Family Medicine
[Press release – not published yet] Pfizer’s Covid pill remains 89% effective for reducing the risk of hospitalization or death in final analysis.
15 Dec, 2021 | 08:46h | UTCCommentaries:
Pfizer’s Covid pill remains 89% effective in final analysis, company says – STAT
Pfizer confirms COVID pill’s results, potency versus omicron – Associated Press
Related:
8 lingering questions about the new Covid pills from Merck and Pfizer.
Commentary on Twitter (thread – click for more)
@pfizer releases more nirmatrelvir (#Paxlovid) data on #COVID19 final outcomes. Data are consistent, slightly better thant interim analysis. #IDTwitter
▪️ 88% overall hospitalization <=5days
▪️ No deaths in High Risk Trial (EPIC-HR)
▪️ Stopping drug 2.1%https://t.co/1D2LKan7tM— David Boulware, MD MPH (@boulware_dr) December 14, 2021
Rapidly spreading Omicron is now in 77 countries and WHO warns against assuming its effects are mild.
15 Dec, 2021 | 08:39h | UTC
Expert consensus and practical guidance: A global perspective on improving patient care in uncomplicated urinary tract infection.
15 Dec, 2021 | 08:33h | UTC
M-A: Pharmacotherapy for adults with overweight and obesity – “phentermine–topiramate and GLP-1 receptor agonists proved the best drugs in reducing weight”.
15 Dec, 2021 | 08:30h | UTCPharmacotherapy for adults with overweight and obesity: a systematic review and network meta-analysis of randomised controlled trials – The Lancet (link to abstract – $ for full-text)
Commentary on Twitter
Pharmacotherapy for adults with overweight and #obesity – NEW systematic review and network meta-analysis of RCTs summarises the latest evidence for the benefits and harms of weight-lowering drugs. https://t.co/92fK1cKcww pic.twitter.com/INUe2plSQB
— The Lancet (@TheLancet) December 9, 2021
Proposed subtypes of long-Covid and their respective potential therapies.
14 Dec, 2021 | 09:49h | UTCRelated:
EuGMS Guidance: Management of post-acute COVID-19 patients in geriatric rehabilitation.
Addressing Post-COVID Symptoms: A Guide for Primary Care Physicians.
Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’.
Systematic Review: Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection.
WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).
Characterizing long COVID: a living systematic review.
Long Covid – The illness narratives.
New guidelines to help doctors manage long COVID patients published.
M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)
Cannabinoid metabolites as inhibitors of major hepatic CYP450 enzymes, with implications for cannabis-drug interactions.
14 Dec, 2021 | 08:44h | UTCNews release: Cannabis use could cause harmful drug interactions – Washington State University
Short Review: Lymphogranuloma venereum.
14 Dec, 2021 | 08:42h | UTCLymphogranuloma venereum – Canadian Medical Association Journal
Perspective: Alcohol-related harm is a public health issue, not a lifestyle choice.
14 Dec, 2021 | 08:41h | UTCAlcohol-related harm is a public health issue, not a lifestyle choice – Health Policy Watch
Related:
COVID-19 pandemic and alcohol consumption: Impacts and interconnections – Toxicology Reports
National, Regional, and Global Burdens of Disease Attributable to Alcohol Use
Study: Alcohol Use and Burden for 195 Countries and Territories
Study: The Global Burden of Disease Attributable to Alcohol and Drug Use
Study: Global Alcohol Exposure Between 1990 and 2017 and Forecasts Until 2030
Analysis: Prioritizing Action on Alcohol for Health and Development
Research: Contribution of alcohol use disorders to the burden of dementia
UK Report on SARS-CoV-2 variants of concern finds significantly lower vaccine effectiveness (VE) against Omicron infection, but a moderate to high VE of 70 to 75% is seen after a third (booster) dose.
13 Dec, 2021 | 09:53h | UTCCommentaries:
Omicron: Three vaccine doses key for protection against variant – BBC
Two jabs offer little protection against Omicron infection, UK data shows – The Guardian
UK Says Omicron to Become Its Dominant Variant Within Days – Associated Press
NICE Guideline | Ectopic pregnancy and miscarriage: diagnosis and initial management.
13 Dec, 2021 | 09:42h | UTC
NICE Guideline | Pelvic floor dysfunction: prevention and non-surgical management.
13 Dec, 2021 | 09:43h | UTC
NICE Guideline | Inducing labor.
13 Dec, 2021 | 08:55h | UTCInducing labour – National Institute for Health and Care Excellence
Colorectal cancer incidence, mortality, tumor characteristics, and treatment before and after the introduction of the fecal immunochemical testing-based screening program in the Netherlands: a population-based study.
13 Dec, 2021 | 08:50h | UTCColorectal cancer incidence, mortality, tumour characteristics, and treatment before and after introduction of the faecal immunochemical testing-based screening programme in the Netherlands: a population-based study – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)
Commentary on Twitter
New research – Breekveldt et al – #Colorectalcancer incidence, mortality, tumour characteristics, and treatment before and after introduction of the FIT-based #screening programme in the #Netherlands: a population-based studyhttps://t.co/nW9SVAhRxE#GITwitter #crcsm pic.twitter.com/GGRF9Az0tg
— The Lancet Gastroenterology & Hepatology (@LancetGastroHep) November 23, 2021
Pooled analysis of randomized trials on the effect of empagliflozin in patients with heart failure across the spectrum of left ventricular ejection fraction (EF) showed the effects were clinically meaningful and similar in patients with EF below 65% but were attenuated in patients with EF above 65%.
13 Dec, 2021 | 08:53h | UTC
Commentary on Twitter
Effect of empagliflozin on heart failure hospitalizations: news from the pooled analysis on both the EMPEROR-Reduced and EMPEROR-Preserved trials! #empaglifozin #heart #failure #hospitalization#ehj #cardiotwitter@escardio @ESC_Journals https://t.co/W6FuYbwVzx pic.twitter.com/5qLXDVaC89
— EHJ Editor-in-Chief (@ehj_ed) December 11, 2021
Cohort Study: Association of bilateral salpingo-oophorectomy with all cause and cause specific mortality.
13 Dec, 2021 | 08:42h | UTC
Commentary on Twitter
This observational study found that bilateral salpingo-oophorectomy at non-malignant hysterectomy appeared to be associated with increased all cause mortality in women aged <50 years, but not in those aged ≥50 years https://t.co/I0b9nrht9V
— The BMJ (@bmj_latest) December 11, 2021
Omicron spreads, but severe cases remain low in South Africa.
10 Dec, 2021 | 10:17h | UTCOmicron spreads but severe cases remain low in South Africa – WHO Africa
Systematic Review: Antibiotics for adults and children with sore throats.
10 Dec, 2021 | 10:02h | UTCSummary: Antibiotics for adults and children with sore throats – Cochrane Library
Original Research: Antibiotics for treatment of sore throat in children and adults – Cochrane Library
Large observational study in Israel showed a third dose (booster) of the Pfizer–BioNTech vaccine had 90% effectiveness at preventing death due to Covid-19 compared to a two-dose regimen.
9 Dec, 2021 | 10:35h | UTCBNT162b2 Vaccine Booster and Mortality Due to Covid-19 – New England Journal of Medicine
Editorial: Booster Doses and Prioritizing Lives Saved
Large observational study in Israel showed a third dose (booster) of the Pfizer–BioNTech vaccine reduced the rates of confirmed Covid-19 and severe illness compared to a two-dose regimen.
9 Dec, 2021 | 10:32h | UTCProtection against Covid-19 by BNT162b2 Booster across Age Groups – New England Journal of Medicine
Editorial: Booster Doses and Prioritizing Lives Saved
As 57 countries report Omicron cases, Pfizer says its boosters offer protection – but WHO cautions more research is needed.
9 Dec, 2021 | 10:28h | UTCSee also: Covid: Vaccines should work against Omicron variant, WHO says – BBC
RCT: Among children between the ages of 6 and 11 years with uncontrolled moderate-to-severe asthma, add-on Dupilumab reduced exacerbations and improved lung function.
9 Dec, 2021 | 10:21h | UTCDupilumab in Children with Uncontrolled Moderate-to-Severe Asthma – New England Journal of Medicine
Systematic Review: Benefits and harms of annual, biennial, or triennial breast cancer mammography screening for women at average risk of breast cancer.
9 Dec, 2021 | 10:08h | UTC
Commentary on Twitter (thread – click for more)
https://twitter.com/ccaneloa/status/1464655542010494981
[Preprint] Risk of Hospitalization, severe disease, and mortality due to COVID-19 in children with SARS-CoV-2 infection in Germany – “overall hospitalization rate associated with SARS-CoV-2 infection was 35.9 per 10,000 children, ICU admission rate was 1.7 per 10,000 and case fatality was 0.09 per 10,000”.
8 Dec, 2021 | 10:18h | UTCRelated:
Review: Should children under 12 years of age be vaccinated against COVID-19?
Prevention and management of hyperkalemia in patients treated with renin–angiotensin–aldosterone system inhibitors.
8 Dec, 2021 | 09:58h | UTC
ESC Position Paper: Optimal follow-up after acute pulmonary embolism.
8 Dec, 2021 | 10:02h | UTC
Commentary on Twitter
Do you routinely discuss how/when to resume sporting activities and traveling with your PE patients? Or future cardiovascular risk? Check this recent ESC/ERS position paper on optimal follow-up of acute PE for these and other key aspects of counselling: https://t.co/KEQ7FnFwXX
— Erik Klok (@Erik_Klok_MD) December 7, 2021


