Family Medicine
Preventing Cognitive Decline and Dementia
23 Jun, 2017 | 00:57h | UTCReport: Preventing Cognitive Decline and Dementia: A Way Forward – The National Academies of Sciences, Engineering, and Medicine (free PDF)
Commentaries: When it comes to preventing dementia, not much is proved to work, says expert committee – STAT News (free) AND National Academies Committee Sees Promising but Inconclusive Evidence on Interventions to Prevent Cognitive Decline, Dementia – National Institute on Aging (free)
Co-morbid OSA and insomnia increases depression prevalence and severity in men
23 Jun, 2017 | 00:55h | UTCCo-morbid OSA and insomnia increases depression prevalence and severity in men – Respirology (link to abstract – $ for full-text)
Commentaries: Combo of sleep apnea and insomnia linked to depression in men – Forbes (free) AND Sleep apnea and insomnia combination linked with depression – Wiley, via EurekAlert (free)
Cardiopulmonary resuscitation – 30:2 or just keep going?
22 Jun, 2017 | 15:30h | UTCCardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)
“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.
Every Newborn Action Plan – World Health Organization
22 Jun, 2017 | 01:55h | UTCEvery Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)
Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)
Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.
An update on Zika virus infection
22 Jun, 2017 | 15:20h | UTCAn update on Zika virus infection – The Lancet (free registration required)
“Update on Zika virus infection (2017): review focuses on important updates & gaps in the knowledge” (RT @TheLancet see Tweet)
Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question
21 Jun, 2017 | 21:34h | UTCObstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)
“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology”
Hormone therapy position statement of The North American Menopause Society
21 Jun, 2017 | 18:44h | UTCPosition Statement: The 2017 hormone therapy position statement of The North American Menopause Society (free PDF)
Commentaries: Hormone Therapy: Updated Position Statement Released – Physician’s First Watch (free) AND NAMS 2017 position statement updates guidelines for hormone therapy use – The North American Menopause Society (NAMS), via EurekAlert (free)
Acupuncture for analgesia in the emergency department
21 Jun, 2017 | 19:01h | UTCAcupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial – Medical Journal of Australia (link to abstract – Free PDF here) (RT @theMJA see Tweet)
Positive commentaries: Acupuncture Found to Be an Effective Analgesia Option in ER – PracticeUpdate (free registration required) AND Acupuncture relieves pain in emergency patients: Study – RMIT University, via ScienceDaily (free)
“Not so fast” commentaries: Acupuncture in the ER: No, study did not prove it was ‘safe and effective’ – HealthNewsReview (free)AND A skeptical look at a study of acupuncture delivered in emergency rooms, by James C Coyne (free)
The Challenge of Polypharmacy
21 Jun, 2017 | 15:10h | UTCA medicine review is about stopping medicine as much as it is about prescribing – Royal Pharmaceutical Society of Great Britain (free) (RT @MaryanneDemasi see Tweet)
Original report: The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF)
Related: Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)
Yoga, Physical Therapy, or Education for Chronic Low Back Pain
21 Jun, 2017 | 02:13h | UTCYoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Yoga Vs. Physical Therapy For Chronic Low Back Pain: Which Is More Effective? – Forbes (free) AND Yoga Noninferior to Physical Therapy for Low Back Pain – Physician’s First Watch (free) AND Yoga as Good for Low Back Pain as Physical Therapy – Medscape (free registration required)
Corticosteroids not helpful for acute urticaria
21 Jun, 2017 | 02:12h | UTCCommentaries: No Benefit From Corticosteroids for Acute, Simple Urticaria – Medscape (free registration required) AND Got hives? Hold the steroids – American College of Emergency Physicians, via EurekAlert (free)
Screening for Obesity in Children and Adolescents
21 Jun, 2017 | 02:19h | UTCEditorial 1: Putting the US Preventive Services Task Force Recommendation for Childhood Obesity Screening in Context (free)
Editorial 2: Practical Considerations for the US Preventive Services Task Force Recommendations on Obesity in Children and Adolescents (free)
Author interview: USPSTF Recommendation: Screening for Obesity in Children and Adolescents (free audio)
The JAMA Network – for the media: Screening for Obesity in Children and Adolescents Recommended (free)
Commentary: USPSTF Recommends Screening For Obesity in Children and Adolescents – American College of Cardiology, Latest in Cardiology (free)
“The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status”
Your vitamin D tests and supplements are probably a waste of money
21 Jun, 2017 | 02:08h | UTCYour vitamin D tests and supplements are probably a waste of money – VOX (free)
Related: Why Are So Many People Popping Vitamin D? – The New York Times (10 articles per month are free)
“Screening for vitamin D has exploded — with no good evidence that it helps people.”
Review: Differentiating lower motor neuron syndromes
20 Jun, 2017 | 19:09h | UTC
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCSimplifying Prenatal Care for Low-Risk Patients
20 Jun, 2017 | 18:12h | UTCHow Mayo Clinic Is Simplifying Prenatal Care for Low-Risk Patients – Harvard Business Review (a few articles per month are free)
“Prenatal care model makes mothers-to-be active participants while reducing costs & time commitment” (RT @MayoClinic see Tweet)
Glucose targets for preventing diabetic kidney disease and its progression
20 Jun, 2017 | 12:49h | UTCGlucose targets for preventing diabetic kidney disease and its progression – Cochrane Library (link to summary – $ for full review)
Sources: EvidenceAlerts and @anupam1623
Intensive glycemic control had no effect on risks of kidney failure, death and major cardiovascular events. “The clinical impact of targeting an HbA1c < 7% or blood glucose < 6.6 mmol/L (120 mg/dL) is unclear and the potential harms of this treatment approach are largely unmeasured.
Patients with opioid disorders frequently have other comorbidities
20 Jun, 2017 | 12:30h | UTCTreating 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 | UTCCommentaries: 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 | UTCNews 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 | UTCRichard 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 | UTCWhy 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 | UTCWho 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 | UTCACR 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“The current evidence provides no support for the hypothesis that incretin based treatment increases all-cause mortality in patients with type 2 diabetes”