CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne最新文献

{"title":"Barriers and facilitators for management of iron-deficiency anemia in reproductive-aged women: perspectives of health care professionals in Alberta, Canada.","authors":"Nazanin Abolghasemi Taree, Rebecca Rich, Nancy Zhu, Roy Khalife, Cynthia M Wu, Hao Wei Linda Sun","doi":"10.1503/cmaj.252102","DOIUrl":"https://doi.org/10.1503/cmaj.252102","url":null,"abstract":"<p><strong>Background: </strong>Iron-deficiency anemia (IDA) is common and often inadequately managed among reproductive-aged women in Canada, with equity-deserving groups disproportionately affected. We sought to explore the perspectives of health care professionals (HCPs) on the barriers and facilitators for IDA diagnosis and management among women of reproductive age in Alberta, Canada, with a focus on those pertaining to equity-deserving populations.</p><p><strong>Methods: </strong>We conducted a qualitative study using semistructured interviews in Alberta from March to June 2024. Eligible participants were English-speaking HCPs practising in Alberta who provided care for women with IDA, recruited by email from publicly available registries using purposive and snowball sampling across diverse specialties. Interviews explored practice patterns, barriers, facilitators, and potential interventions. After achieving sample sufficiency, we analyzed transcripts using Braun and Clarke's reflexive thematic analysis.</p><p><strong>Results: </strong>We interviewed 13 HCPs (family physicians, other specialists, and a pharmacist). Four primary themes emerged, all intersecting with health inequity: gaps in physician knowledge, skills, and adherence to guidelines; systemic infrastructure and resource constraints; challenges in providing patient-centred care; and insufficient networking and integrated care system. We observed key subthemes, such as overlooking source control, inconsistent guideline use, and impacts of sexism and normalization of suffering. Biopsychosocial factors exacerbated access, trust, and adherence challenges for equity-deserving groups. We identified fewer facilitators to treatment than barriers.</p><p><strong>Interpretation: </strong>Clinician-perceived barriers to IDA management in Alberta manifest across patient, clinician, system, and societal levels, highlighting a need for multifaceted interventions, including harmonized guidelines, HCP education, improved health human resources, and leveraging of societal assets to address upstream barriers, such as poverty, to reduce health inequities.</p>","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1457-E1468"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and management of monoclonal gammopathies.","authors":"Roy Khalife, Ann Lee, Victor H Jimenez-Zepeda, Alissa Visram","doi":"10.1503/cmaj.251482","DOIUrl":"https://doi.org/10.1503/cmaj.251482","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1469-E1475"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avis de décès pour octobre 2026.","authors":"","doi":"10.1503/cmaj.261473-f","DOIUrl":"https://doi.org/10.1503/cmaj.261473-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1492-E1493"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cas mortel de rage chez un enfant.","authors":"Padmaja Sreeram, Neha Saini, Karen Choong, Ellery Cunan, Alan C Jackson, Jeffrey M Pernica, Brian Hummel","doi":"10.1503/cmaj.251933-f","DOIUrl":"https://doi.org/10.1503/cmaj.251933-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1483-E1487"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spasmes musculaires du bras gauche dus à une défaillance de l’isolation d’une sonde de stimulateur cardiaque.","authors":"Shunsuke Kido, Junya Aoki, Satoshi Suda","doi":"10.1503/cmaj.260045-f","DOIUrl":"https://doi.org/10.1503/cmaj.260045-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1488-E1489"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Possible inhibition of bupivacaine-associated asystole by very high-dose propofol during medical assistance in dying.","authors":"Dany Burke, Benoît Crevier","doi":"10.1503/cmaj.260896","DOIUrl":"https://doi.org/10.1503/cmaj.260896","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1476-E1477"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trophic changes in complex regional pain syndrome.","authors":"Timothy S H Kwok, Robert M Wolfson","doi":"10.1503/cmaj.260773","DOIUrl":"https://doi.org/10.1503/cmaj.260773","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1479-E1480"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mille histoires au creux de chaque ride : réflexions nordiques.","authors":"Cian Ó Móráin","doi":"10.1503/cmaj.260356-f","DOIUrl":"https://doi.org/10.1503/cmaj.260356-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1490-E1491"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rectal prolapse.","authors":"Seniha Gulluk, Susan Muncner, Mark Allen Dykstra","doi":"10.1503/cmaj.260281","DOIUrl":"https://doi.org/10.1503/cmaj.260281","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1478"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cost of silence.","authors":"Sumaiya Ahmed","doi":"10.1503/cmaj.260311","DOIUrl":"https://doi.org/10.1503/cmaj.260311","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"198 38","pages":"E1481-E1482"},"PeriodicalIF":11.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149329696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}