Family Medicine
Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis
10 Jan, 2019 | 21:57h | UTCRelated Guidelines: American Gastroenterological Association Institute Guideline on the Management of Acute Diverticulitis – Gastroenterology (free) AND Colorectal surgeon consensus with diverticulitis clinical practice guidelines – World Journal of Gastrointestinal Surgery (free) AND WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting – World Journal of Emergency Surgery (free)
Meta-Analysis: Opioids for Chronic Noncancer Pain
10 Jan, 2019 | 21:44h | UTCOpioids for Chronic Noncancer Pain: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)
Video Summary: How Effective are Opioids for Chronic Noncancer Pain? (free)
Commentaries: Opioids unlikely to provide clinically meaningful reduction in chronic non-cancer pain – 2 Minute Medicine (free) AND Opioids offer little chronic pain benefit and wane over time, study says – CNN (free)
Related: Opioid vs Nonopioid Medications in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain (free study, guideline and commentaries)
HIV Viral Load and Transmissibility of HIV Infection: Undetectable Equals Untransmittable
10 Jan, 2019 | 21:47h | UTCHIV Viral Load and Transmissibility of HIV Infection: Undetectable Equals Untransmittable – JAMA (free for a limited period)
Related: Negligible Risk of Transmitting HIV During Sex When Viral Load is Suppressed (free study and commentary) AND UNAIDS Explainer: UNDETECTABLE = UNTRANSMITTABLE (free report and commentaries)
Meta-Analysis: Catheter Ablation of Atrial Fibrillation in Patients With Heart Failure
10 Jan, 2019 | 21:26h | UTCCatheter Ablation of Atrial Fibrillation in Patients With Heart Failure: A Meta-analysis of Randomized Controlled Trials – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Catheter ablation better than drug therapy for a-fib, heart failure – UPI (free) AND Catheter Ablation Boosts Outcomes in Patients With A-fib and Heart Failure: Meta-analysis – TCTMD (free)
AHA Statement: Optimal Exercise Programs for Patients with Peripheral Artery Disease
10 Jan, 2019 | 21:21h | UTCTop Ten Things to Know: Optimal Exercise Programs for Patients With Peripheral Artery Disease (free)
Commentaries: AHA Scientific Statement: Get PAD Patients Moving to Improve Symptoms and QoL – TCTMD (free) AND Promoting Exercise Therapy in Peripheral Artery Disease: Time to Get Moving – AHA News (free)
Monoclonal Gammopathy of Undetermined Significance: A Primary Care Guide
10 Jan, 2019 | 21:03h | UTC
Hypertension Guidelines: Treat Patients, Not Numbers
10 Jan, 2019 | 20:46h | UTCHypertension guidelines: Treat patients, not numbers – Cleveland Clinic Journal of Medicine (free)
Meta-Analysis: Pharmacological Treatments and Pain Control in Patients with Knee Osteoarthritis
10 Jan, 2019 | 19:50h | UTCAssociation of Pharmacological Treatments With Long-term Pain Control in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)
Commentaries: Medications may not heal long-term knee pain, study says – UPI (free) AND Knee osteoarthritis: 31 medications provide only uncertain pain control in large meta-analysis – Univadis (free registration required)
Randomized Trial: Intensive Blood Pressure Treatment for Resistant Hypertension
10 Jan, 2019 | 20:31h | UTCCommentary: Resistant hypertension: intensive treatment reduces MACE – Univadis (free registration required)
Study: The Best Dose of Aspirin for Cardiovascular protection may Depend on Body Weight
10 Jan, 2019 | 00:14h | UTCThe best dose of aspirin for cardiovascular protection may depend on body weight – NIHR Signal (free)
Original Article: Effects of Aspirin for CV Disease Prevention According to Bodyweight and Dose (free study and commentaries)
Randomized Trial: Home Modifications to Reduce Disability in Older Adults with Functional Disability
10 Jan, 2019 | 00:13h | UTCEffect of a Biobehavioral Environmental Approach on Disability Among Low-Income Older Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Commentaries: Home Modifications to Reduce Disability in Older Adults With Functional Disability – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Novel RCT shows that practical home based intervention that modifies environment in order to help older persons adapt to disability significantly improves independence and well being #geriatrics #hpm @JamaInternalMed https://t.co/Y802BEZC5i
— Ken Covinsky (@geri_doc) January 7, 2019
Randomized Trial: Temporarily Quadrupling the Dose of Inhaled Steroid to Prevent Asthma Exacerbations
10 Jan, 2019 | 00:07h | UTC
Related Commentary on Twitter
FAST; An asthma self-management plan that advised patients to temporarily quadruple their dose of inhaled corticosteroid reduced asthma exacerbations, with fewer serious adverse events and at lower cost; NIHR Journals Library https://t.co/dlsZrAl1A4 @MedicineUoN @Tharris2Tim
— NIHR Nottm BRC Lung (@NottmBRCLung) December 10, 2018
Study: Repeat Thyroid Function Tests for Healthy Older People are Not Needed
9 Jan, 2019 | 23:35h | UTCRepeat thyroid function tests for healthy older people are not needed – NIHR Signal (free)
Original Research: Stability of thyroid function in older adults: the Birmingham Elderly Thyroid Study – British Journal of General Practice (link to abstract – $ for full-text)
Updated Guidelines on Complex Regional Pain Syndrome in Adults
9 Jan, 2019 | 23:16h | UTCSummary: Updated guidelines on complex regional pain syndrome in adults – JPRAS (free)
Original Guideline: Complex regional pain syndrome in adults (2nd edition) – UK guidelines for diagnosis, referral and management in primary and secondary care 2018 – Royal College of Physicians (free PDF)
Systematic Review: Short-acting Insulins vs. Regular Insulin for Type 2 Diabetes
9 Jan, 2019 | 22:54h | UTCShort‐acting insulin analogues versus regular human insulin for adult, non‐pregnant persons with type 2 diabetes mellitus – Cochrane Library (free)
Summary: Short-acting insulin analogues versus regular human insulin for type 2 diabetes mellitus – Cochrane Library (free)
“The current evidence from clinical trials suggests neither clear benefits nor clear harms from the use of short‐acting insulin analogues over regular human insulin.”
Pregnancy After Bariatric Surgery: Impact on Pregnancy Management and Outcome
9 Jan, 2019 | 17:32h | UTC
Proton Pump Inhibitors: Review of Reported Risks and Controversies
9 Jan, 2019 | 16:40h | UTCRelated: Proton Pump Inhibitors: Review of Emerging Concerns (free reviews) AND Deprescribing Proton Pump Inhibitors (free guidelines and reviews)
Systematic Review: Iron for the Treatment of Restless Legs Syndrome
9 Jan, 2019 | 16:19h | UTCIron for the treatment of restless legs syndrome – Cochrane Library (free)
Summary: Iron for the treatment of restless legs syndrome – Cochrane Library (free)
Position Statement: Clinical Use of a Home Sleep Apnea Test
8 Jan, 2019 | 22:23h | UTC
Guideline: Diagnosis of Cough at Primary Care Setting
8 Jan, 2019 | 21:20h | UTCIndian Consensus on Diagnosis of Cough at Primary Care Setting – Journal of The Association of Physicians of India (free PDF)
The Year in Cardiology 2018
8 Jan, 2019 | 21:08h | UTCThe Year in Cardiology 2018 – European Heart Journal (free articles)
– Arrhythmias and Cardiac Devices
– Aorta and Peripheral Circulation
– Imaging
Related: AHA names top heart disease and stroke research advances of 2018 – American Heart Association (free) AND 2018 Top Clinical Trials and Journal Scans – American College of Cardiology (free)
Systematic Review: Vitamin and Mineral Supplementation for Maintaining Cognitive Function Mid and Late Life
8 Jan, 2019 | 20:12h | UTCVitamin and mineral supplementation for maintaining cognitive function in cognitively healthy people in mid and late life – Cochrane Library (free)
Summary: Vitamin and mineral supplementation for preventing cognitive deterioration in cognitively healthy people in mid and late life – Cochrane Library (free)
Commentary: Preventing dementia: do vitamin and mineral supplements have a role? – Evidently Cochrane (free)
Related Commentary on Twitter
New @CochraneDCIG Review finds 'no good evidence to suggest that middle‐aged or older people can preserve cognitive function or prevent dementia by taking vitamin or mineral supplements' https://t.co/8cyuiG8mtw 28 studies, 83,000 participants. #CochraneEvidence pic.twitter.com/N1VK0C6BuR
— The Cochrane Library (@CochraneLibrary) December 23, 2018
Guidelines for the Treatment of Pneumonia in Taiwan
8 Jan, 2019 | 16:03h | UTCRelated Guidelines: 2018 recommendations for the management of community acquired pneumonia – Jornal Brasileiro de Pneumologia (free PDF) Guideline for Antibiotic Use in Adults with Community-acquired Pneumonia – The Korean Society of Infectious Disease (free) AND Pneumonia: Diagnosis and Management of Community- and Hospital-Acquired Pneumonia in Adults – National Institute for Health and Care Excellence (free)
Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery
8 Jan, 2019 | 13:40h | UTCRoutine preoperative medical testing for cataract surgery – Cochrane Library (free)
Summary: Routine preoperative medical testing for cataract surgery – Cochrane Library (free)
Related Perspective: A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients – Journal of General Internal Medicine (free)
Related Research: Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine (free)
“This review has shown that routine preoperative testing does not increase the safety of cataract surgery.”
NICE Guideline – Renal and Ureteric Stones: Assessment and Management
8 Jan, 2019 | 12:52h | UTCRelated Guidelines: Dietary and Pharmacologic Management to Prevent Recurrent Nephrolithiasis in Adults: A Clinical Practice Guideline From the American College of Physicians (free) AND Metabolic diagnosis and medical prevention of calcium nephrolithiasis and its systemic manifestations: a consensus statement – Journal of Nephrology (free) AND Medical Management of Kidney Stones: AUA Guideline (free) AND Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I (free) AND Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II (free)