Incidental pulmonary nodules discovered outside the context of screening or cancer follow-up are increasingly common in clinical practice. The purpose of these updated recommendations is to reduce the number of unnecessary follow-up examinations while providing practical guidance on follow-up intervals for selected larger nodules.
World Asthma Day (May 2, 2017): Asthma Updated Fact Sheet – World Health Organization (free)
Related: Cochrane Evidence resources related to World Asthma Day (free summaries)
Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure – Nature Reviews Cardiology (free)
Source: Critical Care Reviews Newsletter
Adjuvant Systemic Therapy and Adjuvant Radiation Therapy for Stage I to IIIA Completely Resected Non–Small-Cell Lung Cancers1 May, 2017 | 16:48h | UTC
Adjuvant Systemic Therapy and Adjuvant Radiation Therapy for Stage I to IIIA Completely Resected Non–Small-Cell Lung Cancers: American Society of Clinical Oncology/Cancer Care Ontario Clinical Practice Guideline Update – Journal of Clinical Oncology (free)
Systematic review: Tobacco packaging design for reducing tobacco use – Cochrane Library (link to summary – $ for full-text)
News release: Standardised tobacco packaging: will banning branding cut down smoking? (free)
New evidence finds standardized cigarette packaging may reduce the number of people who smoke.
Corticosteroids, even if used for short periods of time, seems to be associated with significant morbidity and mortality. In this retrospective cohort with 1.5 million adults, the incidence of acute adverse events (sepsis, venous thromboembolism, fracture) increased by twofold to fivefold above background rates.
Related commentary: Tallying the bills of mortality from air pollution (free)
4.2 million deaths globally were attributable to fine particles and another 254 000 to surface ozone in 2015. The article also has details on country-specific deaths and disability-adjusted life-years from 1990 through 2015.
Cardioselective beta-blockers, mostly atenolol and bisoprolol in this cohort, were not associated with increased risk of moderate or severe asthma exacerbations. In contrast, non-selective beta-blockers, mostly sotalol and carvedilol in this cohort, were associated with increased risk.
Association Between Antipsychotic Agents and Risk of Acute Respiratory Failure in Patients With Chronic Obstructive Pulmonary Disease – JAMA Psychiatry (Link to abstract – $ required for full-text) (RT @atscommunity)
See also: Antipsychotics Tied to Respiratory Failure in At-Risk Patients – Medscape (free registration required) AND Antipsychotics May Boost Respiratory Failure Risk in COPD – MedPage Today (free registration required)
Related commentary: Death, disease, and tobacco (free)
See also: Other articles from The Global Burden of Diseases Study (free)
See also: Inhaled Corticosteroid Use May Up Metabolic Syndrome Risk – MPR (free)
This study was presented at #ENDO2017 and hasn’t been published yet.
Browse Appropriateness Criteria Topics (free)
This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.
Addition of anti-leukotriene agents to inhaled corticosteroids for adults and adolescents with persistent asthma – Cochrane Database of Systematic Reviews (link to summary – $ required for full-text)
In patients with asthma not controlled with daily low-dose inhaled corticosteroids, adding anti-leukotriene agents reduced by half the number of patients with asthma exacerbations requiring an oral corticosteroid and improved lung function and asthma control.
Source: Richard Lehman’s weekly review
HERDOO2 rule stands for Hyperpigmentation, Edema, or Redness in either leg; D-dimer level ≥250 μg/L; Obesity with body mass index ≥30; or Older age, ≥65 years. The authors concluded that women with a first unprovoked VTE event and none or one of the HERDOO2 criteria have a low risk (3.0% per patient year) of recurrent VTE and can safely discontinue anticoagulants after completing short term treatment.
#WorldTBDay, 24 March 2017 – Highlights from Today’s Campaigns and Resources
1 – #WorldTBDay – World Health Organization Campaign (free)
See also: WHO’s work on TB (free)
News Release: WHO issues ethics guidance to protect rights of TB patients (free)
See also: Implementing the end TB strategy: the essentials (free)
5 #WorldTBDay – WHO treatment guidelines for drug-resistant tuberculosis (2016 update) – World Health Organization (free)
See also: WHO resources on drug-resistant tuberculosis (free)
7 – #WorldTBDay – The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis – The Lancet Respiratory Medicine (free registration required)
“Rise of multi-drug resistant strains of tuberculosis could derail global efforts to eradicate the disease, according to a new report”
Implementation of key demand-reduction measures of the WHO Framework Convention on Tobacco Control and change in smoking prevalence in 126 countries: an association study – The Lancet Public Health (free)
“The authors deserve ample credit for reinforcing, with solid empirical evidence, the core message in the FCTC: tobacco control policy matters”