201. Rituximab Versus Conventional Therapy for Remission Induction in Eosinophilic Granulomatosis With Polyangiitis : A Randomized Controlled Trial.
作者: Benjamin Terrier.;Grégory Pugnet.;Claire de Moreuil.;Bernard Bonnotte.;Ygal Benhamou.;Dominique Chauveau.;Marie-Charlotte Besse.;Pierre Duffau.;Nicolas Limal.;Antoine Néel.;Geoffrey Urbanski.;Noémie Jourde-Chiche.;Nicolas Martin-Silva.;Julien Campagne.;Arsène Mekinian.;Nicolas Schleinitz.;Felix Ackermann.;Anne-Laure Fauchais.;Antoine Froissart.;Thomas Le Gallou.;Yurdagul Uzunhan.;Jean-François Viallard.;Alice Bérezné.;Laurent Chiche.;Camille Taillé.;Guillaume Direz.;Cécile-Audrey Durel.;Pascal Godmer.;Salim Trad.;Marc Lambert.;Mathilde de Menthon.;Thomas Quéméneur.;Jacques Cadranel.;Pierre Charles.;Antoine Dossier.;Léa Jilet.;Loïc Guillevin.;Hendy Abdoul.;Xavier Puéchal.; .
来源: Ann Intern Med. 2025年178卷9期1249-1257页
Eosinophilic granulomatosis with polyangiitis (EGPA) is an eosinophilic antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis. Rituximab has emerged as the standard of care in other types of ANCA-associated vasculitis, but controlled studies on its use in EGPA are yet lacking.
202. Social Determinants of Health and Risk for Long COVID in the U.S. RECOVER-Adult Cohort.
作者: Candace H Feldman.;Leah Santacroce.;Ingrid V Bassett.;Tanayott Thaweethai.;Radica Alicic.;Rachel Atchley-Challenner.;Alicia Chung.;Mark P Goldberg.;Carol R Horowitz.;Karen B Jacobson.;J Daniel Kelly.;Stacey Knight.;Karen Lutrick.;Praveen Mudumbi.;Sairam Parthasarathy.;Heather Prendergast.;Yuri Quintana.;Nasser Sharareh.;Judd Shellito.;Zaki A Sherif.;Brittany D Taylor.;Emily Taylor.;Joel Tsevat.;Zanthia Wiley.;Natasha J Williams.;Lynn Yee.;Lisa Aponte-Soto.;Jhony Baissary.;Jasmine Berry.;Alexander W Charney.;Maged M Costantine.;Alexandria M Duven.;Nathaniel Erdmann.;Kacey C Ernst.;Elen M Feuerriegel.;Valerie J Flaherman.;Minjoung Go.;Kellie Hawkins.;Vanessa Jacoby.;Janice John.;Sara Kelly.;Elijah Kindred.;Adeyinka Laiyemo.;Emily B Levitan.;Bruce D Levy.;Jennifer K Logue.;Jai G Marathe.;Jeffrey N Martin.;Grace A McComsey.;Torri D Metz.;Tony Minor.;Aoyjai P Montgomery.;Janet M Mullington.;Igho Ofotokun.;Megumi J Okumura.;Michael J Peluso.;Kristen Pogreba-Brown.;Hengameh Raissy.;Johana M Rosas.;Upinder Singh.;Timothy VanWagoner.;Cheryl R Clark.;Elizabeth W Karlson.
来源: Ann Intern Med. 2025年178卷9期1287-1297页
Social determinants of health (SDoH) contribute to disparities in SARS-CoV-2 infection, but their associations with long COVID are unknown.
203. The Risks of Risk Assessment: Causal Blind Spots When Using Prediction Models for Treatment Decisions.
作者: Nan van Geloven.;Ruth H Keogh.;Wouter van Amsterdam.;Giovanni Cinà.;Jesse H Krijthe.;Niels Peek.;Kim Luijken.;Sara Magliacane.;Paweł Morzywołek.;Thijs van Ommen.;Hein Putter.;Matthew Sperrin.;Junfeng Wang.;Daniala L Weir.;Vanessa Didelez.
来源: Ann Intern Med. 2025年178卷9期1326-1333页
Clinicians increasingly rely on prediction models to guide treatment choices. Most prediction models, however, are developed using observational data that include some patients who have already received the treatment the prediction model is meant to inform. Special attention to the causal role of those earlier treatments is required when interpreting the resulting predictions. "Causal blind spots" were identified in 3 common approaches to handling treatment when developing a prediction model: including treatment as a predictor, restricting to persons taking a certain treatment, and ignoring treatment. Through several real examples, this article illustrates how the risks obtained from models developed using such approaches may be misinterpreted and can lead to misinformed decision making. The discussion covers issues attributable to confounding, selection, mediation, and changes in treatment protocols over time. An extension of guidelines for the development, reporting, and evaluation of prediction models is advocated to avoid such misinterpretations. Developers must ensure that the intended target population for the model, and the treatment conditions under which predictions hold, are clearly communicated. When prediction models are intended to inform treatment decisions, they need to provide estimates of risk under the specific treatment (or intervention) options being considered, known as "prediction under interventions." Next to suitable data, this requires causal reasoning and causal inference techniques during model development and evaluation. Being clear about what a given prediction model can and cannot be used for prevents misinformed treatment decisions and thereby prevents potential harm to patients.
204. Cardiovascular Risk Factor and Disease Mortality Among Asian Indian, Chinese, and Filipino Adults in the United States, 2018 to 2023.
作者: Rahul Aggarwal.;Rishi K Wadhera.;Nicholas Chiu.;Michael Szarek.;Deepak L Bhatt.
来源: Ann Intern Med. 2025年178卷10期1523-1525页 208. Association of Weekend Warrior and Other Physical Activity Patterns With Mortality Among Adults With Diabetes : A Cohort Study.
作者: Zhiyuan Wu.;Chen Sheng.;Zheng Guo.;Yulu Zheng.;Deqiang Zheng.;Xia Li.;Xiuhua Guo.;Haibin Li.
来源: Ann Intern Med. 2025年178卷9期1279-1286页
"Weekend warrior" and regularly active physical activity patterns have been associated with reduced mortality risk in the general population. The association in patients with diabetes is unknown.
212. Antibiotic, Glucocorticoid, and Opioid Prescribing in Urgent Cares: An Opportunity for Reducing Medication Overuse.
作者: Shirley Cohen-Mekelburg.;Beth I Wallace.;Brooke Kenney.;Andrew Read.;Victoria C Weston.;Akbar K Waljee.
来源: Ann Intern Med. 2025年178卷10期1520-1523页 213. Glucagon-Like Peptide-1 Receptor Agonists and Incidence of Dementia Among Older Adults With Type 2 Diabetes : A Target Trial Emulation.
作者: Kosuke Inoue.;Debra Saliba.;Hiroshi Gotanda.;Tannaz Moin.;Carol M Mangione.;Alexandra M Klomhaus.;Yusuke Tsugawa.
来源: Ann Intern Med. 2025年178卷9期1258-1267页
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have been shown to decrease blood glucose levels, promote weight loss, and prevent cardiovascular events. However, evidence is limited regarding their effect on dementia, although emerging observational studies, some with serious methodological limitations, have suggested large reductions in dementia associated with GLP-1RAs that may not be entirely causally related.
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