A French target trial emulation, which refers to the use of observational data to mimic a randomized controlled trial, found that maternal relapse of inflammatory bowel disease (IBD) and premature births were less common when patients continued anti-tumor necrosis factor (anti-TNF) therapy after 24 weeks of pregnancy than when the drugs were discontinued.
27 Sep 2022
Advance care planning conversations should happen before critical illness or hospitalization occurs, and Medicare can reimburse physician time spent on them.
1 Sep 2022
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
20 Sep 2022
A guideline from the Women's Preventive Services Initiative recommends physicians counsel women ages 40 to 60 years about healthy eating and physical activity to maintain weight or prevent weight gain.
2 Aug 2022
A recent simulation study estimated that a primary care clinician would require 26.7 h/d to provide preventive, chronic, and acute care, plus documentation/inbox management, to an average panel of 2,500 patients. This time decreased to 9.3 h/d with team-based care.
12 Jul 2022
A 29-year-old woman requests advice after receipt of a direct-to-consumer genetic test result that included BRCA gene analysis. She has no breast symptoms and has not undergone any previous breast cancer screening. Following a physical exam and other findings, what is the most appropriate management?
13 Sep 2022
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
18 Jan 2022
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
5 Apr 2022
The American Academy of Sleep Medicine's guideline update addresses use of multicomponent brief therapies for insomnia, as well as single therapies such as stimulus control and relaxation therapy.
22 Dec 2020
An industry-funded cluster-randomized trial found that clinician alerts were associated with an over 40% increase in prescription of four recommended drug classes in patients with heart failure with reduced ejection fraction.
12 Apr 2022