561. Social, Behavioral, and Metabolic Risk Factors and Racial Disparities in Cardiovascular Disease Mortality in U.S. Adults : An Observational Study.
作者: Jiang He.;Joshua D Bundy.;Siyi Geng.;Ling Tian.;Hua He.;Xingyan Li.;Keith C Ferdinand.;Amanda H Anderson.;Kirsten S Dorans.;Ramachandran S Vasan.;Katherine T Mills.;Jing Chen.
来源: Ann Intern Med. 2023年176卷9期1200-1208页
Cardiovascular disease (CVD) mortality is persistently higher in the Black population than in other racial and ethnic groups in the United States.
563. Comparative Effectiveness and Safety of Generic Versus Brand-Name Fluticasone-Salmeterol to Treat Chronic Obstructive Pulmonary Disease.
作者: William B Feldman.;Aaron S Kesselheim.;Jerry Avorn.;Massimiliano Russo.;Shirley V Wang.
来源: Ann Intern Med. 2023年176卷8期1047-1056页
In 2019, the U.S. Food and Drug Administration (FDA) approved the first generic maintenance inhaler for asthma and chronic obstructive pulmonary disease (COPD). The inhaler, Wixela Inhub (fluticasone-salmeterol; Viatris), is a substitutable version of the dry powder inhaler Advair Diskus (fluticasone-salmeterol; GlaxoSmithKline). When approving complex generic products like inhalers, the FDA applies a special "weight-of-evidence" approach. In this case, manufacturers were required to perform a randomized controlled trial in patients with asthma but not COPD, although the product received approval for both indications.
565. Estimating Breast Cancer Overdiagnosis After Screening Mammography Among Older Women in the United States.
作者: Ilana B Richman.;Jessica B Long.;Pamela R Soulos.;Shi-Yi Wang.;Cary P Gross.
来源: Ann Intern Med. 2023年176卷9期1172-1180页
Overdiagnosis is increasingly recognized as a harm of breast cancer screening, particularly for older women.
566. Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians (Version 2).
作者: Amir Qaseem.;Curtis S Harrod.;Carolyn J Crandall.;Timothy J Wilt.; .;Ethan M Balk.;Thomas G Cooney.;J Thomas Cross.;Nick Fitterman.;Michael Maroto.;Adam J Obley.;Jeffrey Tice.;Janice E Tufte.;Tatyana Shamliyan.;Jennifer Yost.
来源: Ann Intern Med. 2023年176卷8期1092-1100页
The purpose of this updated guidance statement is to guide clinicians on screening for colorectal cancer (CRC) in asymptomatic average-risk adults. The intended audience is all clinicians. The population is asymptomatic adults at average risk for CRC.
568. Credentialing Internal Medicine Physicians to Expand Long-Acting Reversible Contraceptive Access.
作者: Jennifer L Michener.;David A Hirsh.;Pelin Batur.;Rachel S Casas.;Vidya Gopinath.;Lydia E Pace.;Christine Prifti.;Jennifer Rusiecki.;Eleanor Bimla Schwarz.;Megha Shankar.;Mindy Sobota.;Deborah Gomez Kwolek.
来源: Ann Intern Med. 2023年176卷8期1121-1123页 572. Preparing for Future Pandemics and Public Health Emergencies: An American College of Physicians Policy Position Paper.
作者: Josh Serchen.;Katelan Cline.;Suja Mathew.;David Hilden.; .
来源: Ann Intern Med. 2023年176卷9期1240-1244页
The onset of the COVID-19 pandemic revealed significant gaps in the United States' pandemic and public health emergency response system. At the federal level, government responses were undercut by a lack of centralized coordination, inadequately defined responsibilities, and an under-resourced national stockpile. Contradictory and unclear guidance throughout the early months of the pandemic, along with inconsistent funding to public health agencies, also created notable variance in state and local responses. The lack of a coordinated response added pressure to an already overwhelmed health care system, which was forced to resort to rationing care and personal protective equipment, creating moral distress and trauma for health care workers and their patients. Despite these severe shortcomings, the COVID-19 pandemic also highlighted successful policies and approaches, such as Operation Warp Speed, which led to the fastest development and distribution of a vaccine in history. In this position paper, the American College of Physicians (ACP) offers several policy recommendations for enhancing federal, state, and local preparedness for future pandemic and public health emergencies. This policy paper builds on various statements produced by ACP throughout the COVID-19 pandemic, including on the ethical distribution of vaccinations and resources, conditions to resume economic and social activity, and efforts to protect the health and well-being of medical professionals, among others.
573. Comparative Effectiveness of Sodium-Glucose Cotransporter-2 Inhibitors for Recurrent Gout Flares and Gout-Primary Emergency Department Visits and Hospitalizations : A General Population Cohort Study.
作者: Natalie McCormick.;Chio Yokose.;Jie Wei.;Na Lu.;Deborah J Wexler.;J Antonio Aviña-Zubieta.;Mary A De Vera.;Yuqing Zhang.;Hyon K Choi.
来源: Ann Intern Med. 2023年176卷8期1067-1080页
Sodium-glucose cotransporter-2 inhibitors (SGLT2is) decrease serum urate levels, but whether this translates into prevention of recurrent flares among patients with gout and gout-primary emergency department (ED) visits or hospitalizations is unknown.
574. Tecovirimat Resistance in an Immunocompromised Patient With Mpox and Prolonged Viral Shedding.
作者: Helena Mertes.;Antonio Mauro Rezende.;Isabel Brosius.;Reinout Naesens.;Johan Michiels.;Tessa deBlock.;Jasmine Coppens.;Christophe Van Dijck.;Peter Bomans.;Emmanuel Bottieau.;Marjan Van Esbroeck.;Kevin K Ariën.;Laurens Liesenborghs.;Koen Vercauteren.
来源: Ann Intern Med. 2023年176卷8期1141-1143页 576. Disparities in Guideline-Recommended Statin Use for Prevention of Atherosclerotic Cardiovascular Disease by Race, Ethnicity, and Gender : A Nationally Representative Cross-Sectional Analysis of Adults in the United States.
作者: David A Frank.;Amber E Johnson.;Leslie R M Hausmann.;Walid F Gellad.;Eric T Roberts.;Ravy K Vajravelu.
来源: Ann Intern Med. 2023年176卷8期1057-1066页
Although statins are a class I recommendation for prevention of atherosclerotic cardiovascular disease and its complications, their use is suboptimal. Differential underuse may mediate disparities in cardiovascular health for systematically marginalized persons.
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