Family Medicine
Randomized Controlled Trial: Glyburide vs Insulin for the Treatment of Gestational Diabetes
3 May, 2018 | 20:04h | UTCEffect of Glyburide vs Subcutaneous Insulin on Perinatal Complications Among Women With Gestational Diabetes: A Randomized Clinical Trial – JAMA (free for a limited period)
Commentaries: Glyburide Should Not Be First-Line for Gestational Diabetes – Medscape (free registration required) AND Glyburide Compared With Insulin for First-Line Tx of Gestational Diabetes – MPR (free)
Richard Lehman’s Journal Review – 30 April 2018
3 May, 2018 | 19:47h | UTCRichard Lehman’s journal review, 30 April 2018 – The BMJ Opinion (free)
Richard Lehman reviews the latest research in the top medical journals.
Population-Based Study: Impact of General Anesthesia on Child Development and School Performance
3 May, 2018 | 19:12h | UTCThe impact of general anesthesia on child development and school performance: a population‐based study – Pediatric Anesthesia (link to abstract – $ for full-text)
Commentary: Kids exposed to general anaesthestic have poorer development, literacy and numeracy scores – University of Sidney, via ScienceDaily (free)
Lecture: How Less Health Care Can (Sometimes) Be Better For You
3 May, 2018 | 18:50h | UTCLecture: How Less Health Care Can (Sometimes) Be Better For You (free Youtube video)
See also other CLUE Working Group Lecture Series (tweet with lecture links by @KariTikkinen)
“Editor-in-Chief of @JAMAInternalMed, professor Rita Redberg gave the 3rd CLUE Working Group lecture entitled “How Less Health Care Can (Sometimes) Be Better For You” at the Think Corner of the U of Helsinki” (via @KariTikkinen see Tweet)
Polypharmacy Guidance, Realistic Prescribing
27 Apr, 2018 | 02:58h | UTCPolypharmacy Guidance, Realistic Prescribing 3 rd Edition, 2018 – Scottish Government Polypharmacy Model of Care Group (free PDF) (via @trishgreenhalgh)
Related Reviews: Current and future perspectives on the management of polypharmacy – BMC Family Medicine (free) AND Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety (free) AND Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international (free) AND Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety (free)
“Just because we can, doesn’t mean we should” – supporting informed decision-making
27 Apr, 2018 | 02:56h | UTC
Guideline: Pharmacologic Glycemic Management of Type 2 Diabetes in Adults
27 Apr, 2018 | 02:59h | UTCGuideline: Pharmacologic Glycemic Management of Type 2 Diabetes in Adults – Canadian Journal of Diabetes (free)
Related Guidelines: ADA 2018 Standards of Medical Care in Diabetes (free) AND ACP Guideline: Hemoglobin A1c Targets for Glycemic Control in Type 2 Diabetes (free)
In this new guideline Hemoglobin A1c Targets are similar from ADA 2018 Standards.
ACOG Committee Opinion: Adolescents and Long-Acting Reversible Contraception
27 Apr, 2018 | 02:57h | UTCCommittee Opinion: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices – American College of Obstetrics and Gynecology (free)
Commentary: ACOG Committee Opinion: adolescents should be offered LARC – Univadis (free registration required)
Case-control Study: Anticholinergic Drugs and Risk of Dementia
27 Apr, 2018 | 02:38h | UTCAnticholinergic drugs and risk of dementia: case-control study – The BMJ (free)
Editorial: Anticholinergic drugs and dementia in older adults (free)
Commentaries: Expert reaction to study investigating the association between different types of anticholinergic drugs and risk of dementia – Science Media Centre (free) AND Anticholinergic drugs may be linked to increased risk of dementia – OnMedica (free)
“The effect of anticholinergic therapy is relatively small (odds ratio 1.1 – 1.2) and establishing an association does not prove a causal link. Nevertheless, the paper may act as a useful guide for future research and clinical practice”. (by Prof Les Iversen, in Science Media Centre)
Meta-Analysis: Probiotics for the Prevention of Clostridium difficile
27 Apr, 2018 | 02:36h | UTCCommentary: Probiotics may be safe, low-cost prevention tool for Clostridium difficile infections – News Medical (free)
Related Articles: The use of probiotics to prevent Clostridium difficile diarrhea associated with antibiotic use – Cochrane Library (free) AND Probiotics for the Prevention of Antibiotic-Associated Diarrhea in Outpatients—A Systematic Review and Meta-Analysis – Antibiotics (free) AND Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection: A Systematic Review With Meta-Regression Analysis – Gastroenterology (free)
Clinical Guideline: HIV Pre-exposure Prophylaxis
27 Apr, 2018 | 02:32h | UTCRelated guidelines: WHO implementation tool for pre-exposure prophylaxis of HIV infection – World Health Organization (free) AND Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis – Canadian Medical Association Journal (free) AND Preexposure Prophylaxis for the Prevention of HIV Infection in the United States – 2017 Update: a Clinical Practice Guideline (free)
NICE Guideline Update: Neuropathic pain in adults
27 Apr, 2018 | 02:29h | UTCGuideline Update: Neuropathic pain in adults: pharmacological management in non-specialist settings – National Institute for Health and Care Excellence (free)
NICE Guideline Update: Antenatal and Postnatal Mental Health
27 Apr, 2018 | 02:30h | UTCGuideline Update: Antenatal and postnatal mental health: clinical management and service guidance – National Institute for Health and Care Excellence (free)
Debate: Should we Recommend e-Cigarettes to Help Smokers Quit?
27 Apr, 2018 | 01:36h | UTCShould we recommend e-cigarettes to help smokers quit? – The BMJ (free)
See also: related guidelines, reports and commentaries on e-cigarettes
“Experts debate: Should doctors recommend e-cigarettes to help smokers quit? Revelation in harm reduction or a way to keep people addicted and gateway to youth smoking?” (via @rich_hurley see Tweet)
NICE Guideline Update: Diagnosis and Management of Epilepsies
27 Apr, 2018 | 01:34h | UTCGuideline Update: Epilepsies: diagnosis and management – National Institute for Health and Care Excellence (free)
NICE Guideline Update: Depression in adults
27 Apr, 2018 | 01:26h | UTCGuideline Update: Depression in adults: recognition and management – National Institute for Health and Care Excellence (free)
USPSTF Draft Recommendation: Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults
27 Apr, 2018 | 01:31h | UTCUSPSTF Draft Recommendation Statement: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening (free)
Commentaries: USPSTF urges abuse screening for reproductive-aged women – MedicalXpress (free) AND USPSTF Recommends Screening for Partner Violence in Reproductive-Aged Women – Clinical Advisor (free)
“The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.”
Things We Do For No Reason: Periprocedural Bridging Anticoagulation
27 Apr, 2018 | 01:25h | UTCThings We Do For No Reason: Periprocedural Bridging Anticoagulation – Journal of Hospital Medicine (free)
Meta-Analysis: Case Managers Improve Outcomes for People with Dementia and Their Carers
27 Apr, 2018 | 01:23h | UTCCase managers improve outcomes for people with dementia and their carers – NIHR Signal (free)
Original Article: The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components – BMC Health Services Research (free)
“The review suggests that nurses may be particularly well placed to act as case managers for people with dementia, perhaps because they have the skills to perform the broad range of tasks associated with the role.” (via @NIHR_DC see Tweet)
Retrospective Cohort: Recent Opioid Use and Fall-related Injury Among Older Patients With Trauma
25 Apr, 2018 | 13:48h | UTCCommentary: Opioid use linked to increased risk of falls, death in older adults – CMAJ, via EurekAlert (free)
Randomized Trial: Early Endovenous Ablation in Venous Ulceration
25 Apr, 2018 | 13:38h | UTCCommentary: Early treatment for leg ulcers gets patients back on their feet – Imperial College London (free)
ACOG Guideline: Optimizing Postpartum Care
25 Apr, 2018 | 13:37h | UTCCommittee Opinion: Optimizing Postpartum Care – American College of Obstetricians and Gynecologists (free)
Commentary: Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often – ProPublica (free)
Source: Kaiser Health News Morning Brief
Randomized Trial: Sigmoidoscopy Screening and Colorectal Cancer Incidence and Mortality in Women and Men
25 Apr, 2018 | 13:36h | UTCLong-Term Effectiveness of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality in Women and Men: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Sigmoidoscopy reduces colon cancer risk for men, but not women – American College of Physicians, via MedicalXpress (free) AND Sigmoidoscopy reduces colon cancer risk for men, but not women – 2 Minute Medicine (free)
Viewpoint: Tube Feeding and Deteriorating Patients
25 Apr, 2018 | 12:54h | UTCDavid Oliver: Tube feeding and deteriorating patients—guidelines can take us only so far – The BMJ (free)
Related Guidelines: American Geriatrics Society Feeding Tubes in Advanced Dementia Position Statement (free) AND ESPEN guideline on ethical aspects of artificial nutrition and hydration (free)
Related Reviews: Artificial nutrition and hydration in advanced dementia – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 2: management of poor nutritional intake, dehydration, and pneumonia – Canadian Family Physician (free) AND Advanced Dementia – New England Journal of Medicine (free)
Cohort Study: Maternal Caffeine Intake During Pregnancy and Childhood Overweight
25 Apr, 2018 | 12:50h | UTCCommentaries: Fetal exposure to moderate/high caffeine levels linked to excess childhood weight gain – BMJ Open Blog (free) AND Caffeine in pregnancy linked to risk of child overweight – OnMedica (free) AND Expert reaction to study looking at caffeine in pregnancy and weight gain in children – Science Media Centre (free)