Family Medicine
Cohort Study: History of breast feeding and risk of incident endometriosis
30 Aug, 2017 | 18:23h | UTCHistory of breast feeding and risk of incident endometriosis: prospective cohort study – The BMJ (free)
Commentaries: Breast-Feeding Associated with Reduced Endometriosis Risk – Physician’s First Watch (free) AND Breast-Feeding May Lower Risk of Endometriosis – The New York Times (10 articles per month are free)
Richard Lehman’s journal review – 29 August 2017
30 Aug, 2017 | 18:27h | UTCRichard Lehman’s journal review, 29 August 2017 – The BMJ Blogs (free)
Richard Lehman reviews the latest research in the top medical journals.
Nonoccupational Postexposure Prophylaxis (nPEP) for HIV
30 Aug, 2017 | 18:09h | UTCNonoccupational Postexposure Prophylaxis (nPEP) for HIV – U.S. Pharmacist (free)
Source: Medscape
Study: Effectiveness of a Timing and Coordination Group Exercise Program to Improve Mobility in Older Adults
30 Aug, 2017 | 18:04h | UTCCommentary: On the Move exercise program improved mobility in older adults – 2 Minute Medicine (free)
Review: Pulmonary Hypertension
30 Aug, 2017 | 18:05h | UTCPulmonary Hypertension – Deutsches Ärzteblatt international (free)
Source: Critical Care Reviews Topic of The Week
Review: Past, present and future of Barrett’s oesophagus
30 Aug, 2017 | 18:06h | UTCPast, present and future of Barrett’s oesophagus – European Journal of Surgical Oncology (free)
Are expanding disease definitions unnecessarily labelling women with polycystic ovary syndrome?
30 Aug, 2017 | 18:03h | UTCCommentaries: Why the definition of polycystic ovary syndrome harms women – Medical News Today (free) AND Five commonly over-diagnosed conditions and what we can do about them – The Conversation (free)
#ESCCongress – Study: Screening for vascular disease saves one life for every 169 patients assessed
29 Aug, 2017 | 15:14h | UTCPopulation screening and intervention for vascular disease in Danish men (VIVA): a randomised controlled trial – The Lancet (link to abstract – $ for full-text)
Commentaries: Screening for vascular disease saves one life for every 169 patients assessed (VIVA) – ESC Press Releases (free) AND VIVA: Could Population-Wide Screening Trial for AAA, PAD, and Hypertension Save Lives at Low Cost? – TCTMD (free) AND VIVA: Overall Mortality Significantly Reduced Among Older Men Receiving Triple Vascular Screening – American College of Cardiology, Latest in Cardiology (free)
#ESCCongress – Study: drug-resistant hypertension – old drugs work best
29 Aug, 2017 | 15:13h | UTCPATHWAY-2 uncovers main cause of drug-resistant hypertension, finds old drugs work best – ESC Press Releases (free) (the results have not been published yet)
Commentary: Prevention And Treatment of Hypertension With Algorithm based therapY-2 – PATHWAY-2 – American College of Cardiology, Latest in Cardiology (free)
#ESCCongress – Study: Risk factor driven upstream atrial fibrillation therapy improves sinus rhythm maintenance
29 Aug, 2017 | 15:08h | UTCRisk factor driven upstream atrial fibrillation therapy improves sinus rhythm maintenance (RACE 3) – ESC Press Releases (free) (the results have not been published yet)
Commentaries: Broad, Early AF Risk-Factor Intervention Preserves Sinus Rhythm: RACE-3 – Medscape (free registration required) AND Routine vs. Aggressive upstream rhythm Control for prevention of Early persistent atrial fibrillation in heart failure study – RACE 3 – American College of Cardiology, Latest in Cardiology (free)
#ESCCongress – Study: The Prognostic Value of Coronary Artery Calcium
29 Aug, 2017 | 15:07h | UTCThe Prognostic Value of Coronary Artery Calcium in the PROMISE Study – Circulation (free PDF)
Editorial: Computed Tomography or Functional Stress Testing for the Prediction of Risk: Can I Have My Cake and Eat It? (free PDF)
Commentary: Prospective Multicenter Imaging Study for Evaluation of Chest Pain – PROMISE – American College of Cardiology, Latest in Cardiology (free)
Guidelines for the diagnosis of fibromyalgia
29 Aug, 2017 | 15:05h | UTCNew guidelines for the diagnosis of fibromyalgia – Revista Brasileira de Reumatologia (free)
Systematic Review: Topical Antibiotics for Impetigo
29 Aug, 2017 | 15:01h | UTC
Guideline: diagnosis and treatment of osteoporosis in men
29 Aug, 2017 | 15:04h | UTC
Study: Community-acquired Pneumonia Visualized on Computed Tomography but Not Chest X-Ray
29 Aug, 2017 | 14:54h | UTCCommunity-acquired Pneumonia Visualized on Computed Tomography but Not Chest X-Ray: Pathogens, Severity, and Clinical Outcomes – Chest (link to abstract – $ for full-text)
Source: Hospital Medicine Virtual Journal Club (free resource to find articles of interest)
“Adults hospitalized with CAP who had radiologic evidence of pneumonia on CT but not concurrent CXR had similar pathogens, disease severity, and outcomes compared with patients who had signs of pneumonia on CXR”.
Guideline: Osteoarthritis of the Knee Clical Care Standard
29 Aug, 2017 | 15:00h | UTCOsteoarthritis of the Knee Clical Care Standard – Australian Commission on Safety and Quality in Health Care (PDF Guideline and other resources)
Source: Research Review Australia (free resource to find articles of interest)
Review: DRESS: What does the emergency physician need to know?
29 Aug, 2017 | 14:54h | UTCDRESS: What does the emergency physician need to know? – emDocs (free)
#ESCCongress – Dual Antithrombotic Therapy with Dabigatran after PCI in Atrial Fibrillation
27 Aug, 2017 | 20:07h | UTCCommentaries: Randomized Evaluation of Dual Antithrombotic Therapy With Dabigatran vs. Triple Therapy With Warfarin in Patients With Nonvalvular Atrial Fibrillation Undergoing Percutaneous Coronary Intervention – RE-DUAL PCI – American College of Cardiology, Latest in Cardiology (free) Dual Antithrombotic Therapy Is Safe for Patients with AF and a New Stent – Physician’s First Watch (free) AND When two is better than three: Dual antithrombotic therapy cuts bleeding risk – Brigham and Women’s Hospital, via ScienceDaily (free)
“In summary, several lines of evidence now suggest that it is safe to treat atrial fibrillation patients who undergo coronary revascularization with anticoagulation (warfarin studied in WOEST, rivaroxaban studied in PIONEER AF-PCI, dabigatran studied in RE-DUAL PCI) and clopidogrel monotherapy” (from American College of Cardiology, Latest in Cardiology).
#ESCCongress – 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases
27 Aug, 2017 | 20:10h | UTC2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries (free) (RT @rafavidalperez see Tweet)
See also: #ESCCongress Slides (free PPT file)
#ESCCongress – 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease
27 Aug, 2017 | 20:09h | UTC2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS (free) (RT @rafavidalperez see Tweet)
See also: #ESCCongress Slides (free PPT file)
#ESCCongress – Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease
27 Aug, 2017 | 20:08h | UTCEditorial by Dr. Eugene Braunwald: An Important Step for Thrombocardiology (free)
Commentaries: Cardiovascular Outcomes for People Using Anticoagulation Strategies – COMPASS – American College of Cardiology, Latest in Cardiology (free) AND COMPASS: Does Rivaroxaban Plus Aspirin Improve CV Outcomes in Patients With Stable Atherosclerotic Vascular Disease or PAD? – ACC News Story (free) AND Rivaroxaban, Aspirin, or Both in Stable Coronary Disease – Physician’s First Watch (free)
The primary outcome (composite of cardiovascular death, stroke, or myocardial infarction) occurred in fewer patients in the rivaroxaban-plus-aspirin group than in the aspirin-alone group (4.1% vs. 5.4% / Absolute risk difference = 1.3% / NNT = 76), but major bleeding events occurred in more patients in the rivaroxaban-plus-aspirin group (3.1% vs. 1.9% / Absolute risk difference = 1.2 / NNH = 83).
Review: Malignant Otitis Externa: Diagnosis and Treatment
26 Aug, 2017 | 20:30h | UTCMalignant Otitis Externa: Diagnosis and Treatment – emDocs (free)
#ESCCongress – Incidence of Previously Undiagnosed Atrial Fibrillation Using Insertable Cardiac Monitors in a High-Risk Population
27 Aug, 2017 | 20:03h | UTCCommentaries: What Do Implanted Cardiac Monitors Reveal About Atrial Fibrillation? – JAMA Cardiology (free) AND REVEAL AF: Incidence of AFib Could Be Substantial in Older Patients With Stroke Risk Factors – American College of Cardiology, Latest in Cardiology (free) AND Detection of Undiagnosed AF Using Insertable Cardiac Monitors – American College of Cardiology, Latest in Cardiology (free)
Implanted Cardiac Monitors showed the incidence of intermittent atrial fibrillation is extremely common among older individuals with stroke risk factors, but the clinical significance of these findings (do they need to be anticoagulated??) remains to be determined by further trials.
“Previous long-term monitoring studies have suggested that patients with short episodes of subclinical AF have a lower risk of stroke compared with traditional clinical AF, which raises important questions about the risk-benefit ratio of anticoagulation in this setting” (from Latest in Cardiology).
Study: Is Parkinson’s Care Via Telemedicine as Effective as Going to the Clinic?
26 Aug, 2017 | 20:24h | UTCNational randomized controlled trial of virtual house calls for Parkinson disease – Neurology (link to abstract – $ for full-text)
Press release: Is Parkinson’s Care Via Telemedicine as Effective as Going to the Clinic? – American Academy of Neurology (free)
Commentaries: How Telemedicine Helps Those With Parkinson’s – Huffington Post (free) AND Telemedicine Equals Office Visits in Parkinson’s – MedPage Today (free registration required)
#ESCCongress – CI Versus CABG in Patients With Type 1 Diabetes and Multivessel Disease
27 Aug, 2017 | 20:02h | UTCCI Versus CABG in Patients With Type 1 Diabetes and Multivessel Disease – Journal of The American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Patients With Type 1 Diabetes and Multivessel Disease Have Greater Benefit From CABG Than PCI – American College of Cardiology, Latest in Cardiology (free) AND Revascularization in Patients With Type 1 Diabetes – American College of Cardiology, Latest in Cardiology (free)
CABG Appears Superior to PCI for Patients With Type 1 Diabetes, Multivessel Disease – TCTMD (free)
“The observational findings support existing recommendations favoring surgical revascularization in patients with diabetes” (from TCTMD).


