Daily Archives: June 19, 2018 | LinksMedicus Free Medical News & Perspectives

Clinical Review Podcast: Rethinking HbA1c Targets for Diabetes Treatment

19 Jun, 2018 | 22:32h | UTC

Podcast (28 min): A Goal Too Far: Rethinking HbA1c Targets for Diabetes Treatment – JAMA Internal Medicine (free)

Related: For Patients with Type 2 Diabetes, What’s the Best Target Hemoglobin A1C? (Free Commentary, ADA Position Statement and ACP Guideline)

Randomized Trial: Prostatic Artery Embolization vs Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia

19 Jun, 2018 | 22:30h | UTC

Comparison of prostatic artery embolisation (PAE) versus transurethral resection of the prostate (TURP) for benign prostatic hyperplasia: randomised, open label, non-inferiority trial – The BMJ (free)

Commentary: Prostatic artery embolisation: time to improve collaboration – The BMJ Opinion (free)

Review: Prevalence and Outcomes of Incidental Imaging Findings

19 Jun, 2018 | 22:28h | UTC

Prevalence and outcomes of incidental imaging findings: umbrella review – The BMJ (free)

“Incidentalomas. If you order imaging studies, you know they are a problem. This meta-analysis quantifies incidentaloma prevalence for specific types of imaging. For MRI of the brain, the prevalence was 22% (95%CI 14 to 31) (via @RasoiniR and @eloder, see Tweet)

Consensus Document: Management of Hyperkalemia in Patients with Cardiovascular Disease Treated with Renin Angiotensin Aldosterone System Inhibitors

19 Jun, 2018 | 22:31h | UTC

Expert consensus document on the management of hyperkalaemia in patients with cardiovascular disease treated with renin angiotensin aldosterone system inhibitors: coordinated by the Working Group on Cardiovascular Pharmacotherapy of the European Society of Cardiology – European Heart Journal Cardiovascular Pharmacology (free)

Commentary: Liberal vs Conservative Oxygen Therapy in the Critically Ill

19 Jun, 2018 | 22:26h | UTC

IOTA – Liberal vs Conservative Oxygen Therapy in the Critically Ill – The Bottom Line (free)

Original Meta-Analysis: Liberal vs Conservative Oxygen Therapy in Acutely ill Adults (link to abstract and commentary)

“Hyperoxia is BAD –> Aim for lowest safest inspired O2 in critically ill pts & titrate FiO2 down if SpO2 >95%” (via @srrezaie see Tweet)

Meta-Analysis: Sex-specific Relevance of Diabetes to Occlusive Vascular and Other Mortality

19 Jun, 2018 | 22:25h | UTC

Sex-specific relevance of diabetes to occlusive vascular and other mortality: a collaborative meta-analysis of individual data from 980 793 adults from 68 prospective studies – The Lancet Diabetes & Endocrinology (free)

Commentaries: Diabetes and cardiovascular mortality: the impact of sex – The Lancet Diabetes & Endocrinology (free) AND Diabetes triples women’s risk of death from ischemic heart disease – Cardiovascular Business (free)

Cohort Study: Influence of Lifestyle on Outcomes in Patients With Diabetes Mellitus

19 Jun, 2018 | 22:24h | UTC

Influence of Lifestyle on Incident Cardiovascular Disease and Mortality in Patients With Diabetes Mellitus – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Healthy Lifestyle Lowers CVD Risk in Diabetes Patients – American College of Cardiology (free) AND Healthy lifestyle changes after diabetes diagnosis lower CVD risk – Cardiovascular Business (free) AND Reduction in CVD Events, Even Mortality, in Patients With Diabetes Who Adopt a Healthier Lifestyle – TCTMD (free)

Study: Impact of HPV Vaccination on Type-Specific HPV Infections in Young Females

19 Jun, 2018 | 22:27h | UTC

The Impact of the National HPV Vaccination Program in England Using the Bivalent HPV Vaccine: Surveillance of Type-Specific HPV in Young Females, 2010–2016 – The Journal of Infectious Diseases (free)

Commentaries: HPV vaccine leads to steep drop in cancer-causing infections in England – CNN (free) AND HPV vaccine has almost wiped out infections in young women, figures show – The Telegraph (free)

Related Cochrane Review: Prophylactic Vaccination Against HPV to Prevent Cervical Cancer (link to review and commentaries)

Cohort Study: Diagnosing Diabetes From a Single Blood Sample

19 Jun, 2018 | 22:23h | UTC

Prognostic Implications of Single-Sample Confirmatory Testing for Undiagnosed Diabetes: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Diagnosing Diabetes From a Single Blood Sample – Johns Hopkins Bloomberg School of Public Health, via NewsWise (free) AND One Blood Test Might Be Enough to Diagnosis – HealthDay (free) AND Diabetes Dx Predicted Accurately with Single Blood Sample – MedPage Today (free registration required)

“The standard practice of repeat blood tests may not always be necessary, a new study suggests” (from Johns Hopkins Bloomberg School of Public Health)

Tue, June 19 – 10 Stories of The Day!

19 Jun, 2018 | 00:05h | UTC

1 – Just Released! ICD-11: Classifying disease to map the way we live and die – World Health Organization (free)

See also: ICD-11 is Here! – World Health Organization (free)

Browse: ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS), 2018 version – World Health Organization (free)

2 – Gaming addiction as a mental disorder: it’s premature to pathologise players – The Conversation (free)

3 – European Heart Rhythm Association (EHRA) consensus document on management of arrhythmias and cardiac electronic devices in the critically ill and post-surgery patient – EP Europace (free)

4 – State of The Art Review: Secondary peritonitis: principles of diagnosis and intervention – The BMJ (free)

5 – Editorial: Helping patients choose wisely – The BMJ (free)

See complete lists from: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia / Choosing Wisely Canada

“One of the main barriers to tackling the problem of overuse is that doctors are concerned patients will find it difficult to accept fewer interventions. However, informed patients often opt for less intervention, not more.” (via @bmj_latest see Tweet)

6 – Guideline: Diagnosis and Management of Gastroesophageal Reflux in Preterm Infants – Pediatrics (free)

Commentaries: AAP Issues Guidance on Reflux in Preterm Infants – Medscape (free registration required) AND Pediatrics Group Offers Tips for Managing GERD in Preterm Infants – NEJM Physician’s First Watch (free)

7 – Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Editorial: Medical Expulsive Therapy for Ureteral Stones—Stone Age Medicine (free for a limited period)

Commentaries: Recent Clinical Trial Finds Tamsulosin Not Effective in Kidney Stone Passage – George Washington University, via NewsWise (free) AND For Passing Smaller Ureteral Stones, Tamsulosin May Be No Better Than Placebo – NEJM Physician’s First Watch (free)

8 – Richard Lehman’s journal review, 18 June 2018 – The BMJ (free)

Richard Lehman reviews the latest research in the top medical journals.

9 – Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial – The Lancet (free)

Commentaries: Hip arthroscopy: an evidence-based approach – The Lancet (free) AND New surgery for groin pain found to be more effective than physiotherapy – University of Warwick (free)

10 – European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children

Consensus-based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part I – Journal of the European Academy of Dermatology and Venereology (free)

Consensus‐based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part II – Journal of the European Academy of Dermatology and Venereology (free)