Family Medicine
Richard Lehman’s journal review, 20 November 2017
25 Nov, 2017 | 22:34h | UTCRichard Lehman’s journal review, 20 November 2017 – The BMJ (free)
Richard Lehman reviews the latest research in the top medical journals.
Review: Practical Considerations for the Diagnosis and Management of Asthma in Older Adults
25 Nov, 2017 | 22:33h | UTC
Guideline: Pharmacologic management of chronic neuropathic pain
25 Nov, 2017 | 22:32h | UTCRelated article: Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)
Research: The association between paternal and adolescent depressive symptoms
20 Nov, 2017 | 18:12h | UTCEditorial: The effect of paternal depression on depressive symptoms in adolescent offspring (free)
Commentaries: Dads’ Depression Tied to Increased Depression Risk in Teenage Children – Physician’s First Watch (free) AND Teenage depression linked to father’s depression – University College London, via ScienceDaily (free)
Research: Dog ownership and the risk of cardiovascular disease and death
20 Nov, 2017 | 18:09h | UTCCommentaries: Dog ownership linked to lower mortality – Uppsala University, via ScienceDaily (free) AND Owning A Dog May Help Your Heart, Study Shows – Forbes (free)
Taking Care of the Physician
20 Nov, 2017 | 18:08h | UTCTaking Care of the Physician – The New York Times (10 articles per month are free)
Exploring Attributes of High-Value Primary Care
20 Nov, 2017 | 18:06h | UTCExploring Attributes of High-Value Primary Care – Annals of Family Medicine (free)
Commentaries: Lower cost, higher quality primary care practices are distinguished by six attributes – American Academy of Family Physicians, via ScienceDaily (free) AND Identifying ‘high-value’ practices in primary care; a Stanford study pinpoints key attributes – Stanford Medicine (free)
Review: Undernutrition and severe acute malnutrition in children
20 Nov, 2017 | 18:01h | UTCUndernutrition and severe acute malnutrition in children – The BMJ (free for 2 weeks)
Infographic: Screening and referring children under 5 years old with acute undernutrition (free PDF)
Review: Diabetic foot
20 Nov, 2017 | 18:01h | UTCDiabetic foot – The BMJ (free for 2 weeks)
Infographic: A visual overview of the primary care assessment and monitoring of a diabetic foot (free PDF)
Guideline – Periodic preventive health visits: a more appropriate approach to delivering preventive services
20 Nov, 2017 | 17:58h | UTCSummary: Periodic preventive health visits: A more appropriate approach to delivering preventive services (free)
News release: Annual checkups do not result in better health outcomes, national task force reaffirms (free)
Research: Sudden Cardiac Arrest during Participation in Competitive Sports
20 Nov, 2017 | 17:57h | UTCSudden Cardiac Arrest during Participation in Competitive Sports – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Sudden Cardiac Arrest Rare During Competitive Sports – Physician’s First Watch (free) AND Cardiac arrest study in young athletes raises heart screening questions – Reuters (free) AND Cardiac Arrest Rare in Young Athletes But Tough to Predict – Health (free) AND Screening programs unlikely to prevent sudden cardiac arrest in competitive athletes – St. Michael’s Hospital, via EurekAlert (free)
Research: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning
20 Nov, 2017 | 17:56h | UTC“We develop an algorithm that can detect pneumonia from chest X-rays at a level exceeding practicing radiologists”
The Patients vs. Paperwork Problem for Doctors
20 Nov, 2017 | 17:55h | UTCThe Patients vs. Paperwork Problem for Doctors – The New York Times (10 articles per month are free)
Related guideline: Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free)
Review: Health Effects and Public Health Concerns of Energy Drink Consumption
20 Nov, 2017 | 17:53h | UTCCommentaries: Serious health risks associated with energy drinks – ScienceDaily (free)
“To curb this growing public health issue, policy makers should regulate sales and marketing towards children and adolescents and set upper limits on caffeine” (from ScienceDaily)
Research: Effects of Bariatric Surgery in Obese Patients With Hypertension
20 Nov, 2017 | 17:52h | UTCCommentary: Bariatric Surgery Can Lead to HTN ‘Remission’ in Obese: GATEWAY – Medscape (free) AND Gastric Bypass to Treat Obese Patients With Steady Hypertension – GATEWAY – American College of Cardiology, Latest in Cardiology (free)
Research: Noninvasive Cardiac Testing vs Clinical Evaluation Alone in Acute Chest Pain
20 Nov, 2017 | 17:48h | UTCEditorial: Acute Chest Pain in the Emergency Department (free)
Commentaries: Does Clinical Evaluation Plus Noninvasive Cardiac Testing Improve Outcomes in Emergency Department Patients with Chest Pain? – The JAMA Network (free) AND Noninvasive Cardiac Testing No Better Than Clinical Eval for Low-Risk Acute Chest Pain – Physician’s First Watch (free)
“Non-invasive testing of chest pain patients in the ED – longer stay; more testing, radiation and cost; no benefit”. (RT @JAMA_current see Tweet)
Meta-Analysis: Association of Blood Pressure Lowering With Mortality and Cardiovascular Disease Across Blood Pressure Levels
20 Nov, 2017 | 17:49h | UTCAssociation of Blood Pressure Lowering With Mortality and Cardiovascular Disease Across Blood Pressure Levels: A Systematic Review and Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Treating modestly high blood pressure may not boost survival odds – Reuters (free) AND No cardiovascular disease reduction with intensive blood pressure lowering treatment – Umea University, via EurekAlert (free)
See also new AHA/ACC Hypertension Guidelines and related resources in our November 13th issue (see #1)
“”Primary preventive BP lowering is associated with reduced risk for death and CVD if baseline SBP is 140 mm Hg or higher.” published same day as @ACCinTouch guideline w/SBP goals <130 mm Hg. Cognitive dissonance?” (RT @kennylinafp see Tweet)
Meta-Analysis: Effects of weight loss interventions for adults who are obese on mortality, cardiovascular disease, and cancer
20 Nov, 2017 | 17:50h | UTC
Research: Increases in Depressive Symptoms, Suicide-Related Outcomes, and Suicide Rates Among Adolescents Links to Increased New Media Screen Time
20 Nov, 2017 | 17:46h | UTCCommentaries: Increased Hours Online Correlate With An Uptick In Teen Depression, Suicidal Thoughts – NPR (free) AND Smartphones a likely culprit in the recent decline in teen mental health – STAT (free)
Guidelines on the management of abnormal liver blood tests
20 Nov, 2017 | 17:47h | UTCGuidelines on the management of abnormal liver blood tests – Gut (free)
Research: Aspirin in Patients With Previous Percutaneous Coronary Intervention Undergoing Noncardiac Surgery
20 Nov, 2017 | 17:43h | UTCCommentaries: Perioperative aspirin may improve short-term outcomes after noncardiac surgery in patients with prior PCI – ACP Internist (free) AND Aspirin can prevent heart attacks after noncardiac surgery in patients with prior PCI – University of Alberta Faculty of Medicine & Dentistry, via ScienceDaily (free) AND Aspirin Protective Against Early Death/MI in Prior PCI Patients Undergoing Noncardiac Surgery – TCTMD (free)
Review: The Diagnosis of Chronic Coronary Heart Disease
20 Nov, 2017 | 17:44h | UTCThe Diagnosis of Chronic Coronary Heart Disease – Deutsches Ärzteblatt international (free)
Research: Perinatal mortality associated with induction of labour versus expectant management in nulliparous women aged 35 years or over
20 Nov, 2017 | 17:42h | UTCCommentaries: Labor induction at 40 weeks associated with lower risk of perinatal mortality – PLOS, via ScienceDaily (free) AND Induction at Term Cuts Rates of Infant Death in Older First-Time Moms – MedPage Today (free registration required) Inducing Older Moms at 40 Weeks May Lower Stillbirth Risk – Medscape (free registration required)
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults
20 Nov, 2017 | 14:19h | UTCSee also: High Blood Pressure Guidelines Hub / Executive Summary / ACC/AHA Slide Set / ACC Key Points to Remember (free resources)
Research: Effect of an Intervention to Promote Breastfeeding on Asthma, Lung Function, and Atopic Eczema at Age 16 Years
20 Nov, 2017 | 17:41h | UTCCommentary: Prolonged breastfeeding linked to halving of later eczema risk – OnMedica (free)