Agosto/Setembro de 2023 - Inventário do mês

TABELA DE CONTÉUDOS:

1. META-REVISÃO

2. REVISÕES SISTEMÁTICAS DE ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

3. ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

4. NORMAS DE ORIENTAÇÃO CLÍNICA

5. OBSERVACIONAIS

   1. Revisões Sistemáticas

   2. Primários

   3. Casos clínicos e séries

6. OPINIÃO

   1. Revisões narrativas

   2. Perspectiva

   3. Notícias

7. FOAMed

Glossário:

✔✔✔ --> Muito relevante e interessante

✔ --> Relevante e interessante

(sem símbolo) --> Interessante mas pouco relevante

(sem símbolo) --> Pouco relevante e interessante

✗ --> Não relevante e pouco interessante (mas importante por contrariar hipóteses, práticas, ...)

classificação pessoal, nem todos concordarão

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META-REVISÃO

Meta-investigação & MBE

Incorporation of Shared Decision-Making in International Cardiovascular Guidelines, 2012-2022 | JAMA Network Open

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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Long-term outcomes of exercise therapy vs revascularization in patients with intermittent claudication | Annals Surgery

✔✔✔ Ferric carboxymaltose in heart failure with iron deficiency: an individual patient data meta-analysis | EHJ

✔ Time to Benefit of Sodium-Glucose Cotransporter-2 Inhibitors Among Patients w/ Heart Failure |JAMANetworkOpen

✔✔✔ VA-ECMO in patients with infarct-related cardiogenic shock: an IPD meta-analysis of randomised trials | Lancet

Endocrinologia

✔✔✔ Perioperative glycaemic control for people with diabetes undergoing surgery | Cochrane

Geral, Geriatria & Paliativos

✔ Physical activity to improve functional capacity and minimise AEs in acutely hospitalised older adults | BJSM

Needling Point Location Used in Sham Acupuncture for Chronic Nonspecific Low Back Pain | JAMA Network Open

Imuno-mediadas

✔ The Effect of Low-Dose Glucocorticoids Over Two Years on Weight and Blood Pressure in Rheumatoid Arthritis | AIM

Infecciologia, Microbiologia & Antimicrobianos

✔ Percutaneous catheter drainage vs percutaneous needle aspiration for liver abscess | BMJ Open

Oncologia

✔✔✔ Estimated Lifetime Gained With Cancer Screening Tests | JAMA Internal Medicine

✔ Nivolumab Plus Ipilimumab vs Nivolumab Alone in Advanced Cancers Other Than Melanoma | Lancet Oncology

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Anticoagulation with Edoxaban in Patients with Atrial High-Rate Episodes - NOAH-AFNET6 | NEJM

✔✔✔ Switching from VKA to a NVK Antagonist Oral Anticoagulant in Frail Older Patients w/ AF - FRAIL-AF | Circulation

✔✔✔ Complete or Culprit-Only PCI in Older Patients with Myocardial Infarction - FIRE Trial | NEJM

✔✔✔ Timing of Complete Revascularization with Multivessel PCI for Myocardial Infarction - MULTISTARS AMI | NEJM

??? Optical Coherence Tomography–Guided versus Angiography-Guided PCI - ILUMIEN IV | NEJM

??? OCT or Angiography Guidance for PCI in Complex Bifurcation Lesions - OCTOBER | NEJM

✔✔✔ Ferric Carboxymaltose in Heart Failure with Iron Deficiency - HEART-FID | NEJM

✔✔✔ Extracorporeal Life Support in Infarct-Related Cardiogenic Shock - ECLS-SHOCK | NEJM

✔✔✔ Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest - ARREST | Lancet

✔ Effects of Cuff Size on the Accuracy of Blood Pressure Readings - Cuff(ZZ) | JAMA

✔ Semaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity - STEP-HFpEF | NEJM

✔ Aldosterone Synthase Inhibition With Lorundrostat for Uncontrolled Hypertension - The Target-HTN | JAMA

Cirurgia, Ortopedia & MFR

✔ Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy: PERFECT | Lancet

Doente crítico/urgente

Conservative versus Liberal Oxygenation Targets in Intensive Care Unit Patients - ICONIC | AJRCCM

Geral, Geriatria & Paliativos

✔✔✔ Video Intervention and Goals-of-Care Documentation in Hospitalized Older Adults - VIDEO-PCE | JAMA NOpen

Clinical and cost-effectiveness of nurse-delivered sleep restriction therapy for insomnia in primary care - HABIT | Lancet

Effect of home cook interventions for salt reduction in China: cluster randomised controlled trial | BMJ

Hematologia

✔ Dietary factors and time of day on iron absorption from oral iron supplements in iron deficient women | AJH

Imuno-mediadas

✔ Colchicine vs PDN in elderly w/ acute calcium pyrophosphate crystal arthritis - COLCHICORT | Lancet Rheumatology

Subcutaneous spesolimab for the prevention of generalised pustular psoriasis flares - Effisayil 2 | Lancet

Infecciologia, Microbiologia & Antimicrobianos

✗ Four-Month High-Dose Rifampicin Regimens for Pulmonary Tuberculosis - RIFASHORT | NEJM Evidence

Neurologia

✗✗✗ Intensive vs Conventional BP Lowering After Thrombectomy in Acute Ischemic Stroke - OPTIMAL-BP | JAMA

✗✗✗ Blood Pressure Management After Endovascular Therapy for Acute Ischemic Stroke - BEST-II | JAMA

✔ Efficacy and Safety of Ginkgo Diterpene Lactone Meglumine in Acute Ischemic Stroke | JAMA Network Open

Oncologia

Atorvastatin for Anthracycline-Associated Cardiac Dysfunction - STOP-CA | JAMA

Pneumologia

Tacrolimus vs ciclosporin on chronic allograft dysfunction after lung transplantation in Scandinavia-ScanCLAD|LancetRM

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Cardiovascular

✔ 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Chronic Coronary Disease | Circulation

Doente crítico/urgente

Management of Acetaminophen Poisoning in the US and Canada - A Consensus Statement | JAMA Network Open

Geral, Geriatria & Paliativos

✔ Vacinação contra o Herpes Zoster: Consenso das SPMI e Associação Portuguesa de Medicina Geral e Familiar | SPMI

✔ Screening for colorectal cancer in asymptomatic average-risk adults: A guidance statement from the ACP (v2) | ACP

Standards and Ethics Issues in the Determination of Death: A Position Paper From the ACP | AIM

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Guidelines for Diagnosis and Management of Infective Endocarditis in Adults - WikiGuidelines | JAMA NO

Pneumologia

Pulmonary rehabilitation for adults with chronic respiratory disease: ATS clinical practice guideline | AJRCC

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Cardiovascular

Alcohol Intake and Blood Pressure Levels: A Dose-Response Meta-Analysis of Nonexperimental Cohorts | Hypertension

Diagnóstico e Raciocínio Clínico

✔ Ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis | Acad Emerg Med

Doente crítico/urgente

✔ Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism: A Pilot Study | CEEM

Geral, Geriatria & Paliativos

✔ Balancing risks and benefits of cannabis: umbrella review of meta-analyses of RCTs and observational studies | BMJ

Meta-investigação & MBE

Reporting of Observational Studies Explicitly Aiming to Emulate Randomized Trials | JAMA Network Open

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PRIMÁRIOS - SUB-ANÁLISE / COORTE / CASO-CONTROLO / INQUÉRITOS / A. ECONÓMICAS

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Beta blockers, digoxin or both following an incident diagnosis of AF – a prospective cohort | CJC

✔ Coronary Angiography After Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation | JAMA Cardiology

✔ Ischemic/Coronary Evaluations in Patients w/ Monomorphic VT Electrical Storm Undergoing VT Ablation | JACC

✔ Hospital admissions in the last year of life of patients with heart failure | EHJ-QCCO

✔ SGLT2 Inhibitors and Atrial Fibrillation Recurrence After Catheter Ablation in Patients w/ Type-2-Diabetes | JACC

Cirurgia, Ortopedia & MFR

✔ Long-term outcome of nonoperative treatment of appendicitis | JAMA Surgery

Doente crítico/urgente

Brain Injury Guidelines: American Association for the Surgery of Trauma| JTACS

Do patient outcomes differ when the trauma team leader is a surgeon or non-surgeon? | CJEM

Gastroenterologia & Hepatologia

✔ Anti-tissue transglutaminase IgA and duodenal villous atrophy in suspected coeliac disease (Bi.A.CeD) | Lancet G&H

Non-erosive GERD and incidence of oesophageal adenocarcinoma in three Nordic countries | BMJ

Geral, Geriatria & Paliativos

✔✔✔ Empowering medicine residents to order labs mindfully to improve patient-centered care | JHM

✔ Salient Measures of Hospitalist Workload | JAMA Network Open

✔ Safety of Oral Antipsychotics for In-Hospital Adverse Clinical Events in Older Adults After Major Surgery | AIM

Changes in Masking Policies in US Healthcare Facilities in the First Quarter of 2023 | medRxiv

An analysis of studies pertaining to masks in Morbidity and Mortality Weekly Report: 1978 to 2023 | medRxiv

Hematologia

✔ Venous thromboembolism with use of hormonal contraception and NSAIDs: nationwide cohort study | BMJ

Imuno-mediadas

✔ Gout Flares and Mortality After SGLT2i Treatment for T2D | JAMA Network Open

✔ Foot insufficiency fractures in patients w/ inflammatory rheumatic musculoskeletal diseases | JR

✔ Duration of steroid therapy and temporal artery biopsy positivity in giant cell arteritis | JoRheumatology

Infecciologia, Microbiologia & Antimicrobianos

✔ Late Mortality After COVID-19 Among US Veterans vs Risk-Matched Comparators | JAMA Internal Medicine

✔ Current pyuria cutoffs promote inappropriate urinary tract infection diagnosis in older women | CID

Mecillinam: A Possible Alternative Option for Non-Complicated UTI Treatment Caused by Enterobacterale | AMP

Impact of macrolide treatment on long-term mortality in patients admitted to the ICU due to CAP | CC

Meta-investigação & MBE

✔✔✔ Review of Evidence Supporting 2022 US FDA Drug Approvals | JAMA Network Open

✔ Accuracy of Chatbots in Citing Journal Articles | JAMA Network Open

Neurologia

✔ Postprocedural Model to Predict Outcome After Endovascular Treatment for Ischemic Stroke | JAMA Neurology

✔ IV Thrombolysis w/ or wo/ Endovascular Treatment for Suspected Ischemic Stroke in intracranial Tumors | Neurology

Immunoglobulin A Ab Against MOG in a Subgroup w/ Central Nervous System Demyelination | JAMA Neurology

Neurological Pupil index for outcome prognostication in people w/ acute brain injury-ORANGE| Lancet Neurology

Oncologia

Cytoreductive surgery w/ hyperthermic intraperitoneal CT in advanced ovarian cancer - OVHIPEC-1 | Lancet Oncology

Pneumologia

Longitudinal Follow-Up of Participants With Tobacco Exposure and Preserved Spirometry | JAMA

Comparative Effectiveness and Safety of Generic vs Brand-Name Fluticasone–Salmeterol to Treat COPD | AIM

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cardiovascular

Acute Coronary Occlusion and Prior Known RBBB: Another Chink in the Armor for the STEMI Criteria | AEM

Dermatologia

Burrow Ink Test for Scabies | NEJM

Pityriasis Rosea Variant: Persistent Pityriasis Rosea in a 78-Year-Old Female Patient | AIM

Gastroenterologia & Hepatologia

Broadening the Differential for Obstructive Jaundice: Lemmel Syndrome | AIM

Imuno-mediadas

ANCA-associated large and small vessel vasculitis with aorto-pulmonary-renal syndrome | Lancet Rheumatology

Rare Observation of Silicone-Associated Scleroderma-Like Syndrome: Recognize and Diagnose Similar Cases | AIM

Úlceras Cutâneas Disseminadas Associadas ao Metotrexato | AMP

Lymphoid Interstitial Pneumonia Associated With Hashimoto Thyroid Disease | AIM

Infecciologia, Microbiologia & Antimicrobianos

Disseminated Strongyloidiasis in a Patient With Lupus Nephritis | AIM

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OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Chapter 1 - COURAGE | Sensible Medicine | Chapter 2 - ORBITA | Sensible Medicine | Chapter 3 - ISCHEMIA | Sensible Medicine | Chapter 4 - REVIVED-BCIS | Sensible Medicine

Dermatologia

✔ Pyoderma gangrenosum | BMJ

Geral, Geriatria & Paliativos

Combating Vaccine Hesitancy Requires Knowledge of Misfortunes and Controversies | AMP

Imuno-mediadas

Diagnóstico e Tratamento do Neuro-Behçet: Uma Actualização Clínica | AMP

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PERSPECTIVA

tabela de conteúdos ↟

Diagnóstico e Raciocínio Clínico

Large Language Models Answer Medical Questions Accurately, but Can’t Match Clinicians’ Knowledge | JAMA

Doente crítico/urgente

✔ Reconsidering the Language of Serious Illness | JAMA

Geral, Geriatria & Paliativos

✔ #MedEd: Medical Education and Knowledge Translation on Social Media | JAMA

✔ Friday Reflection 25: The Advice I’d Like to Give a Student Entering Medical School | Sensible Medicine

An AI-Enhanced Electronic Health Record Could Boost Primary Care Productivity | JAMA

The Six Steps of SDM: linking theory to practice, measurement and implementation | BMJ-EBM

Meta-investigação & MBE

✔ What's in the placebo? | Trust the evidence

Neurologia

✔ New treatments for Alzheimer’s disease | BMJ

Oncologia

✔ The Future of Cancer Screening—Guided Without Conflicts of Interest | JAMA

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NOTÍCIAS

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

Meta-Analysis: Most Effective Exercises for Reducing Blood Pressure | JAMA

Infecciologia, Microbiologia & Antimicrobianos

A Genetic Explanation for Why Some People Had Asymptomatic COVID-19 | JAMA

Case of Middle East Respiratory Syndrome Coronavirus Confirmed | JAMA

Mounting Evidence Suggests Leprosy Is Endemic in Florida | JAMA

Neurologia

✔ Antipsychotics Might Be Overprescribed for Dementia | JAMA

Study: Identifying Lewy Body Disease Before Symptoms | JAMA

Consumers Can Now Buy a Blood Test to Evaluate Their Alzheimer Disease Risk, but Should They? | JAMA

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✔✔✔ FOAMed

tabela de conteúdos ↟

Cardiovascular

Jul 28 2023 - Antiarrhythmic Drugs and CAD | This Week in Cardiology

Aug 11, 2023 - TUDO | This Week in Cardiology

#347Chlorthali-D’OH!: What is the best thiazide diuretic for hypertension? | TFP

Diagnóstico e Raciocínio Clínico

What is the role of POCUS to differentiate between cellulitis and abscess? | CanadiEM

Diagnostic Errors & Excellence | Core IM

Doente crítico/urgente

EMCrit Wee – The Physiology of Oxygenation with Alex of Deranged Physiology

Geral, Geriatria & Paliativos

#16 Distilling Inpatient Alcohol Withdrawal with Dr. Shawn Cohen | Curbsiders

Infecciologia, Microbiologia & Antimicrobianos

Osteomyelitis - Imaging exam | CoreIM

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ARA - Aumento de Risco Absoluto | EBM - Evidence-based medicine | ECA - Ensaio controlado e aleatorizado | ITT - Intention-to-treat Analysis | MA - Meta-análise | MBE - Medicina baseada na evidência | NIT - Non-inferiority trial | NNH - Number needed to harm | NNT - Number needed to treat | PPA - Per protocol analysis | RR - Redução Relativa | RRA - Redução do Risco Absoluto | RS - Revisão Sistemática