Internal Medicine
CDC Study: Sexually Active MSM Should be Screened at Least Annually for Chlamydia and Gonorrhea
12 Apr, 2019 | 01:40h | UTCCommentary: 1 in 8 MSM Tested Positive for STIs in Throat, Rectum – NEJM Journal Watch (free)
Observational Study Suggests Positive Airway Pressure Therapy May Reduce Mortality in Sleep Apnea
12 Apr, 2019 | 01:38h | UTCAssociation of Positive Airway Pressure Prescription With Mortality in Patients With Obesity and Severe Obstructive Sleep Apnea: The Sleep Heart Health Study – JAMA Otolaryngology Head Neck Surgery (free for a limited period)
Commentaries: Positive Airway Pressure and Survival in Patients With Obstructive Sleep Apnea – JAMA Otolaryngology Head Neck Surgery (free) AND Positive Airway Pressure Might Reduce Mortality in Sleep Apnea – NEJM Journal Watch (free)
Related: Pro/Con Debate: Should Asymptomatic Patients with Moderate-to-severe OSA be Treated? (free)
Long term randomized trials are required to better address this issue.
Overt and Subclinical Hypothyroidism in the Elderly: When to Treat?
12 Apr, 2019 | 01:26h | UTCOvert and Subclinical Hypothyroidism in the Elderly: When to Treat? – Frontiers in Endocrinology (free)
Related: Hypothyroidism in the Elderly: Who Should Be Treated and How? (free) AND Meta-Analysis: Treating Subclinical Hypothyroidism is Not Associated with Quality of Life and Thyroid-Related Symptoms (free) AND Review: Pitfalls on the Replacement Therapy for Hypothyroidism (free) AND Subclinical Hypothyroidism: When to Treat (free) AND Randomized Trial: Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism (free study and commentary)
Cohort Study: 5α-reductase Inhibitors Linked to Increased Risk of Type 2 Diabetes
11 Apr, 2019 | 00:34h | UTCCommentary: Reducing the risk of type 2 diabetes in men with benign prostatic hyperplasia—old steroids, new tricks – The BMJ Opinion (free)
JAMA Guideline Synopsis: 2018 AHA/ACC Guideline on the Management of Blood Cholesterol: Primary Prevention
11 Apr, 2019 | 00:33h | UTCGuideline Synopsis: 2018 American Heart Association / American College of Cardiology Multisociety Guideline on the Management of Blood Cholesterol: Primary Prevention – JAMA Cardiology (free for a limited period)
Four Cases of Cholesterol Management Informed by the 2018 AHA/ACC Guideline on the Management of Blood Cholesterol
11 Apr, 2019 | 00:31h | UTCFour Cases of Cholesterol Management Informed by the 2018 American Heart Association / American College of Cardiology Multisociety Guideline on the Management of Blood Cholesterol – JAMA Cardiology (free for a limited period)
Systematic Review: Non‐invasive Positive Pressure Ventilation for Cardiogenic Pulmonary Edema
10 Apr, 2019 | 06:12h | UTCNon‐invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema – Cochrane Library (free)
Summary: A breathing intervention for shortness of breath due to heart failure – Cochrane Library (free)
The Perioperative Care of Older Patients: Time for a New, Interdisciplinary Approach
10 Apr, 2019 | 06:07h | UTCRelated: Optimal Perioperative Management of the Geriatric Patient: A Best Practices Guideline from the American College of Surgeons NSQIP and the American Geriatrics Society (free) AND Peri‐operative optimisation of elderly and frail patients: a narrative review – Anaesthesia (free) AND Surgical Guidelines for Perioperative Management of Older Adults: What Geriatricians Need to Know – Journal of The American Geriatrics Society (free) AND Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland (free)
Review: Unusual Effects of Common Antibiotics
10 Apr, 2019 | 06:00h | UTCUnusual Effects of Common Antibiotics – Cleveland Clinic Journal of Medicine (free)
Ann Robinson’s research reviews – 9 April 2019
10 Apr, 2019 | 06:05h | UTCAnn Robinson’s research reviews, 9 April 2019 – The BMJ Opinion (free)
Ann Robinson reviews the latest research from the top medical journals.
Cohort Study: Supplements and Vitamins Do Not Lower Mortality Risk
10 Apr, 2019 | 05:58h | UTCAssociation Among Dietary Supplement Use, Nutrient Intake, and Mortality Among U.S. Adults: A Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Nutrients from food, not supplements, linked to lower risks of death, cancer – Tufts University (free) AND Taking Vitamins Doesn’t Seem to Lower Mortality Risk – NEJM Journal Watch (free) AND Elevated cancer risk linked to excessive calcium intake, study says – UPI (free) AND Expert reaction to nutrient intake, dietary supplement use and mortality in the US – Science Media Centre (free)
Related: The Multivitamin Industry Rakes in Billions of Dollars. But Science Says We’re Not Getting Healthier (free commentary)
Podcast: Rheumatoid Arthritis for the Internist
9 Apr, 2019 | 02:14h | UTC#147 Rheumatoid Arthritis for the Internist – The Curbsiders Internal Medicine Podcast (free audio and summary)
ACP Guideline: Screening for Breast Cancer in Average-Risk Women
9 Apr, 2019 | 02:26h | UTCSummary for Patients: Breast Cancer Screening in Average-Risk Women (free)
News Release: ACP issues guidance statement for breast cancer screening of average-risk women (free)
Commentaries: ACP Guideline Discourages Breast Cancer Screening for Average-Risk Women in Their 40s – NEJM Journal Watch (free) AND Most women need mammograms every other year starting at 50 – Reuters (free)
Related Guidelines: Breast Cancer: Screening – U.S.Preventive Services Task Force (free) AND New Canadian Recommendations on Screening for Breast Cancer (free) AND American Cancer Society Breast Cancer Screening Guideline (free) AND Breast Cancer Risk Assessment and Screening in Average-Risk Women – American College of Obstetricians and Gynecologists (free) AND Recommendations from European Breast Guidelines (free)
BMJ Review: Depression in Primary Care
9 Apr, 2019 | 02:11h | UTCState of the Art Review: Depression in primary care: part 1—screening and diagnosis – The BMJ (free for a limited period)
Depression in primary care: part 2—management
Related Commentary on Twitter
#BMJInfographic Managing depression—this visual summary provides a guide to options for primary care. Click here to see the interactive version: https://t.co/6LpVKsMYxs @will_s_t pic.twitter.com/dZVsiwkNPF
— The BMJ (@bmj_latest) April 8, 2019
Review: Tailoring the Approach to Embolic Stroke of Undetermined Source
9 Apr, 2019 | 02:09h | UTCTailoring the Approach to Embolic Stroke of Undetermined Source: A Review – JAMA Neurology (free for a limited period)
Case Report: Use of Vitamin D Drops Leading to Kidney Failure in a 54-year-old Man
9 Apr, 2019 | 02:07h | UTC“Vitamin D toxicity is rare, but clinicians must be aware of the risks of vitamin D use to limit complications related to hypercalcemia”.
Randomized Trial: 10 Year Follow-up of Italian Study Brings New Confirmation of Lung Cancer Screening Efficacy
8 Apr, 2019 | 01:14h | UTC
Study: Alcohol Consumption Uniformly Increases Blood Pressure and Stroke Risk
8 Apr, 2019 | 01:01h | UTCCommentaries: Unite for a Framework Convention for Alcohol Control – The Lancet (free) AND Even one alcoholic drink a day can raise risk of stroke, study says – CNN (free) AND Expert reaction to research on alcohol intake and stroke – Science Media Centre (free) AND Major study debunks myth that moderate drinking can be healthy – Reuters (free)
Related: Alcohol Use and Burden for 195 Countries and Territories (free study and commentaries) AND WHO Global Status Report on Alcohol and Health 2018 (free study and commentaries)
Review Article: Treatment Options for Functional Dyspepsia
4 Apr, 2019 | 22:43h | UTC“None of the available therapies is effective in the majority of patients without being associated with major side effects.”
Cohort Study: Screening Intervals Should be Individualized for High-Risk Patients
4 Apr, 2019 | 22:23h | UTCCommentaries: Screening interval: a public health blind spot – The Lancet Public Health (free) AND The screen interval for high cardiovascular disease risk should be individual – University of Helsinki (free)
Randomized Trial: Automated Insulin Dosing Guidance to Optimize Insulin Management in Type 2 Diabetes
4 Apr, 2019 | 22:12h | UTCAutomated insulin dosing guidance to optimise insulin management in patients with type 2 diabetes: a multicentre, randomised controlled trial – The Lancet (link to abstract – $ for full-text)
Commentaries: Promoting Better Glucose Management for Type 2 Diabetes – NEJM Journal Watch (free for a limited period) AND Automated insulin system improves glycemic control – MedicalXpress (free)
REPORT – Medication Overload: How the Drive to Prescribe is Harming Older Americans
4 Apr, 2019 | 02:24h | UTCREPORT – Medication Overload: America’s Other Drug Problem – Lown Institute (free PDF)
Executive Summary: Medication Overload: America’s Other Drug Problem – Lown Institute (free PDF)
Press Release: Growing epidemic of medication overload impacting millions of older Americans (free)
Commentaries: Medication Overload: How the drive to prescribe is harming older Americans – Lown Institute (free) AND Overprescribed: High cost isn’t America’s only drug problem – STAT (free)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
German Guidelines for the Management of Ulcerative Colitis
4 Apr, 2019 | 02:09h | UTCRelated: ACG Guideline: Ulcerative Colitis in Adults (free Guidelines)
Dysphagia in the Intensive Care Unit: Epidemiology, Mechanisms, and Clinical Management
4 Apr, 2019 | 01:52h | UTC
Review: Management Options for Gastric Variceal Hemorrhage
4 Apr, 2019 | 01:49h | UTCManagement Options for Gastric Variceal Hemorrhage – JAMA Surgery (free for a limited period)