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3. In COVID-19 acute hypoxemic respiratory failure, awake prone positioning vs. supine positioning increases survival without intubation.
GIM/FP/GP: [Formula: see text] Critical Care: [Formula: see text] Pulmonology: [Formula: see text].
5. Catheter and Surgical Ablation for Atrial Fibrillation : A Systematic Review and Meta-analysis.
作者: Bryce Montané.;Shiyang Zhang.;Jonathan D Wolfe.;Sabrina Prime.;Chongliang Luo.;Daniel H Cooper.;Michelle Doering.;Carina Blomstrom-Lundqvist.;Samer A M Nashef.;Pavel Osmancik.;Jason G Andrade.;Emanuele Bertaglia.;Ratika Parkash.;Daniel B Mark.;Jens C Nielsen.;Linda D Sharples.;Brian F Gage.
来源: Ann Intern Med. 2025年
Ablation of atrial fibrillation can restore normal heart rhythm, but its effect on clinical outcomes is uncertain.
7. In critically ill patients, preoxygenation with NIPPV or HFNC vs. face mask reduces hypoxemia during intubation.
Emergency Med: [Formula: see text] Critical Care: [Formula: see text] Pulmonology: [Formula: see text].
8. Modernizing Risk Adjustment in Health Care: A Position Paper of the American College of Physicians.
作者: Brian E Outland.;Joshua M Liao.;Jason M Goldman.;Anne F Schultz.;William Fox.; .
来源: Ann Intern Med. 2025年
Risk adjustment is a critical component of health care reimbursement aimed at ensuring fair compensation on the basis of the characteristics of patients receiving care. Optimizing risk adjustment is not just a matter of improving efficiency or predictive accuracy; it is a crucial step toward achieving health equity by ensuring that resources are directed toward patients who need them most and reducing incentives to exclude or neglect high-risk patients. The authors reviewed available publications from PubMed and Google Scholar published between 2000 and 2025, as well as relevant news articles, policy documents, websites, and other sources related to risk adjustment and application areas. This process yielded 8 recommendations related to standardizing risk adjustment methods, promoting data interoperability, implementing strategies to enable more accurate and continuous reflections of patients' health status, integrating valid and reliable metrics into regular evaluation and feedback mechanisms, limiting "gaming" opportunities and incentives, creating valid ways to measure costs of caring for patients who are experiencing health care disparities and inequities and/or are disproportionately affected by social drivers of health, evaluating and leveraging advanced analytics and machine learning when able to improve risk adjustment models, and promoting research and implementation methods that combine elements of both prospective and concurrent risk adjustment. Implementation of these risk adjustment recommendations has broad implications for various entities in the health care ecosystem.
9. In HF with iron deficiency, IV ferric carboxymaltose did not reduce a composite of first HF hospitalization or CV death at a median 17 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].
15. In adults aged 50 to 69 y, invitation to screening with FIT was noninferior to invitation for colonoscopy for colorectal cancer mortality at 10 y.
GIM/FP/GP: [Formula: see text] Gastroenterology: [Formula: see text] Public Health: [Formula: see text].
17. Medications and Risk for Microscopic Colitis: A Nationwide Study of Older Adults in Sweden.
作者: Hamed Khalili.;Emma E McGee.;Prasanna K Challa.;Bjorn Roelstraete.;Kristina Johnell.;Sebastian Schneeweiss.;Jonas W Wastesson.;Jonas F Ludvigsson.
来源: Ann Intern Med. 2025年
Several medications have been identified as potential risk factors for microscopic colitis (MC), but evidence so far is hampered by methodological limitations.
18. In high-risk type 2 diabetes, adding oral semaglutide to standard care reduced MACE at a mean 48 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Endocrinology: [Formula: see text] Nephrology: [Formula: see text].
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