Daily Archives: June 20, 2017
Review: Differentiating lower motor neuron syndromes
20 Jun, 2017 | 19:09h | UTC
Overuse of Chest CT in Patients With Stage I and II Breast Cancer
20 Jun, 2017 | 19:23h | UTCNews release: NCCN Guidelines Compliance for Chest CT Reduces False Positives and Decreases Health Care Spending in Breast Cancer, Study Finds (free)
In this cohort 11% of patients with stage I and 36% of patients with stage II breast cancer underwent chest CT, despite NCCN Guidelines against the exam. “Nearly one-third of these patients were found to have pulmonary nodules, but only 1.3% were ever diagnosed with pulmonary metastases”
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCInvest in midwives to improve global health
20 Jun, 2017 | 19:27h | UTCOpinion: Invest in midwives to improve global health – Devex (free)
Source: Global Health NOW Newsletter
Simplifying Prenatal Care for Low-Risk Patients
20 Jun, 2017 | 18:12h | UTCHow Mayo Clinic Is Simplifying Prenatal Care for Low-Risk Patients – Harvard Business Review (a few articles per month are free)
“Prenatal care model makes mothers-to-be active participants while reducing costs & time commitment” (RT @MayoClinic see Tweet)
Glucose targets for preventing diabetic kidney disease and its progression
20 Jun, 2017 | 12:49h | UTCGlucose targets for preventing diabetic kidney disease and its progression – Cochrane Library (link to summary – $ for full review)
Sources: EvidenceAlerts and @anupam1623
Intensive glycemic control had no effect on risks of kidney failure, death and major cardiovascular events. “The clinical impact of targeting an HbA1c < 7% or blood glucose < 6.6 mmol/L (120 mg/dL) is unclear and the potential harms of this treatment approach are largely unmeasured.
Patients with opioid disorders frequently have other comorbidities
20 Jun, 2017 | 12:30h | UTCTreating patients with opioid disorders is not just about treating addiction. Here’s why – STAT News (free)
Original analysis: What data from 205 million private health insurance claims reveals about America’s opioid crisis – Amino (free)
New colorectal cancer screening guidelines
20 Jun, 2017 | 19:51h | UTCCommentaries: Task Force presents new ranking of colorectal cancer screening tests – American Society of Gastrointestinal Endoscopy, via EurekAlert (free) AND Latest Colorectal Cancer Screening Guidelines – Latest Colorectal Cancer Screening Guidelines – GI and Hepatology News (free)
Related: Colorectal Cancer Screening – U.S. Preventive Services Task Force (free)
What will healthcare look like in 2030?
20 Jun, 2017 | 18:40h | UTCWhat will healthcare look like in 2030? – World Economic Forum (free)
Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management
20 Jun, 2017 | 12:47h | UTCNews Release: Healthcare providers should individualize patient education (free)
AHA statement: Doctors’ orders should include tailored health education for patients (free)
Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)
Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)
Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria
20 Jun, 2017 | 12:41h | UTCEffect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)
Changes in Hospital Quality Associated with Hospital Value-Based Purchasing?
20 Jun, 2017 | 12:27h | UTCChanges in Hospital Quality Associated with Hospital Value-Based Purchasing – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Value-Based Purchasing Program Has Little Effect – Medscape (free registration required) AND Is There Value in Hospital Value-Based Purchasing? – NEJM Catalyst (free)
How VBP works: Hospital Value-Based Purchasing – U.S. Centers for Medicare & Medicaid Services (free)
Reducing Cancer Burden in the Population
20 Jun, 2017 | 12:31h | UTC
Richard Lehman’s weekly review of medical journals
20 Jun, 2017 | 12:26h | UTCRichard Lehman’s weekly review of medical journals, 19 June 2017 – The BMJ Blogs (free)
A Good News Story About Diarrhea
20 Jun, 2017 | 12:21h | UTCA Good News Story About Diarrhea — With One Surprising Exception – NPR Goats and Soda (free)
See the original Global Burden of Disease Study with Diarrheal disease trends and commentaries in our June 5th issue, see #5
Where Does WHO Get Its Economic Advice?
20 Jun, 2017 | 12:22h | UTCWhere Does WHO Get Its Economic Advice? – Amanda Glassman, via Center for Global Development (free)
Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Takotsubo Cardiomyopathy may cause lasting damage
20 Jun, 2017 | 12:28h | UTCAlterations in Cardiac Deformation, Timing of Contraction and Relaxation, and Early Myocardial Fibrosis Accompany the Apparent Recovery of Acute Stress-Induced (Takotsubo) Cardiomyopathy: An End to the Concept of Transience – Journal of the American Society of Echocardiography (link to abstract – $ for full-text)
Commentaries: Broken heart syndrome may have lasting damage, say researchers – BBC Health News (free) AND Broken heart syndrome may cause permanent damage – News Medical (free) AND ‘Octopus pot’ syndrome: why a broken heart can be as bad as cardiac arrest – The Guardian (free)
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy
20 Jun, 2017 | 12:23h | UTCSurgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)
Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.
The Science Behind How Nature Affects Your Health
20 Jun, 2017 | 12:25h | UTCThe Science Behind How Nature Affects Your Health – Forbes (free)
“100% agree: Social determinants of health have a far greater impact on our health than healthcare delivery systems” (RT @SueDHellmann see Tweet)
Why overtreatment and overdiagnosis can be bad for your health
20 Jun, 2017 | 12:19h | UTCWhy overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)
Why Providers May Fail to Reduce Wait Times
20 Jun, 2017 | 12:14h | UTCPerspective: The Waiting Game — Why Providers May Fail to Reduce Wait Times – New England Journal of Medicine (free)
The tyranny of excessive medical hierarchy
20 Jun, 2017 | 12:07h | UTCThe tyranny of excessive medical hierarchy – MJA Insight (free) (RT @pash22 see Tweet)
Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver?
20 Jun, 2017 | 12:20h | UTCWho Should Assess the Needs of and Care for a Dementia Patient’s Caregiver? – AMA Journal of Ethics (free)
“Physicians have an obligation to check in on dementia patients’ caregivers, and provide support if necessary” (RT @JournalofEthics see Tweet)
‘Not everyone wants to know’: Warnings over genetic tests
20 Jun, 2017 | 12:12h | UTC‘Not everyone wants to know’: Warnings over genetic tests – SBS (free) (RT @pash22 see Tweet)
See more on direct-to-consumer genetic testing in our May 29th issue, see #3.