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NICE Guideline: Antimicrobial Prescribing for Acute Cough

11 Feb, 2019 | 00:20h | UTC

Cough (acute): antimicrobial prescribing – National Institute for Health and Care Excellence (free)

Infographic: 2-page visual summary of the recommendations (free PDF)

See also: NICE Antimicrobial prescribing guidelines (resource covering many common conditions) AND NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)

 


Randomized Trial: Intense IV Blood Sugar Control Doesn’t Improve Stroke Outcomes

11 Feb, 2019 | 00:15h | UTC

Intense IV blood sugar control doesn’t improve stroke outcomes – American Stroke Association Late Breaking News Brief, Abstract (free)

Commentaries: NIH study provides answer to long-held debate on blood sugar control after stroke – National Institute of Health (free) AND Stroke: Intensive Blood Sugar Control Did Not Improve Outcomes – MedicalResearch.com (free) AND Live from the ISC: Standard treatment of hyperglycaemia in acute ischaemic stroke outperforms an intensive approach – NeuroNews (free)

Related Cochrane Review: Insulin for glycaemic control in acute ischaemic stroke (free) AND Summary: Controlling high blood sugar levels with insulin in people who have had an acute ischaemic stroke (free)

“Intensive glucose control (80–130mg/dL) does not improve 90-day functional outcome and increases the risk of severe hypoglycaemia.” (from NeuroNews)

 


Five Warning Signs of Overdiagnosis

11 Feb, 2019 | 00:05h | UTC

Five warning signs of overdiagnosis – The Conversation (free)

Related: Overdiagnosis: Causes and Consequences in Primary Health Care (free) AND Screening: How Overdiagnosis and Other Harms can Undermine the Benefits (free) AND WONCA Position Paper on Overdiagnosis and Action to be Taken (free) AND Overdiagnosis: what it is and what it isn’t (free) AND Review: Overdiagnosis Across Medical Disciplines (free) AND Too much medical care: bad for you, bad for health care systems (free)

 


FDA Report: 660 Cases of Breast Implant-Associated Anaplastic Large Cell Lymphoma

11 Feb, 2019 | 00:10h | UTC

Medical Device Reports of Breast Implant-Associated Anaplastic Large Cell Lymphoma – U.S. Food and Drug Administration (FDA) (free)

Commentary: FDA Emphasizes Lymphoma Risk in Women with Breast Implants – NEJM Journal Watch (free)

Related: Study: Long-term Outcomes of Silicone Breast Implants (link to abstract and commentary) AND Research: Breast Implants and the Risk of Anaplastic Large-Cell Lymphoma in the Breast (link to abstract and commentary) AND Breast Implant-Associated Anaplastic Large Cell Lymphoma (link to previous FDA report and commentaries)

 


Systematic Review: Managing Antidepressant Discontinuation

11 Feb, 2019 | 00:00h | UTC

Managing Antidepressant Discontinuation: A Systematic Review – Annals of Family Medicine (free)

Commentary: Psychotherapy Ups Odds of Tapering Off Antidepressants – Medscape (free registration required)

 


Potential Excessive Testing at Scale: Biomarkers, Genomics, and Machine Learning

11 Feb, 2019 | 00:02h | UTC

Viewpoint: Potential Excessive Testing at Scale: Biomarkers, Genomics, and Machine Learning – JAMA (free for a limited period)

 

Related Commentary on Twitter

 


Systematic Review Supports Lengthening of the Screening Interval of Patients with Type 2 Diabetes Without Retinopathy at Last Screening Session

10 Feb, 2019 | 23:58h | UTC

Incidence of sight‐threatening diabetic retinopathy in people with Type 2 diabetes mellitus and numbers needed to screen: a systematic review – Diabetic Medicine (free PDF)

Commentary: How often should patients with T2D be screened for retinopathy? – Univadis (free registration required)

Related: Evidence‐based Guidelines for Screening of Diabetic Retinopathy (free)

“This review supports lengthening of the screening interval of patients with Type 2 diabetes without retinopathy at last screening session”

 


Randomized Trial: Arthroscopic Hip Surgery vs. Physiotherapy and Activity Modification for the Treatment of Femoroacetabular Impingement

10 Feb, 2019 | 23:57h | UTC

Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial – The BMJ (free)

 


Study: Receipt of Primary Care Associated with More High-value Care and Better Health Care Experience

10 Feb, 2019 | 23:52h | UTC

Quality and Experience of Outpatient Care in the United States for Adults with or Without Primary Care – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Patients Engaged in Primary Care More Likely to Receive High-Value Care, Report Better Healthcare Experience – AJMC (free) AND Study: Patients with primary care physicians get better healthcare – UPI (free) AND Patients with primary care have better quality health and experience – Brigham and Women’s Hospital (free) AND Primary care utilization associated with increased high-value care – 2 Minute Medicine (free)

 


Study: Web-Based Symptom Monitoring Increases Overall Survival in Lung Cancer

10 Feb, 2019 | 23:50h | UTC

Two-Year Survival Comparing Web-Based Symptom Monitoring vs Routine Surveillance Following Treatment for Lung Cancer – JAMA (link to abstract – $ for full-text)

Commentary: Lung cancer OS benefit with patient-reported symptom monitoring – Medwire News (free)

See Original Article: #ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment (free study and commentaries)

 


Review: Cardiovascular Manifestations of Inflammatory Bowel Disease

10 Feb, 2019 | 15:41h | UTC

Cardiovascular Manifestations of Inflammatory Bowel Disease: Pathogenesis, Diagnosis, and Preventive Strategies – Gastroenterology Research and Practice (free)

 


Cohort Study: Effect of Gastric Bypass Surgery on Diabetes Remission and Complications

10 Feb, 2019 | 15:44h | UTC

Effect of Roux-en-Y gastric bypass surgery on diabetes remission and complications in individuals with type 2 diabetes: a Danish population-based matched cohort study – Diabetologia (free for a limited period)

Commentary: Gastric Bypass Surgery Linked to Diabetes Remission – MedicalResearch.com (free)

 


Study: Lifestyle Changes May be More Important than Drugs for Mild Hypertension

10 Feb, 2019 | 15:37h | UTC

Lifestyle changes may be more important than drugs for mild hypertension – NIHR Signal (free)

Original Study: Cohort Study: Benefits and Harms of Antihypertensive Treatment in Low-Risk Patients With Mild Hypertension (link to abstract and commentaries)

 


Systematic Reviews May Not Address Adverse Side Effects

10 Feb, 2019 | 15:10h | UTC

More than one-third of systematic reviews did not fully report the adverse events outcome – Journal of Clinical Epidemiology (free)

Commentary: Systematic Reviews May Not Address Adverse Side Effects – MedicalResearch.com (free)

 


A Practical Guide to Treatment of Childhood Absence Epilepsy

10 Feb, 2019 | 15:04h | UTC

A Practical Guide to Treatment of Childhood Absence Epilepsy – Pediatric Drugs (free)

 


Safety of MRIs in Patients with Tattoos

10 Feb, 2019 | 15:12h | UTC

Safety of MRIs in Patients with Tattoos – MedicalResearch.com (free)

Original Article: Safety of Tattoos in Persons Undergoing MRI – New England Journal of Medicine ($)

 


Clinical Practice Guidelines for Diagnosis and Management of Cough

10 Feb, 2019 | 14:35h | UTC

Clinical Practice Guidelines for Diagnosis and Management of Cough—Chinese Thoracic Society (CTS) Asthma Consortium – Journal of Thoracic Disease (free)

Related Guideline: KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea – Allergy, Asthma & Immunology Research (free)

See also recently published CHEST guidelines on the management of cough in specific populations: Classification of Cough as a Symptom in Adults and Management Algorithms (free) AND Adult Outpatients With Acute Cough Due to Suspected Pneumonia or Influenza – CHEST Guideline and Expert Panel Report (free) AND Clinically Diagnosing Pertussis-associated Cough in Adults and Children (free) AND Pharmacologic and Nonpharmacologic Treatment for Acute Cough Associated With the Common Cold (free) AND Cough Due to TB and Other Chronic Infections  (free) AND Chronic Cough Due to Gastroesophageal Reflux in Adults (free) AND Symptomatic Treatment of Cough Among Adult Patients With Lung Cancer (free) AND Cough in the athlete (free) AND Occupational and Environmental Contributions to Chronic Cough in Adults (free) AND Treatment of Unexplained Chronic Cough (free) AND Use of Management Pathways or Algorithms in Children With Chronic Cough (free) AND Management of Children With Chronic Wet Cough and Protracted Bacterial Bronchitis (free)

 


Cochrane Review: Treatments for Absence Seizures in Children and Adolescents Compared

10 Feb, 2019 | 15:03h | UTC

Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents – Cochrane Library (free)

Summary: Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents – Cochrane Library (free)

 


Guideline: Endoscopic Surveillance After Surgical or Endoscopic Resection for Colorectal Cancer

10 Feb, 2019 | 14:31h | UTC

Endoscopic surveillance after surgical or endoscopic resection for colorectal cancer: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Digestive Oncology (ESDO) Guideline – Endoscopy (free)

 


Position Paper: Diagnosis and Management of Drug‐induced Anaphylaxis in Children

10 Feb, 2019 | 14:28h | UTC

Diagnosis and management of drug‐induced anaphylaxis in children: an EAACI position paper – Pediatric Allergy and Immunology (free PDF)

 


Expert Consensus on Diagnosis and Management of Severe Asthma

10 Feb, 2019 | 14:34h | UTC

Chinese expert consensus on diagnosis and management of severe asthma – Journal of Thoracic Disease (free)

Related Guidelines: Recognition and management of severe asthma: A Canadian Thoracic Society position statement (free) AND International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma (free) AND Guidelines for Severe Uncontrolled Asthma – Spanish Society of Pulmonology and Thoracic Surgery (free) AND Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults (free)

 


The Aftermath of Acute Kidney Injury: A Narrative Review of Long-term Mortality and Renal Function

10 Feb, 2019 | 14:26h | UTC

The aftermath of acute kidney injury: a narrative review of long-term mortality and renal function – Critical Care (free)

 


Study: Association of Thyrotropin Suppression with Survival Outcomes in Patients With Intermediate- and High-Risk Differentiated Thyroid Cancer

10 Feb, 2019 | 13:59h | UTC

Association of Thyrotropin Suppression With Survival Outcomes in Patients With Intermediate- and High-Risk Differentiated Thyroid Cancer – JAMA Network Open (free)

Commentary: Study Evaluates Thyroid Hormone Suppression For High Risk Thyroid Cancer – MedicalResearch.com (free)

“This study provides the justification for a randomized trial.”


Practical Guide for Pharmacists to Successfully Implement Penicillin Allergy Skin Testing

10 Feb, 2019 | 14:24h | UTC

A practical guide for pharmacists to successfully implement penicillin allergy skin testing – American Journal of Health-System Pharmacy (free)

“Less than 10% of patients labeled as having a penicillin allergy are confirmed as present upon skin testing. This labeling results in use of alternative antibiotics and thus unwanted adverse consequences including potentiated antimicrobial resistance, increased costs, and worse clinical outcomes.”

 


Review: Epidemiology and Antimicrobial Resistance in Intensive Care Units

10 Feb, 2019 | 13:54h | UTC

Current trends in epidemiology and antimicrobial resistance in intensive care units – Journal of Emergency and Critical Care Medicine (free)

 


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