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Family Medicine

Patients with opioid disorders frequently have other comorbidities

20 Jun, 2017 | 12:30h | UTC

Treating patients with opioid disorders is not just about treating addiction. Here’s why – STAT News (free)

Original analysis: What data from 205 million private health insurance claims reveals about America’s opioid crisis – Amino (free)

 


New colorectal cancer screening guidelines

20 Jun, 2017 | 19:51h | UTC

Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer – Gastrointestinal Endoscopy (free)

Commentaries: Task Force presents new ranking of colorectal cancer screening tests – American Society of Gastrointestinal Endoscopy, via EurekAlert (free) AND Latest Colorectal Cancer Screening Guidelines – Latest Colorectal Cancer Screening Guidelines – GI and Hepatology News (free)

Related: Colorectal Cancer Screening – U.S. Preventive Services Task Force (free)

 


Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management

20 Jun, 2017 | 12:47h | UTC

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association (free)

News Release: Healthcare providers should individualize patient education (free)

AHA statement: Doctors’ orders should include tailored health education for patients (free)

Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)

Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)

 


Richard Lehman’s weekly review of medical journals

20 Jun, 2017 | 12:26h | UTC

Richard Lehman’s weekly review of medical journals, 19 June 2017 – The BMJ Blogs (free)

 


Why overtreatment and overdiagnosis can be bad for your health

20 Jun, 2017 | 12:19h | UTC

Why overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)

 


Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver?

20 Jun, 2017 | 12:20h | UTC

Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver? – AMA Journal of Ethics (free)

“Physicians have an obligation to check in on dementia patients’ caregivers, and provide support if necessary” (RT @JournalofEthics see Tweet)

 


ACR Thyroid Imaging and Reporting

20 Jun, 2017 | 12:09h | UTC

ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee – Journal of the American College of Radiology (free, and legal, PDF via Unpawall)

Commentary: New ultrasound scoring system for thyroid nodules to reduce unnecessary biopsies – University of Alabama at Birmingham, via EurekAlert (free)

 


Incretin based treatments and mortality in patients with type 2 diabetes

20 Jun, 2017 | 12:06h | UTC

Incretin based treatments and mortality in patients with type 2 diabetes: systematic review and meta-analysis – The BMJ (free)

“The current evidence provides no support for the hypothesis that incretin based treatment increases all-cause mortality in patients with type 2 diabetes”

 


Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association

19 Jun, 2017 | 13:00h | UTC

Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association (free PDF)

Invited Commentary: Trimming the Fat on Diet Recommendations for a Healthy Heart: Emphasis on Eating Patterns over Dietary Restrictions (free)

Top Ten Things to Know: Dietary Fats and Cardiovascular Disease: A Presidential Advisory from the American Heart Association (free PDF)

AHA News: Advisory: Replacing saturated fat with healthier fat could lower cardiovascular risks (free)

News release: Replacing saturated fat with healthier fat may lower cholesterol as well as drugs in context of a healthy diet (free)

AHA no longer recommends decreasing total fat, but to replace saturated fats with polyunsaturated or monounsaturated fats. “Replacing saturated fat with healthier fat in the diet lowers cardiovascular disease risk as much as cholesterol-lowering statin drugs”

 


Comparison of sputum collection methods for tuberculosis diagnosis

19 Jun, 2017 | 13:01h | UTC

Comparison of sputum collection methods for tuberculosis diagnosis: a systematic review and pairwise and network meta-analysis – The Lancet Global Health (free)

Invited commentary: Remembering the basics: interventions to improve sputum collection for tuberculosis diagnosis (free)

Pooled sputum collection (sputum that was pooled from each spontaneous expectoration into the same sputum container over a period of several hours) increased the diagnostic performance of smear microscopy 1.6 times and the delivery of standardized instruction emphasizing the difference between sputum and saliva (verbally or visually) increased the odds of a positive microscopy result 1.4 times. “The effect of these simple, inexpensive strategies on diagnostic performance was similar to that of the relatively expensive GeneXpert MTB/RIF test, which, in the largest published studies, increased the odds of diagnosing tuberculosis by 1.3–1.5 times”

 


Evolocumab for Treatment of High Cholesterol: Clinical Effectiveness

19 Jun, 2017 | 12:55h | UTC

Evolocumab for Treatment of High Cholesterol: Clinical Effectiveness (free PDF) (RT @AnilMakam see Tweet 1, Tweet 2, Tweet 3 and Tweet 4)

News release: Institute for Clinical and Economic Review’s “New Evidence Update” on PCKS9 Inhibitors Highlights Lack of Mortality Benefit With Evolocumab (free)

Lack of mortality benefit in a recent large trial is highlighted in this updated review. Se more on the FOURIER trial and commentaries in our March 20th issue, see #2.

 


Racial Differences in the Relationship of Glucose Concentrations and Hemoglobin A1c Levels

19 Jun, 2017 | 12:59h | UTC

Racial Differences in the Relationship of Glucose Concentrations and Hemoglobin A1c Levels – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Glycation of Hemoglobin Differs by Race – Physician’s Briefing (free) AND Hemoglobin A1c Overestimates Average Glucose in Blacks – Medscape (free registration required) AND Why a key diabetes test may work differently depending on your race – CNN (free)

In this study with 104 black patients and 104 white patients with type 1 diabetes, HbA1c values in black persons were 0.4 percentage points higher than those in white persons for a given mean glucose concentration.

 


Free online course. Starts today! Improving the Health of Women, Children and Adolescents

19 Jun, 2017 | 12:58h | UTC

Free online course. Starts today! Improving the Health of Women, Children and Adolescents: from Evidence to Action – London School of Hygiene & Tropical Medicine, via FutureLearn (free)

 


EULAR/EFORT recommendations for the management of fragility fractures

19 Jun, 2017 | 12:54h | UTC

EULAR/EFORT recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures (free)

 


Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

19 Jun, 2017 | 12:57h | UTC

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty (free)

Press release: New Guideline Aims to Reduce Infections in Total Hip & Knee Replacement Patients (free)

Commentaries: New medication guidelines for rheumatic disease patients having joint replacement – Hospital for Special Surgery, via EurekAlert (free) AND New Guidelines Issued on Antirheumatic Drugs for Patients Undergoing Knee or Hip Replacement – Physician’s First Watch (free)

 


Why are doctors killing themselves

19 Jun, 2017 | 12:55h | UTC

Why are doctors killing themselves? – by Anne Malatt, via MJA Insight (free)

Related: Why are doctors plagued by depression and suicide? A crisis comes into focus – STAT News (free)

 


PSA Test for Prostate Cancer

19 Jun, 2017 | 12:50h | UTC

Opinion: Why I Won’t Get a PSA Test for Prostate Cancer – Scientific American (free)

 


Family planning, assisted reproduction, pregnancy and menopause in patients with SLE and/or antiphospholipid syndrome

19 Jun, 2017 | 12:49h | UTC

EULAR recommendations for women’s health and the management of family planning, assisted reproduction, pregnancy and menopause in patients with systemic lupus erythematosus and/or antiphospholipid syndrome (free)

Commentary: EULAR: Guidance for Managing Lupus Pregnancy – MedPage Today (free registration required)

 


Guidelines for the Chronic Use of Opioid Analgesics

19 Jun, 2017 | 12:50h | UTC

Guidelines for the Chronic Use of Opioid Analgesics – Federation of State Medical Boards (FSMB) (free PDF)

Commentary: Chronic Pain Opioid Guidelines Updated for State Medical Boards – Medscape (free registration required)

 


Hundreds died while taking an arthritis drug, but nobody alerted patients

19 Jun, 2017 | 12:47h | UTC

Failure to warn: Hundreds died while taking an arthritis drug, but nobody alerted patients – STAT News (free)

 


Managing epilepsy in women of childbearing age

19 Jun, 2017 | 12:45h | UTC

Managing epilepsy in women of childbearing age – Polish Society of Epileptology and Polish Gynecological Society Guidelines – Ginekologia Polska (free)

 


Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives

16 Jun, 2017 | 01:24h | UTC

Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives – 2017 ASCO Educational Book (free)

 


Chronic Myeloid Leukemia: What Every Practitioner Needs to Know in 2017

16 Jun, 2017 | 01:26h | UTC

Chronic Myeloid Leukemia: What Every Practitioner Needs to Know in 2017 – 2017 ASCO Educational Book (free)

 


American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question

16 Jun, 2017 | 00:59h | UTC

New Choosing Wisely List: American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question (free)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

“Great choosing wisely list from @ASHPOfficial. Great doctoring tips for physicians & trainees” (RT @AnilMakam see Tweet)

 


Age-specific risks, severity, time course, and outcome of bleeding on long-term antiplatelet treatment after vascular events

15 Jun, 2017 | 00:47h | UTC

Age-specific risks, severity, time course, and outcome of bleeding on long-term antiplatelet treatment after vascular events: a population-based cohort study – The Lancet (free)

Invited commentary: Preventing major gastrointestinal bleeding in elderly patients (free)

Commentaries: Aspirin Bleeding Risk in Over 75s Higher Than Thought – Medscape (free registration required) AND Aspirin linked to higher risk of serious bleeding in the elderly – Reuters Health News (free)

In this cohort, the risk of major bleeding increased sharply in patients above 75 years.

 


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