Daily Archives: November 19, 2019
Canadian Task Force Recommendation: Don’t Screen Asymptomatic Patients for Thyroid Dysfunction
19 Nov, 2019 | 10:17h | UTCNews Release: Screening for thyroid dysfunction in people without symptoms: Don’t routinely check that box – Canadian Medical Association Journal (free)
See also: Asymptomatic Thyroid Dysfunction (2019): Summary of recommendations for clinicians and policy-makers – Canadian Task Force on Preventive Health Care (free resources) AND Infographic (free PDF)
Related Commentary on Twitter
Should asymptomatic patients be screened for thyroid disease? The Canadian Task Force on Preventive Health Care says no: https://t.co/RLjRQwHsUX @cantaskforce #primarycare pic.twitter.com/CsBDvUQ2Po
— CMAJ (@CMAJ) November 18, 2019
Guideline: Treatment of Drug-Resistant Tuberculosis
19 Nov, 2019 | 10:32h | UTCNews Release: New clinical guideline for the treatment and prevention of drug-resistant tuberculosis – American Thoracic Society (free)
Related: WHO Consolidated Guidelines on Drug-resistant Tuberculosis Treatment (free guideline and commentary) AND Randomized Trial: 9-month Treatment for Multi-drug Resistant TB is as Effective as 24-month Treatment (free article and commentaries) AND The Lancet Commission: Management of Multidrug-resistant and Incurable Tuberculosis (free registration required)
Tue November 19 – 10 Stories of The Day!
19 Nov, 2019 | 10:35h | UTC
News Release: New clinical guideline for the treatment and prevention of drug-resistant tuberculosis – American Thoracic Society (free)
Related: WHO Consolidated Guidelines on Drug-resistant Tuberculosis Treatment (free guideline and commentary) AND Randomized Trial: 9-month Treatment for Multi-drug Resistant TB is as Effective as 24-month Treatment (free article and commentaries) AND The Lancet Commission: Management of Multidrug-resistant and Incurable Tuberculosis (free registration required)
News Release: Screening for thyroid dysfunction in people without symptoms: Don’t routinely check that box – Canadian Medical Association Journal (free)
See also: Asymptomatic Thyroid Dysfunction (2019): Summary of recommendations for clinicians and policy-makers – Canadian Task Force on Preventive Health Care (free resources) AND Infographic (free PDF)
3 – Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults – Anaesthesia (free)
4 – This Week is World Antibiotic Awareness Week! – See Practical Resources
– Using Antibiotics Wisely in Primary Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Long-Term Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Hospitals – Choosing Wisely Canada (free)
– NICE Antimicrobial prescribing guidelines (resource covering many common conditions)
– NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)
5 – A Comparison of Two LDL Cholesterol Targets after Ischemic Stroke – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Treat Stroke to Target Finds Lower Risk of CV Events With Lower LDL-C Levels – American College of Cardiology (free) AND Treat Stroke to Target – Treat Stroke to Target – American College of Cardiology (free) AND Lower Cholesterol Cuts CV Events: Treat Stroke to Target Trial – TCTMD (free)
#AHA19 – Just Presented at the 2019 American Heart Association Annual Meeting
6 – Results of the Fontan Udenafil Exercise Longitudinal (FUEL) Trial – Circulation (free for a limited period)
Commentaries: Teens with Heart Disease Improve Exercise Capacity in Large Clinical Trial – Children’s Hospital of Philadelphia (free) AND Pediatric drug trial finds benefit in teens with heart defect – NIH News Releases (free)
#AHA19 – Just Presented at the 2019 American Heart Association Annual Meeting
7 – Association of Premature Natural and Surgical Menopause With Incident Cardiovascular Disease – JAMA (free for a limited period)
8 – Preoperative Evaluation Before Noncardiac Surgery – Mayo Clinic Proceedings (free)
Related: Guideline: Preoperative Evaluation of Adult Patients Before Elective, Noncardiothoracic Surgery (free guidelines on the subject)
9 – Coronary Microvascular Dysfunction Causing Cardiac Ischemia in Women – JAMA (free for a limited period)
Related: Prognosis and Predictors of Mortality in Patients Suffering Myocardial Infarction With Non‐Obstructive Coronary Arteries (study, guidelines and reviews on the subject)
10 – HIV Preexposure Prophylaxis—The Role of Primary Care Clinicians in Ending the HIV Epidemic – JAMA Internal Medicine (free for a limited period)
Related: USPSTF Statement: Preexposure Prophylaxis for the Prevention of HIV Infection (free) AND British Guidelines on the Use of HIV Pre–exposure Prophylaxis (PrEP) (several guidelines on the subject)
This Week is World Antibiotic Awareness Week! – See Practical Resources
19 Nov, 2019 | 09:55h | UTC– Using Antibiotics Wisely in Primary Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Long-Term Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Hospitals – Choosing Wisely Canada (free)
– NICE Antimicrobial prescribing guidelines (resource covering many common conditions)
– NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)
Guidelines for Awake Tracheal Intubation in Adults
19 Nov, 2019 | 09:59h | UTCDifficult Airway Society guidelines for awake tracheal intubation (ATI) in adults – Anaesthesia (free)
Related Commentary on Twitter
?Published today and #FOAMed! The new @dasairway awake tracheal intubation guidelines are about to be presented at @WAMM_2019 ! @dr_imranahmad @elboghdadly @altgm @ravibhagrath @ProfEllenO @oldandbaffled @WAMM_2019 #DASATI
?https://t.co/uwqILqCfeD pic.twitter.com/1HBUoGntzj
— Anaesthesia (@Anaes_Journal) November 15, 2019
Cohort Study: Association of Premature Natural and Surgical Menopause with Incident Cardiovascular Disease
19 Nov, 2019 | 08:01h | UTCAssociation of Premature Natural and Surgical Menopause With Incident Cardiovascular Disease – JAMA (free for a limited period)
#AHA19 – [Abstract Only] Randomized Trial: After an Ischemic Stroke or TIE a Lower LDL Treatment Target Reduces Cardiovascular Events
19 Nov, 2019 | 09:51h | UTCA Comparison of Two LDL Cholesterol Targets after Ischemic Stroke – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Treat Stroke to Target Finds Lower Risk of CV Events With Lower LDL-C Levels – American College of Cardiology (free) AND Treat Stroke to Target – Treat Stroke to Target – American College of Cardiology (free) AND Lower Cholesterol Cuts CV Events: Treat Stroke to Target Trial – TCTMD (free)
#AHA19 – Just Presented at the 2019 American Heart Association Annual Meeting
Related Commentary on Twitter
In patients with stroke and atherosclerosis randomly assigned to LDL targets of 70 mg/dl or 100 mg/dL, a composite CV endpoint was 12% lower over a median of 3.5 years in the lower LDL target group. #AHA19 https://t.co/l8vZ1M7XF6
— NEJM (@NEJM) November 18, 2019
#AHA19 – Randomized Trial: Phosphodiesterase 5 inhibitor Improves Exercise Capacity in Patients Who Have Undergone the Fontan Procedure
19 Nov, 2019 | 08:45h | UTCResults of the Fontan Udenafil Exercise Longitudinal (FUEL) Trial – Circulation (free for a limited period)
Commentaries: Teens with Heart Disease Improve Exercise Capacity in Large Clinical Trial – Children’s Hospital of Philadelphia (free) AND Pediatric drug trial finds benefit in teens with heart defect – NIH News Releases (free)
#AHA19 – Just Presented at the 2019 American Heart Association Annual Meeting
Related Commentary on Twitter
FUEL Trial- udenafil did not improve peak VO2, but did positively impact measures of exercise performance in pts w/FONTAN @PHNresearch @nih_nhlbi @HeartCare4Kids @ChildrensPhila #CircAHA19 #AHA19 #AHAJournals https://t.co/Kmt9GFASZR pic.twitter.com/WV0NITTg7y
— Circulation (@CircAHA) November 17, 2019
Review: Preoperative Evaluation Before Noncardiac Surgery
19 Nov, 2019 | 07:56h | UTCPreoperative Evaluation Before Noncardiac Surgery – Mayo Clinic Proceedings (free)
Related: Guideline: Preoperative Evaluation of Adult Patients Before Elective, Noncardiothoracic Surgery (free guidelines on the subject)
Review: Coronary Microvascular Dysfunction Causing Cardiac Ischemia in Women
19 Nov, 2019 | 07:41h | UTCCoronary Microvascular Dysfunction Causing Cardiac Ischemia in Women – JAMA (free for a limited period)
Related: Prognosis and Predictors of Mortality in Patients Suffering Myocardial Infarction With Non‐Obstructive Coronary Arteries (study, guidelines, and reviews on the subject)
Related Commentary on Twitter
2/3 of women with symptoms and signs of ischemia have no evidence of obstructive coronary artery disease (#INOCA). Many have coronary microvascular dysfunction, diagnosed by finding reduced coronary flow reserve on pharmacologic stress testing https://t.co/yNIFDVwNOm #AHA19
— JAMA (@JAMA_current) November 19, 2019
Review: HIV Preexposure Prophylaxis—The Role of Primary Care Clinicians in Ending the HIV Epidemic
19 Nov, 2019 | 07:38h | UTCHIV Preexposure Prophylaxis—The Role of Primary Care Clinicians in Ending the HIV Epidemic – JAMA Internal Medicine (free for a limited period)
Related: USPSTF Statement: Preexposure Prophylaxis for the Prevention of HIV Infection (free) AND British Guidelines on the Use of HIV Pre–exposure Prophylaxis (PrEP) (several guidelines on the subject)