EuGMS 2019 Congress report: evidence-based medicine in geriatrics
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SPECIAL ARTICLE
EuGMS 2019 Congress report: evidence‑based medicine in geriatrics Suzy V. Hope1,2 · Anastasia Koutsouri3 · Sylvain Nguyen4 · Karolina Piotrowicz5 · Mirko Petrovic6 · Jerzy Gasowski5 Received: 10 August 2020 / Accepted: 30 September 2020 © The Author(s) 2020
Key summary points Aim To report on the 2019 EuGMS Congress in Krakow. Findings Evidence-based medicine in geriatrics is a previously neglected, now rapidly expanding field. Heterogeneity of our older population brings many questions and challenges for research. Message Personalized approaches based on evidence-based practices, standardisation of definitions and meaningful outcomes, in collaboration with older people themselves, and with other specialties, are the new frontiers and challenges for research. Abstract The 2019 EuGMS Congress “Evidence-Based Medicine in Geriatrics” was held in Krakow, Poland, and attended by over 1600 participants from 64 different countries. A summary and reflection on the congress was presented in the Closing Ceremony by European Academy for Medicine of Aging graduates, and summarised in this article. Keynote lectures, ‘state of the art’ sessions and symposia presented the evidence relating to different age-related conditions, their prevention, management and treatments. Hot topic areas included frailty and multimorbidity, and evidence-based attempts to address these conditions at different life stages. The field of geriatrics represents unique challenges for evidence-based medicine practice. There is much research going on. Clear leadership is needed to facilitate consensus agreements on standard definitions, methods and relevant outcomes, in collaboration with older people themselves, to maximise the opportunities and benefits of doing this research, and benefiting our patients and society at large. Keywords EuGMS · Geriatric medicine · Evidence-based medicine · Congress · Kraków
Introduction * Suzy V. Hope [email protected] 1
College of Medicine and Health, University of Exeter, Exeter, UK
2
Department of Healthcare for Older People, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
3
Outpatient Geriatric Department, Henry Dunant Hospital Center, Athens, Greece
4
Service of Geriatric Medicine and Geriatric Rehabilitation, University of Lausanne Hospital Center, Lausanne, Switzerland
5
Department of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University, Kraków, Poland
6
Section of Geriatrics, Department of Internal Medicine and Paediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
Evidence-based medicine (EBM) was first described by David L. Sackett as the “conscientious, explicit and judicious use of the best current clinical research evidence in making decisions about the care of patients”[1]. This, however, may not be straightforward in geriatric medicine: heterogeneity can be difficult to take account of in classic randomized controlled trials (RCTs), with the widespread use of age or comorbidity cut-o
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