Internal Medicine
Direct oral anticoagulants in patients with chronic kidney disease
3 Jul, 2017 | 17:27h | UTC
Teaching Clinical Ethics at the Bedside
3 Jul, 2017 | 17:24h | UTC“Hospitalists are uniquely positioned to teach ethics and communication in real time on the wards” (RT @JournalofEthics see Tweet)
Aerobic exercise training for adults with fibromyalgia
3 Jul, 2017 | 17:20h | UTCAerobic exercise training for adults with fibromyalgia – Cochrane Library (link to abstract – $ for full-text)
Aerobic exercise probably improves health related quality of life, may slightly decrease pain intensity and may slightly improve physical function.
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)
Source: Critical Care Reviews Newsletter
Hospitalists’ Winning Abstracts Target High-Value Care
3 Jul, 2017 | 17:21h | UTCHospitalists’ Winning Abstracts Target High-Value Care – Medscape (free registration required)
““High-value” care was a hot topic at this year’s #HM17” (RT @Medscape see Tweet)
Richard Lehman’s weekly review of medical journals
3 Jul, 2017 | 17:03h | UTCRichard Lehman’s journal review, 3 July 2017 – The BMJ Blogs (free)
Richard Lehman’s weekly review of medical journals.
Treatment of severe alcoholic hepatitis
3 Jul, 2017 | 17:17h | UTCSource: Critical Care Reviews Newsletter
Functional Dyspepsia: Advances in Diagnosis and Therapy
3 Jul, 2017 | 17:04h | UTCFunctional Dyspepsia: Advances in Diagnosis and Therapy – Gut and Liver (free)
Commentary: Diagnosis and Treatment of Functional Dyspepsia – PracticeUpdate (free registration required)
Related guideline: ACG and CAG Clinical Guideline: Management of Dyspepsia – American College of Gastroenterology and Canadian Association of Gastroenterology (free PDF)
Indications for Surgical Management of Hyperparathyroidism
3 Jul, 2017 | 16:54h | UTCIndications for Surgical Management of Hyperparathyroidism: A Review – JAMA Surgery (free)
Prognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain
3 Jul, 2017 | 16:57h | UTCPrognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain – Circulation (link to abstract – $ for full-text)
Commentary: CT angiography appears better at predicting future risk for patients with chest pain – Massachusetts General Hospital, via ScienceDaily (free)
Source: EvidenceAlerts (free resource to find articles of interest)
“The most important result indicated that the ability of coronary CTA to identify nonobstructive coronary artery disease – a less-than-70-percent narrowing of a coronary artery – identifies an at-risk group of patients not found by functional testing” (from ScienceDaily)
Guideline for the management of community-acquired pneumonia in adults
3 Jul, 2017 | 16:55h | UTCSource: Critical Care Reviews Newsletter
A Longer Life Through Fasting?
2 Jul, 2017 | 21:02h | UTCMedical News & Perspectives: Can a Diet That Mimics Fasting Turn Back the Clock? – JAMA (free)
“A Longer Life Through Fasting?” (RT @JAMA_current see Tweet)
Practice: I am your trans patient
2 Jul, 2017 | 21:06h | UTCPractice: I am your trans patient – The BMJ (free)
Related infographic: Managing disclosure of gender dysphoria – The BMJ (free PDF)
“Five transgender authors share their experiences of healthcare & the important messages they’d like doctors to know” (RT @bmj_latest see Tweet)
Complications of Proton Pump Inhibitor Therapy
30 Jun, 2017 | 15:20h | UTCComplications of Proton Pump Inhibitor Therapy – Gastroenterology (free)
Commentary: Complications of Proton Pump Inhibitor Therapy – PracticeUpdate (free registration required)
Related: Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Proton Pump Inhibitors and Risk of Incident CKD and Progression to ESRD – Journal of the American Society of Nephrology (link to abstract – registration required for full text) AND Association of Proton Pump Inhibitors With Risk of Dementia: A Pharmacoepidemiological Claims Data Analysis – Jama Neurology (link to abstract – subscription required for full text)
The authors of this review argue that the observational studies that brought up the safety issues associated with PPIs (above studies, for example) are insufficient to establish causation and suggest a more balanced approach to PPI prescribing.
Diagnosis and management of myocardial involvement in systemic immune-mediated diseases
2 Jul, 2017 | 20:59h | UTCDiagnosis and management of myocardial involvement in systemic immune-mediated diseases: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Disease – European Heart Journal (free) (RT @rafavidalperez see Tweet)
Review: Subclinical Hypothyroidism
2 Jul, 2017 | 21:00h | UTCSubclinical Hypothyroidism – NEJM Resident 360 (free)
Short and practical review with algorithm on the management of subclinical hypothyroidism.
Delirium Prevention Strategies for Elderly Adults with Hip Fracture
30 Jun, 2017 | 15:18h | UTCSource: PracticalReviews ($)
See related article on the effect of multicomponent nonpharmacologic interventions to prevent delirium in abdominal surgery in our May 25th issue (see #5)
Delirium-friendly preprinted postoperative orders executed by regular nursing staff resulted in a significant reduction in postoperative delirium.
When Anxiety or Depression Masks a Medical Problem
30 Jun, 2017 | 15:09h | UTCWhen Anxiety or Depression Masks a Medical Problem – New York Times (10 articles month are free)
Related: Managing Anxiety in the Medically Ill – Psychiatric Times (free)
“Very 1st differential before making a psych diagnosis should be – is this due to medical problem? 2nd question – medication/substance/alcohol? (RT @AllenFrancesMD see Tweet)
C. Diff Infections Are Falling, Thanks To Better Cleaning And Fewer Antibiotics
30 Jun, 2017 | 15:11h | UTCC. Diff Infections Are Falling, Thanks To Better Cleaning And Fewer Antibiotics – NPR (free)
Interventions for preventing high altitude illness
29 Jun, 2017 | 20:24h | UTCInterventions for preventing high altitude illness: Part 1. Commonly-used classes of drugs – Cochrane Library (link to summary – $ for full-text) (RT @CochraneUK see Tweet)
Acetazolamide seems to be effective to prevent acute high altitude illness in dosages of 250 to 750 mg/day.
CABG vs DES for Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD
29 Jun, 2017 | 16:12h | UTCComparison of Outcome of Coronary Artery Bypass Grafting Versus Drug-Eluting Stent Implantation for Non–ST-Elevation Acute Coronary Syndrome – The American Journal of Cardiology (link to abstract – $ for full-text)
Source: EvidenceAlerts
In patients with Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD, CABG significantly reduced the risk of death from any causes, myocardial infarction, or stroke compared with PCI with drug-eluting stents
Antibiotics for acute bronchitis
29 Jun, 2017 | 14:01h | UTCAntibiotics for acute bronchitis – Cochrane Library (link to abstract – $ for full-text)
“There is limited evidence of clinical benefit to support the use of antibiotics in acute bronchitis”
A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses
29 Jun, 2017 | 13:34h | UTCA Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Adding Antibiotics to Incision-and-Drainage of Small Skin Abscesses Helps – Physician’s First Watch (free) AND Antibiotics Improve Short-Term Outcomes for Simple Abscesses – Medscape (free registration required) AND Study finds benefit for antibiotic treatment of simple skin wounds – CIDRAP (free)
The ABCs and Ds of Whether to Get Prostate Cancer Screening
28 Jun, 2017 | 22:43h | UTCThe ABCs and Ds of Whether to Get Prostate Cancer Screening – The New York Times (10 articles per month are free)
See also the new USPSTF guidelines on prostate cancer screening and related commentaries in our April 12 issue (see #1) and in our April 13 issue (see #4)
Balanced point of view regarding prostate cancer screening.
Asthma self-management programmes can reduce unscheduled care
27 Jun, 2017 | 20:39h | UTCAsthma self-management programmes can reduce unscheduled care – NIHR Signal (free)
Original article: Systematic meta-review of supported self-management for asthma: a healthcare perspective – BMC Medicine (free)