Wed, July 19 – 10 Stories of The Day!
19 Jul, 2017 | 00:01h | UTC
1 – Healthful and Unhealthful Plant-Based Diets and the Risk of Coronary Heart Disease in U.S. Adults – Journal of The American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Some Plant-Based Diets May Increase Heart Disease Risk –American College of Cardiology, Latest in Cardiology (free) AND Not All Vegetarian, Plant-Based Diets Equal for CHD Risk – Medscape (free registration required) AND Not all plant-based diets are created equal – American College of Cardiology, via ScienceDaily (free)
Commentaries: Zika: Check All Potentially Exposed Infants for Eye Damage – Medscape (free registration required) AND Which Infants Exposed to Zika Virus Infection in Pregnancy Should Have Eyes Examined? – The JAMA Network (free)
“All infants with potential Zika virus exposure should have ophthalmic screening regardless of other abnormalities” (RT @PreetiNMalani see Tweet)
3 – The Association Between Vasectomy and Prostate Cancer: A Systematic Review and Meta-analysis – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Meta-Analysis: Vasectomy Likely Does Not Cause Prostate Cancer – Physician’s First Watch (free) AND Weak Link Between Vasectomy, Prostate Cancer – MedPage Today (free registration required)
4 – Draft Recommendation Statement: Ovarian Cancer: Screening – U.S. Preventive Services Task Force (free)
Commentaries: USPSTF Again Recommends Against Screening General Population for Ovarian Cancer – Physician’s First Watch (free) AND USPSTF Stays Course on Ovarian Cancer Screening: No screening for asymptomatic women – MedPage Today (free registration required)
5 – Review: Emerging arboviruses: Why today? – One Health (free) (RT @greg_folkers see Tweet)
6 – Cochrane What is the best medication for a fungal infection of the toenail? – Cochrane Library (free)
Full review: Oral antifungal medication for toenail onychomycosis – Cochrane Library (link to abstract – $ for full-text)
Terbinafine probably leads to better cure rates than azoles, with the same risk of adverse events. Griseofulvin is no better and has more adverse effects than azoles.
7 – Homepage – New European Society of Medical Oncology (ESMO) Updated Clinical Practice Guidelines
New available guidelines are:
– Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up (free)
– Multiple myeloma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up (free)
– Cervical cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up (free)
– Management of infusion reactions to systemic anticancer therapy: ESMO Clinical Practice Guidelines (free)
8 – Patient Outcomes in Dose Reduction or Discontinuation of Long-Term Opioid Therapy: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Tapering long-term opioid therapy may improve outcomes in chronic pain, review finds – ACP Internist (free) AND Opioid Reduction Therapy Offers Some Benefits to Patients with Chronic Pain – Physician’s First Watch (free) AND How tapering off opioids can help people with chronic pain – CNN (free)
“Opioid tapering:
– less pain: 8 of 8 studies
– Improved function: 5 of 5 studies
– Improved QOL: 3 of 3 studies” (RT @DavidJuurlink see Tweet)
9 – As Workouts Intensify, a Harmful Side Effect Grows More Common – New York Times (10 articles per month are free)
Related practical review: Exercise-Induced Emergencies in the Heat: Rhabdomyolysis & Exertional Heat Stroke – emDocs (free)
10 – Randomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery – British Journal of Surgery (link to abstract – $ for full-text)
Source: ACP Journal Club ($ resource to find articles of interest)
In this RCT, a comprehensive preoperative geriatric assessment and optimization before vascular surgery was associated with shorter length of hospital stay, lower incidence of complications, and patients were less likely to be discharged to a higher level of dependency.