5444. Clinical Outcomes Associated With Sickle Cell Trait: A Systematic Review.
作者: Rakhi P Naik.;Kim Smith-Whitley.;Kathryn L Hassell.;Nkeiruka I Umeh.;Mariane de Montalembert.;Puneet Sahota.;Carlton Haywood.;Jean Jenkins.;Michele A Lloyd-Puryear.;Clinton H Joiner.;Vence L Bonham.;Gregory J Kato.
来源: Ann Intern Med. 2018年169卷9期619-627页
Although sickle cell trait (SCT) is largely a benign carrier state, it may increase risk for certain clinical outcomes.
5445. Kidney Damage Biomarkers and Incident Chronic Kidney Disease During Blood Pressure Reduction: A Case-Control Study.
作者: William R Zhang.;Timothy E Craven.;Rakesh Malhotra.;Alfred K Cheung.;Michel Chonchol.;Paul Drawz.;Mark J Sarnak.;Chirag R Parikh.;Michael G Shlipak.;Joachim H Ix.; .
来源: Ann Intern Med. 2018年169卷9期610-618页
Whether the increased incidence of chronic kidney disease (CKD) during intensive systolic blood pressure (SBP) lowering is accompanied by intrinsic kidney injury is unknown.
5446. Antiphospholipid Antibodies in Patients With Myocardial Infarction.
作者: Giorgia Grosso.;Natalie Sippl.;Barbro Kjellström.;Khaled Amara.;Ulf de Faire.;Kerstin Elvin.;Bertil Lindahl.;Per Näsman.;Lars Rydén.;Anna Norhammar.;Elisabet Svenungsson.
来源: Ann Intern Med. 2019年170卷4期277-280页 5447. Diagnosis of Pulmonary Embolism During Pregnancy: A Multicenter Prospective Management Outcome Study.
作者: Marc Righini.;Helia Robert-Ebadi.;Antoine Elias.;Olivier Sanchez.;Emmanuelle Le Moigne.;Jeannot Schmidt.;Catherine Le Gall.;Jacques Cornuz.;Drahomir Aujesky.;Pierre-Marie Roy.;Céline Chauleur.;Olivier T Rutschmann.;Pierre-Alexandre Poletti.;Grégoire Le Gal.; .
来源: Ann Intern Med. 2018年169卷11期766-773页
Data on the optimal diagnostic management of pregnant women with suspected pulmonary embolism (PE) are limited, and guidelines provide inconsistent recommendations on use of diagnostic tests.
5449. The Next Stage of Buprenorphine Care for Opioid Use Disorder.
作者: Stephen A Martin.;Lisa M Chiodo.;Jordon D Bosse.;Amanda Wilson.
来源: Ann Intern Med. 2018年169卷9期628-635页
Buprenorphine has been used internationally for the treatment of opioid use disorder (OUD) since the 1990s and has been available in the United States for more than a decade. Initial practice recommendations were intentionally conservative, were based on expert opinion, and were influenced by methadone regulations. Since 2003, the American crisis of OUD has dramatically worsened, and much related empirical research has been undertaken. The findings in several important areas conflict with initial clinical practice that is still prevalent. This article reviews research findings in the following 7 areas: location of buprenorphine induction, combining buprenorphine with a benzodiazepine, relapse during buprenorphine treatment, requirements for counseling, uses of drug testing, use of other substances during buprenorphine treatment, and duration of buprenorphine treatment. For each area, evidence for needed updates and modifications in practice is provided. These modifications will facilitate more successful, evidence-based treatment and care for patients with OUD.
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