Tue July 30 – 10 Stories of The Day!

1 – International consensus statement on the use of uterotonic agents during caesarean section – Anaesthesia (free)

2 – Management of Severe Bleeding in Patients Treated With Oral Anticoagulants – Critical Pathways in Cardiology (free)

Related: 2017 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants (free guideline and summary)

3 – Comparison of the Harms, Advantages, and Costs Associated With Alternative Guidelines for the Evaluation of Hematuria – JAMA Internal Medicine (free for a limited period)

Commentaries: Hematuria Practice Guidelines That Explicitly Consider Harms and Costs – JAMA Internal Medicine (free for a limited period) AND Evaluating Hematuria: Uniform Use of CT Seen as Risky and Expensive – NEJM Journal Watch (free)

4 – Short-course primaquine for the radical cure of Plasmodium vivax malaria: a multicentre, randomised, placebo-controlled non-inferiority trial – The Lancet (free)

Commentary: A shorter course for anti-relapse therapy against vivax malaria – The Lancet (free)

5 – The management of diverticulitis: a review of the guidelines – Medical Journal of Australia (free for a limited period)

Related Guidelines: American Gastroenterological Association Institute Guideline on the Management of Acute Diverticulitis (free) AND EAES and SAGES 2018 consensus conference on acute diverticulitis management: evidence-based recommendations for clinical practice (free) AND Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association (free) AND Colorectal surgeon consensus with diverticulitis clinical practice guidelines (free) AND WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting (free) AND The Mexican Consensus on the Diagnosis and Treatment of Diverticular Disease of the Colon (free)

6 – White Paper: A Multilayered Analysis of Telehealth – FAIR Health (free PDF)

Commentaries: Use of Non-Hospital-Based Provider-to-Patient Telehealth Grew Nearly 1400% From 2014 to 2018, FAIR Health Finds – AJMC (free) AND Telemedicine use up 1,400 percent since 2014 – UPI (free) AND Use of Non-Hospital-Based Provider-to-Patient Telehealth Grew Nearly 1,400 Percent from 2014 to 2018 – PR Newswire (free)

7 – Prescriptions on Demand: The Growth of Direct-to-Consumer Telemedicine Companies – JAMA (free for a limited period)

8 – Choosing Wisely India: ten low-value or harmful practices that should be avoided in cancer care – The Lancet Oncology (free registration required)

Commentary: 10 Ways to Improve the Value of Cancer Care – Medscape (free registration required)

See other lists of low-value practices in oncology:

– American Society of Clinical Oncology

– Society of Surgical Oncology

– Society of Gynecologic Oncology

– American Society for Radiation Oncology

– Medical Oncology Group of Australia

– Oncology – Choosing Wisely Canada

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

9 – Early enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications – Cochrane Library (free)

Summary: The effect of having nutrition within the first 24 hours after bowel surgery on length of hospital stay and postoperative complications – Cochrane Library (free)

Related Guidelines: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free) AND Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations: 2018 (free) AND Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices – World Journal of Gastrointestinal Surgery (free)

“This review suggests that early enteral feeding may lead to a reduced postoperative length of stay, however cautious interpretation must be taken due to substantial heterogeneity and low-quality evidence.”

10 – Continuous Anticoagulation and Cold Snare Polypectomy Versus Heparin Bridging and Hot Snare Polypectomy in Patients on Anticoagulants With Subcentimeter Polyps: A Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Trial demonstrates noninferiority of cold snare polyp removal for patients on anticoagulation – ACP Gastroenterologist (free) AND Cold snare polypectomy with continuous anticoagulant use does not increase bleeding risk – 2 Minute Medicine (free)