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M-A: Colchicine in patients with coronary artery disease – “colchicine reduces the risk of myocardial infarction and stroke, but has a higher rate of gastrointestinal upset with no influence on all‐cause mortality”.
8 Aug, 2021 | 23:40h | UTCRelated:
Review: Colchicine and the heart.
M-A: Colchicine administration for percutaneous coronary intervention
M-A: Efficacy and safety of low-dose colchicine in patients with coronary disease
Meta-analysis: Colchicine reduces new cardiovascular events in patients with coronary artery disease
Expert analysis: Efficacy and safety of colchicine in patients with chronic stable coronary disease
#ESCCongress – Randomized trial: Colchicine not beneficial for patients with acute coronary syndrome
Research: Colchicine Therapy and Plaque Stabilization in Patients With Acute Coronary Syndrome
Endometrial scratching: what’s the latest evidence? – “we are uncertain whether endometrial injury has an effect on the probability of getting pregnant and having a baby”.
8 Aug, 2021 | 23:33h | UTCEndometrial scratching: what’s the latest evidence? – Cochrane Library
Original Review: Endometrial injury for pregnancy following sexual intercourse or intrauterine insemination – Cochrane Library
Commentary on Twitter
Endometrial scratching is a procedure that is sometimes done with the aim of increasing the chance of pregnancy, but its use is debated. @SarahLensen of @CochraenCGF explains the latest Cochrane evidence in this new @CochraneUK blog: https://t.co/IFyYlXvS6v pic.twitter.com/PDEWRx4JPA
— Cochrane (@cochranecollab) August 6, 2021
RCT: Efficacy of concurrent chemoradiotherapy with S-1 vs. radiotherapy alone for older patients with esophageal cancer.
8 Aug, 2021 | 23:35h | UTCEfficacy of Concurrent Chemoradiotherapy With S-1 vs Radiotherapy Alone for Older Patients With Esophageal Cancer: A Multicenter Randomized Phase 3 Clinical Trial – JAMA Oncology (free for a limited period)
Editorial: Primary Chemoradiotherapy for Older Patients With Esophageal Cancer (free for a limited period)
Commentary: Concurrent CRT Effective for Esophageal Cancer in Older Patients — Overall survival at 2 years significantly better versus radiotherapy alone – MedPage Today (free registration required)
Commentary on Twitter
Randomized phase 3 trial of radiation with or w/o S-1 chemo in 298 older pts (median age 77) with esophageal cancer reveals concurrent chemoradiation led to significantly improved progression-free & overall survival https://t.co/wx5FG5VDUH #GICSM pic.twitter.com/SFddL53lCi
— JAMA Oncology (@JAMAOnc) August 6, 2021
Sudden Death in Adults: A practical flow chart for pathologist guidance.
8 Aug, 2021 | 23:27h | UTCSudden Death in Adults: A Practical Flow Chart for Pathologist Guidance – Healthcare
Perspective: Does Treating Sleep Apnea With CPAP Improve Cardiovascular Outcomes or Lower Risk of Atrial Fibrillation? – “Despite numerous flawed observational studies suggesting an association between sleep apnea and cardiovascular outcomes including atrial fibrillation the gold standard, high-quality RCT data do not clearly show that treatment of sleep apnea with CPAP improves cardiovascular outcomes”.
8 Aug, 2021 | 23:31h | UTCRelated:
AHA Scientific Statement: Obstructive Sleep Apnea and Cardiovascular Disease.
Non-sleepy Obstructive Sleep Apnea: To Treat or Not to Treat?
Pro/Con Debate: Should Asymptomatic Patients with Moderate-to-severe OSA be Treated?
Positive airway pressure doesn’t reduce cardiovascular events and death in adults with sleep apnea
[Preprint] RCT: non-invasive respiratory strategies in acute respiratory failure in patients with COVID-19 – CPAP reduced the composite outcome of intubation or death within 30 days; high-flow nasal oxygenation was not associated with better outcomes.
6 Aug, 2021 | 10:18h | UTCCommentary: Covid: Pressured oxygen reduces ventilator need – BBC
Commentary on Twitter (thread – click for more)
RECOVERY-RS results out, and confirm what most of us have been doing:
CPAP reduces intubation/mortality by 28% compared with no CPAP/HFNO (composite outcome, mostly intubation)
Nasal high flow not so successful1/https://t.co/bcB2sTdAsu pic.twitter.com/fvT8IbyxUr
— 𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙 (@LawtonTri) August 5, 2021
Antibody-mediated autoimmune encephalitis: A practical approach.
8 Aug, 2021 | 23:29h | UTC
Review: Transmission of infections during cardiopulmonary resuscitation.
8 Aug, 2021 | 23:16h | UTCTransmission of Infections during Cardiopulmonary Resuscitation – Clinical Microbiology Reviews
Perspective | Expertise from outside the Academy: tapering off antidepressants.
8 Aug, 2021 | 23:27h | UTCExpertise from outside the Academy: tapering off antidepressants – The Mental Elf
Related:
A method for tapering antipsychotic treatment that may minimize the risk of relapse
Systematic Review: Managing Antidepressant Discontinuation
Randomized controlled trial: preventive cognitive therapy for prevention of depressive recurrence
Systematic Review: “Remdesivir probably has little or no effect on all‐cause mortality at up to 28 days in hospitalized adults with SARS‐CoV‐2 infection. We are uncertain about the effects of remdesivir on clinical improvement and worsening”.
6 Aug, 2021 | 10:15h | UTCRemdesivir for the treatment of COVID‐19 – Cochrane Library
Summary: Remdesivir for the treatment of COVID-19 – Cochrane Library
Commentary on Twitter (thread – click for more)
JUST PUBLISHED – Is #remdesivir an effective treatment for #COVID19? https://t.co/ntgfDQjMqs This @CochraneHaem systematic review looked at this antiviral medicine to see if it's an effective treatment for people in hospital w #COVID & if it causes unwanted effects. 1/5 pic.twitter.com/UtIW83uTtn
— The Cochrane Library (@CochraneLibrary) August 5, 2021
Flawed ivermectin preprint highlights challenges of COVID drug studies.
6 Aug, 2021 | 10:07h | UTCFlawed ivermectin preprint highlights challenges of COVID drug studies – Nature
Related:
Systematic review: no evidence to support the use of Ivermectin for treating or preventing COVID-19.
Why was a major study on ivermectin for covid-19 just retracted?
Dexamethasone and tocilizumab treatment considerably reduces the value of C-reactive protein and procalcitonin to detect secondary bacterial infections in COVID-19 patients.
6 Aug, 2021 | 10:13h | UTC
Clinical Picture: Mucormycosis after COVID-19 in a patient with diabetes.
6 Aug, 2021 | 10:09h | UTCMucormycosis after COVID-19 in a patient with diabetes – The Lancet
Related:
COVID-19 and mucormycosis superinfection: the perfect storm.
What is mucormycosis, the fungal infection affecting COVID patients in India?
[Preprint] The Emergence of COVID-19 Associated Mucormycosis: Analysis of Cases From 18 Countries.
Mucormycosis: The ‘black fungus’ maiming Covid patients in India
Global Guideline for the Diagnosis and Management of Mucormycosis
M-A: Chest radiograph findings in COVID-19.
6 Aug, 2021 | 10:03h | UTC
Review of COVID-19: Abdominal manifestations in adults and multisystem inflammatory syndrome in children.
6 Aug, 2021 | 10:05h | UTC
PIDS-IDSA Guideline on diagnosis and management of acute hematogenous osteomyelitis in pediatrics.
6 Aug, 2021 | 09:58h | UTC
Fibrotic interstitial lung abnormalities at 1-year follow-up CT after severe COVID-19.
6 Aug, 2021 | 10:01h | UTCFibrotic Interstitial Lung Abnormalities at 1-year Follow-up CT after Severe COVID-19 – Radiology
Related: Postacute Sequelae of COVID-19 Pneumonia: 6-month Chest CT Follow-up.
Commentary on Twitter
Data on 1 year outcomes for patients with post-COVID lung fibrosis. Small study, very little clinical information, including on treatment, and I object to the use of the term ILA, but overall not suggestive of progressive fibrotic lung disease. Thoughts?https://t.co/Kdt1pmTREl pic.twitter.com/mu1Jd2G6sd
— Anna Podolanczuk (@AnnaPodolanczuk) August 4, 2021
Guideline: Laboratory detection and initial diagnosis of monoclonal gammopathies.
6 Aug, 2021 | 09:56h | UTC
ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”
6 Aug, 2021 | 09:59h | UTCESPEN practical guideline: Clinical nutrition in surgery – Clinical Nutrition
RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.
6 Aug, 2021 | 09:54h | UTCCommentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
Review: Rational fluid resuscitation in sepsis for the hospitalist.
6 Aug, 2021 | 09:53h | UTC
Mammographic features are associated with cardiometabolic disease risk and mortality.
6 Aug, 2021 | 09:04h | UTC
Viewpoint: Aligning payments, services, and quality in primary care.
6 Aug, 2021 | 09:08h | UTCAligning Payments, Services, and Quality in Primary Care – JAMA (free for a limited period)
M-A: Pharmacotherapy for the prevention of chronic pain after surgery in adults.
6 Aug, 2021 | 09:51h | UTC
Commentary on Twitter
Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults: An Updated Systematic Review and Meta-analysis https://t.co/DzILWovtGG #visualabstract pic.twitter.com/A8JIxKl942
— Anesthesiology (@_Anesthesiology) August 5, 2021
Researchers tell doctors to avoid routine urinary tests for older patients with delirium.
6 Aug, 2021 | 09:01h | UTCOriginal article: Things We Do for No Reason™: Obtaining Urine Testing in Older Adults With Delirium Without Signs or Symptoms of Urinary Tract Infection – Journal of Hospital Medicine ($)
Commentary on Twitter (thread – click for more)
1/14
Hey #MedTwitter!Ever question the utility of asymptomatic urine testing in delirious, older patients?
Passionate about avoiding low-value tests that may harm vulnerable patients?
If so, please join us on this Tweetorial journey based on our @JHospMedicine @TWDFNR piece! pic.twitter.com/vNsTL5UpUK
— Milad Memari, MD, MS, MSEd. (@MemariMD) July 28, 2021


