program participation may reduce the risk of falling, emergency department-use, and hospitalization among older adults. “On the Move” (OTM), a community-based group exercise program focused on the tim...

    Authors: Peter C. Coyle, Subashan Perera, Steven M. Albert, Janet K. Freburger, Jessie M. VanSwearingen and Jennifer S. Brach

    Citation: BMC Geriatrics 2020 20:105

    Content type: Research article

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  3. Poor health literacy was found to be one of the key barriers in older adults’ disease prevention practice. However, it has still been unclear how different processes in health literacy play a role in older adu...

    Authors: Fan Zhang, Peggy Pui-Lai Or and Joanne Wai-Yee Chung

    Citation: BMC Geriatrics 2020 20:103

    Content type: Research article

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  4. Risk prediction after myocardial infarction is often complex in older patients. The Global Registry of Acute Coronary Events (GRACE) model includes clinical parameters and age, but not frailty. We hypothesised...

    Authors: Atul Anand, Sarah Cudmore, Shirley Robertson, Jacqueline Stephen, Kristin Haga, Christopher J. Weir, Scott A. Murray, Kirsty Boyd, Julian Gunn, Javaid Iqbal, Alasdair MacLullich, Susan D. Shenkin, Keith A. A. Fox, Nicholas Mills and Martin A. Denvir

    Citation: BMC Geriatrics 2020 20:102

    Content type: Research article

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  5. Preventive home visits are suited for patients with reduced mobility, such as older people. Healthcare needs for older patients are expected to increase due to the extended life expectancy estimated in coming ...

    Authors: Carolina Burgos-Díez, Rosa Maria Sequera-Requero, Francisco José Tarazona-Santabalbina, Joan Carles Contel-Segura, Marià Monzó-Planella and Sebastià Josep Santaeugènia-González

    Citation: BMC Geriatrics 2020 20:101

    Content type: Study protocol

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  6. In the European Union (EU), informal caregivers provide 60% of all care. Informal caregiving ranges from assistance with daily activities and provision of direct care to helping care recipients to navigate wit...

    Authors: Ingvild Lilleheie, Jonas Debesay, Asta Bye and Astrid Bergland

    Citation: BMC Geriatrics 2020 20:97

    Content type: Research article

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  7. Subgroups of older patients experience difficulty performing activities of daily living (ADL) following hospital discharge, as well as unplanned hospital readmissions and emergency department (ED) presentation...

    Authors: Véronique Provencher, Lindy Clemson, Kylie Wales, Ian D. Cameron, Laura N. Gitlin, Ariane Grenier and Natasha A. Lannin

    Citation: BMC Geriatrics 2020 20:84

    Content type: Research article

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  8. Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older...

    Authors: Manon Lette, Eliva A. Ambugo, Terje P. Hagen, Giel Nijpels, Caroline A. Baan and Simone R. de Bruin

    Citation: BMC Geriatrics 2020 20:81

    Content type: Research article

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  9. Accidental falls among older adults are a leading cause of injury-related hospitalizations. Reducing falls is an ongoing quality improvement priority for home care, given that many home care clients experience...

    Authors: Derek R. Manis, Caitlin McArthur and Andrew P. Costa

    Citation: BMC Geriatrics 2020 20:80

    Content type: Research article

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  10. Like many other low- and middle-income countries (LMICs), the Ghanaian healthcare system remains poor which is likely to affect the utilisation of healthcare services, especially among poor older people who ar...

    Authors: Williams Agyemang-Duah, Charles Peprah and Francis Arthur-Holmes

    Citation: BMC Geriatrics 2020 20:79

    Content type: Research article

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  11. A rapidly ageing population with increasing prevalence of chronic disease presents policymakers the urgent task of tailoring healthcare services to optimally meet changing needs. While healthcare needs-based s...

    Authors: Jia Loon Chong, Lian Leng Low, David Bruce Matchar, Rahul Malhotra, Kheng Hock Lee, Julian Thumboo and Angelique Wei-Ming Chan

    Citation: BMC Geriatrics 2020 20:78

    Content type: Research article

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  12. As global populations age, governments have come to rely heavily on family carers (FCs) to care for older adults and reduce the demands made of formal health and social care systems. Under increasing pressure,...

    Authors: Myles Leslie, Robin Patricia Gray, Jacquie Eales, Janet Fast, Andrew Magnaye and Akram Khayatzadeh-Mahani

    Citation: BMC Geriatrics 2020 20:52

    Content type: Research article

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  13. The rising number of older multimorbid in-patients has implications for medical care. There is a growing need for the identification of factors predicting the needs of older patients in hospital environments. ...

    Authors: Anne-Carina Scharf, Janine Gronewold, Christian Dahlmann, Jeanina Schlitzer, Andreas Kribben, Guido Gerken, Helmut Frohnhofen, Richard Dodel and Dirk M. Hermann

    Citation: BMC Geriatrics 2020 20:75

    Content type: Research article

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  14. Intra-abdominal emergency surgery is associated with high mortality risk and long length of hospital stay. The objective of this study was to explore variations in surgery rates, the relationship between admis...

    Authors: Aisling McCann, Jan Sorensen, Deirdre Nally, Dara Kavanagh and Deborah A. McNamara

    Citation: BMC Geriatrics 2020 20:72

    Content type: Research article

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  15. Visual impairment disproportionately affects people in the low-income countries. A high proportion of visual impairment can be prevented or cured. Yet, care seeking for eye health is restricted for women and o...

    Authors: Debjani Barman and Manasee Mishra

    Citation: BMC Geriatrics 2020 20:71

    Content type: Research article

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  16. The delivery of post stroke care is fragmented even in advanced public healthcare systems, globally. Primary care teams are entrusted to provide longer term care for stroke survivors in most developing countri...

    Authors: Aznida Firzah Abdul Aziz, Nor Azlin Mohd Nordin, Amrizal Muhd Nur, Saperi Sulong and Syed Mohamed Aljunid

    Citation: BMC Geriatrics 2020 20:70

    Content type: Research article

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  17. In view of population aging, a better knowledge of factors influencing the type of long-term care (LTC) among older adults is necessary. Previous studies reported a close relationship between incontinence and ...

    Authors: Nicolas Carvalho, Sarah Fustinoni, Nazanin Abolhassani, Juan Manuel Blanco, Lionel Meylan and Brigitte Santos-Eggimann

    Citation: BMC Geriatrics 2020 20:69

    Content type: Research article

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  18. The culture shift in nursing homes from task-oriented to person-centered care has created a need to assess clients’ experienced quality of care (QoC), as this corresponds best with what matters to them. This s...

    Authors: Katya Y. J. Sion, Hilde Verbeek, Bram de Boer, Sandra M. G. Zwakhalen, Gaby Odekerken-Schröder, Jos M. G. A. Schols and Jan P. H. Hamers

    Citation: BMC Geriatrics 2020 20:67

    Content type: Research article

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  19. Screening is an important component of understanding and managing frailty. This study examined older adults’, caregivers’ and healthcare providers’ perspectives on frailty and frailty screening.

    Authors: Jill Van Damme, Elena Neiterman, Mark Oremus, Kassandra Lemmon and Paul Stolee

    Citation: BMC Geriatrics 2020 20:65

    Content type: Research article

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  20. “Failure to thrive” and associated diagnoses are non-specific terms applied to older adults when there is lack of diagnostic clarity and imply an absence of medical acuity. We investigated the effect of such a...

    Authors: Clara Tsui, Kristine Kim and Martha Spencer

    Citation: BMC Geriatrics 2020 20:62

    Content type: Research article

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  21. The aim of this study was to update and refine an algorithm, originally developed in Canada, to assist care home staff to manage residents with suspected infection in the United Kingdom care home setting. The ...

    Authors: Carmel Hughes, David R. Ellard, Anne Campbell, Rachel Potter, Catherine Shaw, Evie Gardner, Ashley Agus, Dermot O’Reilly, Martin Underwood, Mark Loeb, Bob Stafford and Michael Tunney

    Citation: BMC Geriatrics 2020 20:59

    Content type: Research article

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  22. Andersen’s Expanded Behavioral Model of Health Services Use describes factors associated with the use of long-term services and supports (LTSS). This model, however, has only been tested on the intent to use such...

    Authors: Jasmine L. Travers, Karen B. Hirschman and Mary D. Naylor

    Citation: BMC Geriatrics 2020 20:58

    Content type: Research article

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  23. Older patients are increasingly encouraged to be actively involved but how they perceive their role in the decision-making process varies according to their health care providers and their health situation. Th...

    Authors: Kirti D. Doekhie, Martina Buljac-Samardzic, Mathilde M. H. Strating and Jaap Paauwe

    Citation: BMC Geriatrics 2020 20:53

    Content type: Research article

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  24. Older people living in the community have a high prevalence of polypharmacy and are vulnerable to adverse drug events. Home Medicines Review (HMR) is a collaborative medication review service involving general...

    Authors: Lisa Kouladjian O’Donnell, Mouna Sawan, Emily Reeve, Danijela Gnjidic, Timothy F. Chen, Patrick J. Kelly, Simon J. Bell and Sarah N. Hilmer

    Citation: BMC Geriatrics 2020 20:51

    Content type: Study protocol

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  25. Timely diagnosis of dementia has a wide range of benefits including reduced hospital emergency department presentations, admissions and inpatient length of stay, and improved quality of life for patients and t...

    Authors: Genevieve Z. Steiner, Carolyn Ee, Shamieka Dubois, Freya MacMillan, Emma S. George, Kate A. McBride, Diana Karamacoska, Keith McDonald, Anne Harley, Gamze Abramov, Elana R. Andrews-Marney, Adele E. Cave and Mark I. Hohenberg

    Citation: BMC Geriatrics 2020 20:49

    Content type: Research article

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  26. This paper aims to identify whether health care staff perceive a 12-week online facilitated, multimodal, person-centred care, dementia education program influences their knowledge, skills, behaviour and practi...

    Authors: K. DeSouza, S. W. Pit and A. Moehead

    Citation: BMC Geriatrics 2020 20:33

    Content type: Research article

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  27. In the age of aging, Korea’s current medical delivery system threatens to increase the number of medical and caring refugees. This study attempts to develop an integrated senior citizen-oriented healthcare ser...

    Authors: Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Hee Joung Kim, Jinyoung Shin, Jae-Min Park, Kyeong Eun Uhm, Kyoung Jin Kim, Jung A. Yoo, Yun Kyoung Oh, Pilsuk Byeon, Kunsei Lee, Seol-Heui Han and Jaekyung Choi

    Citation: BMC Geriatrics 2020 20:32

    Content type: Research article

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  28. Ambulatory geriatric rehabilitation (AGR) is a multidisciplinary outpatient prevention program designed to decrease hospitalisation and dependence on nursing care in multimorbid patients ≥70 years of age. We e...

    Authors: Simone Kiel, Carolin Zimak, Jean-François Chenot and Carsten Oliver Schmidt

    Citation: BMC Geriatrics 2020 20:30

    Content type: Research article

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  29. Dementia is a serious and growing health problem, and since most people with dementia live at home, caring responsibilities generally fall on family members. Caregivers are often inadequately supported by form...

    Authors: Hui Shi, Chen Mao, Jinling Tang and Huiying Liang

    Citation: BMC Geriatrics 2020 20:20

    Content type: Research article

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  30. Besides the importance of estimating the global economic impact of care for persons with dementia, there is an emerging need to identify the key factors associated with this cost. The aim of this study was to ...

    Authors: S. Vandepitte, L. Van Wilder, K. Putman, N. Van Den Noortgate, S. Verhaeghe, J. Trybou and L. Annemans

    Citation: BMC Geriatrics 2020 20:18

    Content type: Research article

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  31. Over the past decade, there has been significant growth in the awareness and understanding of fragility among orthopaedic surgeons in the context of osteoporotic fractures and with it, improvements in the reco...

    Authors: Mandy M. Archibald, Michael Lawless, Tiffany K. Gill and Mellick J. Chehade

    Citation: BMC Geriatrics 2020 20:17

    Content type: Research article

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  32. Informal caregivers (IC) of people with dementia (PwD) are at greater risk of developing physical and mental health problems when compared to the general population and to IC of people with other chronic disea...

    Authors: Soraia Teles, Ana Ferreira, Katrin Seeher, Stéfanie Fréel and Constança Paúl

    Citation: BMC Geriatrics 2020 20:10

    Content type: Study protocol

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  33. Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for ...

    Authors: Babette Everaars, Linet F. Weening-Verbree, Katarina Jerković-Ćosić, Linda Schoonmade, Nienke Bleijenberg, Niek J. de Wit and Geert J. M. G. van der Heijden

    Citation: BMC Geriatrics 2020 20:4

    Content type: Research article

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  34. Delirium is a frequent complication of hospital admission among older people. Multicomponent interventions which can reduce incident delirium by ≈one-third are recommended by the National Institute of Health a...

    Authors: Mary Godfrey, John Green, Jane Smith, Francine Cheater, Sharon K. Inouye, Keith Hurst and John Young

    Citation: BMC Geriatrics 2019 20:1

    Content type: Research article

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  35. Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patie...

    Authors: Malin Östman, Siv Bäck-Pettersson, Ann-Helén Sandvik and Annelie J. Sundler

    Citation: BMC Geriatrics 2019 19:375

    Content type: Research article

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  36. Little is known about the effects of continued antiplatelet therapy in patients who receive physician home visits. This study aimed to evaluate the association of survival with the continuation of antiplatelet...

    Authors: Yasuhiro Osugi, Teruo Ino, Daiki Kobayashi, Mitsunaga Iwata and Kanichi Asai

    Citation: BMC Geriatrics 2019 19:366

    Content type: Research article

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  37. 52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health car...

    Authors: Lisbeth Thoresen, Reidar Pedersen, Lillian Lillemoen, Elisabeth Gjerberg and Reidun Førde

    Citation: BMC Geriatrics 2019 19:363

    Content type: Research article

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  38. Patients with multimorbidity often receive diverse treatments; they are subjected to polypharmacy and to a high treatment burden. Hence it is advocated that doctors set individual health and treatment prioriti...

    Authors: Ulrike Junius-Walker, Tanja Schleef, Ulrike Vogelsang and Marie-Luise Dierks

    Citation: BMC Geriatrics 2019 19:362

    Content type: Research article

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  39. The demographic changes towards ageing of the populations in developed countries impose a challenge to trauma centres, as geriatric trauma patients require specific diagnostic and therapeutic procedures. This ...

    Authors: Lorenz Peterer, Christian Ossendorf, Kai Oliver Jensen, Georg Osterhoff, Ladislav Mica, Burkhardt Seifert, Clément M. L. Werner, Hans-Peter Simmen, Hans-Christoph Pape and Kai Sprengel

    Citation: BMC Geriatrics 2019 19:359

    Content type: Research article

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  40. Challenges of future dementia care include increasing shortage of qualified healthcare providers and decreasing potential of informal care by relatives. In order to meet those challenges, changes in dementia c...

    Authors: Johanna Forstner, Michel Wensing, Jan Koetsenruijter and Pamela Wronski

    Citation: BMC Geriatrics 2019 19:358

    Content type: Research article

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  41. We tested the feasibility of delivering and evaluating a complex therapy intervention which aimed to promote activity and independence for people with early dementia (PrAISED). Feasibility questions were on: r...

    Authors: Sarah E. Goldberg, Veronika van der Wardt, Andy Brand, Clare Burgon, Rupinder Bajwa, Zoe Hoare, Pip L. Logan and Rowan H. Harwood

    Citation: BMC Geriatrics 2019 19:353

    Content type: Research article

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  42. Today many older persons in ordinary housing receive home health care. It is stipulated that the care is to provide security; however, deficiencies in home health care are reported in many countries. It may be...

    Authors: Inger James, Margaretha Norell Pejner and Annica Kihlgren

    Citation: BMC Geriatrics 2019 19:351

    Content type: Research article

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  43. Unassisted falls are more likely to result in injury than assisted falls. However, little is known about risk factors for falling unassisted. Furthermore, rural hospitals, which care for a high proportion of o...

    Authors: Dawn M. Venema, Anne M. Skinner, Regina Nailon, Deborah Conley, Robin High and Katherine J. Jones

    Citation: BMC Geriatrics 2019 19:348

    Content type: Research article

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  44. In institutional care, oral liquid pharmaceutical products are widely prescribed for older patients, especially for those with swallowing disorders. As medicines acceptability is a key factor for compliance in...

    Authors: Emilie Belissa, Thibault Vallet, Sandra Laribe-Caget, Alain Chevallier, François-Xavier Chedhomme, Fattima Abdallah, Nathalie Bachalat, Sid-Ahmed Belbachir, Imad Boulaich, Vanessa Bloch, Anne Delahaye, Mathieu Depoisson, Amélie Dufaÿ Wojcicki, Stéphane Gibaud, Anne-Sophie Grancher, Caroline Guinot…

    Citation: BMC Geriatrics 2019 19:344

    Content type: Research article

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  45. Regarding the health care of older populations, WHO recommends shifting from disease-driven attention models towards a personalized, integrated and continuous care aimed to the maintenance and enhancement of f...

    Authors: Itziar Vergara, Maider Mateo-Abad, María Carmen Saucedo-Figueredo, Mónica Machón, Alonso Montiel-Luque, Kalliopi Vrotsou, María Antonia Nava del Val, Ana Díez-Ruiz, Carolina Güell, Ander Matheu, Antonio Bueno, Jazmina Núñez and Francisco Rivas-Ruiz

    Citation: BMC Geriatrics 2019 19:342

    Content type: Research article

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  46. Urinary tract infections (UTI) are among the most frequent bacterial infections in older adults. The aim of the study was to analyse the existence of differences in clinical features, microbiological data and ...

    Authors: Alex Smithson, Javier Ramos, Esther Niño, Alex Culla, Ubaldo Pertierra, Michele Friscia and Maria Teresa Bastida

    Citation: BMC Geriatrics 2019 19:334

    Content type: Research article

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  47. As populations are aging, a growing number of home care clients are frail and use multiple, complex medications. Combined with the lack of coordination of care this may pose uncontrolled polypharmacy and poten...

    Authors: Terhi Toivo, Marja Airaksinen, Maarit Dimitrow, Eeva Savela, Katariina Pelkonen, Valtteri Kiuru, Tuula Suominen, Mira Uunimäki, Sirkka-Liisa Kivelä, Saija Leikola and Juha Puustinen

    Citation: BMC Geriatrics 2019 19:332

    Content type: Research article

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  48. Collaborative medication review (CMR) practices for older adults are evolving in many countries. Development has been under way in Finland for over a decade, but no inventory of evolved practices has been cond...

    Authors: A. Kiiski, M. Airaksinen, A. Mäntylä, S. Desselle, A. Kumpusalo-Vauhkonen, T. Järvensivu and M. Pohjanoksa-Mäntylä

    Citation: BMC Geriatrics 2019 19:321

    Content type: Research article

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