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Gynecology & Obstetrics (all articles)

Review: Phenotype‐directed management of hypertension in pregnancy.

16 Mar, 2022 | 08:53h | UTC

Phenotype‐Directed Management of Hypertension in Pregnancy – Journal of the American Heart Association

 

RCT: A preconception lifestyle intervention for weight loss did not improve fertility rates among women with obesity and infertility.

15 Mar, 2022 | 08:34h | UTC

Effects of preconception lifestyle intervention in infertile women with obesity: The FIT-PLESE randomized controlled trial – PLOS Medicine

Commentary: Weight loss doesn’t help pregnancy chances, study finds – University of Virginia Health System

 

Guideline: The use of antenatal corticosteroids for fetal maturation.

15 Mar, 2022 | 08:43h | UTC

The use of antenatal corticosteroids for fetal maturation: clinical practice guideline by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine foundation – Journal of Perinatal Medicine

 

Choosing Wisely Canada: Canadian fertility and andrology society’s list of top items physicians and patients should question in fertility medicine.

14 Mar, 2022 | 01:23h | UTC

Choosing Wisely Canada: Canadian fertility and andrology society’s list of top items physicians and patients should question in fertility medicine – Archives of Gynecology and Obstetrics (if the link is paywalled, try this one)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 

Bioethics | The rupture of anonymity for sperm donors—a tangled web of conflicting rights.

14 Mar, 2022 | 00:49h | UTC

The rupture of anonymity for sperm donors—a tangled web of conflicting rights – The BMJ

 

Commentary on Twitter

 

Management and care of patients with invasive cervical cancer: ASCO resource-stratified guideline rapid recommendation update.

14 Mar, 2022 | 00:40h | UTC

Management and Care of Patients With Invasive Cervical Cancer: ASCO Resource-Stratified Guideline Rapid Recommendation Update – JCO Global Oncology

News Release: ASCO Guideline Recommends Addition of Monoclonal Antibody to Invasive Cervical Cancer Management – ASCO Daily News

 

RCT: Methenamine Hippurate (a non-antibiotic preventive treatment) is noninferior to prophylactic antibiotics for treating recurrent urinary tract infections in women.

11 Mar, 2022 | 10:21h | UTC

Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women: multicentre, open label, randomised, non-inferiority trial – The BMJ

News Release: Antiseptic drug as good as antibiotics for preventing recurrent urinary tract infections – BMJ Newsroom

Editorial: Methenamine hippurate for recurrent urinary tract infections – The BMJ

Commentaries:

Trial supports antibiotic alternative for recurrent urinary infections – CIDRAP

Nonantibiotic Prophylaxis Noninferior for Recurrent UTI – HealthDay

 

Commentary on Twitter

https://twitter.com/bmj_latest/status/1501800030608494596

 

Retrospective Cohort Study: Frequency and outcomes of MRI-detected axillary adenopathy following COVID-19 vaccination.

11 Mar, 2022 | 10:05h | UTC

Frequency and outcomes of MRI-detected axillary adenopathy following COVID-19 vaccination – European Radiology

Related:

Regional lymphadenopathy following COVID-19 vaccination: Literature review and considerations for patient management in breast cancer care.

2 Case Series and Guidance | Lymphadenopathy in COVID-19 Vaccine Recipients

Axillary lymphadenopathy at the time of COVID-19 vaccination: ten recommendations from the European Society of Breast Imaging.

Covid-19: Schedule breast screening before vaccine or 4 to 6 weeks after to avoid false positives, says guidance

 

WHO issues new guidelines on abortion to help countries deliver lifesaving care.

11 Mar, 2022 | 09:56h | UTC

News Release: WHO issues new guidelines on abortion to help countries deliver lifesaving care – World Health Organization

See Guidance: Abortion care guideline – World Health Organization

Commentary: New WHO Abortion Guidelines Include Telemedicine for First Time – Health Policy Watch

 

Commentary on Twitter (thread – click for more)

 

RCT: Overall survival with Ribociclib plus Letrozole in advanced breast cancer.

11 Mar, 2022 | 09:47h | UTC

Overall Survival with Ribociclib plus Letrozole in Advanced Breast Cancer – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries:

Ribociclib plus endocrine therapy offers survival benefit for postmenopausal patients with metastatic breast cancer – University of Texas MD Anderson Cancer Center / News Medical

Adding Ribociclib to Letrozole Prolongs Survival in Advanced Breast Cancer – HealthDay

 

Breast cancer risk evaluation for the primary care physician.

10 Mar, 2022 | 10:30h | UTC

Breast cancer risk evaluation for the primary care physician – Cleveland Clinic Journal of Medicine

 

Mapping systematic reviews of breast cancer survivorship interventions.

10 Mar, 2022 | 10:16h | UTC

Mapping Systematic Reviews of Breast Cancer Survivorship Interventions: A Network Analysis – Journal of Clinical Oncology

 

Commentary on Twitter

 

M-A: Association between maternal thyroid function and risk of gestational hypertension and pre-eclampsia.

9 Mar, 2022 | 08:38h | UTC

Association between maternal thyroid function and risk of gestational hypertension and pre-eclampsia: a systematic review and individual-participant data meta-analysis – The Lancet Diabetes & Endocrinology (link to abstract – $ for full-text)

 

Commentary on Twitter

 

New research finds breast cancer overdiagnosis not as common as previously thought.

7 Mar, 2022 | 00:36h | UTC

Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort – Annals of Internal Medicine (link to abstract – $ for full-text)

How often is breast cancer overdiagnosed? New research finds true cases far outweigh false alarms – STAT

Breast cancer overdiagnosis may not happen as frequently as previously thought – ACP Internist

 

Systematic Review: Routine vaginal examinations compared to other methods for assessing progress of labor to improve outcomes for women and babies at term.

6 Mar, 2022 | 23:44h | UTC

Routine vaginal examinations compared to other methods for assessing progress of labour to improve outcomes for women and babies at term – Cochrane Library

Summary: Routine vaginal examinations in labour – Cochrane Library

 

Cancer risks other than female breast and ovarian cancers associated with BRCA1 and BRCA2 pathogenic variants.

3 Mar, 2022 | 08:14h | UTC

Cancer Risks Associated With BRCA1 and BRCA2 Pathogenic Variants – Journal of Clinical Oncology

Commentary: Faulty BRCA genes linked to prostate and pancreatic cancers – University of Cambridge

 

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Related:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

RCT: Referral for early, supported exercise after breast cancer surgery improves shoulder function and health-related quality of life.

1 Mar, 2022 | 08:50h | UTC

Abstract: Exercise to prevent shoulder problems after breast cancer surgery: the PROSPER RCT – Health Technology Assessment

Full Report: Exercise to prevent shoulder problems after breast cancer surgery: the PROSPER RCT – Health Technology Assessment

Related: RCT: Prophylactic Use of Compression Sleeves Reduces the Incidence of Arm Swelling in Women at High Risk of Breast Cancer–Related Lymphedema.

 

M-A: Fetal and maternal outcomes after maternal biologic use during conception and pregnancy.

25 Feb, 2022 | 10:43h | UTC

Fetal and maternal outcomes after maternal biologic use during conception and pregnancy: a systematic review and meta-analysis – BJOG

 

Acute pancreatitis in pregnancy: meta-analysis of maternal and fetal outcomes.

25 Feb, 2022 | 10:39h | UTC

Acute pancreatitis in pregnancy: meta-analysis of maternal and fetal outcomes – British Journal of Surgery

 

Commentary on Twitter

 

Mortality from congenital Zika Syndrome — nationwide cohort study in Brazil.

24 Feb, 2022 | 10:18h | UTC

Mortality from Congenital Zika Syndrome — Nationwide Cohort Study in Brazil – New England Journal of Medicine

 

SMFM Guidance: Use of analgesia and anesthesia for maternal-fetal procedures.

24 Feb, 2022 | 10:10h | UTC

Society for Maternal-Fetal Medicine Consult Series #59: The use of analgesia and anesthesia for maternal-fetal procedures – American Journal of Obstetrics and Gynecology

 

Screening Algorithms in Dense Breasts: AJR Expert Panel Narrative Review.

24 Feb, 2022 | 10:11h | UTC

Screening Algorithms in Dense Breasts: AJR Expert Panel Narrative Review – American Journal of Roentgenology

 

M-A: Secondary cytoreductive surgery in platinum-sensitive recurrent ovarian cancer.

24 Feb, 2022 | 10:02h | UTC

Secondary Cytoreductive Surgery in Platinum-Sensitive Recurrent Ovarian Cancer: A Meta-Analysis – Journal of Clinical Oncology (link to abstract – $ for full-text)

Commentary: Meta-Analysis Affirms Survival Benefit of Second Surgery in Ovarian Cancer — Mortality decreased with rising rates of complete, optimal cytoreduction at recurrence – MedPage Today (free registration required)

Related:

RCT: Cytoreductive surgery for relapsed ovarian cancer.

Guide to enhanced recovery for cancer patients undergoing surgery: ERAS for Patients Undergoing Cytoreductive Surgery with or Without hyperthermic intraperitoneal chemotherapy.

 

WHO/UNICEF: More than half of parents and pregnant women exposed to aggressive formula milk marketing.

23 Feb, 2022 | 10:42h | UTC

More than half of parents and pregnant women exposed to aggressive formula milk marketing – WHO, UNICEF – World Health Organization

Commentary: Aggressive’ marketing of formula milk flouts code, warns WHO as it urges curbs – The Guardian

 

Commentary on Twitter

 

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