Going for gold: <em>Age and Ageing</em> hits 50 | Age and Ageing

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>= 0 ? siteUrl.substring(subdomainIndex) : ''); })(); </script> <input id="routename" name="RouteName" type="hidden" value="ageing" /> </div> </section> <div class="widget widget-SitewideBanner widget-instance-"> </div> <div id="main" class="content-main js-main ui-base"> <section class="master-main row"> <div class="center-inner-row no-overflow"> <div id="skipNav" tabindex="-1"></div> <div class="page-column-wrap"> <div id="cloudCMS" class="secondary-cms"><div id="mainContent" class="secondaryPageMain"><div class="inner"><div class="main"><div class="secondaryContent"> <h1>Going for gold: <em>Age and Ageing</em> hits 50</h1> <script type='text/javascript' src='https://platform-api.sharethis.com/js/sharethis.js#property=6481b8a5cc05f10013916a95&product=sop' async='async'></script> <script> document.addEventListener("readystatechange" ,function() { const compactButton = document.querySelector("div.st-custom-button"); if(compactButton) { const mutationObserver = new MutationObserver(entries => { if(document.body.classList.contains("st-body-no-scroll")) { compactButton.ariaExpanded = true; } else { compactButton.ariaExpanded = false; } }) mutationObserver.observe(document.body, { attributes: true }); } }) </script> <div class="notice"><a data-link-id="d698f48d-bb6c-458b-a9aa-09c082b20439" href="#intro">Introduction</a> | <a data-link-id="7dfb4f99-18d3-40ef-830e-3440a1f3eef6" href="#timeline">History of the BGS and </a><em><a data-link-id="a339b71c-0838-4548-bc55-ee4d84d35449" href="#timeline">Age and Ageing</a> | </em><a data-link-id="56824bca-2e51-403f-8c83-db5d7d337ad1" href="http://academic.oup.com/ageing/pages/age-and-ageing-50-anniversary#b18ada104fafe5450704">The <em>Age and Ageing </em>50th anniversary series</a> | <a data-link-id="87035133-0547-466a-8c5d-62f1e37236c4" href="https://academic.oup.com/ageing/pages/age-and-ageing-50-anniversary#d3da4b91825b62646527">More content</a> | <a data-link-id="381b316b-76b1-44d4-abb0-f962a44e5e09" href="https://academic.oup.com/ageing/pages/age-and-ageing-50-anniversary#3d7635891244460bcdfe">Most read articles</a> | <a data-link-id="7b885b18-f66b-4681-bdd6-103896af6af0" href="https://academic.oup.com/ageing/pages/age-and-ageing-50-anniversary#ebc2bd3c38e4efac420a">Most cited articles</a></div> <p><em><a data-link-id="2321df52-e49e-4ed8-b7fb-325712595b11" id="intro" name="intro"></a></em>Academic journals are part of an eco-system that stimulates debate and disseminates new knowledge, allowing medical expertise to be constantly renewed. For its 50th anniversary, <em>Age and Ageing</em> commissioned leading thinkers to reflect on problems in healthcare for older people, and the state of services across the World Health Organization’s six regions.</p> <p>Responses fell into three groups: the philosophical, the retrospective and the state-of-the-art.</p> <p><a data-link-id="816191eb-8de5-4927-9ef0-3a8d72860b25" href="https://academic.oup.com/ageing/article/51/1/afab267/6501364">Olde Rikkert et al.</a> argued that illness is more important than disease in older age. We recognise the limitations of specifying individual diagnoses in an older person. Instead, defining networks of symptoms and problems, and applying modern computing to analyse and monitor them, may operationalise what we do intuitively in practice. <a data-link-id="04242b5f-8e5f-4fc3-8e5d-3c3a55772a29" href="https://doi.org/10.1093/ageing/afab281">O’Neill</a> reflected on the uneasy relationship between older people and geriatric medicine, suggesting that unwitting collusion with a ‘failure model of medicine’ might be responsible. Instead he calls for greater recognition of our role as ‘guardians of the longevity dividend’ and a lesser focus on hospital-based crisis medicine.</p> <p>Commentaries on <a data-link-id="a6a4d388-0f6b-445e-9b16-3080a7d8b330" href="https://doi.org/10.1093/ageing/afac105">falls</a>, <a data-link-id="7f1bf385-17a4-4b62-83ef-91c07657aabe" href="https://doi.org/10.1093/ageing/afac204">dementia</a>, <a data-link-id="9f4d2505-f52d-4bb5-baaa-ab478c3d4a78" href="https://doi.org/10.1093/ageing/afac271">delirium</a> and <a data-link-id="23f41ac8-c7ee-4061-8b2f-2a2a8f8ea468" href="https://doi.org/10.1093/ageing/afac169">care homes</a> celebrated the efforts of pioneers in establishing a body of specialist knowledge, discussed the exponential rise in research and translation into clinical services over recent decades, and highlighted future challenges. Developments in <a data-link-id="8aee3488-d978-4c80-8b34-849de15e2193" href="https://doi.org/10.1093/ageing/afab280">geriatric emergency medicine</a> are held to be a model for frailty-friendly services in general. At the same time, <a data-link-id="c96a3902-41e3-4658-96aa-35a5e7ae15cf" href="https://doi.org/10.1093/ageing/afac040">Becker and Achterberg</a> discuss the paradox of dwindling provision of geriatric rehabilitation in the face of ever-increasing need. Rehabilitation is person-centred because it addresses practical problems, and at the same time can help optimise the operation of wider health and social care systems.</p> <p><a data-link-id="4ed7ca3a-03b1-4965-af5a-8bc0fc033a0e" href="https://doi.org/10.1093/ageing/afab282">Pitkala and Strandberg</a> explain that while clinical trials have driven unprecedented advances in many areas of medicine, they are harder to do and interpret when the participants are frail older people, and indicate how problems have been addressed. Commentaries on <a data-link-id="c48c7cae-b66a-4bd0-87f1-870b4f609b5e" href="https://doi.org/10.1093/ageing/afac185">frailty</a>, <a data-link-id="5e661ac2-5782-45bb-8250-16ed6d597ec8" href="https://doi.org/10.1093/ageing/afac220">sarcopenia</a>, <a data-link-id="06e12bb3-592d-4c06-8314-e3262b528a46" href="https://doi.org/10.1093/ageing/afac199">continence</a>, <a data-link-id="546cb885-44ff-44ed-b2fe-bfffde9a0c52" href="https://doi.org/10.1093/ageing/afab269">polypharmacy</a> and <a data-link-id="36793075-1461-441d-83b4-df613e7010fe" href="https://doi.org/10.1093/ageing/afac078">end-of-life care</a> provide substantial reviews on emerging and established clinical problems. We rely on education and training as we build for the future; <a data-link-id="304d120e-cf4c-41dd-a11e-b521e8d8ed48" href="https://doi.org/10.1093/ageing/afac004">Romero-Ortuno et al.</a> discuss recent initiatives, and the theory underlying current practice.  <a data-link-id="06ea7c22-05b4-4fb3-b778-d39fbe942901" href="https://doi.org/10.1093/ageing/afac285">Masoli et al.</a> explain how advances in genomics can give new insights into the problem of multimorbidity.</p> <p>The commentaries on world regions draw attention to similarities and differences between countries. Demographic and epidemiological transitions are universal but occur on a compressed timescale in lower- and middle-income countries and have reached a phase of super-ageing in East Asian and European populations. Everywhere struggles with resources and the priority given to ageing, but health policy now clearly recognises a need, and there are many examples of innovation, educational and service development that provide a solid foundation for the future. The United Nations Decade of Healthy Ageing 2021-2030 forms a unifying thread.</p> <p>Rowan Harwood<br /> Editor, <em>Age and Ageing</em> journal</p> <div class="notice"><a data-link-id="1687cb76-94cc-4881-8f97-bb10dc214aef" href="https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=15EZws9g1OsBcSNrsMBjr0xr_QFunq9N_4libl1QWraU&font=Default&lang=en&initial_zoom=2&height=650" id="timeline" name="timeline">Revisit the history of modern Geriatrics</a> through the foundational events of the <a data-link-id="73264a30-542b-46e6-b9fb-2dc995b54cce" href="https://www.bgs.org.uk/">British Geriatrics Society</a>, and the <em>Age and Ageing</em> papers that made their mark in the discipline.<a data-link-id="e0f05848-6bf6-4ec2-96e1-d83db6be3a47" href="https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=15EZws9g1OsBcSNrsMBjr0xr_QFunq9N_4libl1QWraU&font=Default&lang=en&initial_zoom=2&height=650"><img data-image-id="37be9d92ff00ef9cc6b9" data-image-title="new-age-and-ageing-timeline-preview.png" data-link-id="7221121c-a45b-4f0e-944d-7af7679a66e4" data-link-ref="node://10680c37069bed6643a2/982ced22eab1d38d858f/9aa9861ca9bc336adc8b/37be9d92ff00ef9cc6b9" src="https://static.primary.prod.gcms.the-infra.com/static/site/ageing/image/new-age-and-ageing-timeline-preview.png?node=37be9d92ff00ef9cc6b9&version=562395:4d004e646ab6b2bab26e" alt="Age and Ageing timeline preview" /></a><br /> <a data-link-id="99cc2f4a-02e2-43cd-a009-a4f24021031b" href="https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=15EZws9g1OsBcSNrsMBjr0xr_QFunq9N_4libl1QWraU&font=Default&lang=en&initial_zoom=2&height=650">Our interactive timeline</a> shows how the BGS and <em>Age and Ageing</em> have been improving healthcare for older people.</div> <script type="text/javascript"> $(".expandableSection").hide(); $(".expandableSectionToggle").click(function() { var y = $(this).attr("trigger-for");$('#' + y).toggle(); }) </script> <div class="contentListing" id="b18ada104fafe5450704"> <div class="widget widget-SelectableContentList widget-instance-Home_MainContentB0ageing_50TH_COMMENTARY_SERIES_2923"> <div class="widget-layout widget-layout--vert "> <h3 class="widget-dynamic-title"> COMMENTARY SERIES </h3> <div class="widget-columns widget-col-1"> <div class="col"> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac287" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/12/afac287/6931745?searchresult=1"> <div class="widget-dynamic-journal-title"> Health care for older adults in Europe: how has it evolved and what are the challenges? </div> </a> <div class="widget-dynamic-journal-authors"> Andreas E Stuck and Tahir Masud </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 12, December 2022, afac287, <a href='https://doi.org/10.1093/ageing/afac287'>https://doi.org/10.1093/ageing/afac287</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 19 December 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac285" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/12/afac285/6872694?searchresult=1"> <div class="widget-dynamic-journal-title"> Genomics and multimorbidity </div> </a> <div class="widget-dynamic-journal-authors"> Jane A H Masoli and others </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 12, December 2022, afac285, <a href='https://doi.org/10.1093/ageing/afac285'>https://doi.org/10.1093/ageing/afac285</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 05 December 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac271" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/11/afac271/6847802?searchresult=1"> <div class="widget-dynamic-journal-title"> Three key areas in progressing delirium practice and knowledge: recognition and relief of distress, new directions in delirium epidemiology and developing better research assessments </div> </a> <div class="widget-dynamic-journal-authors"> Alasdair M J MacLullich and others </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 11, November 2022, afac271, <a href='https://doi.org/10.1093/ageing/afac271'>https://doi.org/10.1093/ageing/afac271</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 28 November 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac217" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/11/afac217/6806170?searchresult=1"> <div class="widget-dynamic-journal-title"> Healthcare for older people in Africa </div> </a> <div class="widget-dynamic-journal-authors"> Bilkish Cassim and Brent Tipping </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 11, November 2022, afac217, <a href='https://doi.org/10.1093/ageing/afac217'>https://doi.org/10.1093/ageing/afac217</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 07 November 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac220" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/10/afac220/6770072?searchresult=1"> <div class="widget-dynamic-journal-title"> Sarcopenia definition, diagnosis and treatment: consensus is growing </div> </a> <div class="widget-dynamic-journal-authors"> Avan Aihie Sayer and Alfonso Cruz-Jentoft </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 10, October 2022, afac220, <a href='https://doi.org/10.1093/ageing/afac220'>https://doi.org/10.1093/ageing/afac220</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 24 October 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac216" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/10/afac216/6754359?searchresult=1"> <div class="widget-dynamic-journal-title"> Healthcare for older adults in North America: challenges, successes and opportunities </div> </a> <div class="widget-dynamic-journal-authors"> Milta O Little and John E Morley </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 10, October 2022, afac216, <a href='https://doi.org/10.1093/ageing/afac216'>https://doi.org/10.1093/ageing/afac216</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 10 October 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac204" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/9/afac204/6713147?searchresult=1"> <div class="widget-dynamic-journal-title"> Dementia—so much done, so much to do, so much to gain by doing so </div> </a> <div class="widget-dynamic-journal-authors"> Sube Banerjee </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 9, September 2022, afac204, <a href='https://doi.org/10.1093/ageing/afac204'>https://doi.org/10.1093/ageing/afac204</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 26 September 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac199" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/9/afac199/6695453?searchresult=1"> <div class="widget-dynamic-journal-title"> Promoting continence in older people </div> </a> <div class="widget-dynamic-journal-authors"> Mathias Schlögl and others </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 9, September 2022, afac199, <a href='https://doi.org/10.1093/ageing/afac199'>https://doi.org/10.1093/ageing/afac199</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 12 September 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac194" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/8/afac194/6678855?searchresult=1"> <div class="widget-dynamic-journal-title"> Perioperative care for older people </div> </a> <div class="widget-dynamic-journal-authors"> Judith S L Partridge and others </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 8, August 2022, afac194, <a href='https://doi.org/10.1093/ageing/afac194'>https://doi.org/10.1093/ageing/afac194</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 30 August 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac185" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/8/afac185/6668713?searchresult=1"> <div class="widget-dynamic-journal-title"> Frailty: understanding the difference between age and ageing </div> </a> <div class="widget-dynamic-journal-authors"> Emily H Gordon and Ruth E Hubbard </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 8, August 2022, afac185, <a href='https://doi.org/10.1093/ageing/afac185'>https://doi.org/10.1093/ageing/afac185</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 15 August 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac169" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/7/afac169/6648795?searchresult=1"> <div class="widget-dynamic-journal-title"> From Warkworth House to the 21st century care homes: progress marked by persistent challenges </div> </a> <div class="widget-dynamic-journal-authors"> Adam L Gordon and others </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 7, July 2022, afac169, <a href='https://doi.org/10.1093/ageing/afac169'>https://doi.org/10.1093/ageing/afac169</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 25 July 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac078" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/7/afac078/6637441?searchresult=1"> <div class="widget-dynamic-journal-title"> End-of-life care for older people: the way forward </div> </a> <div class="widget-dynamic-journal-authors"> Nele Julienne Van Den Noortgate and Lieve Van den Block </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 7, July 2022, afac078, <a href='https://doi.org/10.1093/ageing/afac078'>https://doi.org/10.1093/ageing/afac078</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 11 July 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac105" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/6/afac105/6618056?searchresult=1"> <div class="widget-dynamic-journal-title"> Fall prevention in older people: past, present and future </div> </a> <div class="widget-dynamic-journal-authors"> Jacqueline C T Close and Stephen R Lord </div> <div class="widget-dynamic-journal-citation journal-citation citation-margin"> <em>Age and Ageing</em>, Volume 51, Issue 6, June 2022, afac105, <a href='https://doi.org/10.1093/ageing/afac105'>https://doi.org/10.1093/ageing/afac105</a> </div> <div class="widget-dynamic-journal-publication-date"> <strong>Published:</strong> 27 June 2022 </div> <div class="widget-dynamic-journal-image-synopsis"> <div class="widget-dynamic-journal-synopsis"> </div> </div> </div> <div class="widget-dynamic-entry journalArticleItem at-widget-entry-SCL"> <span class="hfDoi" data-attribute="10.1093/ageing/afac040" aria-hidden="true"></span> <a class="journal-link" href="/ageing/article/51/6/afac040/6606047?searchresult=1"> <div class="widget-dynamic-journal-title"> Quo vadis geriatric rehabilitation? </div> </a> <div class="widget-dynamic-journal-authors"> Clemens Becker and Wilco Achterberg </div> <div 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