All Posts
Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management
20 Jun, 2017 | 12:47h | UTCNews Release: Healthcare providers should individualize patient education (free)
AHA statement: Doctors’ orders should include tailored health education for patients (free)
Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)
Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)
Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria
20 Jun, 2017 | 12:41h | UTCEffect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)
Changes in Hospital Quality Associated with Hospital Value-Based Purchasing?
20 Jun, 2017 | 12:27h | UTCChanges in Hospital Quality Associated with Hospital Value-Based Purchasing – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Value-Based Purchasing Program Has Little Effect – Medscape (free registration required) AND Is There Value in Hospital Value-Based Purchasing? – NEJM Catalyst (free)
How VBP works: Hospital Value-Based Purchasing – U.S. Centers for Medicare & Medicaid Services (free)
Reducing Cancer Burden in the Population
20 Jun, 2017 | 12:31h | UTC
Richard Lehman’s weekly review of medical journals
20 Jun, 2017 | 12:26h | UTCRichard Lehman’s weekly review of medical journals, 19 June 2017 – The BMJ Blogs (free)
A Good News Story About Diarrhea
20 Jun, 2017 | 12:21h | UTCA Good News Story About Diarrhea — With One Surprising Exception – NPR Goats and Soda (free)
See the original Global Burden of Disease Study with Diarrheal disease trends and commentaries in our June 5th issue, see #5
Where Does WHO Get Its Economic Advice?
20 Jun, 2017 | 12:22h | UTCWhere Does WHO Get Its Economic Advice? – Amanda Glassman, via Center for Global Development (free)
Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Takotsubo Cardiomyopathy may cause lasting damage
20 Jun, 2017 | 12:28h | UTCAlterations in Cardiac Deformation, Timing of Contraction and Relaxation, and Early Myocardial Fibrosis Accompany the Apparent Recovery of Acute Stress-Induced (Takotsubo) Cardiomyopathy: An End to the Concept of Transience – Journal of the American Society of Echocardiography (link to abstract – $ for full-text)
Commentaries: Broken heart syndrome may have lasting damage, say researchers – BBC Health News (free) AND Broken heart syndrome may cause permanent damage – News Medical (free) AND ‘Octopus pot’ syndrome: why a broken heart can be as bad as cardiac arrest – The Guardian (free)
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy
20 Jun, 2017 | 12:23h | UTCSurgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)
Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.
The Science Behind How Nature Affects Your Health
20 Jun, 2017 | 12:25h | UTCThe Science Behind How Nature Affects Your Health – Forbes (free)
“100% agree: Social determinants of health have a far greater impact on our health than healthcare delivery systems” (RT @SueDHellmann see Tweet)
Why overtreatment and overdiagnosis can be bad for your health
20 Jun, 2017 | 12:19h | UTCWhy overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)
Why Providers May Fail to Reduce Wait Times
20 Jun, 2017 | 12:14h | UTCPerspective: The Waiting Game — Why Providers May Fail to Reduce Wait Times – New England Journal of Medicine (free)
The tyranny of excessive medical hierarchy
20 Jun, 2017 | 12:07h | UTCThe tyranny of excessive medical hierarchy – MJA Insight (free) (RT @pash22 see Tweet)
Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver?
20 Jun, 2017 | 12:20h | UTCWho Should Assess the Needs of and Care for a Dementia Patient’s Caregiver? – AMA Journal of Ethics (free)
“Physicians have an obligation to check in on dementia patients’ caregivers, and provide support if necessary” (RT @JournalofEthics see Tweet)
‘Not everyone wants to know’: Warnings over genetic tests
20 Jun, 2017 | 12:12h | UTC‘Not everyone wants to know’: Warnings over genetic tests – SBS (free) (RT @pash22 see Tweet)
See more on direct-to-consumer genetic testing in our May 29th issue, see #3.
How Did Health Care Get to Be Such a Mess?
20 Jun, 2017 | 12:13h | UTCOpinion: How Did Health Care Get to Be Such a Mess? – The New York Times (10 articles per month are free)
Opinion over payment models in the U.S health care system.
Steroid injections into the inner ear may be safe for treating Ménière’s disease
20 Jun, 2017 | 12:06h | UTCSteroid injections into the inner ear may be safe for treating Ménière’s disease – NIHR Signal (free)
Original article: Intratympanic methylprednisolone versus gentamicin in patients with unilateral Ménière’s disease: a randomised, double-blind, comparative effectiveness trial – The Lancet (free)
Invited commentary: Ménière’s disease: damaged hearing but reduced vertigo – The Lancet (free)
ACR Thyroid Imaging and Reporting
20 Jun, 2017 | 12:09h | UTCACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee – Journal of the American College of Radiology (free, and legal, PDF via Unpawall)
Commentary: New ultrasound scoring system for thyroid nodules to reduce unnecessary biopsies – University of Alabama at Birmingham, via EurekAlert (free)
What Moral Distress in Nursing History Could Suggest about the Future of Health Care
20 Jun, 2017 | 12:05h | UTC
Incretin based treatments and mortality in patients with type 2 diabetes
20 Jun, 2017 | 12:06h | UTC“The current evidence provides no support for the hypothesis that incretin based treatment increases all-cause mortality in patients with type 2 diabetes”
Best of the 2017 ASCO Live Blog
20 Jun, 2017 | 12:07h | UTCBest of the 2017 ASCO Live Blog: Breast, Lung, Colon and Prostate Cancer – Medscape (free registration required)
Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association
19 Jun, 2017 | 13:00h | UTCDietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association (free PDF)
Invited Commentary: Trimming the Fat on Diet Recommendations for a Healthy Heart: Emphasis on Eating Patterns over Dietary Restrictions (free)
Top Ten Things to Know: Dietary Fats and Cardiovascular Disease: A Presidential Advisory from the American Heart Association (free PDF)
AHA News: Advisory: Replacing saturated fat with healthier fat could lower cardiovascular risks (free)
News release: Replacing saturated fat with healthier fat may lower cholesterol as well as drugs in context of a healthy diet (free)
AHA no longer recommends decreasing total fat, but to replace saturated fats with polyunsaturated or monounsaturated fats. “Replacing saturated fat with healthier fat in the diet lowers cardiovascular disease risk as much as cholesterol-lowering statin drugs”
Comparison of sputum collection methods for tuberculosis diagnosis
19 Jun, 2017 | 13:01h | UTCInvited commentary: Remembering the basics: interventions to improve sputum collection for tuberculosis diagnosis (free)
Pooled sputum collection (sputum that was pooled from each spontaneous expectoration into the same sputum container over a period of several hours) increased the diagnostic performance of smear microscopy 1.6 times and the delivery of standardized instruction emphasizing the difference between sputum and saliva (verbally or visually) increased the odds of a positive microscopy result 1.4 times. “The effect of these simple, inexpensive strategies on diagnostic performance was similar to that of the relatively expensive GeneXpert MTB/RIF test, which, in the largest published studies, increased the odds of diagnosing tuberculosis by 1.3–1.5 times”
Tue, June 20 – 10 Stories of The Day!
20 Jun, 2017 | 00:15h | UTC
1 – Glucose targets for preventing diabetic kidney disease and its progression – Cochrane Library (link to summary – $ for full review)
Sources: EvidenceAlerts and @anupam1623
Intensive glycemic control had no effect on risks of kidney failure, death and major cardiovascular events. “The clinical impact of targeting an HbA1c < 7% or blood glucose < 6.6 mmol/L (120 mg/dL) is unclear and the potential harms of this treatment approach are largely unmeasured.”
News Release: Healthcare providers should individualize patient education (free)
AHA statement: Doctors’ orders should include tailored health education for patients (free)
Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)
Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)
3 – Effect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)
Original analysis: What data from 205 million private health insurance claims reveals about America’s opioid crisis – Amino (free)
6 – Alterations in Cardiac Deformation, Timing of Contraction and Relaxation, and Early Myocardial Fibrosis Accompany the Apparent Recovery of Acute Stress-Induced (Takotsubo) Cardiomyopathy: An End to the Concept of Transience – Journal of the American Society of Echocardiography (link to abstract – $ for full-text)
Commentaries: Broken heart syndrome may have lasting damage, say researchers – BBC Health News (free) AND Broken heart syndrome may cause permanent damage – News Medical (free) AND ‘Octopus pot’ syndrome: why a broken heart can be as bad as cardiac arrest – The Guardian (free)
7 – Changes in Hospital Quality Associated with Hospital Value-Based Purchasing – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Value-Based Purchasing Program Has Little Effect – Medscape (free registration required) AND Is There Value in Hospital Value-Based Purchasing? – NEJM Catalyst (free)
How VBP works: Hospital Value-Based Purchasing – U.S. Centers for Medicare & Medicaid Services (free)
8 – Richard Lehman’s weekly review of medical journals, 19 June 2017 – The BMJ Blogs (free)
9 – The Science Behind How Nature Affects Your Health – Forbes (free)
“100% agree: Social determinants of health have a far greater impact on our health than healthcare delivery systems” (RT @SueDHellmann see Tweet)
10 – Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)