Family Medicine | Page 368 of 374 | Links Medicus Content Curation & Alerts in Medicine

Countering cognitive biases in minimizing low value care

12 May, 2017 | 19:34h | UTC

Review: Countering cognitive biases in minimizing low value care – The Medical Journal of Australia (free)

“How cognitive bias affects clinical decision making and what to do about it. Well written & useful” (RT @carissa_bon and @JulieLeask see Tweet)

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

12 May, 2017 | 19:38h | UTC

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline – The BMJ (free)

Commentaries: This orthopedic surgery is the world’s most common. But patients rarely benefit, a panel says – STAT News (free) AND Guideline Recommends Against Arthroscopy for Most Cases of Degenerative Knee Disease – Journal Watch (free) AND Arthroscopic Surgery Doesn’t Help With Arthritis Knee Pain – NPR Health News (free)

Socioeconomic status as an effect modifier of alcohol consumption and harm

12 May, 2017 | 19:29h | UTC

Socioeconomic status as an effect modifier of alcohol consumption and harm: analysis of linked cohort data – The Lancet Public Health (free)

Invited commentary: Socioeconomic status and susceptibility to alcohol-related harm (free)

Commentary: Poorest at greater risk from heavy drinking, says study – BBC (free)

Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness

12 May, 2017 | 19:36h | UTC

Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care – Annals of Family Medicine (free)

See also: Balance retraining tool used in the study (free)

Commentaries: Online Rehabilitation Program Reduces Chronic Dizziness – Medscape (free registration required) AND Online Intervention Could Reduce Chronic Dizziness – Physician’s First Watch (free)

Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing

11 May, 2017 | 18:37h | UTC

Meta-Analysis of Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing – Journal of The American College of Cardiology (link to abstract – $ for full-text) (source: EvidenceAlerts)

PCI with drug-eluding stents seems to be a safe alternative to CABG in Unprotected Left Main Coronary Artery Stenosis, but it is associated with higher rates of repeat revascularization.

Risk of acute myocardial infarction with NSAIDs

11 May, 2017 | 18:38h | UTC

Risk of acute myocardial infarction with NSAIDs in real world use: bayesian meta-analysis of individual patient data – The BMJ (free)

Commentaries: Meta-Analysis: Just a Week of NSAID Use Tied to Increased Heart Attack Risk – Journal Watch (free) AND Common painkillers linked to increased risk of heart attack, study says – CNN (free) All NSAIDs Linked to Increased MI Risk – Medscape (free registration required)

Another study suggesting NSAIDs may be associated with increased cardiovascular risk.

Ten Principles of Good Prescribing

11 May, 2017 | 18:42h | UTC

Ten Principles of Good Prescribing – by J K Aronson, Centre for Evidence-Based Medicine (CEBM) (free)

Milk and dairy consumption and risk of cardiovascular diseases and all-cause mortality

10 May, 2017 | 18:27h | UTC

Meta-analysis: Milk and dairy consumption and risk of cardiovascular diseases and all-cause mortality: dose–response meta-analysis of prospective cohort studies – European Journal of Epidemiology (free)

Source: Eating cheese does not raise risk of heart attack or stroke, study finds – The Guardian (free)

Dairy seems to be neutral regarding risks of cardiovascular diseases and all-cause mortality.

Mortality from different causes associated with meat, heme iron, nitrates, and nitrites

10 May, 2017 | 18:28h | UTC

Meta-analysis: Mortality from different causes associated with meat, heme iron, nitrates, and nitrites in the NIH-AARP Diet and Health Study: population based cohort study – The BMJ (free)

High intakes of red and processed meat are associated with increased risks of all-cause mortality and death due to nine different causes.

Screening for Thyroid Cancer: USPSTF Recommendation Statement

10 May, 2017 | 18:29h | UTC

Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Editorial 1: The USPSTF Recommendation on Thyroid Cancer Screening: Don’t “Check Your Neck” (free)

Editorial 2: Cancer Screening, Overdiagnosis, and Regulatory Capture (free)

Editorial 3: How to Look for Thyroid Cancer (free)

Commentaries: No Symptoms, No Thyroid Screening, Says USPSTF – Medscape (free registration required) AND Don’t Screen For Thyroid Cancer, Task Force Says – NPR Health News (free) AND USPSTF Says No to Thyroid Cancer Screening – MedPage Today (free registration required)

The USPSTF recommended against screening for thyroid cancer in asymptomatic adults with “grade D” recommendation (Grade D = “The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits”).

Guideline for opioid therapy and chronic noncancer pain

10 May, 2017 | 18:26h | UTC

Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free) (RT @IrfanDhalla and @jendlake see Tweet)

Approach to the Patient with Hematochezia

9 May, 2017 | 20:43h | UTC

Review: Approach to the Patient with Hematochezia – Mayo Clinic Proceedings (free) (RT @HMVJC)

Noncommunicable diseases: the slow-motion disaster

9 May, 2017 | 18:21h | UTC

Noncommunicable diseases: the slow-motion disaster – World Health Organization (free)

Source: Noncommunicable Diseases: A Global ‘Slow-Motion Disaster’ – Medscape (free registration required)

Type 2 diabetes in adults: management – NICE Guideline

9 May, 2017 | 20:44h | UTC

Type 2 diabetes in adults: management – Updated National Institute for Health and Care Excellence (NICE – UK) Guideline (free)

Atrial Fibrillation: Epidemiology, Pathophysiology, and Clinical Outcomes

9 May, 2017 | 18:17h | UTC

Review: Atrial Fibrillation: Epidemiology, Pathophysiology, and Clinical Outcomes – Circulation Research (free)

Fever of unknown origin (FUO) revised

9 May, 2017 | 20:42h | UTC

Review: Fever of unknown origin (FUO) revised – Wiener klinische Wochenschrift (free) (RT @HMVJC)

New Osteoporosis Guidelines from ACP

9 May, 2017 | 18:19h | UTC

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update from the American College of Physicians – Annals of Internal Medicine (free)

Commentaries: ACP Updates Guidelines on Treating Low Bone Density, Osteoporosis – Physician’s First Watch (free) AND New ACP Guidelines on the Treatment of Osteoporosis – Medscape (free registration required)

Reducing inappropriate prescribing easier said than done

6 May, 2017 | 20:37h | UTC

Reducing inappropriate prescribing easier said than done – CMAJ News (free)

Related: Canadian Deprescribing Network (CaDeN) (free)

AND CaDeN Deprescribing Guidelines and Algorithms (free) AND Deprescribing guidelines for the elderly – Ontario Pharmacy Evidence Network(free)

Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images

6 May, 2017 | 20:34h | UTC

Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017 – Radiology (free)

Source: Management of Pulmonary Nodules Found Incidentally on Computed Tomography Scans – Journal Watch (free)

Incidental pulmonary nodules discovered outside the context of screening or cancer follow-up are increasingly common in clinical practice. The purpose of these updated recommendations is to reduce the number of unnecessary follow-up examinations while providing practical guidance on follow-up intervals for selected larger nodules.

Cardiac Patients in Trials Don’t Reflect Real-World Populations – MedPage Today

6 May, 2017 | 20:39h | UTC

Research letter: Applicability of the IMPROVE-IT Trial to Current Patients With Acute Coronary Syndrome – JAMA Internal Medicine (link to abstract – $ for full text)

Source: Cardiac Patients in Trials Don’t Reflect Real-World Populations – MedPage Today (free registration required)

Patients in clinical trials are often younger, healthier (with less comorbidities), better plugged in to the health care system, better educated and wealthier, indicating that the external validity or generalizability of much of the current evidence to real-world settings may be relatively weak.

USPSTF recommendations: A 2017 roundup

6 May, 2017 | 20:36h | UTC

USPSTF recommendations: A 2017 roundup – Journal of Family Practice

Multiple-micronutrient supplementation for women during pregnancy

5 May, 2017 | 20:26h | UTC

Multiple-micronutrient supplementation for women during pregnancy – Cochrane Library (free summary – $ for full-text)

See also a recent landmark study on the subject in our March 27^th issue, see #9.

Source: EvidenceAlerts

The findings of this systematic review support the effect of Multiple-micronutrient supplements with iron and folic acid in improving some birth outcomes.

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing

4 May, 2017 | 20:14h | UTC

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing – JAMA (link to abstract – $ for full-text)

Commentaries: Doctors Prescribe More Generics When Drug Reps Are Kept At Bay – NPR (free) AND Limiting Interactions with Pharma Reps Cuts Brand Name Drug Prescriptions – Physician’s First Watch (free)

Alternate-day fasting does not seem to lead to greater weight loss

3 May, 2017 | 17:26h | UTC

Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free)

Commentaries: Fasting Studies Clash With Our Desire To Eat What We Want, When We Want It – NPR Health News (free) AND Fasting Every Other Day Does Not Lead to Greater Weight Loss – Physician’s First Watch (free) AND Same Weight Loss With Alternate-Day Fasting vs Cutting Calories – Medscape (free registration required) AND Alternate-Day Fasting Doesn’t Lead to Speedier Weight Loss – MedPage Today (free registration required)

Randomized trial with 100 patients showed no difference in weight loss between alternate-day fasting versus calorie restriction.

Urinary catheter care: what does the evidence say?

4 May, 2017 | 20:12h | UTC

Urinary catheter care: what does the evidence say? – Cochrane Library (free)

“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.

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