Gynecology & Obstetrics

Treatment of Nonmetastatic Breast Cancer – JAMA (free for a limited period)

A short review on the subject.

 


NICE Guideline: Cesarean section

12 Apr, 2019 | 01:43h | UTC

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document – Neurourology and Urodinamics (free)

“At this point, LASER is not recommended for routine treatment of the aforementioned conditions unless part of well‐designed clinical trials”

 


Perspective: Mesh Implants for Women: Scandal or Standard of Care? – JAMA (free for a limited period)

 

Related Commentary on Twitter

 


Mode of delivery and preterm birth in subsequent births: A systematic review and meta-analysis – PLOS One (free)

“A previous cesarean section could increase the risk of preterm birth in subsequent pregnancies”

 


A Randomized Trial of Prophylactic Antibiotics for Miscarriage Surgery – New England Journal of Medicine (free for a limited period)

Video Summary: Prophylactic Antibiotics before Miscarriage Surgery (free)

Commentaries: Research shines light on preventing infection after miscarriage – University of Birmingham (free) AND Antibiotics before miscarriage surgery not tied to fewer infections – CIDRAP (free)

 

Related Commentary on Twitter

 


Use of postmenopausal hormone therapy and risk of Alzheimer’s disease in Finland: nationwide case-control study – The BMJ (free)

Editorial: Menopausal hormone therapy and cognition (free)

Commentaries: Systemic Hormone Therapy Tied to Small Increase in Alzheimer’s Risk – NEJM Journal Watch (free) AND ‘Small’ increase in risk of Alzheimer’s disease with HRT use, study suggests – NHS Choices (free)

“The findings of this case-control study, with the modest effect sizes and substantial potential for bias, will not change how I counsel patients regarding benefits and risks of HT.” (from Journal Watch)

“Evidence is reassuring for women needing a few years’ treatment for menopausal symptoms” (from Editorial)

 


NCCN Guidelines Insights: Breast Cancer

27 Feb, 2019 | 12:41h | UTC

Management of Cardiovascular Disease in Women With Breast Cancer – Circulation (free)

Related: AHA Scientific Statement on Cardio-Oncology (several guidelines on the subject)

 

Related Commentary on Twitter

 


A Review of the Role of Breast Arterial Calcification for Cardiovascular Risk Stratification in Women – Circulation (free)

Commentary: Breast Calcifications May Hold Important Clues for CV Risk Stratification – TCTMD (free)

 

Related Commentary on Twitter

 


Perspective: Why Are Mothers Still Passing Syphilis to Their Babies? – JAMA (free for a limited period)

Related: A Rising Threat to Pregnant Women: Syphilis – The New York Times (10 articles per month are free)

 


Primary cervical screening with high risk human papillomavirus testing: observational study – The BMJ (free)

Commentaries: HPV cervical screening test switch ‘effective’, says pilot study – Cancer Research UK (free) AND Cervical screening intervals could be safely extended to at least five years – Pulse (free)

Related: USPSTF Statement: Screening for Cervical Cancer (free guidance and commentaries) AND Study: Little Benefit in Screening Women Aged 55 with a Negative HPV DNA test (link to abstract and commentaries) AND Randomized Trial: Cervical Cancer Screening with Cervical HPV Testing vs Cytology Testing (link to abstract and commentaries)

“The lower incidence of cervical intraepithelial neoplasia grade 3 or worse and cervical cancer at present screening intervals would strongly support the safety of extending the intervals to at least five years without increasing the risk of potentially life-threatening disease.”

 


When Is the Surgeon Too Old to Operate? – The New York Times (free)

Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)

 

Related Commentary on Twitter


Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: US Preventive Services Task Force Reaffirmation Recommendation Statement – JAMA (free)

“The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum. (A recommendation)”

 


ACOG Guideline: Prepregnancy Counseling

18 Jan, 2019 | 01:00h | UTC

Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review – JNCI: Journal of the National Cancer Institute (free)

Commentary: Adverse Mental Health Outcomes in Breast Cancer Survivors – The ASCO Post (free)

“There is compelling evidence of an increased risk of anxiety, depression and suicide, and neurocognitive and sexual dysfunctions in breast cancer survivors compared with women with no prior cancer.”

 


Risk of Malignant Ovarian Cancer Based on Ultrasonography Findings in a Large Unselected Population – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Most simple ovarian cysts require no treatment, surveillance – UPI (free) AND Less surveillance needed for simple ovarian cysts – University of California, San Francisco (free)

“New study finds that simple cysts should be considered normal and ignored” (from The University of California)

 


The troubling epidemic of unnecessary C-sections around the world, explained – VOX (free)

Related WHO Recommendations: Non-Clinical Interventions to Reduce Unnecessary Cesarean Sections (free guideline and commentaries)

Related The Lancet Series: Optimising Cesarean Section Use (free articles)

Related Cochrane Review: Non‐Clinical Interventions for Reducing Unnecessary Caesarean Section (free review and summary)

“The C-section rate has doubled in less than a generation, from 12 percent of all births in 2000 to 21 percent in 2015.”

 


Atezolizumab and Nab-Paclitaxel in Advanced Triple-Negative Breast Cancer – New England Journal of Medicine (free for a limited period)

Commentaries: Not So Fast With Immune Therapy For Breast Cancer – Forbes (free) AND Immunotherapy drugs show some promise against breast cancer – STAT (free)

“…the benefit for most women was small, raising questions about whether the treatment is worth its high cost and side effects.” (from STAT)

 


Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women – Cochrane Library (free)

“Based on the data available, we can be confident that pelvic floor muscle training can cure or improve symptoms of stress urinary incontinence and all other types of urinary incontinence”