Daily Archives: July 10, 2017
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
Women with High-Risk Pregnancies Are More Likely To Develop Heart Disease
10 Jul, 2017 | 14:59h | UTCWomen with High-Risk Pregnancies Are More Likely To Develop Heart Disease – NPR (free)
Related review: Adverse Pregnancy Conditions, Infertility, and Future Cardiovascular Risk: Implications for Mother and Child – Cardiovascular Drugs and Therapy (free)
Richard Lehman’s journal review / 10 July 2017
10 Jul, 2017 | 14:59h | UTCRichard Lehman’s journal review / 10 July 2017 – The BMJ Blogs (free)
Richard Lehman reviews the latest research in the top medical journals
Free Online Course – Science of Exercise
10 Jul, 2017 | 22:09h | UTCJust Started! Free Online Course. Science of Exercise – University of Colorado Boulder and Coursera
Management of Small Renal Masses
10 Jul, 2017 | 14:54h | UTCManagement of Small Renal Masses: American Society of Clinical Oncology Clinical Practice Guideline (free)
Summary: National Guideline Clearinghouse (free)
Beware of conflicting interests
10 Jul, 2017 | 14:58h | UTCBeware of conflicting interests – Students 4 Best Evidence (free)
This is the sixth in a series of 34 blogs based on a list of ‘Key Concepts’ developed by an Informed Health Choices project team.
Mon, July 10 – 10 Stories of The Day!
10 Jul, 2017 | 00:01h | UTC
1 – Scientists warn that antibiotic-resistant gonorrhoea is on the rise – World Health Organization (free)
News Release: Antibiotic-resistant gonorrhoea on the rise, new drugs needed – Word Health Organization (free)
Commentaries: Untreatable gonorrhoea on the rise worldwide – Nature News (free) AND New data show gonorrhea increasingly resistant to antibiotics STAT News (free) AND WHO warns of imminent spread of untreatable superbug gonorrhea – Reuters (free) AND Untreatable gonorrhoea ‘superbug’ spreading around world, WHO warns – The Guardian (free)
Related guideline: WHO guidelines for the treatment of Neisseria gonorrhoeae (free)
Invited commentary: Determining the burden of respiratory syncytial virus disease: the known and the unknown (free)
Commentary: Experts urge action to cut child deaths from deadly lung virus – University of Edinburgh, via EurekAlert (free)
“We estimated that globally in 2015, 33.1 million episodes of RSV-ALRI, resulted in about 3.2 million hospital admissions, and 59 600 in-hospital deaths in children younger than 5 years”. (RT @greg_folkers see Tweet)
3 – Breaking multiple unhealthy habits all at once has modest impact, but not always… – NIHR Signal (free)
Original article: Multiple Risk Behavior Interventions: Meta-analyses of RCTs – American Journal of Preventive Medicine (free)
“Review suggests it might be sensible to tackle smoking and diet separately, rather than at the same time” (RT @NIHR_DC see Tweet)
4 – Diabetes in sub-Saharan Africa: from clinical care to health policy – The Lancet Diabetes & Endocrinology (free registration required)
Invited commentary: The crisis of diabetes in sub-Saharan Africa (free registration required)
Commentaries: Alarm Bells Sound on Diabetes in Sub-Saharan Africa – Medscape (free registration required) AND Increasing diabetes burden in sub-Saharan Africa has potential to reverse health gains of recent years – News Medical (free)
“The growing burden of diabetes in sub-Saharan Africa will have huge consequences” (RT @Medscape see Tweet)
5 – Declining Risk of Sudden Death in Heart Failure – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Has Effective Medical Therapy Made The Benefit of ICDs Uncertain? – University of Glasgow News (free) AND Net value of pacemakers/defibrillators may no longer be so clear-cut – OnMedica (free) AND Sudden Death Declining in Heart Failure – Does the trend mean that ICDs are indicated less often? – CardioBrief (free)
See also: The Changing Face of Clinical Trials Series (free)
7 – Diabetes and Ramadan: Practical guidelines – Diabetes Research and Clinical Practice (free)
8 – Pretreatment fasting plasma glucose and insulin modify dietary weight loss success: results from 3 randomized clinical trials – American Journal of Clinical Nutrition (link to abstract – $ for full-text)
Commentaries: Fasting blood sugar, fasting insulin identified as new biomarkers for weight loss – University of Copenhagen, via ScienceDaily (free) AND Low-Fat or Low Carb for Weight Loss? It Depends on Your Glucose Metabolism – EbioMedicine (free)
Individuals with diabetes or pre-diabetes seem to have better results with low-carb diets.
9 – The Machines Are Getting Ready to Play Doctor – MIT Technology Review (free) (RT @EricTopol see Tweet 1 and Tweet 2)
Original article: Cardiologist-Level Arrhythmia Detection with Convolutional Neural Networks – Cornell University Library (free PDF)
In this study, a machine learning algorithm was better at diagnosing arrhythmias than cardiologists.
10 – Direct oral anticoagulants for treatment of HIT: update of Hamilton experience and literature review – Blood (link to abstract – $ for full-text)
Source: Direct Oral Anticoagulants for Heparin-Induced Thrombocytopenia – Journal Watch ($)
This literature review and observational study suggest direct oral anticoagulants (rivaroxaban, apixaban, dabigatran) are safe and effective for the treatment of Heparin-Induced Thrombocytopenia.
The rise of antibiotic-resistant infections threaten economies
10 Jul, 2017 | 14:55h | UTCThe rise of antibiotic-resistant infections threaten economies – Finantial Times (a few articles per month are free) (RT @greg_folkers see Tweet)
Related report: Drug-Resistant Infections: A Threat to Our Economic Future – World Bank (Free PDF) AND Infographic: Drug Resistant Infections: A Threat to Our Economic Future (free) AND News Release: By 2050, drug-resistant infections could cause global economic damage on par with 2008 financial crisis (free)
Effective Care for High-Need Patients
10 Jul, 2017 | 14:53h | UTCEffective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health (free PDF)
See also: News release (free) AND Executive summary (free PDF) AND Key Points (free PDF) AND Characteristics of Successful Care Models for High-Need Patients (free PDF)
See more resources on high-need, high-cost patients in our July 4th issue (see #2)
Source: STAT News Newsletter
“Nearly half of the nation’s spending on health care is driven by 5 percent of patients, and improving health outcomes and curbing spending in health care will require identifying who these high-needs patients are and providing coordinated services” (from EurekAlert)