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3782. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society.
作者: Amir Qaseem.;Timothy J Wilt.;Steven E Weinberger.;Nicola A Hanania.;Gerard Criner.;Thys van der Molen.;Darcy D Marciniuk.;Tom Denberg.;Holger Schünemann.;Wisia Wedzicha.;Roderick MacDonald.;Paul Shekelle.; .; .; .; .
来源: Ann Intern Med. 2011年155卷3期179-91页
This guideline is an official statement of the American College of Physicians (ACP), American College of Chest Physicians (ACCP), American Thoracic Society (ATS), and European Respiratory Society (ERS). It represents an update of the 2007 ACP clinical practice guideline on diagnosis and management of stable chronic obstructive pulmonary disease (COPD) and is intended for clinicians who manage patients with COPD. This guideline addresses the value of history and physical examination for predicting airflow obstruction; the value of spirometry for screening or diagnosis of COPD; and COPD management strategies, specifically evaluation of various inhaled therapies (anticholinergics, long-acting β-agonists, and corticosteroids), pulmonary rehabilitation programs, and supplemental oxygen therapy.
3783. Circulating long-chain ω-3 fatty acids and incidence of congestive heart failure in older adults: the cardiovascular health study: a cohort study.
作者: Dariush Mozaffarian.;Rozenn N Lemaitre.;Irena B King.;Xiaoling Song.;Donna Spiegelman.;Frank M Sacks.;Eric B Rimm.;David S Siscovick.
来源: Ann Intern Med. 2011年155卷3期160-70页
Few previous studies have evaluated associations between long-chain ω-3 fatty acids and incidence of congestive heart failure (CHF), and those that have are typically based on diet questionnaires and yield conflicting results. Circulating fatty acid concentrations provide objective biomarkers of exposure.
3784. Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study.
Hospitalist care has grown rapidly, in part because it is associated with decreased length of stay and hospital costs. No national studies examining the effect of hospitalist care on hospital costs or on medical utilization and costs after discharge have been done.
3785. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: an analysis of discharge records.
作者: Renda Soylemez Wiener.;Lisa M Schwartz.;Steven Woloshin.;H Gilbert Welch.
来源: Ann Intern Med. 2011年155卷3期137-44页
Because pulmonary nodules are found in up to 25% of patients undergoing computed tomography of the chest, the question of whether to perform biopsy is becoming increasingly common. Data on complications after transthoracic needle lung biopsy are limited to case series from selected institutions.
3789. Communicating data about the benefits and harms of treatment: a randomized trial.
Despite limited evidence, it is often asserted that natural frequencies (for example, 2 in 1000) are the best way to communicate absolute risks.
3790. Geographic isolation and the risk for chronic obstructive pulmonary disease-related mortality: a cohort study.
作者: Thad E Abrams.;Mary Vaughan-Sarrazin.;Vincent S Fan.;Peter J Kaboli.
来源: Ann Intern Med. 2011年155卷2期80-6页
Little is known about the possible differences in outcomes between patients with chronic obstructive pulmonary disease (COPD) who live in rural areas and those who live in urban areas of the United States.
3791. Strategies to identify the Lynch syndrome among patients with colorectal cancer: a cost-effectiveness analysis.
作者: Uri Ladabaum.;Grace Wang.;Jonathan Terdiman.;Amie Blanco.;Miriam Kuppermann.;C Richard Boland.;James Ford.;Elena Elkin.;Kathryn A Phillips.
来源: Ann Intern Med. 2011年155卷2期69-79页
Testing has been advocated for all persons with newly diagnosed colorectal cancer to identify families with the Lynch syndrome, an autosomal dominant cancer-predisposition syndrome that is a paradigm for personalized medicine.
3794. Life expectancy of persons receiving combination antiretroviral therapy in low-income countries: a cohort analysis from Uganda.
作者: Edward J Mills.;Celestin Bakanda.;Josephine Birungi.;Keith Chan.;Nathan Ford.;Curtis L Cooper.;Jean B Nachega.;Mark Dybul.;Robert S Hogg.
来源: Ann Intern Med. 2011年155卷4期209-16页
Little is known about the effect of combination antiretroviral therapy (cART) on life expectancy in sub-Saharan Africa.
3797. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review.
作者: John Q Young.;Sumant R Ranji.;Robert M Wachter.;Connie M Lee.;Brian Niehaus.;Andrew D Auerbach.
来源: Ann Intern Med. 2011年155卷5期309-15页
It is commonly believed that the quality of health care decreases during trainee changeovers at the end of the academic year.
3798. Is pocket mobile echocardiography the next-generation stethoscope? A cross-sectional comparison of rapidly acquired images with standard transthoracic echocardiography.
作者: Max J Liebo.;Rachel L Israel.;Elizabeth O Lillie.;Michael R Smith.;David S Rubenson.;Eric J Topol.
来源: Ann Intern Med. 2011年155卷1期33-8页
A pocket mobile echocardiography (PME) device is commercially available for clinical use, but public data documenting its accuracy compared with standard transthoracic echocardiography (TTE) are not available.
3799. Personalizing mammography by breast density and other risk factors for breast cancer: analysis of health benefits and cost-effectiveness.
作者: John T Schousboe.;Karla Kerlikowske.;Andrew Loh.;Steven R Cummings.
来源: Ann Intern Med. 2011年155卷1期10-20页
Current guidelines recommend mammography every 1 or 2 years starting at age 40 or 50 years, regardless of individual risk for breast cancer.
3800. A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial.
作者: Daniel C Cherkin.;Karen J Sherman.;Janet Kahn.;Robert Wellman.;Andrea J Cook.;Eric Johnson.;Janet Erro.;Kristin Delaney.;Richard A Deyo.
来源: Ann Intern Med. 2011年155卷1期1-9页
Few studies have evaluated the effectiveness of massage for chronic low back pain.
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