Hefziba Lorences Noguera, Esteban Cardenas-Duran, Carlos Alejandro Gomez Anguiano
{"title":"Discordant numerator reporting for prior osteoporosis diagnosis and treatment in an opportunistic CTPA screening study.","authors":"Hefziba Lorences Noguera, Esteban Cardenas-Duran, Carlos Alejandro Gomez Anguiano","doi":"10.1093/qjmed/hcag273","DOIUrl":"https://doi.org/10.1093/qjmed/hcag273","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Confounding by Indication and Outcome Ascertainment in the Reported Cardioprotective Effect of PCSK9 Inhibitors on Incident Heart Failure.","authors":"Hefziba Lorences Noguera, Esteban Cárdenas-Durán","doi":"10.1093/qjmed/hcag277","DOIUrl":"https://doi.org/10.1093/qjmed/hcag277","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"External Validity and Performance Metrics in a Metabolomics-Enhanced Prediction Model for Residual Pulmonary Vascular Obstruction.","authors":"Hefziba Lorences Noguera, Esteban Cárdenas-Durán","doi":"10.1093/qjmed/hcag269","DOIUrl":"https://doi.org/10.1093/qjmed/hcag269","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy-Adherer Bias May Confound the Association Between PCSK9 Inhibitors and Incident Heart Failure.","authors":"Esteban Cardenas-Duran, Hefziba Lorences-Noguera","doi":"10.1093/qjmed/hcag278","DOIUrl":"https://doi.org/10.1093/qjmed/hcag278","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ami Schattner, Yair Glick, Valeria Vishnevski, Ina Dubin
{"title":"Opportunistic Diagnosis of Osteoporosis through CT Pulmonary Angiography for Suspected Pulmonary Embolism.","authors":"Ami Schattner, Yair Glick, Valeria Vishnevski, Ina Dubin","doi":"10.1093/qjmed/hcag267","DOIUrl":"https://doi.org/10.1093/qjmed/hcag267","url":null,"abstract":"<p><strong>Background: </strong>CT pulmonary angiography (CTPA) ordered to confirm or exclude pulmonary embolism (PE) often reveals incidental findings. Its yield in the opportunistic detection of osteoporosis, a prevalent, under-diagnosed condition, is less clear.</p><p><strong>Aim: </strong>Evaluate osteoporosis and fragility fractures in CTPAs.</p><p><strong>Design: </strong>Retrospective review of consecutive CTPAs, compared to the initial imaging report and previous diagnosis.</p><p><strong>Methods: </strong>CTPAs review by a consultant radiologist and pertinent clinical data from patients' charts.</p><p><strong>Results: </strong>A total of 517 CTPAs (52.6% women, median 70-years-old) were included. PE was identified in 19%. Varied other significant findings were identified, either acute or incidental. Osteoporosis was more than twice as common as PE, found in 211/517 (41%), but it was previously known in 20/211 (4%) and treated in 8 (1.5%). One quarter of the patients with osteoporosis had fragility fractures in the thoracic vertebrae (53/211, 10% of the entire cohort). The primary radiological report named osteoporosis in only 9/211 (1.5%) and fragility fractures in 3/53 (5.5%).</p><p><strong>Conclusion: </strong>CTPA can be routinely applied to include evaluation of the vertebral column for osteoporosis, a prevalent and notoriously underdiagnosed and undertreated serious condition of older adults.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Birt-Hogg- Dubé Syndrome Masquerading as Multiple Infected Pulmonary Cysts.","authors":"Aparna Anil Nair, Aswathy Thazhakottuvalappil, Ameer Kavarathukudy Azeez, Arjun Padmanabhan, Aswathy Girija","doi":"10.1093/qjmed/hcag272","DOIUrl":"https://doi.org/10.1093/qjmed/hcag272","url":null,"abstract":"<p><p>Birt-Hogg-Dubé syndrome (BHD) is a rare autosomal dominant disorder characterized by pulmonary cysts, fibrofolliculomas, and renal neoplasms. We report a 26-year-old woman who presented with multiple large infected cyst. This case highlights the importance of considering BHD in young patients presenting with cystic lung disease, even in the absence of characteristic cutaneous or renal manifestations.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disentangling Population Ageing from Epidemiological Change in the Rising Burden of PM2.5-Attributable Non-Communicable Disease in Older Adults.","authors":"Hefziba Lorences Noguera, Esteban Cardenas-Duran","doi":"10.1093/qjmed/hcag257","DOIUrl":"https://doi.org/10.1093/qjmed/hcag257","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"REM-associated nocturnal hypercapnia in amyotrophic lateral sclerosis.","authors":"Keito Ishihara, Hiroyuki Naito, Hirofumi Maruyama","doi":"10.1093/qjmed/hcag270","DOIUrl":"https://doi.org/10.1093/qjmed/hcag270","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to: Disentangling Population Ageing from Epidemiological Change in the Rising Burden of PM2.5-Attributable Non-Communicable Disease in Older Adults.","authors":"Zhong Zheng, Zhang Hairong, Wangshu Xie, Jicun Zhu, Hua Ye, Meng Li, Yifan Cheng, Yuanlin Zou, Keyan Wang, Jianxiang Shi, Peng Wang","doi":"10.1093/qjmed/hcag259","DOIUrl":"https://doi.org/10.1093/qjmed/hcag259","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":8.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}