Family Medicine
American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely
23 May, 2017 | 14:24h | UTCSee also: Complete American Urological Association list with 15 Things Physicians and Patients Should Question – Choosing Wisely (free)
Directly Observed Therapy for Multidrug-Resistant TB Decreases Mortality
23 May, 2017 | 14:29h | UTC#ATS2017 – Directly Observed Therapy for Multidrug-Resistant TB Decreases Mortality – ATS 2017 Conference (free summary)
Directly Observed Therapy (DOT) for multidrug-resistant tuberculosis (MDR TB) was associated with a 77 percent decrease in mortality in observational study.
Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery
23 May, 2017 | 14:25h | UTCReoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text)
Commentaries: Following gastric band surgery, device-related reoperation common, costly – Science Daily (free) AND Safety, Effectiveness of Gastric Banding Called Into Question – Medscape (free registration required) AND 1 In 5 Gastric Band Surgeries Require Corrective Operations – American Council on Science and Health (free)
Science Has Begun Taking Gluten Seriously
19 May, 2017 | 18:06h | UTCScience Has Begun Taking Gluten Seriously – The Atlantic (free)
Original article: Long term gluten consumption in adults without celiac disease and risk of coronary heart disease: prospective cohort study – The BMJ (free)
“New research from Harvard and Columbia says gluten does not cause heart disease. Why is that even a question?”
Guidelines on eosinophilic esophagitis
23 May, 2017 | 14:26h | UTC
Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults
19 May, 2017 | 17:52h | UTCAerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults – New England Journal of Medicine (link to abstract – $ for full-text)
Quick Take Video Summary: Exercise and Dieting in Obese Older Adults (free)
Commentary: Aerobic Plus Resistance Exercise Best for Obese Older Adults – MedPage Today (free)
Position Paper – Prevention and Treatment of Substance Use Disorders
19 May, 2017 | 17:56h | UTCNews release: ACP issues recommendations to prevent and treat substance use disorders (free)
Commentary: Treat Addiction Like a Chronic Disease, ACP Recommends – AJMC (free)
Pressure ulcer prevention and treatment
19 May, 2017 | 17:53h | UTCPressure ulcer prevention and treatment. Is ‘best practice’ evidence-based? – Cochrane Blogs: Evidence for Everyday Nursing (free) (RT @CochraneUK see Tweet)
Evidence for the treatment of pressure ulcers reviewed.
Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth
18 May, 2017 | 17:47h | UTCSystematic Review: Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth – Cochrane Library(link to summary)
Source: A dose of corticosteroids benefit most women anticipating a preterm delivery – NIHR Dissemination Centre Discover Portal (free)
Long-term oxygen therapy shows no benefit for moderate lung disease
18 May, 2017 | 17:51h | UTCLong-term oxygen therapy shows no benefit for moderate lung disease – NIHR Signal: Dissemination Centre Discover Portal (free)
Original article: A Randomized Trial of Long-Term Oxygen for COPD with Moderate Desaturation – New England Journal of Medicine (free)
Patients with stable COPD and moderate resting desaturation (Spo2, 89 to 93%) or moderate exercise-induced desaturation (during the 6-minute walk test, Spo2 ≥80% for ≥5 minutes and <90% for ≥10 seconds) don’t seem to benefit from supplemental oxygen therapy.
New Advice to Move More After a Concussion
19 May, 2017 | 17:55h | UTCNew Advice to Move More After a Concussion – The New York Times (10 articles per month are free)
Related: Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 – British Journal of Sports Medicine (free) AND So, Tom Brady had a concussion. What does that mean? Your guide to the latest science – STAT News (free)
How to rein in the widening disease definitions that label more healthy people as sick
17 May, 2017 | 20:19h | UTCViewpoint: How to rein in the widening disease definitions that label more healthy people as sick – The Conversation (free)
Cough in Children – Chest Guidelines
17 May, 2017 | 20:21h | UTCCough in Children – Chest Guidelines
Use of Management Pathways or Algorithms in Children With Chronic Cough: CHEST Guideline and Expert Panel Report (free) AND Management of Children With Chronic Wet Cough and Protracted Bacterial Bronchitis: CHEST Guideline and Expert Panel Report (free)
See also other recent CHEST guidelines on the management of cough in Adults: Chronic Cough Due to Gastroesophageal Reflux in Adults (free) AND Symptomatic Treatment of Cough Among Adult Patients With Lung Cancer (free) AND / Cough in the athlete (free) AND / Occupational and Environmental Contributions to Chronic Cough in Adults (free) AND / Treatment of Unexplained Chronic Cough (free)
Therapeutic Approach to Adult Fibrotic Lung Diseases
17 May, 2017 | 20:15h | UTCTherapeutic Approach to Adult Fibrotic Lung Diseases – Chest (free)
Source: Hospital Medicine Virtual Journal Club
Global accelerated action for the health of adolescents
17 May, 2017 | 20:22h | UTCNews release: More than 1.2 million adolescents die every year, nearly all preventable – World Health Organization (free)
Commentaries: How Many Teenagers Die Each Day … And Why – NPR Goats and Soda (free) AND 1.2 million adolescents’ deaths mostly preventable, report says – CNN (free) AND Pregnancy problems are leading global killer of females aged 15 to 19 – The Guardian (free) AND Road accidents biggest global killer of teenagers – BBC News (free)
See also recently released Lancet Series making a case for global investment in the capabilities of adolescents, see #2.
Menopausal Hormone Therapy for Prevention of Chronic Conditions
17 May, 2017 | 20:18h | UTCDraft Recommendation Statement: Menopausal Hormone Therapy: Primary Prevention of Chronic Conditions – U.S. Preventive Services Task Force (free)
Source: USPSTF Recommendation Against HRT for Chronic Conditions Stands – Medscape (free registration required)
“The USPSTF recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women”.
Intra-articular triamcinolone not effective for knee osteoarthritis
17 May, 2017 | 20:16h | UTCAuthor interview video: Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis (free)
JAMA report video: Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis (free)
Source: Study: Intra-articular triamcinolone not effective for symptomatic knee osteoarthritis – Healio Rheumatology (free)
Cardiovascular events and all-cause mortality associated with sulphonylureas compared with other antihyperglycaemic drugs
16 May, 2017 | 20:07h | UTCSource: Review: Sulfonylureas are associated with overall mortality and CV events vs other antihyperglycemics – ACP Diabetes Monthly (free)
Prevalence of Elevated Cardiovascular Risks in Young Adults
16 May, 2017 | 20:06h | UTCPrevalence of Elevated Cardiovascular Risks in Young Adults: A Cross-sectional Analysis of National Health and Nutrition Examination Surveys – Annals of Internal Medicine (link to abstract – $ for full-text)
Source: Study Assesses ASCVD Risk in Non-Diabetic Adults – American College of Cardiology, Latest in Cardiology (free)
In the absence of diabetes, smoking or hypertension, most adult men younger than 40 years and adult women younger than 50 years are at low risk of cardiovascular disease (defined as < 5% in 10 years, usually not eligible for statin therapy) and may not benefit from cholesterol screening.
Measuring the Burden of Medications in Older Adults near the End of Life
16 May, 2017 | 20:00h | UTCSee related study on the use of Medications of Questionable Benefit at the End of Life in our April 10th issue, see #8 and Deprescribing guidelines for elderly in our May 8th issue, see #4.
Source: Patient often prescribed potentially futile drugs in their final months of life – Science Daily (free)
“Nearly half of older adults in Sweden take 10 or more medications in their last months of life” (from Science Daily)
Hip fracture guideline
15 May, 2017 | 19:45h | UTCGuideline: Hip fracture: management – National Institute for Health and Care Excellence (NICE – UK) (free)
Review: Hepatic encephalopathy
16 May, 2017 | 19:58h | UTCReview: Hepatic encephalopathy – Gastroenterology Report (free)
Source: Critical Care Reviews Newsletter
Treatment Deintensification Is Uncommon in Adults With Type 2 Diabetes Mellitus
15 May, 2017 | 19:43h | UTCTreatment Deintensification Is Uncommon in Adults With Type 2 Diabetes Mellitus: A Retrospective Cohort Study – Circulation: Cardiovascular Quality and Outcomes (link to abstract – $ for full-text)
Source: Treatment deintensification uncommon in type 2 diabetes – ACP Internist (free)
Editorial: Diabetes Mellitus Treatment Deintensification: When Well-Controlled Diabetes Mellitus Becomes Overcontrolled (free)
Deprescribing proton pump inhibitors guideline
15 May, 2017 | 19:45h | UTCSee more on “Deprescribing” in our May 9th issue (see #7) and in our May 8th issue (see #4)
Peripheral Artery Disease Guideline
15 May, 2017 | 19:40h | UTC2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines – Journal of the American College of Cardiology (free, and legal, PDF via Unpawall)