当前位置: 首页 >> 检索结果
341. Diet and Risk for Incident Diverticulitis in Women : A Prospective Cohort Study.
作者: Trevor Barlowe.;Chelsea Anderson.;Hazel B Nichols.;Anna C Salvador.;Robert S Sandler.;Dale P Sandler.;Anne F Peery.
来源: Ann Intern Med. 2025年178卷6期788-795页
Patients with diverticulitis often attempt to control their diet with a particular focus on avoiding nuts and seeds. However, whether dietary patterns or dietary intake of nuts and seeds are associated with diverticulitis risk is poorly studied, particularly in women.
342. Quality Indicators for Diabetes in Adults: A Review of Performance Measures by the American College of Physicians.
作者: Amir Qaseem.;Peter Basch.;Karen Campos.;Scott T MacDonald.;Cristin A Mount.;Samantha Tierney.;Rebecca A Andrews.; .;Nick Fitterman.;Elisa I Choi.;Roger S Khetan.;Nancy L Miller.;Nicole J Van Groningen.;Brook Watts.
来源: Ann Intern Med. 2025年178卷7期1012-1020页
Type 1 and type 2 diabetes are prevalent chronic illnesses, are leading causes of mortality and morbidity, and result in substantial public health burden. Timely identification and appropriate management of diabetes can help reduce adverse consequences of diabetes. The American College of Physicians (ACP) embraces performance measurement as a means to improve quality of care but believes that a performance measure must be methodologically sound and evidence-based in order to be considered for inclusion in payment, accountability, or reporting programs. These principles are critical given the potential impact on physician administrative work, reputation, and reimbursement and to prevent unintended consequences for patient care. To help improve performance measurement and reduce burden, the ACP Performance Measurement Committee (PMC) reviews performance measures using a rigorous process to recognize high-quality measures and address gaps and areas for improvement. In this article, the PMC presents its review of 14 current performance measures for diabetes that are relevant to internal medicine. The PMC supports kidney health evaluation at the individual and group practice levels, hemoglobin A1c control at the health plan level, eye examination at the health plan level, and angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker therapy at the individual physician level.
343. In patients with subclinical AF, apixaban vs. aspirin reduced stroke or systemic embolism at 3.5 y in those with previous stroke or TIA.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Neurology: [Formula: see text] Hematology: [Formula: see text].
344. Confirmatory Testing for Primary Aldosteronism : A Study of Diagnostic Test Accuracy.
作者: Alexander A Leung.;Raj S Padwal.;Gregory L Hundemer.;Erik Venos.;David J T Campbell.;Daniel T Holmes.;Dennis J Orton.;C Benny So.;Stefan J Przybojewski.;Cori E Caughlin.;Janice L Pasieka.;Doreen M Rabi.;Gregory A Kline.
来源: Ann Intern Med. 2025年178卷7期948-956页
Confirmatory testing to verify the diagnosis of primary aldosteronism (PA) in patients who have an abnormal screening result is of uncertain benefit.
345. In AF with recent ACS or PCI, apixaban reduced total bleeding vs. VKA; aspirin increased total bleeding vs. placebo at 6 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
347. Non-vitamin K oral anticoagulants and aspirin do not differ for major bleeding and intracranial hemorrhage at a mean 20 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].
348. Guideline recommends antiviral prophylaxis for patients at high risk for HBV reactivation.
GIM/FP/GP: [Formula: see text] Gastroenterology: [Formula: see text] Infectious Disease: [Formula: see text] Public Health: [Formula: see text].
350. In ischemic stroke, IV thrombolysis >4.5 h after symptom onset vs. standard medical care improves 90-d functional outcomes.
Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Neurology: [Formula: see text].
352. In early postmenopausal women, zoledronate vs. placebo at baseline and 5 y reduced morphometric vertebral fractures at 10 y.
GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text] Geriatrics: [Formula: see text] Public Health: [Formula: see text].
356. In nonsevere influenza, antiviral drugs do not reduce mortality or hospital admissions; some shorten symptom duration.
Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Infectious Disease: [Formula: see text] Public Health: [Formula: see text].
359. Sins of Omission: Model-Based Estimates of the Health Effects of Excluding Pregnant Participants From Randomized Controlled Trials.
More than 90 million women in the United States have given birth. Randomized controlled trials (RCTs) of medications almost always exclude pregnant participants.
360. Empowering Physicians Through Collective Action: A Position Paper From the American College of Physicians.
Physicians are increasingly frustrated with the nation's health care system. The erosion of the patient-physician relationship, diminished clinical independence, the mounting burden of administrative tasks, and the growing influence of nonclinicians in the health care system have left many physicians disempowered, demoralized, and burned out. As a result, physicians, most of whom are employed by hospitals, health systems, and other organizations, are exploring collective action to enhance their ability to deliver high-quality care to patients, regain control of their profession, and improve their well-being. In this position paper, the American College of Physicians offers recommendations on how physicians can become effective advocates for their patients and their profession through advocacy, the organized medical staff, responsible collective bargaining, and other means.
|