Canadian Family Physician最新文献

{"title":"Notre engagement envers la réconciliation.","authors":"Carrie Bernard","doi":"10.46747/cfp.7109598","DOIUrl":"10.46747/cfp.7109598","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"598"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mettre en lumière des médecins de famille exceptionnels.","authors":"Michael Allan","doi":"10.46747/cfp.7109599","DOIUrl":"10.46747/cfp.7109599","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"599"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ne pas nuire, pas même aux résidents: Repenser les gardes prolongées.","authors":"Nicholas Preobrazenski","doi":"10.46747/cfp.7109546","DOIUrl":"10.46747/cfp.7109546","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"546-549"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Édition 2024 du Relevé postnatal Rourke.","authors":"Anne Rowan-Legg, Patricia Li, Bruce Kwok, Leslie Rourke, Denis Leduc, James Rourke, Imaan Bayoumi","doi":"10.46747/cfp.7109e205","DOIUrl":"10.46747/cfp.7109e205","url":null,"abstract":"<p><strong>Objectif: </strong>Aider les professionnels des soins primaires surchargés à prendre soin des nourrissons, des jeunes enfants et de leur famille en leur présentant les plus récentes recommandations et les données probantes à l'appui incluses dans l'édition 2024 du Relevé postnatal Rourke (RPR). QUALITÉ DES DONNÉES: Des articles recensés dans la littérature sur les soins préventifs pédiatriques (janvier 2019 à mars 2023) ont été passés en revue pour en évaluer la pertinence et la qualité des données. Lorsqu'elles étaient disponibles, les données probantes tirées de revues systématiques, de guides de pratique clinique appropriés et d'essais cliniques ont été incorporées. En l'absence de données probantes de haut niveau, les données provenant d'études observationnelles et de l'opinion d'experts ont été incluses. Les études de recherches primaires ont été examinées et évaluées d'un œil critique en suivant un protocole modifié.</p><p><strong>Message principal: </strong>Parmi les actualisations importantes dans l'édition 2024 du RPR, on peut mentionner la promotion de la santé relationnelle précoce auprès des familles, l'identification des services de soutien et des ressources ciblés par opposition à l'étiquetage des groupes à risque élevé, des conseils sur les soins culturellement sécuritaires, la clarification et les ajustements fondés sur des données probantes concernant l'âge d'atteindre certaines étapes dans la surveillance du développement; des recommandations sur les boissons végétales, et les régimes végétariens et végans; des facteurs à envisager pour dépister une carence en fer; les dangers de l'ingestion des piles boutons et du cannabis comestible; l'alphabétisation et les bienfaits socioaffectifs de la lecture, du chant et de la narration d'histoires; l'importance du jeu non structuré à l'extérieur; les effets de l'environnement sur la santé des enfants; la signification des blessures sentinelles; les selles décolorées; et la présence normale et la persistance anormale des réflexes développementaux (archaïques).</p><p><strong>Conclusion: </strong>Fort de ses 40 ans d'histoire, le RPR 2024 offre des recommandations en libre accès et éclairées par des données probantes pour guider les cliniciens dans la prestation de soins pédiatriques préventifs efficaces, actualisés et complets. Malgré les défis et l'évolution de la prestation des soins de santé de première ligne, le RPR continuera d'épauler les cliniciens des soins primaires.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"e205-e214"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056178","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":"Conseils pour faciliter la documentation dans la pratique des soins primaires: Guide pour choisir et implanter les scribes médicaux assistés par intelligence artificielle.","authors":"Daniel Ngui, Daniel Raff, Neil Naik","doi":"10.46747/cfp.7109e220","DOIUrl":"10.46747/cfp.7109e220","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"e220-e222"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tramadol (with or without acetaminophen) efficacy and harm: Systematic review and meta-analysis.","authors":"Jessica A Otte, Gloria Chu, Benji Heran, Ken Bassett","doi":"10.46747/cfp.7109574","DOIUrl":"10.46747/cfp.7109574","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of tramadol (with or without acetaminophen) in adult pain management compared with nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and acetaminophen alone.</p><p><strong>Data sources: </strong>Studies were identified through a search of the entire Ovid MEDLINE database, the Ovid MEDLINE Epub Ahead of Print database, Embase, and Evidence-Based Medicine Reviews (Cochrane Central Register of Controlled Trials) from 1946 to August 19, 2022.</p><p><strong>Study selection: </strong>Included studies comprised double-blind, randomized controlled trials (RCTs) of oral tramadol (with or without acetaminophen) compared with opioids, NSAIDs, or acetaminophen for treatment of acute or chronic pain that reported at least 1 of 11 outcomes: total adverse events (AEs), fatal serious AEs (SAEs), nonfatal SAEs, patient withdrawals from the study due to AEs (WDAEs), total study withdrawals, measures of dependence or addiction, quality of life, functional improvement, 30% or more pain reduction, 50% or more pain reduction, and rescue medication use. Overall, 3184 articles were screened and 37 RCTs (21 opioid, 15 NSAID, 1 acetaminophen; N=7156; length 1 hour to 12 weeks) were included. Trials were critically appraised and assessed using the Cochrane risk of bias tool for randomized trials 1.0. Meta-analyzed outcomes were reported as risk ratios (with 95% confidence intervals [CIs]).</p><p><strong>Synthesis: </strong>Compared with opioids, tramadol with or without acetaminophen did not significantly differ in efficacy based on 50% or more or 30% or more reduction in pain or in any harm outcomes (nonfatal SAEs [risk ratio (RR)=1.35, 95% CI 0.43 to 4.20]; WDAEs [RR=0.99, 95% CI 0.80 to 1.22]; total withdrawals [RR=0.93, 95% CI 0.78 to 1.11]; or total AEs [RR=0.97, 95% CI 0.89 to 1.05]). Compared with NSAIDs, tramadol with or without acetaminophen was less likely to achieve a 30% or more reduction in pain (RR=0.82, 95% CI 0.76 to 0.90), and was more likely to result in WDAEs (RR=2.86, 95% CI 2.23 to 3.66), total withdrawals (RR=1.68, 95% CI 1.47 to 1.93), and total AEs (RR=1.37, 95% CI 1.28 to 1.47). Evidence was insufficient for meta-analysis of fatal SAEs, drug dependence or addiction, quality of life, functional improvement, or use of rescue medications.</p><p><strong>Conclusion: </strong>Tramadol with or without acetaminophen did not differ significantly from other opioids, and was less effective and more poorly tolerated than NSAIDs. Short study duration, small sample size, extensive patient exclusion, and inconsistency in outcome reporting limit the scientific validity of conclusions.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"574-581"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structured Process Informed by Data, Evidence and Research (SPIDER) framework: Eight legs of success for running projects in primary care practices.","authors":"Michelle Greiver, Simone Dahrouge, Donna P Manca, Alexander G Singer, Celine Jean-Xavier, Leanne Kosowan, Himasara Pathiraja, Mathew Grandy, Marie-Thérèse Lussier, Kris Aubrey-Bassler, Trish O'Brien, Marie Authier, Rubee Dev, Stephanie Garies","doi":"10.46747/cfp.7109572","DOIUrl":"10.46747/cfp.7109572","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"572-573"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Réduction des examens inutiles dans les cas pédiatriques de convulsions fébriles simples ou de premier épisode de crise convulsive généralisée non provoquée.","authors":"Katie Gardner, Deborah Schonfeld, Michèl A Willemsen, Olivia Ostrow","doi":"10.46747/cfp.7109e215","DOIUrl":"10.46747/cfp.7109e215","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"e215-e219"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do no harm, even to residents: Rethinking extended-hour call shifts.","authors":"Nicholas Preobrazenski","doi":"10.46747/cfp.7109539","DOIUrl":"10.46747/cfp.7109539","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"539-542"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid recommendations: Updates from 2024 guidelines: part 2.","authors":"Danielle O'Toole","doi":"10.46747/cfp.7109567","DOIUrl":"10.46747/cfp.7109567","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"567-568"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}