243. After successful PCI for AMI and 1 mo of DAPT, P2Y12 inhibitor monotherapy was noninferior to continued DAPT for adverse outcomes.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
244. In healthy older adults, low-dose aspirin for a median 4.7 y did not reduce MACE but increased major hemorrhage at a median 8.3 y.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Geriatrics: [Formula: see text] Public Health: [Formula: see text].
247. In patients with chronic coronary syndrome and high atherothrombotic risk, adding aspirin to OAC increased adverse CV events at 2 y.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
249. In CKD, electronic letter nudges for patients or providers did not increase RASi or SGLT2i prescriptions at 6 mo.
GIM/FP/GP: [Formula: see text] Nephrology: [Formula: see text].
251. Interventions to Improve Advance Care Planning Documentation in the Electronic Health Record : A Cluster Randomized Trial.
作者: Anne M Walling.;Rebecca L Sudore.;Lisa Gibbs.;Maryam Rahimi.;Ron D Hays.;Chi-Hong Tseng.;Kanan Patel.;Katherine Santos.;Fernando Javier Sanz Vidorreta.;Aaron J Chau.;Juan Carlos Antonio Lopez.;Jamie Anand.;G Rick Marshall.;Anna DePaolis-Dickey.;Kirsten I Buen.;Douglas S Bell.;Christine S Ritchie.;Victor Gonzalez.;Neil S Wenger.
来源: Ann Intern Med. 2026年179卷1期42-50页
Advance care planning (ACP) can improve communication of patients' preferences but is underutilized in health systems.
252. Principles of Managed Care: A Position Paper From the American College of Physicians.
Most U.S. health plans use managed care strategies, including health care use management and clinician networks. Most Medicare, Medicaid, and commercial insurance enrollees are covered by managed care plans. Managed care is ostensibly used to steer patients toward high-quality clinicians and facilities and contain costs; however, prior authorization, narrow clinician networks, and other managed care strategies often restrict access to necessary care, causing frustration among patients and physicians. In this position paper, the American College of Physicians offers policy recommendations to protect patients from onerous managed care processes, reduce administrative burdens associated with managed care, and ensure that patients can promptly access high-value, medically necessary care.
253. Effect of Nonmedical Cannabis Legalization and Exposure to Retail Stores on Cannabis Harms : A Quasi-experimental Study.
作者: Erik Loewen Friesen.;Michael Pugliese.;Rachael MacDonald-Spracklin.;Doug Manuel.;Kumanan Wilson.;Erin Hobin.;Andrew D Pinto.;Daniel T Myran.
来源: Ann Intern Med. 2026年179卷1期12-22页
In 2018, Canada became the second country to legalize nonmedical cannabis and the first to allow a commercial retail market. Limiting the density of stores selling other legal substances is associated with reductions in use and harms; however, similar associations for cannabis are not well established.
259. Cost-Effectiveness of Extending Human Papillomavirus Vaccination to Population Subgroups Older Than 26 Years Who Are at Higher Risk for Human Papillomavirus Infection in the United States. |