Interdisciplinary collaboration in geriatric medical care
https://doi.org/10.37586/2686-8636-3-2025-310-320
Abstract
An increasing senior population requires improvements in geriatric care. Elderly patients are prone to various age-related diseases combined with geriatric symptoms. In such cases, medical treatment involves collaboration between doctors of different specializations, nurses, social workers, and care professionals. To make such collaboration as efficient as possible, appropriate professional training and a regulatory framework for interaction, along with well-defined medical care algorithms, are necessary.
About the Authors
I. A. SolomyannikRussian Federation
Solomyannik Irina Anatolevna
Moscow
Z. A. Galeeva
Russian Federation
Moscow
L. A. Alexanyan
Russian Federation
Moscow
References
1. Kotovskaya Yu. V. Geriatric cardiology — an imperative of our time. Russian Journal of Geriatric Medicine. 2023 ; (1) : 6–13. (In Russ.)]. doi: 10.37586/2686-8636-1-2023-6-13
2. Sedova E. V. Osnovy geriatrii dlya vrachej pervichnogo zvena. Uchebno-metodicheskoe posobie. / E. V. Sedova, F. N. Paleev, O. N. Starceva; GBUZ MO MONIKI im. M. F. Vladimirskogo, fakul'tet usovershenstvovaniya vrachej. Moskva, GBUZ MO MONIKI im. M. F. Vladimirskogo. 2019. 52 p. (In Russ.)]. ISBN 978-5-98511-421-8
3. Tkacheva O. N., Vorob'eva N. M., Kotovskaya Yu. V., et al. Prevalence of geriatric syndromes in persons over 65 years: the first results of the EVCALIPT study. Russian Journal of Cardiology. 2020 ; 25 (10) : 168–178. (In Russ.)]. doi: 10.15829/1560-4071-2020-3985
4. Gomez F., Curcio C. L. Interdisciplinary collaboration in gerontology and geriatrics in Latin America: conceptual approaches and health care teams. Gerontol Geriatr Educ. 2013 ; 34 (2) : 161–175. doi: 10.1080/02701960.2012.699010
5. Chang A. Y., Skirbekk V. F., Tyrovolas S., et al. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017. Lancet Public Health. 2019 ; 4 (3) : е159–e167. doi: 10.1016/S2468-2667(19)30019-2
6. Solomiannik I., Rodionova S., Torgashin A., et al. Osteoporos is from the perspective of specialize dtrauma and orthopaedic treatment of low-energy fractures of the proximal femur. Genij Ortopedii. 2023 ; 29 (1) : 20–26 (In Russ.)]. doi: 10.18019/1028-4427-2023-29-1-20-26
7. Antonov A. K., Dulaev A. K., Komarov R. N., et al. Surgical treatment of pathological fractures of vertebralbodies. Moscow Surgical Journal. 2023 ; (2) : 89–97. (In Russ.)]. doi: 10.17238/2072-3180-2023-2-89-97
8. Rodionova S. S., Kolondaev A. F., Torgashin A. N., Solomyannik I. A. Zoledronic acid for osteoporosis and associatedlow-energy fractures. Meditsinskiy Sovet = Medical Council. 2022 ; (21) : 163–173. (In Russ.)]. doi: 10.21518/2079-701X-2022-16-21-163-173
9. Samarin M. A., Asi Habiballah Z. A., Krivova A. V., et al. Epidemiology of fractures of the proximal femur in people older than 50 years: what has changed in the last 30 years? N. N. Priorov Journal of Traumatology and Orthopedics. 2022; 29 (2) : 181−191. (In Russ.)]. doi: 10.17816/vto109748
10. Zagorodny N. V., Kolesnik A. I., Lazarev A. F., et al. Surgical approaches in the treatment of patients with acute acetabular fractures (literature review). Genij Ortopedii. 2021 ; 27 (5) : 610–619. (In Russ.)]. doi: 10.18019/1028-4427-2021-27-5-610-619
11. Kalyuta T. Yu., Kazhekin O. A. Anemia in elderly patients in general medical practice: current approaches to diagnosis and treatment. Bulletin of Medical University Reaviz. 2020 ; (5) : 91–101. (In Russ.)]. doi: 10.20340/vmi-rvz.2020.5.10
12. Tkacheva O. N., Tutelyan V. A., Shestopalov A. E., et al. Nutritional insufficiency (malnutrition) in older adults. Clinical recommendations. Russian Journal of Geriatric Medicine. 2021 ; 1 (5) : 15–34. (In Russ.)]. doi: 10.37586/2686-8636-1-2021-15-34
13. Shapkin Y. G., Yuanov A. A., Efimov E. V. Strategy and tactics of surgical treatment in elderly patients with ischemic form of diabetic foot syndrome (review). Saratov Journal of Medical Scientific Research. 2015 ; 11 (1) : 49–52. (In Russ.)]
14. Glushkov N. I., Belyaev A. M., Gorshenin T. L., Dulaeva S. K. Multidisciplinary approach in the treatment of elderly and senile patients with complications of colon cancer. Adv. geront. 2022 ; 35 (2) : 255–262. (InRuss.)]. doi: 10.34922/AE.2022.35.2.009
15. Tkacheva O. N., Mhitaryan E. A., Isaev R. I., et al. Rasprostranennost' kognitivnyh narushenij u lic pozhilogo, starcheskogo vozrasta i dolgozhitelej. Byulleten' Nacional'nogo obshchestva po izucheniyu bolezni Parkinsona i rasstrojstv dvizhenij. 2022 ; 2 : 200–202. (In Russ.)]. doi: 10.24412/2226-079X-2022-12466
16. Wong R. Y. M., Shaw M., Acton C. et al. An interdisciplinary approach to optimize health services in a specialized acute care for elders unit. Journal of Canadian Geriatrics Society. 2003 ; 6 : 177–186.
17. Konson C., Frolova E. V., Kostyukovich O. M. Multidisciplinary approach in geriatrics. Herald of North-Western State Medical University named after I. I. Mechnikov. 2018 ; 10 (4) : 49–54. (In Russ.)]. doi: 10.17816/mechnikov201810449-54
18. Young H. M., Siegel E. O., McCormick W. C., et al. Interdisciplinary collaboration in geriatrics: advancing health for older adults.Nurs Outlook. 2011 ; 59 (4) : 243–250. doi: 10.1016/j.outlook.2011.05.006
19. Loke S. S., Lee C. T., Huang S., Chen C. T. A pilot study of the effects on an inpatient geriatric consultation team on geriatric syndrome patients. Int J Gen Med. 2022 ; 15 : 5051–5060. doi: 10.2147/IJGM.S363543
20. Tulebayev K. A., Turdaliyeva B. S., Kuziyeva G. D. Foreign experience a multidisciplinary team of experts in primary care. Bulletin of Kazakh National Medical University. 2016 ; 4 : 379–384. / (In Russ.)]
21. Farmakoterapiya u lic pozhilogo i starcheskogo vozrasta / D. A. Sychev, O. N. Tkacheva, Yu. V. Kotovskaya, I. P. Malaya. — M.:Izdatel'stvo OOO «Kongresshim» — 2024. — 124 p. (In Russ.)]. ISBN 978-5-6052709-2-8
22. Melkonyan G. G., Protsenko D. N., Runikhina N. K., et al. A consensus on current issues of multidisciplinary care for geriatric patients with frailty undergoing routine surgical procedures. Russian Journal of Geriatric Medicine. 2024 ; (3) : 162–173. (InRuss.)]. doi: 10.37586/2686-8636-3-2024-162-173
23. Ob utverzhdenii Poryadka okazaniya medicinskoj pomoshchi postradavshim s sochetannymi, mnozhestvennymi i izolirovannymi travmami, soprovozhdayushchimisya shokom. Prikaz Ministerstva zdravoohraneniya RF ot 15.11.2012 № 927n (s izmeneniyami i dopolneniyami) (In Russ.)]. Режим доступа: https://base.garant.ru/70304572/?ysclid=mbgsahf, свободный.
24. Biberthaler P., Shanmugasundaram S. Multidisciplinary approach to major trauma: changing strategies and priorities in orthopaedic implantology. In: Banerjee A., Biberthaler P., Shanmugasundaram S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. 2023. 699–706. doi: 10.1007/978-981-19-7540-0_38
25. Zhong X. M., Wen X. H., Ji C. H., et al. A temporarysustainable team: A new multidisciplinary team model for severe trauma. Chinese journal of traumatology = Zhonghua chuangshang za zhi. 2020 ; 23 (6) : 363–366. doi: 10.1016/j.cjtee.2020.09.007
26. Ob utverzhdenii Poryadka organizacii medicinskoj reabilitacii vzroslyh. Prikaz Ministerstva zdravoohraneniya RF ot 31.07.2020 № 788n. (In Russ.)]. Режим доступа: http://publication.pravo.gov.ru/Document/View/0001202009250036?ysclid=mbgpl9tokg745092024, свободный.
27. Svyatskaya E. F., Vlasova S. V. Multidisciplinary approach to the rehabilitation system of patients with spine distrophic lesions. Health for All. 2017 ; 1 : 8–12 (In Russ.)].
28. Karpova G. A., Rusova V. S. Mul'tidisciplinarnyj podhod k medicinskoj reabilitacii i sanatorno-kurortnomu lecheniyu. Vestnik MIRBIS. 2019 ; 2 : 114–117 (In Russ.)]. doi: 10.25634/MIRBIS.2019.2.15
29. Электронный ресурс]. [Ob utverzhdenii poryadka okazaniya medicinskoj pomoshchi vzroslomu naseleniyu pri onkologicheskih zabolevaniyah. Prikaz Ministerstva zdravoohraneniya RF ot 19.02.2021 № 116n. (In Russ.)]. Режим доступа: http://publication.pravo.gov.ru/Document/View/0001202104020002, свободный.
30. Solopova A. G., Idrisova L. E., Makatsariya A. D., et al. Multidisciplinary approach to medical rehabilitation of oncogynecologic patients. Obstetrics, gynecology and reproduction. Akusherstvo, ginekologiya i reproduktsiya. 2017 ; 11 (4): 57–67 (In Russ.)]. doi: 10.17749/2313-7347.2017.11.4.057-067
31. Taberna M., Gil Moncayo F., Jané-Salas E., et al. The multidisciplinary team (MDT) approach and quality of care. Front. Oncol. 2020 ; 10 : 85. doi: 10.3389/fonc.2020.00085
32. Chang A. Y., Skirbekk V. F., Tyrovolas S., et al. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017. The Lancet Public Health. 2019 ; 4 (3) : e159–e167. doi: 10.1016/S2468-2667(19)30019-2
33. Ellis G., Sevdalis N. Understanding and improving multidisciplinary team working in geriatric medicine. Age and Ageing. 2019 ; 48 : 498–505. doi: 10.1093/ageing/afz021
34. Pajulammi H. M., Pihlajamäki H. K., Luukkaala T. H., et al. The Effect of an in-hospital comprehensive geriatric assessment on short-term mortality during orthogeriatric hip fracture program-which patients benefit the most? Geriatr Orthop Surg Rehabil. 2017 ; 8 (4) : 183–191. doi: 10.1177/2151458517716516
35. Deschodt M., Flamaing J., Haentjens P., et al. Impact of geriatric consultation teams on clinical outcome in acute hospitals: a systematic review and meta-analysis. BMC Med. 2013 ; 11 : 48. doi: 10.1186/1741-7015-11-48
36. Ørum M., Jensen K., Gregersen M., et al. Impact of comprehensive geriatric assessment on short-term mortality in older patients with cancer-a follow-up study. Eur J Cancer. 2019 ; 116 : 27–34. doi: 10.1016/j.ejca.2019.05.003
37. Shahrokni A., Tin A. L., Sarraf S., et al. Association of geriatric comanagement and 90-day postoperative mortality among patients aged 75 years and older with cancer. JAMA Netw Open. 2020 ; 3 (8) : e209265. doi: 10.1001/jamanetworkopen.2020.9265
38. Khadaroo R. G., Warkentin L. M., Wagg A. S., et al. Clinical effectiveness of the elder-friendly approaches to the surgical environment initiative in emergency general surgery. JAMA surgery. 2020 ; 155 (4) : e196021. doi: 10.1001/jamasurg.2019.6021
39. Marsden E., Craswell A., Taylor A., et al. Translation of the geriatric emergency department intervention into other emergency departments: a post implementation evaluation of outcomes for older adults. BMC Geriatr. 2022 ; 22 (1) : 290. doi: 10.1186/s12877-022-02999-4
40. Ehrlich A. L., Owodunni O. P., Mostales J. C., et al. Early Outcomes Following Implementation of a Multispecialty Geriatric Surgery Pathway. Ann Surg. 2023 ; 277 (6) : e1254– e1261. doi: 10.1097/SLA.0000000000005567
41. Goel K., Pack Q. R., Lahr B., et al. Cardiac rehabilitation is associated with reduced long-term mortality in patients undergoing combined heart valve and CABG surgery. European Journal of Preventive Cardiology. 2015 ; 22 (2) : 159–168. doi: 10.1177/2047487313512219
42. Ramiro-Ortega E., Bonilla-Palomas J. L., GámezLópez A. L., et al. Nutritional intervention in acute heart failure patients with undernutrition and normalbuminemia: A subgroup analysis of PICNIC study. Clin Nutr. 2018 ; 37 (5) : 1762–1764. doi: 10.1016/j.clnu.2017.07.009
43. León de la Fuente R., Gurfinkel E. P., Toledo D., et al. Vacunación antigripalen pacientes con síndromes coronariosagudos: beneficio del tratamient o endiferentessub grupos [Flu vaccination in patients with acute coronary syndromes: treatment benefit in prespecified subgroups]. Rev Esp Cardiol. 2003 ; 56 (10) : 949–954. doi: 10.1016/s0300-8932(03)76991-7
44. Lindenauer P. K., Stefan, M. S., Pekow, P. S., et al. Association between initiation of pulmonary rehabilitation after hospitalization for COPD and 1-year survival among Medicare beneficiaries. JAMA. 2020 ; 323 (18) : 1813–1823. doi: 10.1001/jama.2020.4437
Review
For citations:
Solomyannik I.A., Galeeva Z.A., Alexanyan L.A. Interdisciplinary collaboration in geriatric medical care. Russian Journal of Geriatric Medicine. 2025;(3):310-320. (In Russ.) https://doi.org/10.37586/2686-8636-3-2025-310-320