ACP journal club最新文献

{"title":"Benefits of tight blood pressure control to prevent diabetes complications were not sustained.","authors":"Eoin P O'Sullivan, Sean F Dinneen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890963","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":"Noninvasive ventilation improved dyspnea but did not reduce short-term mortality in acute cardiogenic pulmonary edema.","authors":"Gerasimos Filippatos, Alexander Mebazaa, Josep Masip","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890967","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":"A combination of telmisartan and ramipril increased renal outcomes in vascular disease or diabetes.","authors":"Arsh K Jain, Matthew A Weir","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890965","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":"Review: Perioperative LMW heparin does not reduce mortality after surgery more than unfractionated heparin in patients with cancer.","authors":"Melina Verso, Alfonso Iorio","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890969","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":"GRADE: assessing the quality of evidence for diagnostic recommendations.","authors":"Holger J Schünemann, Andrew D Oxman, Jan Brozek, Paul Glasziou, Patrick Bossuyt, Stephanie Chang, Paola Muti, Roman Jaeschke, Gordon H Guyatt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890961","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":"A single measure of urinary neutrophil gelatinase-associated lipocalin was accurate for diagnosing acute kidney injury.","authors":"Anna Mathew, Amit X Garg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890971","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":"Review: enteral or parenteral nutrition reduces risk for mortality in acute pancreatitis.","authors":"Shahnaz Sultan, Chris E Forsmark","doi":"10.7326/0003-4819-149-12-200812160-02006","DOIUrl":"https://doi.org/10.7326/0003-4819-149-12-200812160-02006","url":null,"abstract":"Question In patients with acute pancreatitis, how do enteral and parenteral nutrition compare with no supplementary nutrition? Review scope Studies selected compared standard enteral or parenteral nutrition with no supplementary nutrition, or enteral nutrition with parenteral nutrition in patients with acute pancreatitis. Outcomes were infectious complications and mortality. Review methods MEDLINE, EMBASE/Excerpta Medica, Cochrane Central Register of Controlled Trials, and reference lists were searched to January 2008 for randomized controlled trials (RCTs). 15 RCTs (n =617) met the selection criteria. Main results Meta-analysis showed that parenteral nutrition reduced mortality but not infectious complications compared with no supplementary nutrition (Table). Enteral nutrition reduced infectious complications but not mortality compared with parenteral nutrition (Table). Indirect adjusted meta-analysis showed that enteral nutrition reduced mortality (relative risk [RR] 0.2, 95% CI 0.07 to 0.7) but not infectious complications (RR 0.6, CI 0.07 to 4.3) compared with no supplementary nutrition. Conclusion Enteral or parenteral nutrition reduces risk for mortality compared with no supplementary nutrition in acute pancreatitis. Comparisons of enteral nutrition (EN), parenteral nutritional (PN), and no supplementary nutrition (NSN) in acute pancreatitis* Outcomes Number of trials (n) Comparisons Weighted event rates RRR (95% CI) NNT (CI) Infectious complications 10 (430) EN vs PN 16% vs 39% 59% (43 to 70) 5 (4 to 6) Mortality 9 (404) EN vs PN 9.6% vs 16% 40% (14 to 68) Not significant 3 (113) PN vs NSN 8.2% vs 23% 64% (3 to 87) 7 (6 to 147) RRI (CI) NNH Infectious complications 2 (98) PN vs NSN 22% vs 16% 36% (82 to 940) Not significant *Abbreviations defined in Glossary. RRR, RRI, NNT, NNH, and CI calculated from control event rates and relative risks in article using a random-effects model. Commentary Over the past decade, there has been a paradigm shift in the nutritional management of patients with acute pancreatitis. Avoiding pancreatic stimulation with parenteral nutrition was considered the mainstay of treatment, but accumulating evidence shows that enteral feeding is associated with less morbidity and lower cost (1). Practice guidelines now recommend nasojejunal feeding with a semi-elemental or elemental formula as the preferred method of nutritional support (1). In the systematic review by Petrov and colleagues, enteral or parenteral feeding was associated with reduced mortality compared with no supplementary nutrition. Many of the studies analyzed, however, had small numbers of patients, few events (infections or deaths), brief follow-up, and heterogeneous patient populations (mild and severe pancreatitis). Further, 2 studies were >20 years old and do not reflect the improved outcomes that are attributed to better intensive medical care. Despite these limitations, the meta-analysis supports the role of feeding in patients with pancreatitis. T","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890964","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":"Benefits of early intensive glucose control to prevent diabetes complications were sustained for up to 10 years.","authors":"Eoin P O'Sullivan, Sean F Dinneen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890962","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":"Annual zoledronic acid did not increase renal abnormalities at 2 years in postmenopausal women with osteoporosis.","authors":"Donald A Molony","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27890966","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":"Review: vasomotor symptoms peak at 1 year after final menstrual period and may persist for many years.","authors":"Carolyn J Crandall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 6","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2008-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27906519","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}