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RCT | Efficacy of Fezolinetant in moderate-to-severe vasomotor symptoms associated with menopause

3 Mar, 2023 | 13:28h | UTC

Efficacy and Safety of Fezolinetant in Moderate-to-Severe Vasomotor Symptoms Associated With Menopause: A Phase 3 RCT – The Journal of Clinical Endocrinology & Metabolism

 


RCTs | Secukinumab in moderate-to-severe hidradenitis suppurativa

3 Mar, 2023 | 13:30h | UTC

Secukinumab in moderate-to-severe hidradenitis suppurativa (SUNSHINE and SUNRISE): week 16 and week 52 results of two identical, multicentre, randomised, placebo-controlled, double-blind phase 3 trials – The Lancet (link to abstract – $ for full-text)

 


The European guideline on management of major bleeding and coagulopathy following trauma

2 Mar, 2023 | 13:04h | UTC

The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition – Critical Care

 


Cohort Study | Female hormone therapy and risk of intracranial hemorrhage from cerebral cavernous malformations

2 Mar, 2023 | 13:03h | UTC

Summary: The study aimed to investigate the association between female hormone therapy (oral contraception or menopausal hormone therapy) and intracranial hemorrhage in female patients with cerebral cavernous malformations (CCM) using data from 2 large prospective cohort studies. The researchers analyzed data from 722 female patients with CCM and found that female hormone therapy use was associated with an increased risk of subsequent intracranial hemorrhage. The risk was more significant among female patients aged 10-44 years using oral contraceptives (adjusted hazard ratio 2·00, 95% CI 1·26-3·17; p=0·003). These findings raise questions about the safety of female hormone therapy in patients with cerebral cavernous malformation.

Article: Female Hormone Therapy and Risk of Intracranial Hemorrhage From Cerebral Cavernous Malformations: A Multicenter Observational Cohort Study – Neurology (link to abstract – $ for full-text – you can try this link for full-text)

Commentary: Oral Contraceptive Use Raises Risk of Intracranial Hemorrhage in Young Females with Cerebral Cavernous Malformations – NeurologyToday

 


Youth-onset type 2 diabetes: the epidemiology of an awakening epidemic

2 Mar, 2023 | 13:01h | UTC

Youth-Onset Type 2 Diabetes: The Epidemiology of an Awakening Epidemic – Diabetes Care

 


M-A | Thromboprophylaxis in patients with Fontan circulation

2 Mar, 2023 | 12:57h | UTC

Thromboprophylaxis in Patients With Fontan Circulation – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: Thromboprophylaxis in Patients With Fontan Circulation – American College of Cardiology

 

Commentary from the author on Twitter (thread – click for more)

 


RCT | Empagliflozin (SGLT2i) is more effective for reducing HbA1c than linagliptin (DPP-4i) in young people with Type 2 DM

2 Mar, 2023 | 13:00h | UTC

Efficacy and safety of the SGLT2 inhibitor empagliflozin versus placebo and the DPP-4 inhibitor linagliptin versus placebo in young people with type 2 diabetes (DINAMO): a multicentre, randomised, double-blind, parallel group, phase 3 trial – The Lancet Diabetes & Endocrinology (link to abstract – $ for full-text)

Commentaries:

DINAMO: Empagliflozin shows promise for young people with type 2 diabetes – medwire News

Phase 3 trial finds oral empagliflozin provides safe glycemic control in children with type 2 diabetes – Joslin Diabetes Center

 


M-A | Prevalence and odds of depressive and anxiety disorders and symptoms in children and adults with alopecia areata

2 Mar, 2023 | 12:59h | UTC

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata: A Systematic Review and Meta-analysis – JAMA Dermatology (link to abstract – $ for full-text)

Commentary: Anxiety, Depressive Disorder Prevalence Greater Among Alopecia Areata Patients – HCP Live

 


Cohort Study | Risk of endometrial polyps, hyperplasia, carcinoma, and uterine cancer after tamoxifen treatment in premenopausal women with breast cancer

2 Mar, 2023 | 12:56h | UTC

Risk of Endometrial Polyps, Hyperplasia, Carcinoma, and Uterine Cancer After Tamoxifen Treatment in Premenopausal Women With Breast Cancer – JAMA Network Open

Commentary: Risk of Uterine Diseases, Cancers Up With Tamoxifen Treatment – HealthDay

 

Commentary on Twitter

 


M-A | Incidence, indications, risk factors, and outcomes of emergency peripartum hysterectomy worldwide

2 Mar, 2023 | 12:54h | UTC

Incidence, Indications, Risk Factors, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis – Obstetrics & Gynecology

 


Cohort Study | IVF-conceived children have similar school-age educational outcomes as spontaneously conceived children

2 Mar, 2023 | 12:53h | UTC

School-age outcomes among IVF-conceived children: A population-wide cohort study – PLOS Medicine

News Release: No link between IVF-assisted conception and school-age childhood development outcomes, study says – University of Melborn

Commentary: IVF Not Tied to Worse Developmental, Educational Outcomes – HealthDay

 


Cohort Study | Risk factors for serious infections in ANCA-associated vasculitis

2 Mar, 2023 | 12:52h | UTC

Risk factors for serious infections in ANCA-associated vasculitis – Annals of the Rheumatic Diseases

 

Commentary from the author on Twitter

 


RCT | Effects of a respiratory distress symptom intervention for lung cancer breathlessness–cough–fatigue symptom cluster

2 Mar, 2023 | 12:51h | UTC

Respiratory distress symptom intervention for non-pharmacological management of the lung cancer breathlessness–cough–fatigue symptom cluster: randomised controlled trial – BMJ Supportive & Palliative Care

 


RCT | Impact of supplementation with milk–cereal mix during 6–12 months of age on growth at 12 months in Delhi, India

2 Mar, 2023 | 12:50h | UTC

Impact of supplementation with milk–cereal mix during 6–12 months of age on growth at 12 months: a 3-arm randomized controlled trial in Delhi, India – The American Journal of Clinical Nutrition

Commentary: High-protein supplementation improves linear growth in infants – 2 Minute Medicine

 


RCT | Electrostimulation with the Alpha-Stim AID device is not better than sham treatment in major depression

2 Mar, 2023 | 12:49h | UTC

Clinical effectiveness of active Alpha-Stim AID versus sham Alpha-Stim AID in major depression in primary care in England (Alpha-Stim-D): a multicentre, parallel group, double-blind, randomised controlled trial – The Lancet Psychiatry

Commentary: Active AID Device Not More Effective Than Sham at Improving Depressive Symptoms – Neurology Advisor

 


Mean systolic blood pressure above the control threshold in people with treated uncontrolled hypertension in 55 countries

2 Mar, 2023 | 12:48h | UTC

Mean systolic blood pressure above the control threshold in people with treated uncontrolled hypertension: a pooled, cross-sectional analysis of 55 national health surveys – eClinicalMedicine

 


SR | Trifocal intraocular lenses vs. bifocal intraocular lenses after cataract extraction among participants with presbyopia

2 Mar, 2023 | 12:46h | UTC

Trifocal intraocular lenses versus bifocal intraocular lenses after cataract extraction among participants with presbyopia – Cochrane Library

Summary: Trifocal versus bifocal lenses implantation after cataract surgery – Cochrane Library

 


RCT | Addition of preoperative transversus abdominis plane block to multimodal analgesia in open gynecological surgery

2 Mar, 2023 | 12:43h | UTC

Addition of preoperative transversus abdominis plane block to multimodal analgesia in open gynecological surgery: a randomized controlled trial – BMC Anesthesiology

 


Cohort Study | Association between marked fetal heart rate variability and neonatal acidosis

2 Mar, 2023 | 12:44h | UTC

Association between marked fetal heart rate variability and neonatal acidosis: A prospective cohort study – BJOG

Commentary: Marked variability associated with twofold increased risk of neonatal acidosis: BJOG

 


Cohort Study | Lifetime traumatic brain injury and cognitive domain deficits in late life

2 Mar, 2023 | 12:45h | UTC

Lifetime Traumatic Brain Injury and Cognitive Domain Deficits in Late Life: The PROTECT-TBI Cohort Study – Journal of Neurotrauma (link to abstract – you can try this link for full-text)

News Release: Three or more concussions linked with worse brain function in later life – University of Exeter

 


RCT | Application of opioid-free general anesthesia for gynecological laparoscopic surgery under ERAS protocol

2 Mar, 2023 | 12:42h | UTC

Application of opioid-free general anesthesia for gynecological laparoscopic surgery under ERAS protocol: a non-inferiority randomized controlled trial – BMC Anesthesiology

 


Brief Review | Acute rheumatic fever: recent advances

2 Mar, 2023 | 12:41h | UTC

Acute Rheumatic Fever: Recent Advances – The Pediatric Infectious Disease Journal (free for a limited period)

 


M-A | Eccentric exercise vs. other exercises in the treatment of mid-portion Achilles tendinopathy

2 Mar, 2023 | 12:40h | UTC

Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis – BMC Sports Science, Medicine and Rehabilitation

 


RCT | Endovascular ultrasound renal denervation is modestly effective in the treatment of hypertension

1 Mar, 2023 | 14:11h | UTC

Summary: The RADIANCE II randomized clinical trial investigated the efficacy and safety of endovascular ultrasound renal denervation in patients with hypertension without the influence of antihypertensive medications. The trial enrolled 224 patients who were withdrawn from such medications and randomly assigned to receive either ultrasound renal denervation or a sham procedure. Results showed that ultrasound renal denervation reduced ambulatory systolic blood pressure by 6.3 mmHg on average at 2 months, compared to the sham procedure, without any reported adverse events. While these findings suggest that ultrasound renal denervation may be modestly effective in the treatment of hypertension, the short-term follow-up period limits the generalizability of these results to daily practice. Additionally, the clinical relevance of a procedure that reduces blood pressure only after withdrawing blood pressure medications should be considered.

Article: Endovascular Ultrasound Renal Denervation to Treat Hypertension: The RADIANCE II Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Is There a Role for Renal Denervation in the Treatment of Hypertension? – JAMA Cardiology (free for a limited period)

 


RCT | Long-term effects of early antiretroviral therapy initiation in HIV infection highlight the importance of early treatment

1 Mar, 2023 | 14:12h | UTC

Summary: The article discusses the long-term results of the Strategic Timing of AntiRetroviral Treatment (START) trial, which aimed to determine the effects of early initiation of antiretroviral therapy (ART) for individuals with HIV and CD4+ counts above 500 cells/mm3 compared to those who deferred treatment until their CD4+ count was below 350 cells/mm3. The trial found that immediate ART initiation reduced the risk of AIDS and serious non-AIDS (SNA) conditions compared to deferred treatment. The study’s long-term results also found that a persistent excess risk of AIDS and SNA conditions remained even after ART was initiated in those who initially deferred treatment. The study highlights the importance of early diagnosis and prompt initiation of ART for individuals with HIV.

Article: Long-Term Benefits from Early Antiretroviral Therapy Initiation in HIV Infection – NEJM Evidence

Original Study: Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection – New England Journal of Medicine

 


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