Family Medicine
Oposition to Breast-Feeding Resolution by U.S. Stuns World Health Officials
13 Jul, 2018 | 02:35h | UTCOposition to Breast-Feeding Resolution by U.S. Stuns World Health Officials – The New York Times (10 articles per month are free)
Clinical Update: Long-acting Reversible Contraception
13 Jul, 2018 | 02:27h | UTCLong-acting Reversible Contraception—Highly Efficacious, Safe, and Underutilized – JAMA (free for a limited period)
Clinical Review Audio: Return of the IUD: Long-acting Reversible Contraception Is Safe and Effective (free)
Randomized Trial: Cervical Cancer Screening with Cervical HPV Testing vs Cytology Testing
13 Jul, 2018 | 02:26h | UTCEffect of Screening With Primary Cervical HPV Testing vs Cytology Testing on High-grade Cervical Intraepithelial Neoplasia at 48 Months: The HPV FOCAL Randomized Clinical Trial – JAMA (free for a limited period)
Commentaries: For Women Over 30, There May Be A Better Choice Than The Pap Smear – NPR (free) AND Study Suggests HPV Test More Accurate Than Pap Smear for Cervical Cancer Screening – AJMC (free) AND HPV testing could be more accurate than smear tests for initial screening of cervical cancer – NHS Choices (free)
Direct Primary Care: One Step Forward, Two Steps Back
13 Jul, 2018 | 01:44h | UTCDirect Primary Care: One Step Forward, Two Steps Back – JAMA (free for a limited period)
Review: Heart Failure with Preserved Ejection Fraction
6 Jul, 2018 | 09:54h | UTC
Overview of Guidelines for the Management of Non-Specific Low Back Pain in Primary Care
6 Jul, 2018 | 09:50h | UTC
Guideline: Antibiotic Use in Adults with Community-acquired Pneumonia
6 Jul, 2018 | 09:46h | UTCRelated Guideline: Pneumonia: Diagnosis and Management of Community- and Hospital-Acquired Pneumonia in Adults – National Institute for Health and Care Excellence (free)
Meta-Analysis: Anticonvulsants in the Treatment of Low Back Pain and Lumbar Radicular Pain
6 Jul, 2018 | 09:37h | UTCCommentaries: Class of drugs used as alternative to opioids for back pain are ineffective, have potentially serious side effects: report – The Globe and Mail (free) AND Anticonvulsant drugs ineffective for low back pain and can cause harm, despite increased prescribing – CMAJ, via EurekAlert (free)
Related Meta-Analysis: Benefits and safety of gabapentinoids in chronic low back pain (free research and commentaries)
Cohort Study: Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease
6 Jul, 2018 | 09:39h | UTCHypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease Risk Factor Development: An Observational Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Hypertensive disorders during pregnancy associated with increased rates of later CVD – ACP Internist (free) AND High blood pressure in pregnancy tied to heart disease risk afterward – Reuters (free) AND Women who experience hypertensive disorders during pregnancy are at high risk for developing high blood pressure, diabetes, and high cholesterol later in life – 2 Minute Medicine (free)
Related Studies: All Hypertensive Disorders of Pregnancy Increase the Risk of Future Cardiovascular Disease (free PDF and commentaries) AND Hypertensive Disorders in Pregnancy and the Risk of Subsequent Cardiovascular Disease (link to abstract and free commentaries) AND Gestational Hypertension and Future Risk of Cardiovascular Disease (free research and editorial)
Meta-Analysis: Lithium Exposure in First Trimester Associated with Increased Risk of Birth Defects
6 Jul, 2018 | 09:29h | UTCMaternal and infant outcomes associated with lithium use in pregnancy: an international collaborative meta-analysis of six cohort studies – The Lancet (link to abstract – $ for full-text)
Commentaries: Increased risk of birth defects in babies after first-trimester exposure to lithium – Mount Sinai School of Medicine, via ScienceDaily (free) AND Lithium in Pregnancy Tied to Infant Morbidity, Malformation Risk – Medscape (free)
Systematic Review: Influenza Vaccine for Patients with COPD
6 Jul, 2018 | 09:30h | UTCInfluenza vaccine for chronic obstructive pulmonary disease (COPD) – Cochrane Library (free)
Summary: Influenza vaccine for people with chronic obstructive pulmonary disease (COPD) – Cochrane Library (free)
Case-Control Study: Metformin Exposure in First Trimester of Pregnancy and Congenital Anomalies
6 Jul, 2018 | 09:28h | UTCIn this large international, population-based database, no evidence was found of an overall increased risk of congenital anomalies after first trimester metformin exposure.
Review: Chronic Hyperkalemia in Non-dialysis CKD
6 Jul, 2018 | 09:23h | UTC
Richard Lehman’s journal review – 2 July 2018
6 Jul, 2018 | 03:28h | UTCRichard Lehman’s journal review, 2 July 2018 – The BMJ Opinion (free)
Richard Lehman reviews the latest research in the top medical journals.
Opinion: Why Do-It-Yourself Blood Tests are a Bad Idea
6 Jul, 2018 | 03:16h | UTCWhy do-it-yourself blood tests are a bad idea – Common Sense Family Doctor (free)
Related: Benjamin Mazer: Theranos’ dystopian vision lives on – The BMJ Opinion (free)
“Routine blood testing in healthy people has numerous downsides that Holmes never mentioned, including poor predictive value, false positives, and overdiagnosis” (from Common Sense Family Doctor)
“When you go about testing everyone for everything, you don’t create a world of healthy people….you create a nightmare where everyone is sick” (from The BMJ Opinion)
Systematic Review: Continuity of Care and Mortality
6 Jul, 2018 | 03:17h | UTCCommentaries: Seeing same doctor every time ‘reduces risk of death’ – NHS Choices (free) AND Sticking with 1 doctor could have health benefits: Study – UPI (free)
Review: Management of Irritable Bowel Syndrome
6 Jul, 2018 | 03:13h | UTCAmerican College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome – American Journal of Gastroenterology (free for a limited period)
Related guidelines: Irritable bowel syndrome in adults: diagnosis and management – National Institute for Health and Care Excellence (free)
Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition – Journal of Neurogastroenterology and Motility (free) AND Evidence-based clinical practice guidelines for irritable bowel syndrome – Journal of Gastroenterology (free)
Source: NewsWise
CDC Guideline: Use of Once-Weekly Isoniazid-Rifapentine Regimen to Treat Latent TB Infection
6 Jul, 2018 | 03:12h | UTCCommentary: CDC Updates Guidelines on Weekly Therapy for Latent TB Infection – Physician’s First Watch (free)
Related WHO Guideline: Latent TB Infection (free guideline and news release)
HPV Vaccination: Balancing Facts
6 Jul, 2018 | 03:10h | UTCEditorial: HPV vaccination: balancing facts – Cochrane Library (free)
Related Cochrane Review: Prophylactic Vaccination Against HPV to Prevent Cervical Cancer (link to review and commentaries)
Study: Validation of Strategy to Reduce the Need for 24-hour Blood Pressure Monitors in General Practice
29 Jun, 2018 | 03:25h | UTCCommentary: Reducing the need for 24-hour blood pressure monitors in general practice – University of Oxford (free)
The tool is freely available online here: https://sentry.phc.ox.ac.uk/proof-bp
Guideline: Management of Osteoporosis and Fragility Fractures
29 Jun, 2018 | 03:16h | UTCRelated Guidelines: UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis (free) AND Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update from the American College of Physicians – Annals of Internal Medicine (free)
Meta-Analysis: Associations Between Alcohol Consumption and Incidence of Hypertension
29 Jun, 2018 | 03:05h | UTCSex‐Specific Associations Between Alcohol Consumption and Incidence of Hypertension: A Systematic Review and Meta‐Analysis of Cohort Studies – Journal of the American Heart Association (free for a limited period)
Related Study: Effects of Repeated Binge Drinking on Blood Pressure Levels and Other Cardiovascular Health Metrics in Young Adults: National Health and Nutrition Examination Survey, 2011‐2014 – Journal of the American Heart Association (free for a limited period)
Editorial: Alcohol Consumption, Hypertension, and Cardiovascular Health Across the Life Course: There Is No Such Thing as a One‐Size‐Fits‐All Approach (free)
Commentaries: Young binge drinkers may have higher heart risks – AHA Newsroom (free) AND Alcohol Intake Tied to Elevated Blood Pressure – NEJM Physician’s First Watch (free) AND Binge drinking may increase heart risks for younger people – UPI (free)
USPSTF Statement: Screening for Osteoporosis to Prevent Fractures
29 Jun, 2018 | 02:52h | UTCEditorials: Screening for Osteoporosis (free) AND Osteoporosis Screening—2 Steps May Be Too Much for Women Younger Than 65 Years (free)
Author Interview: USPSTF Recommendation Statement: Screening for Osteoporosis to Prevent Fractures (free)
See also: USPSTF Final Recommendation Statement (free)
Review: Deprescribing Proton Pump Inhibitors
29 Jun, 2018 | 02:41h | UTCDeprescribing Proton Pump Inhibitors – Therapeutics Initiative (free)
Related guidelines: Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Deprescribing antihyperglycemic agents in older persons: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Deprescribing benzodiazepine receptor agonists – Canadian Family Physician (free)
Randomized Trial: More Weight Loss Associated with Better Outcomes in Knee Osteoarthritis
29 Jun, 2018 | 02:39h | UTCCommentaries: Long-term weight loss of at least 20% helps improve outcomes in overweight, obese patients with knee osteoarthritis – ACP Internist (free) AND When it comes to weight loss in overweight and obese adults with knee osteoarthritis, more is better – Wiley, via ScienceDaily (free) AND More weight loss tied to less knee pain for obese people – Reuters (free) AND More Weight Loss Linked To Greater Decrease in Knee Arthritis Pain – MedicalResearch.com (free)