2301. In women with stress UI, device-guided pelvic floor muscle training safely improved symptoms more than self-guided training.
Weinstein MM, Dunivan G, Guaderrama NM, et al. Digital therapeutic device for urinary incontinence: a randomized controlled trial. Obstet Gynecol. 2022;139:606-15. 35271539.
2302. ESCMID recommendations for COVID-19 testing in asymptomatic persons to prevent transmission in health care.
Carrara E, Ong DS, Hussein K, et al. ESCMID guidelines on testing for SARS-CoV-2 in asymptomatic individuals to prevent transmission in the health care setting. Clin Microbiol Infect. 2022;28:672-80. 35124258.
2303. In critically ill patients with COVID-19, antiplatelet therapy did not increase organ support-free days at 21 d.
REMAP-CAP Writing Committee for the REMAP-CAP Investigators. Effect of antiplatelet therapy on survival and organ support-free days in critically ill patients with COVID-19: a randomized clinical trial. JAMA. 2022;327:1247-59. 35315874.
2304. In former smokers with COPD, HEPA and carbon filter air cleaners improved moderate exacerbations but not QoL.
Hansel NN, Putcha N, Woo H, et al. Randomized clinical trial of air cleaners to improve indoor air quality and chronic obstructive pulmonary disease health: results of the CLEAN AIR study. Am J Respir Crit Care Med. 2022;205:421-30. 34449285.
2305. COVID-19 diagnosis, but not vaccination, was linked to increased risk for immune-mediated neurologic events.
Li X, Raventós B, Roel E, et al. Association between covid-19 vaccination, SARS-CoV-2 infection, and risk of immune mediated neurological events: population based cohort and self-controlled case series analysis. BMJ. 2022;376:e068373. 35296468.
2306. In intermediate-risk stable chest pain, treatment guided by initial CT vs. ICA did not differ for MACE at 3.5 y.
The DISCHARGE Trial Group. CT or invasive coronary angiography in stable chest pain. N Engl J Med. 2022;386:1591-602. 35240010.
2307. Aspirin use is associated with reduced risk for hepatocellular carcinoma.
Wang Y, Wang M, Liu C, et al. Aspirin use and the risk of hepatocellular carcinoma: a meta-analysis. J Clin Gastroenterol. 2022. [Epub ahead of print.] 35316225.
2309. A Framework for the Development of Living Practice Guidelines in Health Care.
作者: Ibrahim K El Mikati.;Joanne Khabsa.;Tarek Harb.;Mohamed Khamis.;Arnav Agarwal.;Hector Pardo-Hernandez.;Sarah Farran.;Assem M Khamis.;Ola El Zein.;Rayane El-Khoury.;Holger J Schünemann.;Elie A Akl.; .;Pablo Alonso-Coello.;Brian S Alper.;Yasser Sami Amer.;Thurayya Arayssi.;James M Barker.;Imad Bouakl.;Isabelle Boutron.;Romina Brignardello-Petersen.;Kristine Carandang.;Stephanie Chang.;Yaolong Chen.;Adam Cuker.;Fadi El-Jardali.;Ivan Florez.;Nathan Ford.;John Grove.;Gordon H Guyatt.;Glen S Hazlewood.;Tamara Kredo.;Francois Lamontagne.;Miranda W Langendam.;Simon Lewin.;Helen Macdonald.;Emma McFarlane.;Joerg Meerpohl.;Zachary Munn.;M Hassan Murad.;Reem A Mustafa.;Ignacio Neumann.;Robby Nieuwlaat.;Artur Nowak.;Jordi Pardo Pardo.;Amir Qaseem.;Gabriel Rada.;Marc Righini.;Bram Rochwerg.;Maria X Rojas-Reyes.;Deborah Siegal.;Reed Siemieniuk.;Jasvinder A Singh.;Nicole Skoetz.;Shahnaz Sultan.;Anneliese Synnot.;Peter Tugwell.;Amy Turner.;Tari Turner.;Shilpa Venkatachalam.;Vivian Welch.;Wojtek Wiercioch.
来源: Ann Intern Med. 2022年175卷8期1154-1160页
Living practice guidelines are increasingly being used to ensure that recommendations are responsive to rapidly emerging evidence.
2310. Quantifying Individual-Level Inaccuracy in Glomerular Filtration Rate Estimation : A Cross-Sectional Study.
作者: Tariq Shafi.;Xiaoqian Zhu.;Seth T Lirette.;Andrew D Rule.;Thomas Mosley.;Kenneth R Butler.;Michael E Hall.;Pradeep Vaitla.;James J Wynn.;Maria Clarissa Tio.;Neville R Dossabhoy.;Eliseo Guallar.;Javed Butler.
来源: Ann Intern Med. 2022年175卷8期1073-1082页
Although the population-level differences between estimated glomerular filtration rate (eGFR) and measured glomerular filtration rate (mGFR) are well recognized, the magnitude and potential clinical implications of individual-level differences are unknown.
2312. Antinucleocapsid Antibodies After SARS-CoV-2 Infection in the Blinded Phase of the Randomized, Placebo-Controlled mRNA-1273 COVID-19 Vaccine Efficacy Clinical Trial.
作者: Dean Follmann.;Holly E Janes.;Olive D Buhule.;Honghong Zhou.;Bethany Girard.;Kristen Marks.;Karen Kotloff.;Michaël Desjardins.;Lawrence Corey.;Kathleen M Neuzil.;Jacqueline M Miller.;Hana M El Sahly.;Lindsey R Baden.
来源: Ann Intern Med. 2022年175卷9期1258-1265页
Immunoassays for determining past SARS-CoV-2 infection have not been systematically evaluated in vaccinated persons in comparison with unvaccinated persons.
2313. In COVID-19 acute hypoxemic respiratory failure, awake prone positioning vs. the supine position reduces intubations.
Li J, Luo J, Pavlov I, et al. Awake prone positioning for non-intubated patients with COVID-19-related acute hypoxaemic respiratory failure: a systematic review and meta-analysis. Lancet Respir Med. 2022;10:573-83. 35305308.
2315. Strengthening Food and Nutrition Security to Promote Public Health in the United States: A Position Paper From the American College of Physicians.
Food insecurity functions as a social driver of health, directly negatively impacting health status and outcomes, which can further negatively impact employment and income and increase medical expenditures-all of which exacerbates food insecurity. Progress in meaningfully reducing the food-insecurity rate has stalled in recent years. Although rates have decreased since their peak during the Great Recession, these gains have been reversed by the economic implications of the COVID-19 pandemic. As the federal government is the largest provider of food assistance, there is much potential in better leveraging nutrition assistance programs like the Supplemental Nutrition Assistance Program (SNAP) and the Child Nutrition Programs to increase access to healthful foods and improve public health. However, these programs face many funding challenges and internal shortcomings that create uncertainties and prevent maximal effect. Physicians and other medical professionals also have a role in improving nutritional health by screening for food insecurity and serving as connectors between patients, community organizations, and government services. Governments and payers must support these efforts by providing sufficient resources to practices to fulfill this role. In this position paper, the American College of Physicians (ACP) offers several policy recommendations to strengthen the federal food-insecurity response and empower physicians and other medical professionals to better address those social drivers of health occurring beyond the office doors.
2317. Life Expectancy for White, Black, and Hispanic Race/Ethnicity in U.S. States: Trends and Disparities, 1990 to 2019.
作者: Catherine O Johnson.;Alexandra S Boon-Dooley.;Nicole K DeCleene.;Kiana F Henny.;Brigette F Blacker.;Jason A Anderson.;Ashkan Afshin.;Aleksandr Aravkin.;Matthew W Cunningham.;Joseph L Dieleman.;Rachel G Feldman.;Emmanuela Gakidou.;Ali H Mokdad.;Mohsen Naghavi.;Cory N Spencer.;Joanna L Whisnant.;Hunter Wade York.;Rahul R Zende.;Peng Zheng.;Christopher J L Murray.;Gregory A Roth.
来源: Ann Intern Med. 2022年175卷8期1057-1064页
Life expectancy (LE) differences within and between states by race/ethnicity have not been examined.
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