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Family Medicine

Randomized Trial: Corticosteroid Injection vs. Night Splints for Carpal Tunnel Syndrome

26 Oct, 2018 | 01:40h | UTC

The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial – The Lancet (free)

Invited Commentary: Steroid injection or wrist splint for first-time carpal tunnel syndrome? (free)

“A single corticosteroid injection shows superior clinical effectiveness at 6 weeks compared with night-resting splints, making it the treatment of choice for rapid symptom response in mild or moderate carpal tunnel syndrome presenting in primary care.”

 


Report: Talking About Dying

26 Oct, 2018 | 01:39h | UTC

Talking about dying: How to begin honest conversations about what lies ahead – Royal College of Physicians (free)

News Release: New report asks why doctors find it so hard to talk to patients about dying (free)

Commentaries: Doctors must talk ‘honestly’ to patients about dying – OnMedica (free) AND Doctors ‘need to start early conversation with patients about dying’ – BBC (free)

 


Systematic Review: Prokinetics for Functional Dyspepsia

26 Oct, 2018 | 01:36h | UTC

Prokinetics for functional dyspepsia – Cochrane Library (free)

Summary: Medications which promote stomach movement to relieve upper abdominal discomfort that does not have a specific cause – Cochrane Library (free)

“we are unable to say whether prokinetics are effective for the treatment of functional dyspepsia.”

 


Canadian Guideline for Physical Activity Throughout Pregnancy

26 Oct, 2018 | 01:37h | UTC

2019 Canadian guideline for physical activity throughout pregnancy – British Journal of Sports Medicine (free)

 


Cohort Study: Association of Cardiorespiratory Fitness With Long-term Mortality

26 Oct, 2018 | 01:35h | UTC

Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing – JAMA Network Open (free)

Commentaries: Expansive New Study Says Not Exercising Is Worse for Your Health Than Smoking – TIME (free) AND Researchers show better cardiorespiratory fitness leads to longer life – MedicalXpress (free)

 


Cohort Study: Pre-Eclampsia and Risk of Dementia Later in Life

19 Oct, 2018 | 00:15h | UTC

Pre-eclampsia and risk of dementia later in life: nationwide cohort study – The BMJ (free)

Editorial: Pre-eclampsia and the brain (free)

Commentaries: Pre-eclampsia linked to raised risk of vascular dementia – OnMedica (free) AND Pre-eclampsia linked to an increased risk of dementia later in life – The BMJ (free)

 


Perspective: To Prevent Cardiovascular Disease, Pay Attention to Pregnancy Complications

19 Oct, 2018 | 00:14h | UTC

To Prevent Cardiovascular Disease, Pay Attention to Pregnancy Complications – JAMA (free for a limited period)

Related: Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease (link to abstract and commentaries)

 


Report: Time Spent by Children Online Linked to Requests for Junk Food

19 Oct, 2018 | 00:09h | UTC

See It, Want It, Buy It, Eat It – Cancer Research UK (free PDF)

Commentaries: Time spent by children online linked to requests for junk food – University of Liverpool (free) AND Does TV and internet advertising feed children’s junk food habits? – NHS Choices (free)

 


Perspective: Australia is responding to the complex challenge of overdiagnosis

17 Oct, 2018 | 19:19h | UTC

Australia is responding to the complex challenge of overdiagnosis – The Medical Journal of Australia (free for 7 days)

Commentaries: Overdiagnosis: a deep cultural problem – MJA InSight (free) AND Overdiagnosis is harming patients and action is required, says chief medical officer – The Sidney Morning Herald (free)

Related: Overdiagnosis: causes and consequences in primary health care – Canadian Family Physician (free) AND Overdiagnosis across medical disciplines: a scoping review – The BMJ Open (free) AND Too much medical care: bad for you, bad for health care systems – STAT News (free) AND Overdiagnosis: what it is and what it isn’t – BMJ Evidence Based Medicine (free) AND Screening: How overdiagnosis and other harms can undermine the benefits – Health News Review (free) AND Position Paper on Overdiagnosis and Action to be Taken – Wonca (free PDF)

 


Randomized Trial: Early Clindamycin for Bacterial Vaginosis in Pregnancy

16 Oct, 2018 | 23:39h | UTC

Early clindamycin for bacterial vaginosis in pregnancy (PREMEVA): a multicentre, double-blind, randomised controlled trial – The Lancet (link to abstract – $ for full-text)

Commentary: Study: Antibiotics for bacterial vaginosis don’t cut preterm birth risk – CIDRAP (free)

 


Systematic Review: Calcium Supplementation During Pregnancy for Preventing Hypertensive Disorders and Related Problems

16 Oct, 2018 | 23:41h | UTC

Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems – Cochrane Library (free for a limited period)

Summary: Calcium supplementation during pregnancy for preventing blood pressure disorders and related problems – Cochrane Library (free)

 


The New Age of Patient Autonomy: Implications for the Patient-Physician Relationship

16 Oct, 2018 | 23:35h | UTC

The New Age of Patient Autonomy: Implications for the Patient-Physician Relationship – JAMA (free for a limited period) (via @EricTopol)

 


Retrospective Cohort: Bariatric Surgery Tied to Reduced Risk of Cardiovascular Disease in Patients With Type 2 Diabetes and Severe Obesity

16 Oct, 2018 | 23:34h | UTC

Association Between Bariatric Surgery and Macrovascular Disease Outcomes in Patients With Type 2 Diabetes and Severe Obesity – JAMA (link to abstract – $ for full-text)

Video Summary: How Does Bariatric Surgery Compare With Medical Care for Reducing Cardiovascular Disease in Patients With Type 2 Diabetes? (free)

Commentary: Obesity surgery may lower heart attack danger in diabetics – Associated Press (free)

 


Podcast: Nutrition Pearls

16 Oct, 2018 | 23:33h | UTC

#119 Nutrition Pearls, Heart Health, Bacon – Curbsiders Internal Medicine Podcast (free audio and summary)

 


Sarcopenia: Consensus on Definition and Diagnosis

16 Oct, 2018 | 23:31h | UTC

Sarcopenia: revised European consensus on definition and diagnosis – Age and Ageing (free)

 


Review: Demystifying Serotonin Syndrome

16 Oct, 2018 | 23:23h | UTC

Demystifying serotonin syndrome (or serotonin toxicity) – Canadian Family Physician (free)

 


Systematic Review: Dietary Modifications for Infantile Colic

16 Oct, 2018 | 23:25h | UTC

Dietary modifications for infantile colic – Cochrane Library (free)

Summary: Diet changes for infant colic – Cochrane Library (free)

“Based on available evidence, we are unable to recommend any intervention”

 


Review: Approach to the Detection and Management of Chronic Kidney Disease

16 Oct, 2018 | 23:22h | UTC

Approach to the detection and management of chronic kidney disease: What primary care providers need to know – Canadian Family Physician (free)

 


Cohort Study: β-Blocker Use in Pregnancy and the Risk for Congenital Malformations

16 Oct, 2018 | 23:21h | UTC

β-Blocker Use in Pregnancy and the Risk for Congenital Malformations: An International Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Beta-Blocker Use in First Trimester Seems Safe – Physician’s First Watch (free) AND Beta-blocker Use in Pregnancy Doesn’t Up Birth Defect Risk, Study Suggests – TCTMD (free)

 


Ann Robinson’s Research Reviews – 15 October 2018

16 Oct, 2018 | 23:19h | UTC

Ann Robinson’s research reviews, 15 October 2018 – The BMJ Opinion (free)

Ann Robinson reviews the latest research from the top medical journals.

 


Systematic Review: Youngest in Class More Likely to be Diagnosed with ADHD

16 Oct, 2018 | 23:17h | UTC

Attention deficit hyperactivity disorder late birthdate effect common in both high and low prescribing international jurisdictions: systematic review – The Journal of Child Psychology and Psychiatry (free) (via @AllenFrancesMD)

Commentary: Global study finds youngest in class more likely to be diagnosed with ADHD – University of Adelaide (free)

 


WHO Recommendations: Non-Clinical Interventions to Reduce Unnecessary Cesarean Sections

16 Oct, 2018 | 23:15h | UTC

WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections – World Health Organization (free PDF)

News Release: New WHO guidance on non-clinical interventions specifically designed to reduce unnecessary caesarean sections (free)

Related Cochrane Review: Non‐clinical interventions for reducing unnecessary caesarean section (free review and summary)

 


The Lancet Series: Optimising Cesarean Section Use

16 Oct, 2018 | 23:14h | UTC

Series: Optimising caesarean section use – The Lancet (free articles and commentaries, registration required)

Commentaries: Caesarean section use has almost doubled globally since 2000 – The Lancet (free) AND C-section births rise rapidly to more than 20 percent worldwide – Reuters (free) AND Rate Of C-Sections Is Rising At An ‘Alarming’ Rate, Report Says – NPR (free) AND C-section deliveries nearly doubled worldwide since 2000, study finds – CNN (free) AND C-section births surge to ‘alarming’ rates worldwide – study – BBC (free)

 


Guidelines for Chronic Cough in Adults and Children

16 Oct, 2018 | 23:10h | UTC

KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea – Allergy, Asthma & Immunology Research (free)

Related: Managing Patients with Chronic Cough (free CHEST guidelines on the subject)

 


Review of Guidelines: Diagnosis and Management of Non-Dialysis Chronic Kidney Disease

16 Oct, 2018 | 23:11h | UTC

Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: a systematic review of clinical practice guidelines – BMC Nephrology (free)

 


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