Family Medicine
Update on Diabetic Nephropathy
23 Feb, 2018 | 01:02h | UTCUpdate on Diabetic Nephropathy: Core Curriculum 2018 – American Journal of Kidney Diseases (free)
Guideline Synopsis: Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease–Mineral and Bone Disorder
23 Feb, 2018 | 01:05h | UTC
Research: Effect of Low-Fat vs Low-Carbohydrate Diet on 12-Month Weight Loss in Overweight Adults
23 Feb, 2018 | 01:03h | UTCCommentaries: Low-Carb And Low-Fat Diets Battle To A Draw – Cardiobrief (free) AND Matching DNA to a diet doesn’t work: ‘We didn’t even come close,’ researcher says – STAT (free) AND Counting Calories Is Not the Key to Weight Loss, New Study Finds – The New York Times (10 articles per month are free) AND Debating low-fat vs low-carb diets? New study found a draw – Scope (free)
Review: Adverse pregnancy outcomes and future maternal cardiovascular disease
23 Feb, 2018 | 01:01h | UTCReview: Adverse pregnancy outcomes and future maternal cardiovascular disease – Clinical Cardiology (free)
Guideline: Heavy menstrual bleeding: assessment and management
23 Feb, 2018 | 01:03h | UTCGuideline: Heavy menstrual bleeding: assessment and management – National Institute for Health and Care Excellence (NICE) (free)
Sex Differences in Ischemic Heart Disease: Advances, Obstacles, and Next Steps
23 Feb, 2018 | 00:56h | UTCSex Differences in Ischemic Heart Disease: Advances, Obstacles, and Next Steps – Circulation: Cardiovascular Quality and Outcomes (free for a limited period)
Related AHA Scientific Statement: Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science (free)
Research: Contribution of alcohol use disorders to the burden of dementia
23 Feb, 2018 | 01:00h | UTCCommentaries: Alcohol and dementia: a complex relationship with potential for dementia prevention – The Lancet Public Health (free) AND Expert reaction to study looking at alcohol use disorders and dementia risk – Science Media Centre (free) AND Heavy Drinking Tied to Early-Onset Dementia in French Study – MedPage Today (free registration required)
“Of 57,000 people diagnosed before age 65 with early-onset dementia, 39% had alcohol-related dementia by definition, and 18% had an additional diagnosis of alcohol use disorders” (via @medpagetoday see Tweet)
Research: Cleaning at Home and at Work in Relation to Lung Function Decline and Airway Obstruction
23 Feb, 2018 | 00:54h | UTCCleaning at Home and at Work in Relation to Lung Function Decline and Airway Obstruction – American Journal of Respiratory and Critical Care Medicine (link to abstract – $ for full-text)
Commentaries: Women Who Clean at Home or Work Face Increased Lung Function Decline – American Thoracic Society, via NewsWise (free) AND Cleaning Chemicals ‘Likely Cause Substantial Damage To Women’s Lungs’, Study Finds – Huffpost (free) AND Cleaning at home or work linked to faster lung function decline in women – Univadis (free registration required)
Research: Association of Cigarette, Cigar, and Pipe Use With Mortality Risk
22 Feb, 2018 | 23:34h | UTCAssociation of Cigarette, Cigar, and Pipe Use With Mortality Risk in the US Population – JAMA Internal Medicine (free for a limited period)
Commentaries: Cigars and pipes tied to same risks as cigarettes – Reuters (free) AND Cigars and pipes raise mortality risk independent of cigarettes – OnMedica (free)
Benzodiazepines: Our Other Prescription Drug Epidemic
22 Feb, 2018 | 23:37h | UTCPerspective: Our Other Prescription Drug Problem – New England Journal of Medicine (free)
Related opinion: Benzodiazepines: our other prescription drug epidemic – STAT (free)
Research: Ischaemic stroke, haemorrhage, and mortality in older patients with chronic kidney disease newly started on anticoagulation for atrial fibrillation
22 Feb, 2018 | 23:35h | UTCCommentaries: Anticoagulants Tied With Stroke, Hemorrhage in CKD – Renal & Urology News (free) AND Could a Blood Thinner Actually Raise Stroke Risk for Some? – HealthDay (free) AND Anticoagulants for Patients with Afib and Kidney Disease? Study Yields Mixed Findings – Physician’s First Watch (free) AND Blood-thinning drugs designed to cut stroke risk may actually increase it – The Guardian (free)
“Given the lack of guidelines, the decision to start anticoagulant treatment in patients with chronic kidney disease and new onset atrial fibrillation should be made on an individual basis, concludes research” (via @bmj_latest see Tweet)
Research: Continuous Glucose Monitoring in Adults with Type 1 Diabetes
22 Feb, 2018 | 23:29h | UTCReal-time continuous glucose monitoring in adults with type 1 diabetes and impaired hypoglycaemia awareness or severe hypoglycaemia treated with multiple daily insulin injections (HypoDE): a multicentre, randomised controlled trial – The Lancet (link to abstract – $ for full-text)
The mean number of hypoglycemic events per 28 days was reduced from 10.8 to 3.5 among patients in the continuous glucose monitoring group and from 14.4 to 13.7 among control group participants.
Research: Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis
22 Feb, 2018 | 23:28h | UTCHydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentary: Hydroxychloroquine no more effective than placebo for relieving osteoarthritis hand pain – American College of Physicians, via EurekAlert (free)
Research: Risk of Recurrent Disease and Surgery Following an Admission for Acute Diverticulitis
22 Feb, 2018 | 23:25h | UTCRisk of Recurrent Disease and Surgery Following an Admission for Acute Diverticulitis – Diseases of the Colon and Rectum (link to abstract – $ for full-text)
Commentary: Which Patients with Diverticulitis Require Surgery? – Diseases of the Colon & Rectum, via NewsWise (free)
In this large cohort of 65,162 patients identified with a first episode of acute diverticulitis, younger patients, women, smokers, obese individuals, and those who had diverticulitis with perforation and/or abscess were more likely to develop recurrent diverticulitis.
Opinion: Stories about tragic flu deaths wrongly portray Tamiflu as a panacea
22 Feb, 2018 | 23:25h | UTCOpinion: Stories about tragic flu deaths wrongly portray Tamiflu as a panacea – HealthNewsReview (free)
Related: Tamiflu and Relenza: getting the full evidence picture – Cochrane Library (free)
“The review confirms small benefits on symptom relief, namely shortening duration of symptoms by half a day on average. However, there is little evidence to support any belief that use of NIs reduces hospital admission or the risk of developing confirmed pneumonia”. (from Cochrane)
Richard Lehman’s journal reviews – 19 February 2018
22 Feb, 2018 | 23:24h | UTCRichard Lehman’s journal reviews, 19 February 2018 – The BMJ Opinion (free)
Richard Lehman reviews the latest research in the top medical journals.
Guideline for Prescribing Medical Cannabinoids in Primary Care
22 Feb, 2018 | 23:22h | UTCCommentary: New guideline warns pain benefits of medical cannabis overstated – University of Alberta Faculty of Medicine & Dentistry, via ScienceDaily (free)
Research: Systolic Blood Pressure and Outcomes in Patients With Heart Failure With Preserved Ejection Fraction
22 Feb, 2018 | 23:21h | UTCSystolic Blood Pressure and Outcomes in Patients With Heart Failure With Preserved Ejection Fraction – JAMA Cardiology (link to abstract – $ for full-text)
Commentaries: Aggressive Systolic Blood Pressure Control In Older Patients With HFpEF Should Be Avoided – MedicalResearch.com (free) AND Low blood pressure linked to worse outcomes in HFpEF patients – Cardiovascular Business (free)
“A systolic blood pressure level of less than 120 mm Hg identifies patients with heart failure with preserved ejection fraction at higher risk for short- and long-term mortality and emphasizes the need for future prospective studies to evaluate optimal systolic blood pressure treatment goals in this patient population”.
Editorial: Vitamin D Screening and Supplementation in Primary Care
22 Feb, 2018 | 23:21h | UTCRelated: Your vitamin D tests and supplements are probably a waste of money – VOX (free) AND Why Are So Many People Popping Vitamin D? – The New York Times (free)
Expert opinion: ‘UTI’ an overused diagnosis in the era of the microbiome
22 Feb, 2018 | 23:18h | UTC‘UTI’ an overused diagnosis in the era of the microbiome – ACP Hospitalist (free)
New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question
22 Feb, 2018 | 23:19h | UTCNew Choosing Wisely Lists in Pediatrics: Four Things Physicians and Patients Should Question in Pediatric Infectious Diseases and Medical Microbiology – Choosing Wisely Canada (free) AND Five Things Physicians and Patients Should Question in Pediatric Orthopedics – Choosing Wisely U.S. (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
Meta-Analysis: Effects of uric acid-lowering therapy in patients with chronic kidney disease
22 Feb, 2018 | 23:05h | UTCCommentary: Gout medication may slow progression of chronic kidney disease – NIHR Signal (free)
Draft Recommendation: Behavioral Interventions for Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults
22 Feb, 2018 | 23:07h | UTCDraft Recommendation Statement: Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions – U.S. Preventive Services Task Force (free)
Commentaries: USPSTF Again Recommends Offering Behavioral Interventions to Obese Adults – Physician’s First Watch (free) AND USPSTF Posts Draft Recs for Treatment of Adults With Obesity – Medscape (free registration required) AND USPSTF: ‘Yes’ To Behavioral Obesity Therapy – MedPage Today (free)
Research: Breast Biopsy Intensity and Findings Following Breast Cancer Screening in Women With and Without a Personal History of Breast Cancer
22 Feb, 2018 | 23:17h | UTCBreast Biopsy Intensity and Findings Following Breast Cancer Screening in Women With and Without a Personal History of Breast Cancer – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Breast MRIs may lead to more biopsies that catch fewer cancers – Reuters (free) AND MRI-Based Breast Screening Leads to More Biopsies, Lower Cancer Yields – Physician’s First Watch (free)
Research: Takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity in children aged 9–10 years
22 Feb, 2018 | 23:05h | UTCCommentaries: Takeaways linked to increased cardiovascular risk factors and obesity in children – NIHR Signal (free) AND Takeout Food May Increase Adverse Health Consequences in Children – Endocrinology Advisor (free)