242. Development of Prompt Templates for Large Language Model-Driven Screening in Systematic Reviews.
作者: Christian Cao.;Jason Sang.;Rohit Arora.;David Chen.;Robert Kloosterman.;Matthew Cecere.;Jaswanth Gorla.;Richard Saleh.;Ian Drennan.;Bijan Teja.;Michael Fehlings.;Paul Ronksley.;Alexander A Leung.;Dany E Weisz.;Harriet Ware.;Mairead Whelan.;David B Emerson.;Rahul K Arora.;Niklas Bobrovitz.
来源: Ann Intern Med. 2025年178卷3期389-401页
Systematic reviews (SRs) are hindered by the initial rigorous article screen, which delays access to reliable information synthesis.
245. Prevalence of Chronic Medical Conditions Among Medicare Advantage and Traditional Medicare Beneficiaries.
作者: Andrew S Oseran.;Rahul Aggarwal.;Jose Figueroa.;Karen E Joynt Maddox.;Bruce E Landon.;Rishi K Wadhera.
来源: Ann Intern Med. 2025年178卷3期327-335页
The federal government spends billions of dollars per year on payments to Medicare Advantage (MA) plans based, in part, on beneficiaries' risk scores. Despite this, little is known about the true burden of chronic medical conditions among MA beneficiaries compared with those in fee-for-service (FFS) Medicare.
253. De-escalating Dual Antiplatelet Therapy to Ticagrelor Monotherapy in Acute Coronary Syndrome : A Systematic Review and Individual Patient Data Meta-analysis of Randomized Clinical Trials.
作者: Yong-Joon Lee.;Xiaofei Gao.;Sang-Hyup Lee.;Jing Kan.;Jun-Jie Zhang.;Seung-Jun Lee.;Sung-Jin Hong.;Chul-Min Ahn.;Jung-Sun Kim.;Byeong-Keuk Kim.;Young-Guk Ko.;Donghoon Choi.;Yangsoo Jang.;Gregg W Stone.;Shao-Liang Chen.;Myeong-Ki Hong.
来源: Ann Intern Med. 2025年178卷4期533-542页
The role of transitioning from short dual antiplatelet therapy (DAPT) to potent P2Y12 inhibitor monotherapy in patients with acute coronary syndrome (ACS) undergoing drug-eluting stent (DES) implantation remains inconclusive.
256. The Target Trial Framework for Causal Inference From Observational Data: Why and When Is It Helpful?
作者: Miguel A Hernán.;Issa J Dahabreh.;Barbra A Dickerman.;Sonja A Swanson.
来源: Ann Intern Med. 2025年178卷3期402-407页
When randomized trials are not available to answer a causal question about the comparative effectiveness or safety of interventions, causal inferences are drawn using observational data. A helpful 2-step framework for causal inference from observational data is 1) specifying the protocol of the hypothetical randomized pragmatic trial that would answer the causal question of interest (the target trial), and 2) using the observational data to attempt to emulate that trial. The target trial framework can improve the quality of observational analyses by preventing some common biases. In this article, we discuss the utility and scope of applications of the framework. We clarify that target trial emulation resolves problems related to incorrect design but not those related to data limitations. We also describe some settings in which adopting this approach is advantageous to generate effect estimates that can close the gaps that randomized trials have not filled. In these settings, the target trial framework helps reduce the ambiguity of causal questions.
257. The Effect of Severe Sepsis and Septic Shock Management Bundle (SEP-1) Compliance and Implementation on Mortality Among Patients With Sepsis : A Systematic Review.
作者: James S Ford.;Joseph C Morrison.;May Kyaw.;Meghan Hewlett.;Peggy Tahir.;Sonia Jain.;Shamim Nemati.;Atul Malhotra.;Gabriel Wardi.
来源: Ann Intern Med. 2025年178卷4期543-557页
The Centers for Medicare & Medicaid Services (CMS) Severe Sepsis and Septic Shock Management Bundle (SEP-1) is now included in the Hospital Value-Based Purchasing (VBP) Program.
259. Potential Clinical and Economic Impacts of Cutbacks in the President's Emergency Plan for AIDS Relief Program in South Africa : A Modeling Analysis.
作者: Aditya R Gandhi.;Linda-Gail Bekker.;A David Paltiel.;Emily P Hyle.;Andrea L Ciaranello.;Yogan Pillay.;Kenneth A Freedberg.;Anne M Neilan.
来源: Ann Intern Med. 2025年178卷4期457-467页
Future U.S. congressional funding for the President's Emergency Plan for AIDS Relief (PEPFAR) program is uncertain.
260. Hemochromatosis.
Hemochromatosis is an inheritable condition that mainly affects White populations of European descent. Most patients remain asymptomatic, but others develop advanced organ damage that reduces quality of life and long-term survival. Arthropathy, diabetes mellitus, cirrhosis, hypogonadotropic hypogonadism, and cardiomyopathy are key clinical manifestations. Primary care and hospital medicine physicians play an essential role in early identification of this disease, which can be accomplished via standard hematologic testing. Early diagnosis and therapeutic phlebotomy improve clinical outcomes.
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