Singapore medical journal最新文献_第8页

Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on the management of knee osteoarthritis - a joint effort with patients. 关于膝关节骨关节炎管理的2026 ACE临床指南的证据-推荐框架-与患者共同努力。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-04-29 DOI: 10.4103/SINGAPOREMEDJ.SMJ-2026-139

Jeremy LE Chan, Sonja Cjh Chua, Ester Px Lee, Janell Kwok, Valentina Ricci, Phyllis Al Kim

{"title":"Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on the management of knee osteoarthritis - a joint effort with patients.","authors":"Jeremy LE Chan, Sonja Cjh Chua, Ester Px Lee, Janell Kwok, Valentina Ricci, Phyllis Al Kim","doi":"10.4103/SINGAPOREMEDJ.SMJ-2026-139","DOIUrl":"10.4103/SINGAPOREMEDJ.SMJ-2026-139","url":null,"abstract":"Abstract: This Evidence-to-Recommendation (EtR) framework underpins the ACE Clinical Guideline (ACG) for the management of knee osteoarthritis (OA), providing rationale and justifications for its recommendations. Knee OA is a prevalent and debilitating condition in Singapore, with significant disease burden and impacts on healthcare utilisation costs. The ACG addresses management gaps that contribute to suboptimal clinical outcomes, including insufficient uptake of conservative management, limited knowledge of community exercise and physiotherapist resources, and inappropriate use of complementary and alternative treatments. The Grading of Recommendations Assessment, Development and Evaluation framework was followed to develop seven evidence-based recommendations that cover comprehensive biopsychosocial assessments, mainstay management strategies, pharmacological treatment, referral to allied health professionals, complementary and alternative treatment, and specialist referrals. This EtR framework summarises the factors that have informed the direction and strength of the ACG recommendations, including balance of benefits and risks, certainty of evidence, patient preferences and values, resources and feasibility considerations, and acceptability.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"336-344"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793762","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}

引用次数: 0

Successful 24-hour discharge for total knee arthroplasty: importance of timing of surgery and physiotherapy in enhanced recovery after surgery protocol. 全膝关节置换术后 24 小时成功出院：手术时机和物理治疗在术后恢复强化方案中的重要性。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2024-10-22 DOI: 10.4103/singaporemedj.SMJ-2023-280

Hong Jing Lee, Sheng Xu, Eric Xuan Liu, Jason Beng Teck Lim, Ming Han Lincoln Liow, Hee Nee Pang, Darren Keng-Jin Tay, Seng Jin Yeo, Jerry Yongqiang Chen

{"title":"Successful 24-hour discharge for total knee arthroplasty: importance of timing of surgery and physiotherapy in enhanced recovery after surgery protocol.","authors":"Hong Jing Lee, Sheng Xu, Eric Xuan Liu, Jason Beng Teck Lim, Ming Han Lincoln Liow, Hee Nee Pang, Darren Keng-Jin Tay, Seng Jin Yeo, Jerry Yongqiang Chen","doi":"10.4103/singaporemedj.SMJ-2023-280","DOIUrl":"10.4103/singaporemedj.SMJ-2023-280","url":null,"abstract":"Introduction: The current literature is mixed on which patient factors, if any, predict the rate of successful discharge within 24 h of enhanced recovery after surgery (ERAS) total knee arthroplasty (TKA). This study aimed to investigate the influence of timing of surgery and physiotherapy on the rate of successful 24-h discharge.Methods: All 342 patients who underwent ERAS day surgery TKA from August 2020 to July 2021 were followed up prospectively. Patient characteristics and postoperative outcomes, such as number of physiotherapy sessions required before clearance for home, time taken after surgery to ambulate >10 m and length of stay (LOS), were recorded. Patients were grouped based on surgical end time (morning/afternoon/ evening) and time of physiotherapy review (morning/afternoon/evening/morning after). Patients successfully passed ERAS day surgery protocol if they were discharged within 24 h.Results: With regard to the timing of operation, the morning group had the shortest LOS ( P = 0.001) and a higher ERAS day surgery pass rate than the afternoon group ( P = 0.016). With regard to the timing of physiotherapy, the afternoon group took the shortest time to ambulate >10 m ( P < 0.001), had the shortest LOS ( P < 0.001) and had a higher ERAS day surgery pass rate as compared to the morning after the operation group ( P = 0.005).Conclusion: Patients who ended their operations in the morning and received physiotherapy review in the same afternoon were the most likely to be discharged within 24 h due to early ambulation and adequate time for spinal anaesthesia to wear off.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"374-379"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computed tomographic evaluation of bronchiolitis: unravelling the multifaceted spectrum of airways and pulmonary abnormalities. 细支气管炎的计算机断层评估：揭示气道和肺部异常的多面谱。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2023-142

Emma Choon Hwee Lee, Jyothirmayi Velaga, Salahudeen Mohamed Haja Mohideen

引用次数: 0

Approach to facial pain. 治疗面部疼痛。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2025-198

Dorothea Sze Min Ong, Gaurav Kumar Ramireddi, Ziying Vanessa Lim, Michael Warren Lim, Adriel Z Leong

引用次数: 0

Response to comments on: Diagnostic classification of dermatomyositis with and without electrodiagnostic study: real-world clinical practice. 对有和没有电诊断研究的皮肌炎的诊断分类：真实世界的临床实践的回应。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2026-338

Presaad Pillai, Mazliha Mashor, Min Moon Tang, Fu Liong Hiew

引用次数: 0

Migraine and atrial fibrillation: a systematic review and meta-analysis. 偏头痛与心房颤动：系统回顾与荟萃分析。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2024-02-23 DOI: 10.4103/singaporemedj.SMJ-2022-114

Camelia Qi En Lim, Yao Neng Teo, Tony Yi-Wei Li, Yao Hao Teo, Nicholas Li-Xun Syn, Aloysius Sheng-Ting Leow, Jamie Sin-Ying Ho, Toon Wei Lim, Swee-Chong Seow, Mark Yan Yee Chan, Raymond Ching Chiew Wong, Ping Chai, Amanda Chee Yun Chan, Vijay Kumar Sharma, Benjamin Yong-Qiang Tan, Leonard Leong Litt Yeo, Jonathan Jia Yuan Ong, Ching-Hui Sia

{"title":"Migraine and atrial fibrillation: a systematic review and meta-analysis.","authors":"Camelia Qi En Lim, Yao Neng Teo, Tony Yi-Wei Li, Yao Hao Teo, Nicholas Li-Xun Syn, Aloysius Sheng-Ting Leow, Jamie Sin-Ying Ho, Toon Wei Lim, Swee-Chong Seow, Mark Yan Yee Chan, Raymond Ching Chiew Wong, Ping Chai, Amanda Chee Yun Chan, Vijay Kumar Sharma, Benjamin Yong-Qiang Tan, Leonard Leong Litt Yeo, Jonathan Jia Yuan Ong, Ching-Hui Sia","doi":"10.4103/singaporemedj.SMJ-2022-114","DOIUrl":"10.4103/singaporemedj.SMJ-2022-114","url":null,"abstract":"Background: Patients with migraines, particularly those with auras, may present with stroke. Atrial fibrillation is a known risk factor for stroke. With common pathophysiological factors between migraines and atrial fibrillation, we aimed to clarify the association between migraine and atrial fibrillation in this systematic review and meta-analysis.Methods: A literature search was conducted in EMBASE, PubMed, Scopus and Cochrane electronic bibliographic databases from inception to 5 September 2022 with the following inclusion criteria: (a) cohort or cross-sectional studies; (b) studies that included only patients aged ≥18 years; and (c) studies that examined the association between atrial fibrillation and migraines. Exclusion criteria were case-control studies and the studies that included patients with previous diagnosis of atrial fibrillation or nonmigrainous headache. The Newcastle-Ottawa Scale was used to assess the quality of studies.Results: Six studies were included, demonstrating a pooled prevalence of atrial fibrillation of 1.61% (95% confidence interval [CI] 0.51, 3.29) in migraine with aura and 1.32% (95% CI 0.17, 3.41) in migraine without aura. The overall prevalence of atrial fibrillation in migraine was 1.39% (95% CI 0.24, 3.46).Conclusion: In this systematic review and meta-analysis, the overall prevalence of atrial fibrillation in patients with migraine was low. Further studies are needed to clarify this relationship.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"361-367"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and risk factors of symptomatic venous thromboembolism in distal femur fractures. 股骨远端骨折患者无症状静脉血栓栓塞症的发病率和风险因素。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2024-10-04 DOI: 10.4103/singaporemedj.SMJ-2023-265

Wei Mao, Joel Xue Yi Lim, Jiong Hao Tan, Shi-Min Chang, Choon Chiet Hong

{"title":"Prevalence and risk factors of symptomatic venous thromboembolism in distal femur fractures.","authors":"Wei Mao, Joel Xue Yi Lim, Jiong Hao Tan, Shi-Min Chang, Choon Chiet Hong","doi":"10.4103/singaporemedj.SMJ-2023-265","DOIUrl":"10.4103/singaporemedj.SMJ-2023-265","url":null,"abstract":"Introduction: There is a paucity of published research on symptomatic venous thromboembolism (sVTE) after distal femur fractures (DFFs). This study aimed to explore the prevalence and risk factors of sVTE in DFFs.Methods: We identified a total of 131 patients who underwent DFF surgeries without routine pharmacological thromboprophylaxis between October 2007 and November 2016. Cases of sVTE included symptomatic pulmonary embolism (sPE) and symptomatic deep vein thrombosis (sDVT). Patients with sVTE were compared to those without, and differences in demographics and fracture-related characteristics were explored. Multivariate logistic regression was used to eliminate confounding factors.Results: Of the 131 patients, 20 (15.3%) had sVTE, of whom 16 (12.2%) had sDVT and six (4.6%) had sPE (two patients had both sPE and sDVT). Notably, 17 (85.0%) sVTE patients were aged ≥60 years, while only 62 (55.9%) non-sVTE patients were aged ≥60 years ( P = 0.014). Fourteen (82.4%) patients with sVTE had body mass index (BMI) ≥25 kg/m 2 , while 49 (53.3%) patients without sVTE had BMI ≥25 kg/m 2 ( P = 0.032). Multivariate logistic regression demonstrated that age ≥60 years (adjusted odds ratio [OR] 5.05; P = 0.040) and BMI ≥25 kg/m 2 (adjusted OR 3.92; P = 0.045) were independently associated with a higher risk of sVTE after DFF.Conclusion: The prevalence of sVTE in DFFs is high at 15.3%. Advanced age (≥60 years) and being overweight (BMI ≥25 kg/m 2 ) were two independent risk factors for sVTE in DFFs. The use of routine pharmacological thromboprophylaxis should be considered as a preventative measure.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"368-373"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comments on: Diagnostic classification of dermatomyositis with and without electrodiagnostic study: real-world clinical practice. 点评：皮肌炎的诊断分类有无电诊断研究：现实世界的临床实践。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2026-296

Ali Ijaz, Kin Mun Lau, Andrew Cf Hui

引用次数: 0

Approach to headache disorders and the management of migraine: consensus guidelines from the Headache Society of Singapore, first edition (2023). 头痛障碍的治疗方法和偏头痛的治疗：新加坡头痛协会的共识指南，第一版（2023年）。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2023-09-19 DOI: 10.4103/singaporemedj.SMJ-2022-195

Yi Jing Zhao, Yasmin Bte Idu Jion, King Hee Ho, Pei Shieen Wong, Yew Long Lo, Yee Cheun Chan, Lai Lai Ang, Sow Nam Yeo, Soon Beng Soh, Tuck Seng Wu, Jonathan Jia Yuan Ong

引用次数: 0

Interest in peer support among Singaporean adults with symptoms of anxiety and depression. 有焦虑和抑郁症状的新加坡成年人对同伴支持的兴趣。

IF 1.9

Singapore medical journal Pub Date : 2026-05-21 DOI: 10.4103/singaporemedj.SMJ-2025-104

Irene Teo, Jyotika Puri, Parth Chodavadia, Jia Huan Ho, Daniel Poremski, Daniel Shuen Sheng Fung, Eric Finkelstein

{"title":"Interest in peer support among Singaporean adults with symptoms of anxiety and depression.","authors":"Irene Teo, Jyotika Puri, Parth Chodavadia, Jia Huan Ho, Daniel Poremski, Daniel Shuen Sheng Fung, Eric Finkelstein","doi":"10.4103/singaporemedj.SMJ-2025-104","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2025-104","url":null,"abstract":"Introduction: Access to formal mental health care remains limited in Asia. Peer support can be a viable alternative gateway or complement to formal mental health care. The current study examined interest in various types of peer support, including individual versus group and virtual versus in-person, among Singaporean adults with symptoms of anxiety or depression.Methods: A cross-sectional online survey was administered to members of a web panel. Participants with symptoms of depression or anxiety based on the Patient Health Questionnaire-4 screening tool were surveyed. Logistic regression analysis was conducted to examine factors associated with greater interest in peer support.Results: A total of 350 panel members met our inclusion criteria. Of them, 77% had not received formal mental healthcare services, while 62% indicated interest in receiving peer support. The strongest preference was for one-on-one support delivered virtually. Younger age (odds ratio [OR] 1.05, P < 0.01), working in white-collar managerial as opposed to white-collar non-managerial positions (OR 1.96, P < 0.05), utilising formal health care in the last 3 months (OR 2.45, P < 0.05) and previously providing peer support (OR 7.33, P < 0.01) were associated with greater interest in receiving peer support. Most of those not interested in peer support cited concerns around confidentiality.Conclusion: Despite low uptake of formal mental health care, the majority of adult Singaporeans surveyed with anxiety or depression symptoms indicated interest in receiving peer support. Greater efforts to promote peer support programmes can be part of a comprehensive strategy to address rising rates of poor mental health in Singapore.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984940","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}

引用次数: 0