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Family Medicine

WHO advises not to use non-sugar sweeteners for weight control in newly released guideline

16 May, 2023 | 15:04h | UTC

News Release: WHO advises not to use non-sugar sweeteners for weight control in newly released guideline – World Health Organization

WHO Guideline: Use of non-sugar sweeteners – World Health Organization

Meta-Analysis: Health effects of the use of non-sugar sweeteners – World Health Organization

 


RCT | Optimizing the timing of whooping cough immunization in mums through investigating pertussis vaccination in pregnancy

16 May, 2023 | 14:49h | UTC

Optimising the timing of whooping cough immunisation in mums (OpTIMUM) through investigating pertussis vaccination in pregnancy: an open-label, equivalence, randomised controlled trial – Microbiome

 


M-A | Is it necessary to wear compression stockings and how long should they be worn for preventing post thrombotic syndrome?

16 May, 2023 | 14:44h | UTC

Is it necessary to wear compression stockings and how long should they be worn for preventing post thrombotic syndrome? A meta-analysis of randomized controlled trials – Thrombosis Research

 


RCT | Colchicine ineffective for pain relief in hand osteoarthritis patients

16 May, 2023 | 14:42h | UTC

Colchicine twice a day for hand osteoarthritis (COLOR): a double-blind, randomised, placebo-controlled trial – The Lancet Rheumatology (link to abstract – $ for full-text)

Commentary: Colchicine Does Not Relieve OA-Related Hand Pain Compared With Placebo – DocWireNews

 

Commentary on Twitter

 


Canadian Task Force advises fragility fracture screening for women over 65, but not for men or younger women

15 May, 2023 | 13:23h | UTC

Recommendations on screening for primary prevention of fragility fractures – Canadian Medical Association Journal

Related USPSTF Statement: Screening Osteoporosis to Prevent Fractures

 


RCT | Rivaroxaban doesn’t reduce thrombotic events, hospitalization, or death in outpatients with COVID-19

15 May, 2023 | 13:19h | UTC

Summary: The PREVENT-HD trial, a double-blind, placebo-controlled randomized study, was conducted to evaluate the effectiveness of prophylactic anticoagulation in reducing venous and arterial thrombosis, hospitalization, and death in nonhospitalized patients with symptomatic COVID-19 and at least one thrombosis risk factor. The trial took place between August 2020 and April 2022 across 14 US integrated healthcare delivery networks, with 1,284 patients enrolled and randomly assigned to receive either 10 mg of oral rivaroxaban or placebo daily for 35 days.

However, the study was terminated prematurely due to enrollment challenges and lower-than-expected event rates. The primary efficacy outcome, a composite of various hazardous events, occurred in 3.4% of the rivaroxaban group and 3.0% of the placebo group, with no significant difference between the two groups (hazard ratio, 1.16 [95% CI, 0.63–2.15]; P=0.63). No critical-site or fatal bleeding was observed, and only one patient in the rivaroxaban group experienced a major bleed.

In conclusion, rivaroxaban prescribed for 35 days in nonhospitalized patients with symptomatic COVID-19 at risk for thrombosis does not appear to reduce the composite end point of venous and arterial thrombotic events, hospitalization, and death. The study’s premature termination and lower-than-expected event rates may limit the generalizability of these findings.

Article: Rivaroxaban for Prevention of Thrombotic Events, Hospitalization, and Death in Outpatients With COVID-19: A Randomized Clinical Trial – Circulation

 

Commentary on Twitter

 


RCT | Cognitive behavioral therapy proves effective for severe post-COVID-19 fatigue

15 May, 2023 | 13:16h | UTC

Efficacy of cognitive behavioral therapy targeting severe fatigue following COVID-19: results of a randomized controlled trial – Clinical Infectious Diseases

News Release: Cognitive behavioral therapy lessens post-viral fatigue after COVID-19 – Amsterdam UMC

 

Commentary on Twitter

 


RCT | Peanut patch therapy is effective in desensitizing young children with allergies, but raises risk of serious adverse events

15 May, 2023 | 13:10h | UTC

Phase 3 Trial of Epicutaneous Immunotherapy in Toddlers with Peanut Allergy – New England Journal of Medicine (link to abstract – $ for full-text)

 

Commentary on Twitter

 


RCT | Neck–shoulder region training for chronic headache in women

15 May, 2023 | 12:59h | UTC

Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial – Clinical Rehabilitation

 

Commentary on Twitter

 


Review | Nonalcoholic fatty liver disease from a primary care perspective

15 May, 2023 | 12:57h | UTC

Nonalcoholic fatty liver disease from a primary care perspective – Diabetes, Obesity and Metabolism

 


RCT | Transvenous occlusion of incompetent pelvic veins to treat chronic pelvic pain in women

15 May, 2023 | 12:54h | UTC

Transvenous occlusion of incompetent pelvic veins to treat chronic pelvic pain in women: A randomised controlled trial – BJOG

 


M-A | Adding exercise to hypocaloric diet doesn’t enhance weight loss or glycemic control in T2D patients

15 May, 2023 | 12:52h | UTC

Additional effects of exercise to hypocaloric diet on body weight, body composition, glycaemic control and cardio-respiratory fitness in adults with overweight or obesity and type 2 diabetes: A systematic review and meta-analysis – Diabetic Medicine

 


Hoarding disorder: evidence and best practice in primary care

12 May, 2023 | 13:45h | UTC

Hoarding disorder: evidence and best practice in primary care – British Journal of General Practice

News Release: New guidance to help diagnose hoarding disorder – Anglia Ruskin University

 


Should my elderly hospitalized patient with acute onset of altered mental status undergo stat head CT?

12 May, 2023 | 13:38h | UTC

Should my elderly hospitalized patient with acute onset of altered mental status undergo stat head CT? – Cleveland Clinic Journal of Medicine

 


Cohort Study | Association between cannabis use disorder and schizophrenia stronger in young males than in females

12 May, 2023 | 13:29h | UTC

Association between cannabis use disorder and schizophrenia stronger in young males than in females – Psychological Medicine

News Release: Young men at highest risk of schizophrenia linked with cannabis use disorder – National Institutes of Health

 


M-A | Surgical interventions for symptomatic knee osteoarthritis

12 May, 2023 | 13:26h | UTC

Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials – BMC Musculoskeletal Disorders

 


Cohort Study | Association between depression and physical conditions requiring hospitalization

12 May, 2023 | 13:16h | UTC

Association Between Depression and Physical Conditions Requiring Hospitalization – JAMA Psychiatry

Commentaries:

Study Uncovers Associations of Depression and Hospital-Treated Sleep and Health Conditions – HCP Live

Study IDs Link for Depression, Physical Conditions Requiring Hospitalization – HealthDay

 

Commentary on Twitter

 


Cohort Study | Adverse outcomes and rehospitalization more common for young women after acute myocardial infarction

11 May, 2023 | 12:18h | UTC

Sex Difference in Outcomes of Acute Myocardial Infarction in Young Patients – Journal of the American College of Cardiology (link to abstract – $ for full-text)

News Releases:

Young women more likely to return to the hospital in year following heart attack – American College of Cardiology

Risk of rehospitalization in younger women after heart attack nearly double that of men – National Institutes of Health

Podcast: Sex Difference in Outcomes of Acute Myocardial Infarction in Young Patients – Journal of the American College of Cardiology

Commentaries:

Rehospitalizations After Acute MI: Young Women Outpace Young Men – TCTMD

Young Women More Likely to Return to the Hospital in Year Following MI – American College of Cardiology

 

Commentary on Twitter

 


Blood pressure variability in clinical practice: past, present and the future

11 May, 2023 | 12:13h | UTC

Blood Pressure Variability in Clinical Practice: Past, Present and the Future – Journal of the American Heart Association

 


Aspirin for primary prevention of cardiovascular disease: what do the current USPSTF guidelines say?

11 May, 2023 | 12:11h | UTC

Aspirin for primary prevention of cardiovascular disease: What do the current USPSTF guidelines say? – Cleveland Clinic Journal of Medicine

Editorial: Aspirin in primary prevention of cardiovascular events: Key questions remain – Cleveland Clinic Journal of Medicine

Original Guideline: USPSTF Recommendation Statement: Aspirin Use to Prevent Cardiovascular Disease.

Related Randomized Trials:

Randomized Trial: Aspirin for Primary Prevention of Cardiovascular Disease

Randomized Trial: Effects of Aspirin for Primary Prevention in Persons with Diabetes

Randomized Trial: Effect of Aspirin on All-Cause Mortality in the Healthy Elderly

Related Meta-Analysis:

Meta-Analysis: Association of Aspirin Use for Primary Prevention with Cardiovascular Events and Bleeding Events

Meta-Analysis: Efficacy and Safety of Aspirin for Primary Prevention of Cardiovascular Events

Aspirin for primary prevention of cardiovascular disease: a meta-analysis with a particular focus on subgroups – BMC Medicine

Related Opinions:

Aspirin for Primary Prevention: Is This the End of the Road?

Evidence evolving on aspirin as prevention – ACP Internist

#347 USPSTF Update: Aspirin for Primary Prevention of CVD – The Curbsiders

 


M-A | Intensive blood pressure control for patients aged over 60

11 May, 2023 | 12:07h | UTC

Intensive blood pressure control for patients aged over 60: A meta-analysis of the SPRINT, STEP, and ACCORD BP randomized controlled trials – Maturitas

 


M-A | Fruit and vegetable consumption and the risk of hypertension

11 May, 2023 | 12:02h | UTC

Fruit and vegetable consumption and the risk of hypertension: a systematic review and meta-analysis of prospective studies – European Journal of Nutrition


Autism spectrum disorders in adulthood: symptoms, diagnosis, and treatment

11 May, 2023 | 11:51h | UTC

Autism Spectrum Disorders in Adulthood: Symptoms, diagnosis, and treatment – Deutsches Ärzteblatt International

 


Olfactory dysfunction: etiology, diagnosis, and treatment

11 May, 2023 | 11:50h | UTC

Olfactory Dysfunction: Etiology, Diagnosis, and Treatment – Deutsches Ärzteblatt International

 


Review | Radiation exposure in computed tomography

11 May, 2023 | 11:47h | UTC

Radiation Exposure in Computed Tomography – Deutsches Ärzteblatt International

 


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