Article
Critical Care Medicine
James D. Douketis, Alex C. Spyropoulos, M. Hassan Murad, Juan Arcelus, William E. Dager, Andrew S. Dunn, Ramiz A. Fargo, Jerrold H. Levy, C. Marc Samama, Sahrish H. Shah, Matthew W. Sherwood, Alfonso J. Tafur, Liang Tang, Lisa K. Moores
Summary: The American College of Chest Physicians has issued a clinical practice guideline on the perioperative management of antithrombotic therapy for patients receiving long-term oral anticoagulant or antiplatelet therapy. The guideline provides recommendations for the management of patients receiving different types of anticoagulants or antiplatelet drugs and undergoing various types of surgery or procedures. The recommendations are based on the available evidence, but uncertainty remains for many of the perioperative management questions.
Article
Critical Care Medicine
James D. Douketis, Alex C. Spyropoulos, M. Hassan Murad, Juan Arcelus, William E. Dager, Andrew S. Dunn, Ramiz A. Fargo, Jerrold H. Levy, C. Marc Samama, Sahrish H. Shah, Matthew W. Sherwood, Alfonso J. Tafur, Liang Tang, Lisa K. Moores
Summary: This study provides guidelines for the perioperative management of patients receiving long-term oral anticoagulant or antiplatelet therapy who require elective surgery. Recommendations are generated based on different treatment types. However, there is still uncertainty regarding the best practices for most perioperative management questions.
Review
Food Science & Technology
Luigi Barrea, Claudia Vetrani, Massimiliano Caprio, Marwan El Ghoch, Evelyn Frias-Toral, Rucha J. Mehta, Verna Mendez, Eleonora Moriconi, Stavroula A. Paschou, Agnieszka Pazderska, Silvia Savastano, Annamaria Colao, Giovanna Muscogiuri
Summary: This article reviews the evidence and uncertainties surrounding nutritional therapy for patients with type 2 diabetes and obesity, providing guidance for clinical practice.
CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION
(2023)
Article
Critical Care Medicine
Akram Khan, Lindsy Frazer-Green, Reshma Amin, Lisa Wolfe, Garner Faulkner, Kenneth Casey, Girish Sharma, Bernardo Selim, David Zielinski, Loutfi S. Aboussouan, Douglas Mckim, Peter Gay
Summary: This article introduces the respiratory management guideline for patients with neuromuscular diseases. It points out that evidence of best practices in this field is limited, but provides recommendations such as regular pulmonary function testing, individualized settings for noninvasive ventilation, and guidelines for mouthpiece ventilation and mechanical ventilation.
Article
Gastroenterology & Hepatology
Lin Chang, William D. Chey, Aamer Imdad, Christopher V. Almario, Adil E. Bharucha, Susan Diem, Katarina B. Greer, Brian Hanson, Lucinda A. Harris, Cynthia Ko, M. Hassan Murad, Amit Patel, Eric D. Shah, Anthony J. Lembo, Shahnaz Sultan
Summary: This article provides evidence-based practice recommendations for the pharmacological treatment of chronic idiopathic constipation (CIC), with 10 recommendations agreed upon by a multidisciplinary guideline panel. Some medications, such as polyethylene glycol and linaclotide, are strongly recommended for CIC treatment in adults, while others, such as fiber, are conditionally recommended.
Article
Gastroenterology & Hepatology
Lin Chang, William D. Chey, Aamer Imdad, Christopher V. Almario, Adil E. Bharucha, Susan Diem, Katarina B. Greer, Brian Hanson, Lucinda A. Harris, Cynthia Ko, M. Hassan Murad, Amit Patel, Eric D. Shah, Anthony J. Lembo, Shahnaz Sultan
Summary: This article is a clinical practice guideline for the pharmacological treatment of chronic idiopathic constipation (CIC) in adults. It provides evidence-based practice recommendations, including the use of polyethylene glycol, sodium picosulfate, linaclotide, plecanatide, and prucalopride. The article also highlights limitations and gaps in the evidence to guide future research opportunities and improve patient care.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2023)
Review
Medicine, General & Internal
Gerald Gartlehner, Gernot Wagner, Lisa Affengruber, Andrea Chapman, Andreea Dobrescu, Irma Klerings, Angela Kaminski-Hartenthaler, Alexander O. Spiel
Summary: Point-of-care ultrasonography (POCUS) can significantly improve the correctness of diagnosis in patients with acute dyspnea, without affecting in-hospital mortality or length of hospital stay. POCUS consistently enhances sensitivities for detecting congestive heart failure, pneumonia, pulmonary embolism, pleural effusion, or pneumothorax, with varying impacts on specificities in different studies.
ANNALS OF INTERNAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Michelle D. Kelsey, Adam J. Nelson, Jennifer B. Green, Christopher B. Granger, Eric D. Peterson, Darren K. McGuire, Neha J. Pagidipati
Summary: Cardiovascular disease is a major concern for individuals with type 2 diabetes mellitus, and aggressive risk factor management is crucial for these high-risk patients. Recommendations and guidelines from professional societies in cardiology, endocrinology, nephrology, and general medicine in the United States and Europe provide guidance on cardiovascular risk reduction for patients with type 2 diabetes mellitus. While there are some differences in risk stratification, treatment targets for low-density lipoprotein-cholesterol and blood pressure, as well as the use of specific medications, overall there is significant alignment across recommendations from different professional societies.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Medicine, General & Internal
Amir Qaseem, Itziar Etxeandia-Ikobaltzeta, Jennifer S. Lin, Nick Fitterman, Tatyana Shamliyan, Timothy J. Wilt
Summary: This article provides clinical recommendations on the diagnosis and management of acute left-sided colonic diverticulitis, based on best available evidence and patient values and preferences. The recommendations include the use of abdominal CT imaging, outpatient management, and initial management without antibiotics.
ANNALS OF INTERNAL MEDICINE
(2022)
Article
Endocrinology & Metabolism
Lawrence Blonde, Guillermo E. Umpierrez, S. Sethu Reddy, Janet B. McGill, Sarah L. Berga, Michael Bush, Suchitra Chandrasekaran, Ralph A. DeFronzo, Daniel Einhorn, Thomas W. Gardner, Rajesh Garg, W. Timothy Garvey, Irl B. Hirsch, Daniel L. Hurley, Kenneth Izuora, Mikhail Kosiborod, Darin Olson, Shailendra B. Patel, Rodica Pop-Busui, Archana R. Sadhu, Susan L. Samson, Carla Stec, William V. Tamborlane, Katherine R. Tuttle, Christine Twining, Adrian Vella, Priyathama Vellanki, Sandra L. Weber
Summary: This updated clinical practice guideline provides comprehensive evidence-based recommendations for the care of individuals with diabetes mellitus, aiming to improve the quality of care and assist clinical decision-making for healthcare professionals.
ENDOCRINE PRACTICE
(2022)
Review
Medicine, General & Internal
Timothy J. Wilt, Anjum S. Kaka, Roderick MacDonald, Nancy Greer, Adam Obley, Wei Duan-Porter
Summary: The study found that remdesivir may improve recovery and reduce mortality in severe COVID-19 patients compared to placebo. Among hospitalized patients, a 5-day course of remdesivir may provide similar benefits to a 10-day course with fewer side effects.
ANNALS OF INTERNAL MEDICINE
(2021)
Article
Immunology
Giulia Dallagiacoma, Agnese Allora, Stefano Salvati, Giulia Cocciolo, Michele Capraro, Anna Lamberti, Sabrina Senatore, Leandro Gentile, Vincenza Gianfredi, Andrea Laurenzi, Chiara Molinari, Amelia Caretto, Marino Faccini, Carlo Signorelli, Marina Scavini, Anna Odone
Summary: The study found that seasonal influenza vaccination coverage was low among patients with type 1 diabetes, with different attitudes and practices towards vaccination. Diabetes specialists were considered the most trusted source of information on vaccines and should be more actively involved in preventive interventions.
Article
Economics
Hui Shao, Michael Laxy, Edward W. Gregg, Ann Albright, Ping Zhang
Summary: The study estimated the national impact and cost-effectiveness of following the 2018 American College of Physicians guidance statements compared to the current status quo. The results showed that implementing the new guidance would increase life-years and quality-adjusted life-years while reducing healthcare costs.
Article
Medicine, General & Internal
Hassan Alwafi, Ian C. K. Wong, Abdallah Y. Naser, Amitava Banerjee, Pajaree Mongkhon, Cate Whittlesea, Alaa Alsharif, Li Wei
Summary: This study investigates the association between concurrent use of oral anticoagulants (OACs) and sulfonylureas and the risk of hypoglycemia in individuals with type 2 diabetes mellitus (T2DM). The results suggest that concurrent use of warfarin and sulfonylureas may increase the risk of hypoglycemia, while there is no evidence of an association between concurrent use of DOACs and sulfonylureas and the risk of hypoglycemia.
FRONTIERS IN MEDICINE
(2022)
Article
Endocrinology & Metabolism
Judith van Dalem, Martijn C. G. J. Brouwers, Andrea M. Burden, Coen D. A. Stehouwer, Olaf H. Klungel, Frank de Vries, Johanna H. M. Driessen
Summary: The study found changes in prescribing behavior after the updated guideline was implemented, with patients more likely to receive new medication options, indicating a first step towards tailored prescribing.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)
