Sunday, November 30, 2014

Platelet transfusion guidelines

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Free full text published in the Annals of Internal Medicine .

VA physician and staff satisfaction with performance measures

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From a recent JGIM study : OBJECTIVE: To describe primary care staff (clinicians and other staff) experiences with the use of performanc...

Non cardiac surgery after stroke and time course of increased risk

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From a recently published Danish nationwide cohort study : Main Outcomes and Measures Risk of major adverse cardiovascular events (MACE; ...
Saturday, November 29, 2014

Maintenance of certification (MOC): a focus group study of physicians' perceptions

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Published in JAMA Internal Medicine : At present, MOC is perceived by physicians as an inefficient and logistically difficult activity fo...

The Sunshine Act and the war on physicians

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Great post on this topic over at Kevin MD.

Perioperative atrial fibrillation and long term stroke risk

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Perioperative a fib is often transient and considered benign. But a recent study from a large claims database suggests a long term stroke ...
Friday, November 28, 2014

Gruber on lack of transparency

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No elaboration needed. Via Health Care BS .

Perioperative beta blockers: an update

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The pendulum regarding perioperative beta blockers has been swinging. Nevertheless, evidence accumulated during this time offers reasonable...

Surgery in patients taking new (target specific) oral anticoagulants

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From a recent review in CCJM: While various periprocedural protocols for TSOAC therapy have been proposed, evidence-based guidelines are ...
Thursday, November 27, 2014

The risk of GI bleeding associated with SSRIs with and without NSAIDs

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Here are the findings of a recent systematic review and meta-analysis : RESULTS: Fifteen case–control studies (including 393,268 participa...
Wednesday, November 26, 2014

More evidence that dabigatran increases the risk of MI

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From a recent meta-analysis : Background Signals of an increased risk of myocardial infarction (MI) have been identified with dabigatran e...
Tuesday, November 25, 2014

Pertusis

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Reviewed in Chest .
Monday, November 24, 2014

Heart failure performance and outcomes

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Here's a recent paper in JACC with some interesting findings: Methods We assessed rates of compliance with care measures for patient...
Sunday, November 23, 2014

A process improvement tool for acute pancreatitis

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From a recent article in the American Journal of Gastroenterology: METHODS: Design/Setting: Observational study, entitled, The AP Ear...
Saturday, November 22, 2014

Methamphetamine cardiomyopathy (MAC)

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Here are some key points from a review : MAC is a newly emerging entity and is somewhat poorly understood. It appears to be mainly a dilated...
Friday, November 21, 2014

Should patient satisfaction ever be 100%?

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That could be dangerous! Great post and fascinating comment thread over at The Happy MD .

Procalcitonin guided therapy in critically ill patients

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Shorter lengths of stay, shorter durations of antibiotic therapy at no cost in terms of outcome, in this study .
Thursday, November 20, 2014

Do doctors find MOC helpful? Is it important to patients?

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Not according to this survey .

Severity assessment in pulmonary embolism: a need for consistency

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As it does for many conditions, severity assessment of pulmonary embolism guides treatment. Severity assessment for PE is more important th...

Neuraminidase inhibitors for influenza: what does the evidence really show?

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This has been the subject of controversy. Here is an evidence summary published in a recent issue of the Annals of Energency Medicine. Fr...