Geriatric Gastroenterology: Future Trends



The US population is aging rapidly as the “baby boom” cohort begins to enter the geriatric age range of 65 and older. This demographic shift is likely to have significant effects on gastroenterology practice for at least a quarter of a century. Care of older patients is often much more complex, due in part to significant chronic disease burden and also to increasing impairment in mobility and cognition. This chapter identifies various aspects of gastroenterology practice that will likely be impacted by the increasing number of geriatric-aged patients, and suggested approaches to address these issues.


Chronic Obstructive Pulmonary Disease Electronic Medical Record Geriatric Patient Colon Cancer Screening Single Disease Entity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    A Doctor’s Vision of the Future of Medicine. Newsweek. 27 Jun 2009.
  2. 2.
    Hall KE, Proctor DD, Fisher L, Rose S. American gastroenterological association future trends committee report: effects of aging of the population on gastroenterology practice, education, and research. Gastroenterology. 2005;129:1305–38.PubMedCrossRefGoogle Scholar
  3. 3.
    Inouye SK, Peduzzi PN, Robison JT, Hughes JS, Horwitz RI, Concato J. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA. 1998;279:1187–93.PubMedCrossRefGoogle Scholar
  4. 4.
    Cigolle CT, Langa KM, Kabeto MU, Tian Z, Blaum CS. Geriatric conditions and disability: the health and retirement study. Ann Intern Med. 2007;147(3):156–64.PubMedGoogle Scholar
  5. 5.
  6. 6.
    Resnick NM. Geriatric medicine. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, editors. Harrison’s principles of internal medicine, vol. 1. 15th ed. New York: McGraw-Hill; 2001. p. 36–9.Google Scholar
  7. 7.
    National Institute on Aging and National Institute on Health. Progress report on Alzheimer’s disease, 1999. Silver Spring: Alzheimer’s disease Education and Referral Center; 1999.Google Scholar
  8. 8.
    Boehmer S. Relationships between felt age and perceived disability. Satisfaction with recovery, self-efficacy beliefs and coping strategies. J Health Psychol. 2007;12(6):895–906.PubMedCrossRefGoogle Scholar
  9. 9.
    Reuben DB. Medical care for the final years of life “When you’re 83, it’s not going to be 20 years”. JAMA. 2009;302(24):2686–94.PubMedCrossRefGoogle Scholar
  10. 10.
    Landers S. Why health care is going home. New Engl J Med. 2010;363(18):1691.CrossRefGoogle Scholar
  11. 11.
    Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002;324:819–23.PubMedCrossRefGoogle Scholar
  12. 12.
    Relman AS. The future of medical practice. Health Aff. 1983;2(2):5–19.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Internal MedicineUniversity of Michigan Healthcare System, East Ann Arbor Health and Geriatric Center, Geriatric ClinicAnn ArborUSA

Personalised recommendations