284. In patients with AF and obesity, catheter ablation vs. lifestyle modification plus antiarrhythmic drugs improved AF freedom at 1 y.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
286. In cancer-associated thrombosis, DOACs reduce VTE and increase clinically relevant nonmajor bleeding vs. LMWH at 3 to 12 mo.
GIM/FP/GP: [Formula: see text] Oncology: [Formula: see text] Hematology: [Formula: see text].
287. In older adults at risk for dementia, a structured vs. self-guided lifestyle intervention improved cognitive function over 2 y.
GIM/FP/GP: [Formula: see text] Geriatrics: [Formula: see text] Public Health: [Formula: see text].
288. Effectiveness of Psychological Therapies for Depression During the Perinatal Period : A Systematic Review and Meta-analysis.
作者: Elyse Couch.;Htun Ja Mai.;Ghid Kanaan.;Eduardo L Caputo.;Olivia Lewis.;Michael L Zahradnik.;Margaret Howard.;Lauren Connell Bohlen.;Kristin Konnyu.;Ethan M Balk.
来源: Ann Intern Med. 2025年178卷12期1752-1762页
Perinatal depression can have a deleterious impact on mothers and infants.
291. In minor stroke, adding IV thrombolysis to nonthrombolytic usual care does not increase excellent functional outcome at 90 d.
Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Neurology: [Formula: see text].
292. In adults with obesity but without type 2 diabetes, tirzepatide increased weight loss at 72 wk compared with semaglutide.
GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text].
293. In older, frail, VKA-experienced patients with AF, SD-DOACs vs. warfarin reduced thrombotic events without increasing major bleeding.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].
295. In adults living near highways, 30 d of home HEPA vs. sham filtration did not differ for BP.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Public Health: [Formula: see text].
296. Artificial Intelligence-Assisted Data Extraction With a Large Language Model: A Study Within Reviews.
作者: Gerald Gartlehner.;Shannon Kugley.;Karen Crotty.;Meera Viswanathan.;Andreea Dobrescu.;Barbara Nussbaumer-Streit.;Graham Booth.;Jonathan R Treadwell.;Jung Min Han.;Jesse Wagner.;Eric A Apaydin.;Erin L Coppola.;Margaret Maglione.;Rainer Hilscher.;Robert Chew.;Meagan Pilar.;Bryan Swanton.;Leila C Kahwati.
来源: Ann Intern Med. 2025年178卷12期1763-1771页
Data extraction is a critical but error-prone and labor-intensive task in evidence synthesis. Unlike other artificial intelligence (AI) technologies, large language models (LLMs) do not require labeled training data for data extraction.
297. Evidence for the efficacy of phosphate binders for preventing CKD complications was mostly low to very low certainty.
GIM/FP/GP: [Formula: see text] Nephrology: [Formula: see text].
298. Proteinuria or Albuminuria as Markers of Kidney and Cardiovascular Disease Risk : An Individual Patient-Level Meta-analysis.
作者: Hiddo J L Heerspink.;Morgan E Grams.;Yingying Sang.;Shoshana H Ballew.;Josef Coresh.;Aditya Surapaneni.;Natalia Alencar de Pinho.;Nigel J Brunskill.;Alexander R Chang.;Elizabeth Ciemins.;Laura M Dember.;Keiko Kabasawa.;Lindsey Kornowske.;Adeera Levin.;Rupert Major.;Patrick B Mark.;Eric McArthur.;James Medcalf.;Marie Metzger.;Girish N Nadkarni.;David M J Naimark.;Cassianne Robinson-Cohen.;Keiichi Sumida.;Robin W M Vernooij.;Ron T Gansevoort.;Bengt Fellström.;Steven Chadban.; .
来源: Ann Intern Med. 2026年179卷1期32-41页
Urinary albumin-creatinine ratio (UACR) and urinary protein-creatinine ratio (UPCR) are both used in clinical practice to diagnose and monitor chronic kidney disease (CKD). Which measure exhibits stronger associations with clinical outcomes and whether this varies by patient characteristics are unknown.
299. The Michigan Appropriateness Guide for Intravenous Catheters in Adult Patients With Cancer (MAGIC-ONC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method.
作者: Ajay Major.;David G Paje.;Knut Taxbro.;Zoe McQuilten.;Andrew D Kin.;Evan Alexandrou.;Lama Hsaiky.;Jocelyn Hill.;Jonathan G Moss.;Mini Kamboj.;Sarah B White.;Jennifer K Horowitz.;Elizabeth McLaughlin.;Scott A Flanders.;Steven J Bernstein.;Vineet Chopra.
来源: Ann Intern Med. 2025年178卷12_Supplement期S143-S177页
Safe and reliable venous access is critical for high-quality cancer care. Patients with both solid and hematologic cancers require vascular access devices (VADs) for systemic chemotherapies and for supportive treatments, including blood products, antimicrobials, antiemetics, and fluids. However, VADs are associated with serious complications, including bloodstream infection and venous thromboembolism. Evidence-based guidance could maximize benefits and reduce risks in the selection and management of VADs in patients with cancer. The authors convened a 9-member international multidisciplinary panel and used the RAND/UCLA Appropriateness Method to develop recommendations for VAD selection, insertion, and management in patients with cancer. A literature review informed the development of clinical scenarios, which were rated by the panel for appropriateness based on cancer type, treatment indication, urgency, comorbidities, and anticipated duration of use. Of 1422 scenarios, 502 (35%) were rated as appropriate, 400 (28%) were rated as neutral/uncertain, and 520 (37%) were rated as inappropriate. Appropriateness of VAD selection varied by type of cancer, treatment urgency, and planned dwell time. For patients with acute hematologic cancers requiring urgent chemotherapy, placement of a double-lumen peripherally inserted central catheter (PICC) or a tunneled central venous catheter (CVC) was rated as appropriate, regardless of treatment intensity or infusate characteristics. For patients with malignant solid tumors, a single-lumen tunneled CVC or implanted port was rated as appropriate for delivering chemotherapy, regardless of treatment intensity, urgency, or duration. In patients with advanced chronic kidney disease, coordination of care with a nephrologist to ensure vein preservation in the context of cancer prognosis was recommended. By developing comprehensive, evidence-informed expert recommendations, the Michigan Appropriateness Guide for Intravenous Catheters in Adult Patients With Cancer (MAGIC-ONC) aims to improve clinical care, reduce complications, support quality improvement efforts, and advance the safety of vascular access for patients with cancer.
|