CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Multicenter Study Observational Study
Recent opioid use and fall-related injury among older patients with trauma.
Evidence for an association between opioid use and risk of falls or fractures in older adults is inconsistent. We examine the association between recent opioid use and the risk, as well as the clinical outcomes, of fall-related injuries in a large trauma population of older adults. ⋯ Recent opioid use is associated with an increased risk of fall and an increased likelihood of death in older adults.
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Peer review is used to determine what research is funded and published, yet little is known about its effectiveness, and it is suspected that there may be biases. We investigated the variability of peer review and factors influencing ratings of grant applications. ⋯ There is evidence of bias in peer review of operating grants that is of sufficient magnitude to change application scores from fundable to nonfundable. This should be addressed by training and policy changes in research funding.