ACP journal club最新文献

{"title":"Rhythm control and rate control did not differ for CV mortality in atrial fibrillation and congestive heart failure.","authors":"John Cairns","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805854","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":"An intervention involving pharmacist care via the Web improved blood pressure control in uncontrolled hypertension.","authors":"Tejas V Patel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805857","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: mifepristone is more effective for emergency contraception than levonorgestrel.","authors":"Jeff Andrews","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805855","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: 64-slice computed tomography coronary angiography accurately diagnoses coronary artery disease.","authors":"Michael S Lauer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805858","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":"Glycemic control was not affected by self-monitoring of blood glucose in type 2 diabetes.","authors":"Sumit R Majumdar","doi":"10.7326/0003-4819-149-8-200810210-02004","DOIUrl":"https://doi.org/10.7326/0003-4819-149-8-200810210-02004","url":null,"abstract":"Questions In patients with newly diagnosed type 2 diabetes, does self-monitoring of blood glucose (SMBG) improve glycemic control? How do SMBG and no monitoring compare for scores on psychological indices? Methods Design Randomized controlled trial (Efficacy of Self Monitoring On glycemic control in Newly diagnosed type 2 diabetes [ESMON]). Allocation Unclear allocation concealment.* Blinding Blinded (laboratory staff).* Follow-up period 1 year. Setting Outpatient hospital diabetes clinics in Altnagelvin, Belfast City, Causeway, and Ulster, Northern Ireland. Patients 184 patients <70 years of age (mean age 59 y, 60% men) with newly diagnosed type 2 diabetes. Exclusion criteria were secondary diabetes, previous SMBG, use of insulin, major illness in the past 6 months, chronic kidney or liver disease, and alcohol misuse. Intervention SMBG (n =96) or no monitoring (n =88). The SMBG group made 4 fasting and 4 postprandial capillary blood glucose measurements per week and were provided dietary and exercise suggestions for high readings. All patients attended a structured education program. Outcomes Changes in hemoglobin (Hb) A1c levels, scores on psychological indices (depression, anxiety, treatment satisfaction, and attitude; measured on a 100-point scale), body mass index (BMI), rates of hypoglycemia, and use of oral hypoglycemic drugs. Patient follow-up 98% (intention-to-treat analysis). Main results Patients in the SMBG group scored 6% higher on the depression subscale than did the no-monitoring group (P =0.01). Groups did not differ for changes in HbA1c level (Table), anxiety, treatment satisfaction, attitude, BMI, rates of hypoglycemia, and use of oral hypoglycemic drugs. Conclusion Compared with no monitoring, self-monitoring of blood glucose did not improve glycemic control but increased depression in patients with newly diagnosed type 2 diabetes. Self-monitoring of blood glucose vs no monitoring in newly diagnosed type 2 diabetes Outcome at 1 y Monitoring No monitoring Mean difference (95% CI) HbA1c level (%) 6.9 6.9 0.07 (0.25 to 0.38) Hb = hemoglobin; CI defined in Glossary. Commentary Perhaps 20% of people with diabetes use insulin. The other 80% are managed with diet, lifestyle, and oral hypoglycemic drugs; this group incurs most of the diabetes-related morbidity, mortality, and costs. It is no wonder so much time, effort, and expense is spent on improving glycemic control. SMBG has been recommended to achieve greater quality and quantity of life for patients with type 2 diabetes. Indeed, observational studies suggest that 5 to 10 years of regular SMBG reduces mortality by 51% (1). Similarly, economic projections based mostly on epidemiologic data report that SMBG is cost-effective because it reduces morbidity and adds 6 months to life expectancy (2). Fortunately, we no longer need to rely on opinions and observational studies because there is new, more valid evidence of the effect of SMBG on glycemic control, quality of life, and costs. ","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805850","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":"Self-monitoring of blood glucose was not cost-effective in non-insulin-treated type 2 diabetes.","authors":"Sumit R Majumdar","doi":"10.7326/0003-4819-149-8-200810210-02005","DOIUrl":"https://doi.org/10.7326/0003-4819-149-8-200810210-02005","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7326/0003-4819-149-8-200810210-02005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805851","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: nonergot dopamine agonists reduce symptoms in the restless legs syndrome but may be discontinued due to adverse events.","authors":"Shivu Kaushik,&nbsp;Amy R Blanchard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805856","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":"Adding single-point acupuncture to physiotherapy for painful shoulder improved function and reduced pain.","authors":"Timothy S Carey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805859","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":"Spectrum bias: why generalists and specialists don't connect.","authors":"Michael Jelinek","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27805849","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":"Thromboprophylaxis with rivaroxaban or enoxaparin did not differ for major bleeding in knee arthroplasty.","authors":"P. Kamphuisen","doi":"10.7326/0003-4819-149-8-200810210-02007","DOIUrl":"https://doi.org/10.7326/0003-4819-149-8-200810210-02007","url":null,"abstract":"Source Citation Lassen MR, Ageno W, Borris LC, et al. Rivaroxaban versus enoxaparin for thromboprophylaxis after total knee arthroplasty. N Engl J Med. 2008;358:2776-86. 18579812","PeriodicalId":79388,"journal":{"name":"ACP journal club","volume":"149 4 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2008-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7326/0003-4819-149-8-200810210-02007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327745","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}