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News You Can Use
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 statementby 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 costsby 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.
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.
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.
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.
Safety and feasibility of a diagnostic algorithm combining clinical probability, d-Dimer testing, and ultrasonography for suspected upper extremity deep venous thrombosisby jmiller on April 24, 2014
Article concludes: The combination of a clinical decision score, D-dimer testing, and ultrasonography can safely and effectively esclude upper extremity deep vein thrombosis. (Ann Intern Med, April). Click here to read full-text.