Family Medicine
Study: Patterns in Outpatient Benzodiazepine Prescribing
7 Feb, 2019 | 15:13h | UTCPatterns in Outpatient Benzodiazepine Prescribing in the United States – JAMA Network Open (free)
Commentary: Steep Climb In Benzodiazepine Prescribing By Primary Care Doctors – NPR (free)
Related: A Quiet Drug Problem Among the Elderly – The New York Times (10 articles per month are free) AND Benzodiazepines: our other prescription drug epidemic – STAT (free)
BMJ Guideline: Subacromial Decompression Surgery For Adults With Shoulder Pain Does Not Improve Outcomes
7 Feb, 2019 | 02:03h | UTCCommentaries: Expert panel strongly recommends against surgery for the most common shoulder pain – MedicalXpress (free) AND Guidelines Recommend Against Surgery for Subacromial Pain Syndrome – NEJM Journal Watch (free)
Related Systematic Reviews: Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis – British Journal of Sports Medicine (free) AND Subacromial Decompression Surgery for Rotator Cuff Disease – Cochrane Library (link to study and randomized trials on the subject)
Antibiotics may be an Alternative First-line Treatment for Uncomplicated Appendicitis
7 Feb, 2019 | 14:55h | UTCAntibiotics may be an alternative first-line treatment for uncomplicated appendicitis – NIHR Signal (free)
Original Study: Randomized Trial: Antibiotic Therapy Alone Seems Reasonable for Uncomplicated Appendicitis (link to abstract, other studies, commentaries and a guideline on the subject)
Guideline: Acute Exacerbation of Bronchiectasis (Non-cystic Fibrosis)
7 Feb, 2019 | 01:07h | UTCRelated: British Thoracic Society Guideline for bronchiectasis in adults – Thorax (free)
Abdominal Wall Pain: A Common Clinical Problem
7 Feb, 2019 | 01:01h | UTCAbdominal Wall Pain: A Common Clinical Problem – Mayo Clinic Proceedings (free for a limited period)
Alex Nowbar’s research reviews – 5 February 2019
7 Feb, 2019 | 01:04h | UTCAlex Nowbar’s research reviews, 5 February 2019 – The BMJ Opinion (free)
Alex Nowbar reviews the latest research from the top medical journals.
Randomized Trial: Effect of Aerobic Exercise on Cognition in Younger Adults
7 Feb, 2019 | 00:45h | UTCEffect of aerobic exercise on cognition in younger adults: A randomized clinical trial – Neurology (link to abstract – $ for full-text)
Commentary: Exercise may improve thinking skills in people as young as 20 – American Academy of Neurology (free)
German Guidelines for the Treatment of Migraine Attacks and Prevention of Migraine
6 Feb, 2019 | 01:13h | UTCRelated Guidelines: Evidence-based guideline update: Pharmacologic treatment for episodic migraine prevention in adults: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society (free) AND Pharmacological management of migraine – Scottish Intercollegiate Guidelines Network (free)
Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion
6 Feb, 2019 | 01:04h | UTCEarly Subthreshold Aerobic Exercise for Sport-Related Concussion: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)
Commentaries: For Teens with Concussion, Moderate Aerobic Activity Can Shorten the Time to Recovery – NEJM Journal Watch (free) AND Concussion treatment: Adolescent athletes ‘prescribed’ aerobic exercise recovered faster – University at Buffalo (free)
Sports-related concussions are bad, but kids who participate in appropriate aerobic exercise after them recover faster than those who do not! New research in @JAMAPediatrics https://t.co/EPHdqWqbbg #kids #concussions #headinjury #pediatrics #trauma pic.twitter.com/f3m1ApeNPH
— JAMA Pediatrics (@JAMAPediatrics) February 5, 2019
Meta-Analysis: Automated Office Blood Pressure Readings vs. Other Methods of Blood Pressure Measurement for Identifying Patients with Possible Hypertension
6 Feb, 2019 | 00:54h | UTCComparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension: A Systematic Review and Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Automated BP Readings More Accurate Than Manual Measurements – NEJM Journal Watch (free) AND Automated office BP readings best routine measures – MDedge Cardiology (free)
Related Commentary on Twitter
Automated office blood pressure readings, when recorded properly with the patient sitting alone in a quiet place, are more accurate than office BP readings in routine clinical practice and are similar to awake ambulatory BP readings @JAMAInternalMed https://t.co/iY5v4my94d
— Joseph Ross (@jsross119) February 4, 2019
Meta-Analysis: Reviewing Inhaler Technique for Older People with COPD Can Improve Disease Control
6 Feb, 2019 | 00:46h | UTCReviewing inhaler technique for older people with COPD can improve disease control – NIHR Signal (free)
Original Study: Inhaler Technique Education and Exacerbation Risk in Older Adults with Asthma or Chronic Obstructive Pulmonary Disease: A Meta‐Analysis – Journal of the American Geriatrics Society (free)
2019 ACIP Adult Immunization Schedule
5 Feb, 2019 | 00:39h | UTCRecommended Adult Immunization Schedule, United States, 2019 – Annals of Internal Medicine (free)
Systematic Review: Exercise for Preventing Falls in Older People Living in the Community
5 Feb, 2019 | 00:29h | UTCExercise for preventing falls in older people living in the community – Cochrane Library (free)
News Release: New Cochrane review assesses the benefits and harms of exercise for preventing falls in older people living in the community (free)
Commentaries: Experts assess benefits and harms of exercise for preventing falls in older people – University of Manchester (free) AND Exercise prevents falls in older people – but will any type of exercise do? – Evidently Cochrane (free)
Related: Recommendation Statement: Falls Prevention in Community-Dwelling Older Adults (several guidelines on the subject) AND Meta-analysis: Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults (link to abstract and commentary) AND Systematic Review: Interventions for Preventing Falls in Older People (free study and commentary) AND Meta-analysis: reducing falls in older adults recently discharged from hospital (link to abstract and commentary)
JAMA Clinical Guidelines Synopsis: Management of Blood Cholesterol
4 Feb, 2019 | 23:53h | UTCGuideline Synopsis: Management of Blood Cholesterol – JAMA (free)
Editorial: A New Personalized, Patient-Centric, and Cost-Conscious Guideline for Contemporary Cholesterol Management (free)
Original Guideline: New AHA/ACC Guideline on the Management of Blood Cholesterol (free guideline and resources)
Worldwide Dyslipidemia Guidelines
4 Feb, 2019 | 22:32h | UTCWorldwide Dyslipidemia Guidelines – Current Cardiovascular Risk Reports (free)
Related: JAMA Clinical Guidelines Synopsis: Management of Blood Cholesterol (free guideline and synopsis)
Evaluation and Management of Abnormal Uterine Bleeding
4 Feb, 2019 | 21:41h | UTCEvaluation and Management of Abnormal Uterine Bleeding – Mayo Clinic Proceedings (free)
Examination of the Patient with Dizziness or Imbalance
3 Feb, 2019 | 16:51h | UTCExamination of the Patient with Dizziness or Imbalance – Medical Clinics of North America (free)
AGS 2019 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
3 Feb, 2019 | 16:02h | UTCNews Release: For older people, medications are common; AGS Beers Criteria aims to make them appropriate, too (free)
Commentary: AGS: Beers Criteria for Potentially Inappropriate Med Use in Older Adults Updated – MPR (free)
Related Commentary on Twitter
The #AGSBeersCriteria includes lists of medications that may be inappropriate or unsafe for older adults. See the latest updates for 2019: https://t.co/qGB5Y1cD7S pic.twitter.com/ow0xds2gN7
— American Geriatrics Society (@AmerGeriatrics) February 1, 2019
Polypharmacy Guideline: Getting it Right for People Prescribed Many Medicines
3 Feb, 2019 | 15:53h | UTCPolypharmacy: Getting our medicines right – Royal Pharmaceutical Society (free)
Shorter Version: Polypharmacy (free)
Commentary: Pharmacists call for regular reviews of medicines – BBC (free)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Meta-Analysis: Efficacy and Safety of Statin Therapy in Older People
3 Feb, 2019 | 15:43h | UTCCommentaries: Never too old for statin treatment? – The Lancet (free) AND Efficacy and safety of statin therapy in older people – expert comment – London School of Hygiene & Tropical Medicine (free) AND Expert reaction to meta-analysis looking at statins and cardiovascular events in all ages – Science Media Centre (free) AND Statin therapy reduces cardiovascular disease risk in older people – University of Oxford (free) AND Statins Lower Risk for CV Events in Elders, But Benefits for Primary Prevention Still in Question – NEJM Journal Watch (free)
“However, when stratified by history of vascular disease, a significant benefit among those aged 71 and older was limited to those with prior vascular disease.” (from NEJM Journal Watch)
Guideline: Management of Depression with Specific Comorbid Psychiatric Conditions
3 Feb, 2019 | 13:08h | UTCRelated Guideline: Depression in adults: recognition and management – National Institute for Health and Care Excellence (free)
Study: Association of Electronic Cigarette Use With Subsequent Initiation of Tobacco Cigarettes in Youths
3 Feb, 2019 | 12:14h | UTCCommentary: Teens who use e-cigarettes are FOUR TIMES more likely to take up tobacco smoking than teens who don’t, study says – The Daily Mail (free)
Related: Report: Public Health Consequences of E-Cigarettes (free report and commentaries) AND Simulation model: quantifying the health benefits and harms of e-cigarettes (free study and commentary) AND E-cigarettes: A win or loss for public health? – Knowable Magazine (free) AND FDA Takes New Steps to Address Epidemic of Youth E-Cigarette Use (free statement and commentaries)
Related Commentary on Twitter
E-cigs associated with risk for new cigarette use, even in low-risk youth. A fifth of new smoking in US youth may be attributable to prior e-cig use. https://t.co/2FEm0mmfEj #VisualAbstract #vaping pic.twitter.com/gtRwVH6BRp
— JAMA Network Open (@JAMANetworkOpen) February 2, 2019
AACE/ACE Comprehensive Type 2 Diabetes Management Algorithm 2019
1 Feb, 2019 | 02:50h | UTCAACE/ACE Comprehensive Type 2 Diabetes Management Algorithm 2019 – Endocrine Practice (Free PDF and Slide Presentations)
Related Guidelines: ADA 2019 Standards of Medical Care in Diabetes (free supplement) AND Diabetes Canada 2018 clinical practice guidelines for the prevention and management of diabetes in Canada (free)
Systematic Review: Intermittent Iron Supplementation vs. Daily Supplementation for Preventing or Controlling Anemia
1 Feb, 2019 | 02:43h | UTCIntermittent iron supplementation for reducing anaemia and its associated impairments in adolescent and adult menstruating women – Cochrane Library (free)
Summary: Iron supplements taken one, two or three times a week for preventing anaemia, and its consequences in menstruating women – Cochrane Library (free)
“In comparison with daily supplementation, the provision of iron supplements intermittently is probably as effective in preventing or controlling anemia”
Systematic Review: General Health Checks for Reducing Illness and Mortality
1 Feb, 2019 | 02:41h | UTCGeneral health checks in adults for reducing morbidity and mortality from disease – Cochrane Library (free)
Summary: General health checks for reducing illness and mortality – Cochrane Library (free)
“General health checks are unlikely to be beneficial.”