Family Medicine | Page 295 of 374 | Links Medicus Content Curation & Alerts in Medicine

Cohort Study: Metformin Safe for Many Patients with Chronic Kidney Disease

7 Jun, 2018 | 02:49h | UTC

Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Study Supports Metformin Use at eGFRs as Low as 30 – NEJM Physician’s First Watch (free) AND Metformin safe for most diabetics with kidney disease – UPI (free) AND Evidence Growing Metformin Safe in Many With Diabetes and CKD – Medscape (free registration required)

Short Review: Stimulants for ADHD in children

7 Jun, 2018 | 02:50h | UTC

Stimulants for ADHD in children: Revisited – Therapeutics Initiative (via @AllenFrancesMD)

“There is convincing evidence that a proportion of boys and girls treated with stimulants in BC and around the world are simply the youngest in their class”

Review: Pulmonary Function Tests for the Generalist

7 Jun, 2018 | 02:45h | UTC

Pulmonary Function Tests for the Generalist: A Brief Review – Mayo Clinic Proceedings (free)

Research: New Risk Calculator Estimates Millions are Being Overtreated with Statins

7 Jun, 2018 | 02:42h | UTC

Clinical Implications of Revised Pooled Cohort Equations for Estimating Atherosclerotic Cardiovascular Disease Risk – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: New risk calculator could change the aspirin, statins, and blood pressure medications some people take – STAT (free) AND Statin recommendations may change, especially for African-Americans – CNN (free) AND Millions could have incorrect statin, aspirin and blood pressure prescriptions – Stanford Medicine, via ScienceDaily (free) AND Current models overestimate CVD risk of 11.8M US adults – Cardiovascular Business (free)

Highlights from the New GOLD COPD Guidelines

7 Jun, 2018 | 02:44h | UTC

Catch up on new COPD guidelines – ACP Internist (free)

Original Guideline: 2018 Global Strategy for Prevention, Diagnosis and Management of COPD – Global Initiative for Chronic Obstructive Lung Disease (GOLD) (free PDF)

Pocket Guide: COPD Diagnosis, Management and Prevention (free PDF)

Systematic Review: Exercise for Cognitive Brain Health in Aging

7 Jun, 2018 | 02:43h | UTC

Exercise for cognitive brain health in aging: A systematic review for an evaluation of dose – Neurology Clinical Practice (link to abstract – $ for full-text)

Commentary: How Much Exercise Is Needed to Help Improve Thinking Skills? – American Academy of Neurology, via NewsWise (free) AND Exercise regimen can maintain cognition in older adults, researchers say – UPI (free) AND 1-Hour Exercise, 3 Times a Week Boosts Cognition in Older Adults – MedPage Today (free registration required)

Current Concepts in Diagnosis and Treatment of Functional Neurological Disorders

7 Jun, 2018 | 02:37h | UTC

Current Concepts in Diagnosis and Treatment of Functional Neurological Disorders – JAMA Neurology (free for a limited period)

Canadian Guideline: Management of Chronic Hepatitis C

7 Jun, 2018 | 02:36h | UTC

The management of chronic hepatitis C: 2018 guideline update from the Canadian Association for the Study of the Liver – Canadian Medical Association Journal (free)

Commentaries: Hepatitis C guideline recommends screening for all people born 1945-1975 – CMAJ, via EurekAlert (free) AND Canadian Group Offers New Guidelines on Hepatitis C Screening, Management – NEJM Physician’s First Watch (free)

Richard Lehman’s journal review – 4 June 2018

7 Jun, 2018 | 02:35h | UTC

Richard Lehman’s journal review, 4 June 2018 – The BMJ Opinion (free)

Richard Lehman reviews the latest research in the top medical journals.

Case-Control Study: Possible Association of Hydrochlorothiazide Use and Risk of Melanoma

6 Jun, 2018 | 21:53h | UTC

Association of Hydrochlorothiazide Use and Risk of Malignant Melanoma – JAMA Internal Medicine (free)

Commentaries: Hydrochlorothiazide Associated with Melanoma Risk – NEJM Physician’s First Watch (free) AND Hydrochlorothiazide Tied to Increased Melanoma Risk – MedPage Today (free registration required)

This observational data suggests a possible association. Needs to be confirmed by other studies.

Opinion: Rush to Treat Non-alcoholic Fatty Liver Disease Causing More Harm than Good

6 Jun, 2018 | 21:45h | UTC

Rush to treat liver patients causing more harm than good – The University of Leeds (free) (via @PaulGlasziou)

Original article: Too much medicine: overdiagnosis and overtreatment of non-alcoholic fatty liver disease- The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

Perspective: For Patients with Type 2 Diabetes, What’s the Best Target Hemoglobin A1C?

1 Jun, 2018 | 04:36h | UTC

For Patients With Type 2 Diabetes, What’s the Best Target Hemoglobin A_1C? – JAMA (free for a limited period)

Richard Lehman’s journal review, 29 May 2018

1 Jun, 2018 | 04:03h | UTC

Richard Lehman’s journal review, 29 May 2018 – The BMJ Opinion (free)

Richard Lehman reviews the latest research in the top medical journals.

Meta-Analysis: Vitamin D Supplementation During Pregnancy and Offspring Growth, Morbidity, and Mortality

1 Jun, 2018 | 03:51h | UTC

Association Between Vitamin D Supplementation During Pregnancy and Offspring Growth, Morbidity, and Mortality: A Systematic Review and Meta-analysis – JAMA Pediatrics (free)

Editorial: Prenatal Vitamin D Supplementation to Improve Health in Offspring (free)

Commentary: Vitamin D Supplementation of Moms Linked to Better Outcomes for Newborns – Physician’s First Watch (free)

Guideline: Type 2 Diabetes Mellitus in Older People

1 Jun, 2018 | 03:48h | UTC

Type 2 diabetes mellitus in older people: a brief statement of key principles of modern day management including the assessment of frailty. A national collaborative stakeholder initiative – Diabetic Medicine (free)

Commentary: New guidance on treating diabetes in elderly and frail adults – University of Exeter, via EurekAlert (free)

Perspective: Incidental Anarchy

29 May, 2018 | 20:14h | UTC

Incidental anarchy – The BMJ Opinion (free)

“Giles Maskell writes on over diagnosis and underdiagnosis, the complexities of incidental findings and urges clinicians to “Think before you scan because you can” (via @bmj_latest see Tweet)

Review: Supplements Not Effective for CVD Prevention and Treatment

29 May, 2018 | 20:15h | UTC

Supplemental Vitamins and Minerals for CVD Prevention and Treatment – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Most vitamin, mineral supplements not shown to lower heart disease risk – American College of Cardiology, via ScienceDaily (free) AND Aside From Folate, Vitamins Appear Largely Ineffective For Prevention, Study Finds – Forbes (free) AND Most popular vitamin and mineral supplements provide no health benefit, study finds – St. Michael’s Hospital, via EurekAlert (free)

Meta-Analysis: Concomitant Fibromyalgia Common in Patients with Inflammatory Arthritis

29 May, 2018 | 20:09h | UTC

Concomitant fibromyalgia complicating chronic inflammatory arthritis: a systematic review and meta-analysis – Rheumatology (free)

Commentary: Comorbid fibromyalgia common in patients with inflammatory arthritis – MedwireNews (free)

ACP Position Paper: Women’s Health Policy in the United States

29 May, 2018 | 20:10h | UTC

Women’s Health Policy in the United States: An American College of Physicians Position Paper – Annals of Internal Medicine (free)

Commentary: U.S. doctors call for health policies that support women – Reuters (free)

Research: Aspirin Effect on Adverse Pregnancy Outcomes Associated with Stage 1 Hypertension

29 May, 2018 | 18:28h | UTC

Aspirin Effect on Adverse Pregnancy Outcomes Associated With Stage 1 Hypertension in a High-Risk Cohort – Hypertension (link to abstract – $ for full-text)

Commentary: Low-dose aspirin could help pregnant women with high blood pressure avoid a dangerous condition – AHA News (free)

Related Study: Aspirin versus Placebo in Pregnancies at High Risk for Preterm Preeclampsia (free article and commentaries)

“These findings emphasize the importance of recognition of stage 1 hypertension as an additive risk factor in women at high risk for preeclampsia and the benefit of aspirin”.

Randomized Trial: Acupuncture Not Effective for Improving the Likelihood of In Vitro Fertilization

29 May, 2018 | 18:29h | UTC

Effect of Acupuncture vs Sham Acupuncture on Live Births Among Women Undergoing In Vitro Fertilization: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentaries: Fertility study finds acupuncture ineffective for IVF birth rates – NICM, Western Sydney University, via ScienceDaily (free) AND Acupuncture during IVF doesn’t increase chances of having a baby – The Conversation (free) AND Acupuncture doesn’t improve likelihood of IVF success, study finds – The Guardian (free) AND Does Acupuncture Increase Live Births For Women Undergoing IVF? – MedicalResearch.com (free)

Editorial: A1C Targets Should Be Personalized to Maximize Benefits While Limiting Risks

28 May, 2018 | 12:54h | UTC

A1C Targets Should Be Personalized to Maximize Benefits While Limiting Risks – Diabetes Care (free) (via @Abraham_RMI)

“Clinicians should aim to achieve an HbA1c level between 7% and 8% in most patients with type 2 diabetes” (from ACP Guideline, prompting the Editorial)