Rheumatology

Randomized Trial: Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears

5 Oct, 2018 | 02:21h | UTC

Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears: The ESCAPE Randomized Clinical Trial – JAMA (free for a limited period)

Commentary: PT an Alternative to Surgery for Some Meniscal Tears – Physician’s First Watch (free)

Related: Adverse Outcomes After Arthroscopic Partial Meniscectomy (free study, commentary and guideline on the subject)

“Our Dutch multi center RCT demonstrates noninferiority of physical therapy compared with early surgery with arthroscopic partial meniscectomy for improving self-reported knee function in patients with nonobstructive meniscal tears.” (via @RudolfPoolman see Tweet)

Study: Fracture Prevention in Older Women with Osteopenia

5 Oct, 2018 | 02:03h | UTC

Fracture Prevention with Zoledronate in Older Women with Osteopenia – New England Journal of Medicine (free)

Editorial: A Not-So-New Treatment for Old Bones (free)

Commentary: Study Suggests More Older Women May Benefit From Bone Drugs – The Associated Press (free)

Randomized Trial: Low-Dose Amitriptyline for Chronic Low Back Pain

5 Oct, 2018 | 02:00h | UTC

Efficacy of Low-Dose Amitriptyline for Chronic Low Back Pain: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Low-dose antidepressants ease back pain – Australian Hospital + Healthcare Bulletin (free) AND Antidepressant Amitriptyline Might Help Ease Low Back Pain – Physician’s First Watch (free)

Review: Pulmonary Vasculitis

5 Oct, 2018 | 01:41h | UTC

Pulmonary vasculitis – Journal of Thoracic Disease (free)

Study: Development of a New Classification System for Idiopathic Inflammatory Myopathies

20 Sep, 2018 | 19:26h | UTC

Development of a New Classification System for Idiopathic Inflammatory Myopathies Based on Clinical Manifestations and Myositis-Specific Autoantibodies – JAMA Neurology (link to abstract – $ for full-text)

Commentary: New Classification of Idiopathic Inflammatory Myopathies – RheumNow (free)

Comparisons of Guidelines on Managing ANCA–Associated Vasculitis

14 Sep, 2018 | 02:00h | UTC

Comparisons of Guidelines and Recommendations on Managing Antineutrophil Cytoplasmic Antibody–Associated Vasculitis – Kidney International Reports (free)

Podcast: Gout Management

14 Sep, 2018 | 01:41h | UTC

#113 Gout: Uric acid targets, urate lowering therapy, and random questions from social media – The Curbsiders Internal Medicine Podcast (free)

Cohort Studies: Diclofenac Use and Cardiovascular Risks

6 Sep, 2018 | 03:04h | UTC

Diclofenac use and cardiovascular risks: series of nationwide cohort studies – The BMJ (free)

Commentary: Diclofenac Again Tied to Major Cardiovascular Events – NEJM Physician’s First Watch (free) AND ‘A major safety concern’: World’s most common NSAID doubles CVD risk – Cardiovascular Business (free)

Guideline: Assessment and Monitoring of Systemic Lupus Erythematosus

6 Sep, 2018 | 02:41h | UTC

Canadian Rheumatology Association Recommendations for the Assessment and Monitoring of Systemic Lupus Erythematosus – The Journal of Rheumatology (free PDF)

Biologic DMARD Safety Guidelines in Inflammatory Arthritis

2 Sep, 2018 | 01:51h | UTC

The British Society for Rheumatology biologic DMARD safety guidelines in inflammatory arthritis—Executive summary – Rheumatology (free)

Commentary: New BSR Guidelines on Biologic Safe Use with Inflammatory Arthritis – RheumNow (free)

Study: Vitamin D Not Linked to Fracture Risk

31 Aug, 2018 | 02:43h | UTC

Assessment of the genetic and clinical determinants of fracture risk: genome wide association and mendelian randomisation study – The BMJ (free)

Commentaries: Vitamin D: a pseudo-vitamin for a pseudo-disease – The Conversatio n (free) AND Fracture risk not linked to low vitamin D or calcium levels – OnMedica (free)

Related: Vitamin D, the Sunshine Supplement, Has Shadowy Money Behind It (free commentaries and NICE Guideline)

Guideline: Management of Hip and Knee Osteoarthritis

31 Aug, 2018 | 02:31h | UTC

Guideline for the management of hip and knee osteoarthritis – Royal Australian College of General Practitioners (free PDF)

News Release: Updated osteoarthritis guideline designed to reduce unnecessary imaging and surgery (free)

Commentary: Australia hopes to reduce unnecessary imaging, surgery with updated osteoarthritis guidelines – Health Imaging (free)

““The Guideline for the management of knee and hip osteoarthritis,” offer up exercise and weight loss as a first line defense, and warn against costly treatments using glucosamine, opioids and arthroscopic surgery, said David Hunter, co-chair of the RACGP group responsible for the update.” (from Health Imaging)