Silvia Tee, MD

All Publications

• Exploratory survey study of differences in knowledge, attitudes, and practices of outpatient older adult clinical care between dermatologists, primary care physicians and geriatricians across three academic medical centers. BMC geriatrics Zhong, X., Sia, T., Perry, W. M., Li, S., Park, C., Tee, S., Kado, D. M., Yeung, H., Abuabara, K., Chang, A. L. 2026

  View details for DOI 10.1186/s12877-025-06628-8

  View details for PubMedID 41612238

• Knowledge, attitudes, and beliefs about balance among adults in the United States. SAGE open medicine Rovzar, C. M., Tee, S., Calvachi, P., Ganapathy, A., Knauer, A., Brezoczky, K., Phelan, E. A., Kado, D. M. 2025; 13: 20503121251374966

  Abstract

  We conducted a cross-sectional survey among young, middle-aged, and older adults to assess knowledge, attitudes, and beliefs about balance in the United States.A community-based online cross-sectional survey was administered to a nationally representative sample of United States adults. Respondents were categorized into three age groups (young, middle-aged, older adults). Chi-square tests were used to assess differences in categorical variables, and analysis of variance was applied for continuous variables to examine differences in responses between age groups.All age groups demonstrated knowledge of balance, had a positive attitude toward improving their balance, and agreed with beliefs about the balance importance with age. While most respondents reported their balance was good, 25%-51% could not stand on one leg for more than 30 s, and one-third were not sure if they could. Regardless of age group, 34%-38% of respondents reported falling in the past year.Balance is important across all age groups, yet most respondents do not report visiting a medical provider due to concerns about balance. A history of falls in the past year among younger and middle-aged adults may be higher than previously reported. Thus, balance education and balance practice should ideally begin well before the age of 65.

  View details for DOI 10.1177/20503121251374966

  View details for PubMedID 40955278

  View details for PubMedCentralID PMC12433554

• AGE-FRIENDLY ESCAPE ROOM: A POLYPHARMACY QUANDARY Yang, B., Park, C., Davis, C., Weith, J., Kang, S., Tee, S., Gould, C., Shastri, V. OXFORD UNIV PRESS. 2024: 1109

  View details for DOI 10.1093/geroni/igae098.3561

  View details for Web of Science ID 001388987700001

• AGE-FRIENDLY ESCAPE ROOM: A POLYPHARMACY QUANDARY Yang, B., Park, C., Davis, C., Weith, J., Kang, S., Tee, S., Gould, C., Shastri, V. OXFORD UNIV PRESS. 2024: 964

  View details for DOI 10.1093/geroni/igae098.3105

  View details for Web of Science ID 001388047300001

• Increased risk of incident dementia following use of anticholinergic agents: A systematic literature review and meta-analysis. Neurourology and urodynamics Dmochowski, R. R., Thai, S. n., Iglay, K. n., Enemchukwu, E. n., Tee, S. n., Varano, S. n., Girman, C. n., Radican, L. n., Mudd, P. N., Poole, C. n. 2020

  Abstract

  Long-term treatment with anticholinergic agents may increase the risk of cognitive impairment or dementia. This systematic literature review and meta-analysis aimed to assess the impact of ≥3 months of exposure to anticholinergics as a class on the risk of dementia, mild cognitive impairment, and change in cognitive function. The impact of anticholinergic agents specifically used to treat overactive bladder was also evaluated.A systematic literature review was conducted to identify English language articles evaluating the impact of anticholinergic use for ≥3 months on dementia or cognitive function in adult patients. Databases searched included PubMed, Embase, and the Cochrane Library. Meta-analyses were conducted using random-effects models; 95% confidence intervals (CIs) and 95% prediction intervals (PIs) were reported.A total of 2122 records were identified. Out of those, 21 studies underwent qualitative synthesis and 6 reported endpoints relevant for inclusion in a meta-analysis assessing the risk of incident dementia. The overall rate ratio for incident dementia was 1.46 (95% CI: 1.17-1.81; 95% PI: 0.70-3.04; n = 6). The risk of incident dementia increased with increasing exposure (n = 3). In addition, two studies from the meta-analysis reported an increased risk of dementia with ≥3 months of use of bladder antimuscarinics (adjusted odds ratios ranged from 1.21 to 1.65, depending on exposure category).Anticholinergic use for ≥3 months increased the risk of dementia on average by an estimated 46% versus nonuse. This relationship was consistent in studies assessing overactive bladder medications. The risk of developing dementia should be carefully considered in the context of potential benefit before prescribing anticholinergics.

  View details for DOI 10.1002/nau.24536

  View details for PubMedID 33098213