Family Medicine
Cohort Study: Accurately Measured Sodium Intake Showed a Linear Relationship with Mortality
29 Jun, 2018 | 02:27h | UTCErrors in estimating usual sodium intake by the Kawasaki formula alter its relationship with mortality: implications for public health – International Journal of Epidemiology (link to abstract – $ for full-text)
Commentaries: Accurate measurements of sodium intake confirm relationship with mortality – ScienceDaily (free) AND Better estimate of intake more firmly links salt, death – UPI (free)
Related Report: Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks – Agency for Healthcare Research and Quality (free)
Guideline: Advance Care Planning in Dementia
29 Jun, 2018 | 02:30h | UTCRelated: New Document for Patients: Advanced Health Directive for Dementia (free document and commentaries) AND Alzheimer’s? Your Paperwork May Not Be in Order – The New York Times (free)
Richard Lehman’s journal review – 25 June 2018
29 Jun, 2018 | 02:24h | UTCRichard Lehman’s journal review, 25 June 2018 – The BMJ Opinion (free)
Richard Lehman reviews the latest research in the top medical journals.
Systematic Review: Saline Irrigation for Allergic Rhinitis
29 Jun, 2018 | 02:25h | UTCSaline irrigation for allergic rhinitis – Cochrane Library (free)
Summary: Nasal saline for allergic rhinitis – Cochrane Library (free)
Review: Imaging of Abnormal Liver Function Tests
29 Jun, 2018 | 02:09h | UTCImaging of abnormal liver function tests – Clinical Liver Disease (free)
Systematic Review: Non-pharmacological Interventions to Improve Nighttime Sleep Among Residents of Long-Term Care Settings
29 Jun, 2018 | 02:10h | UTC
Review: The Venous Ulcer Continues to be a Clinical Challenge
29 Jun, 2018 | 02:08h | UTCThe venous ulcer continues to be a clinical challenge: an update – Burns & Trauma (free)
Related Cochrane Review: Dressings and topical agents for treating venous leg ulcers (free) AND Summary (free)
Retrospective Observational Study: Basal Insulin Analogs vs NPH Insulin for Type 2 Diabetes
24 Jun, 2018 | 19:27h | UTCAssociation of Initiation of Basal Insulin Analogs vs Neutral Protamine Hagedorn Insulin With Hypoglycemia-Related Emergency Department Visits or Hospital Admissions and With Glycemic Control in Patients With Type 2 Diabetes – JAMA (free for a limited period)
Editorial: Revisiting NPH Insulin for Type 2 Diabetes: Is a Step Back the Path Forward? (free for a limited period)
Clinical Review Audio: Health Care Spending Gone Wild: Using Expensive Insulin Analogs With Few Clinical Advantages (free)
“Long-acting insulin analogs not associated with reduced hypoglycemia-related ED visits or hospital admissions when compared with NPH insulin, despite costing 5-10x as much” (via @jsross119 see Tweet)
Report: Effects of Sodium and Potassium Intake on Chronic Disease Outcomes and Risks
22 Jun, 2018 | 02:53h | UTCSee also: Evidence Summary (free PDF) AND Full Report (free PDF)
EULAR 2018: NSAIDs Account for Large Part of Osteoarthritis-CVD Link
22 Jun, 2018 | 02:50h | UTCNSAIDs Account for Large Part of Osteoarthritis-CVD Link, Study Suggests – TCTMD (free)
NICE Guideline: Dementia
22 Jun, 2018 | 02:34h | UTC
Review: Managing Patients with Chronic Cough
22 Jun, 2018 | 02:37h | UTCSee also recently published CHEST guidelines on the management of cough in specific populations: Classification of Cough as a Symptom in Adults and Management Algorithms (free) AND Pharmacologic and Nonpharmacologic Treatment for Acute Cough Associated With the Common Cold (free) AND Cough Due to TB and Other Chronic Infections (free) AND Chronic Cough Due to Gastroesophageal Reflux in Adults (free) AND Symptomatic Treatment of Cough Among Adult Patients With Lung Cancer (free) AND Cough in the athlete (free) AND Occupational and Environmental Contributions to Chronic Cough in Adults (free) AND Treatment of Unexplained Chronic Cough (free) AND Use of Management Pathways or Algorithms in Children With Chronic Cough (free) AND Management of Children With Chronic Wet Cough and Protracted Bacterial Bronchitis (free)
Cohort Study: Pancreatic Cancer Following Incident Diabetes
22 Jun, 2018 | 02:31h | UTCPancreatic Cancer Following Incident Diabetes in African Americans and Latinos: The Multiethnic Cohort – Journal of the National Cancer Institute (link to abstract – $ for full-text)
Commentaries: Diabetes may be an early manifestation of pancreatic cancer – eCancer News (free) AND Recent-onset diabetes linked to pancreatic cancer for some minorities – UPI (free) AND Diabetes after 50 could be early sign of pancreatic cancer, study says – CNN (free)
Pharmacoepidemiological Study: Association of Antidepressant Use With Drug-Related Extrapyramidal Symptoms
22 Jun, 2018 | 02:28h | UTCAssociation of Antidepressant Use With Drug-Related Extrapyramidal Symptoms: A Pharmacoepidemiological Study – Journal of Clinical Psychopharmacology (link to abstract – $ for full-text)
Commentaries: Incidence of Extrapyramidal Symptoms Higher With Certain Antidepressants – MPR (free) AND Antidepressants tied to Parkinson’s-like symptoms – Univadis (free registration required)
“Observational study: Incidence of EPSs with antidepressants. RRs: duloxetine, 5.68; mirtazapine, 3.78; citalopram, 3.47; escitalopram, 3.23; paroxetine, 3.07; sertraline, 2.57; venlafaxine, 2.37; bupropion, 2.31; and fluoxetine, 2.03 (all significant)” (via @psychopharmacol see Tweet)
Review: Surgical Treatment of Obesity
22 Jun, 2018 | 02:14h | UTCSurgical treatment of obesity – F1000 Research (free)
Review: Pancreatic Cystic Lesions
22 Jun, 2018 | 02:10h | UTCPancreatic Cystic Lesions: Pathogenesis and Malignant Potential – Diseases (free)
Breast Reconstruction: Updated Overview for Primary Care Physicians
22 Jun, 2018 | 02:09h | UTCBreast reconstruction: Updated overview for primary care physicians – Canadian Family Physician (free)
Update and Practical Messages: Systemic Lupus Erythematosus in Primary Care
22 Jun, 2018 | 02:08h | UTC
Clinical Review Podcast: Rethinking HbA1c Targets for Diabetes Treatment
19 Jun, 2018 | 22:32h | UTCPodcast (28 min): A Goal Too Far: Rethinking HbA1c Targets for Diabetes Treatment – JAMA Internal Medicine (free)
Related: For Patients with Type 2 Diabetes, What’s the Best Target Hemoglobin A1C? (Free Commentary, ADA Position Statement and ACP Guideline)
Review: Prevalence and Outcomes of Incidental Imaging Findings
19 Jun, 2018 | 22:28h | UTCPrevalence and outcomes of incidental imaging findings: umbrella review – The BMJ (free)
Related: Giles Maskell: Incidental anarchy – The BMJ Opinion (free)
“Incidentalomas. If you order imaging studies, you know they are a problem. This meta-analysis quantifies incidentaloma prevalence for specific types of imaging. For MRI of the brain, the prevalence was 22% (95%CI 14 to 31) (via @RasoiniR and @eloder, see Tweet)
Meta-Analysis: Sex-specific Relevance of Diabetes to Occlusive Vascular and Other Mortality
19 Jun, 2018 | 22:25h | UTCCommentaries: Diabetes and cardiovascular mortality: the impact of sex – The Lancet Diabetes & Endocrinology (free) AND Diabetes triples women’s risk of death from ischemic heart disease – Cardiovascular Business (free)
Cohort Study: Influence of Lifestyle on Outcomes in Patients With Diabetes Mellitus
19 Jun, 2018 | 22:24h | UTCInfluence of Lifestyle on Incident Cardiovascular Disease and Mortality in Patients With Diabetes Mellitus – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Healthy Lifestyle Lowers CVD Risk in Diabetes Patients – American College of Cardiology (free) AND Healthy lifestyle changes after diabetes diagnosis lower CVD risk – Cardiovascular Business (free) AND Reduction in CVD Events, Even Mortality, in Patients With Diabetes Who Adopt a Healthier Lifestyle – TCTMD (free)
Study: Impact of HPV Vaccination on Type-Specific HPV Infections in Young Females
19 Jun, 2018 | 22:27h | UTCCommentaries: HPV vaccine leads to steep drop in cancer-causing infections in England – CNN (free) AND HPV vaccine has almost wiped out infections in young women, figures show – The Telegraph (free)
Related Cochrane Review: Prophylactic Vaccination Against HPV to Prevent Cervical Cancer (link to review and commentaries)
Cohort Study: Diagnosing Diabetes From a Single Blood Sample
19 Jun, 2018 | 22:23h | UTCPrognostic Implications of Single-Sample Confirmatory Testing for Undiagnosed Diabetes: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Diagnosing Diabetes From a Single Blood Sample – Johns Hopkins Bloomberg School of Public Health, via NewsWise (free) AND One Blood Test Might Be Enough to Diagnosis – HealthDay (free) AND Diabetes Dx Predicted Accurately with Single Blood Sample – MedPage Today (free registration required)
“The standard practice of repeat blood tests may not always be necessary, a new study suggests” (from Johns Hopkins Bloomberg School of Public Health)
Editorial: Helping Patients Choose Wisely
18 Jun, 2018 | 23:20h | UTCHelping patients choose wisely – The BMJ (free)
Related: The Choosing Wisely initiative was launched 5 years ago, and now has over 490 recommendations from 18 countries (free)
See complete lists from: Choosing Wisely U.S., Choosing Wisely UK, Choosing Wisely Australia AND Choosing Wisely Canada
“One of the main barriers to tackling the problem of overuse is that doctors are concerned patients will find it difficult to accept fewer interventions. However, informed patients often opt for less intervention, not more.” (via @bmj_latest see Tweet)