News You Can Use

The $50,000 Physical

by jmiller on June 11, 2014

This JAMA “Piece of Mind”…  This interesting vignette illustrates how an annual physical caused a healthy 85 year old to go through a battery of tests that left him impaired afterwards as a result of this “harmless” physical.   The author’s intent was to show the impact of how “unnecessary testing” can cause harm.  Click here to read full text.

Reminder! UpToDate is available remotely and has an app available as well!

by jmiller on June 10, 2014

If you would like to know more about accessing UpToDate remotely through our Intranet, click here to learn more!

Succinct review of the new VTE prevention and management guidelines

by jmiller on June 10, 2014

VTE is a major source of morbidity and mortality in the United States.  The American College of Chest Physicians Antithrombotic Guidelines, 9th Edition, includes a large number of clinical practice recommendations regarding the diagnosis, treatment, and prevention of venous thromboembolism.  This succinct clinical review of these guidelines specifically focuses on the evaluation, treatment, and prevention of venous thromboembolic disease.”  Click here to read full text.

Primary care interventions to prevent tobacco use in children and adolescents: USPSTF recommendation statement

by jmiller on June 10, 2014

The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.  Click here to read full text.

Infectious diseases specialty intervention is associated with decreased mortality and lower healthcare costs

by jmiller on June 10, 2014

This article concludes ” ID interventions are associated with improved patient outcomes.  Early ID interventions are also associated wtih reduced costs for Medicare beneficiaties and select infections.  (CID, Jan)  Click here to read full text.

Should doctors care about cost?

by Medical Staff Office on May 1, 2014

Barry Meisenberg, MD, chair for quality improvement and healthcare systems research, recently submitted a letter to the editor to the New York Times regarding “Treatment Cost Could Influence Doctors’ Advice” article (April 18, 2014). His letter was published in the April 27, 2014 New York Times–continuing the dialogue on Choosing Wisely. Read his letter here.

Obstetric care consensus: safe prevention of the primary Cesarean delivery

by jmiller on April 24, 2014

The rapid increase in cesarean birth rates from 1996 to 2011 without clear evidence of concomitant decreases in materna or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused.  Changing the local culture and attitudes of obstetric care providers regarding the issues involved in cesarean delivery reduction will also be challenging   This article reviews the indications for primary cesarean and how to mange abnormally progressing labor.  (Obstet Gynecol Mar)  Click here to view full-text.

The guidelines battle on starting statins

by jmiller on April 24, 2014

This “Clinical Decision Making”  article explores understanding the cardiovascular diesease risk functions – Aim, development, and evaluation – through a case vignette on whether to begin ..or not begin statis therapy and when to monitor, or not monitor LDL cholesterol.  The article takes the reader through 3 treatment options based on the new guidelines.  (NEJM, April 24)   Click here to read full text.

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