Internal Medicine
Portal vein thrombosis in patients with cirrhosis
17 May, 2017 | 20:12h | UTCReview: Portal vein thrombosis in patients with cirrhosis – Gastroenterology Report (free)
Source: Critical Care Reviews Newsletter
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”.
BTS guideline for oxygen use in adults in healthcare and emergency settings
16 May, 2017 | 20:05h | UTCBTS guideline for oxygen use in adults in healthcare and emergency settings – British Thoracic Society (free PDF via Critical Care Reviews)
Renal dysfunction in cirrhosis
17 May, 2017 | 20:13h | UTCReview: Renal dysfunction in cirrhosis: acute kidney injury and the hepatorenal syndrome – Gastroenterology Report (free)
Source: Critical Care Reviews Newsletter
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
Recent advances in the management of variceal bleeding
16 May, 2017 | 19:59h | UTCReview: Recent advances in the management of variceal bleeding – 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)
Management of intra-abdominal infections
15 May, 2017 | 19:41h | UTCSource: Critical Care Reviews Newsletter
Infection in systemic lupus erythematosus
15 May, 2017 | 19:39h | UTCReview: Infection in systemic lupus erythematosus, similarities, and differences with lupus flare – Korean Journal of Internal Medicine (free)
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)
Countering cognitive biases in minimizing low value care
12 May, 2017 | 19:34h | UTCReview: 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 | UTCCommentaries: 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)
Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness
12 May, 2017 | 19:36h | UTCSee 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)
Reducing brain injury following cardiopulmonary resuscitation
11 May, 2017 | 18:43h | UTCPractice guideline summary: Reducing brain injury following cardiopulmonary resuscitation (link to abstract – free PDF available)
Sources: Guideline: Offer Cooling After Cardiac Arrest – MedPage Today (free) AND Body Cooling Recommended for Some Comatose Patients After Cardiac Arrest – Physician’s First Watch (free)
Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing
11 May, 2017 | 18:37h | UTCMeta-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)
Related recent meta-analysis: Percutaneous Coronary Intervention Using Drug-Eluting Stents Versus Coronary Artery Bypass Grafting for Unprotected Left Main Coronary Artery Stenosis: A Meta-Analysis of Randomized Trials – Circulation: Cardiovascular Interventions (free) AND Percutaneous intervention versus coronary artery bypass graft surgery in left main coronary artery stenosis: a systematic review and meta-analysis – BMC Medicine (free)
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 | UTCCommentaries: 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 | UTCTen 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 | UTCMeta-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 | UTCMeta-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.