Março de 2024 - 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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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cardiovascular

✔Long-term impact of home-based monitoring after an admission for acute decompensated heart failure | Lancet eCM

Diagnóstico e Raciocínio Clínico

✔ Clinical Outcomes of Rapid Respiratory Virus Testing in Emergency Departments | JAMA Internal Medicine

Doente crítico/urgente

✔ Active mobilisation and AE and mortality in patients requiring mechanical ventilation in the ICU | Lancet RespMed

Geral, Geriatria & Paliativos

Low-dose ketamine versus morphine in the treatment of acute pain in the emergency department | AJEM

Meta-investigação & MBE

Characteristics, Progression, and Output of Randomized Platform Trials: A Systematic Review | JAMA Network Open

Neurologia

✔ Drug Efficacy in the Treatment of Antipsychotic-Induced Akathisia | JAMA Network Open

Oncologia

✔ Neoadjuvant-Adjuvant vs Neoadjuvant-Only PD-1 and PD-L1 Inhibitors for Resectable NSCLC | JAMA Network Open

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✔ P2Y12 Inhibitor Monotherapy vs Dual Antiplatelet Therapy with Drug-Eluting Stent - SHARE | JAMA Network Open

Quantitative Coronary Angiography vs IV Ultrasonography to Guide DES Implantation - GUIDE-DES | JAMA Net Open

Paclitaxel-Coated Balloon vs Uncoated Balloon for Coronary In-Stent Restenosis - The AGENT IDE | JAMA

Cirurgia, Ortopedia & MFR

✔ Prophylactic abdominal drainage after distal pancreatectomy - PANDORINA | Lancet G&HTelerehabilitation w/ physiotherapist for chronic knee pain vs in-person consultations in Australia - PEAK | Lancet

Diagnóstico e Raciocínio Clínico

✔ Diagnostic Stewardship in Community-Acquired Pneumonia With Syndromic Molecular Testing  | JAMA Net Open

Doente crítico/urgente

Videolaryngoscope vs Conventional for Insertion of a TEE Probe in Intubated ICU Patients - VIDLARECO | ACC&PM

Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room - VLS | JAMA

Gastroenterologia & Hepatologia

✔ 10-Day vs 14-day bismuth quadruple therapy for first-line eradication of Helicobacter pylori infection | Lancet eCM

Geral, Geriatria & Paliativos

✔ Non-opioid analgesic combinations following total hip arthroplasty - RECIPE | Lancet Rheumatology

Multicomponent Intervention for Overactive Bladder in Women: A Randomized Clinical Trial | JAMA Network Open

Infecciologia, Microbiologia & Antimicrobianos

Exercise helps long covid patients in a randomized trial (as other things) | Sensible Medicine - Vinay Prasad

Neurologia

✔ Clopidogrel Plus Aspirin vs Aspirin Alone in Acute Mild to Moderate Stroke - The ATAMIS | JAMA Neurology

✔ Early Use of Erenumab vs Nonspecific Oral Migraine Preventives - APPRAISE | JAMA Neurology

Continuous subcutaneous levodopa–carbidopa (ND0612) for Parkinson w/ motor fluctuations-BouNDless | Lancet Neur

Oncologia

✔ Enfortumab Vedotin and Pembrolizumab in Untreated Advanced Urothelial Cancer | NEJM

Pneumologia

Blood eosinophil-guided oral prednisolone for COPD exacerbations in primary care in the UK - STARR2 | Lancet RM

Psiquiatria

✔ Open-door policy versus treatment-as-usual in urban psychiatric inpatient wards | Lancet Psychiatry

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Cardiovascular

Diagnosis and Management of Aortic Diseases | JAMA

Gastroenterologia & Hepatologia

✔✔✔ IV Albumin: Guideline from the International Collaboration for Transfusion Medicine Guidelines | CHEST

AGA Clinical Practice Update on Vasoactive Drugs and IV Albumin in Cirrhosis: Expert Review | Gastrenterology

Psiquiatria

✔✔✔ Treatment of Adults in the Acute Phase of Major Depressive Disorder | ACP

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

✔ Complication Rates of Central Venous Catheters: A Systematic Review and Meta-Analysis | JAMA Internal Medicine

The disclosure of bad news over the phone vs. in person and its association with psychological distress | JGIM

Infecciologia, Microbiologia & Antimicrobianos

✔ Chest X-ray features of HIV-associated Pneumocystis pneumonia in adults: systematic review & meta-analysis | OFID

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

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Invasive Treatment Strategy in Frailty Adults and NSTEMI | JAMA Network Open

✔ Recurrence of Atrial Fibrillation in New-Onset Postoperative Atrial Fibrillation After CABG | JAMA Network Open

Reduced EF in Elite Endurance Athletes: Clinical and Genetic Overlap w/ Dilated Cardiomyopathy | Circulation

Implantable loop recorders in patients with Brugada syndrome: the BruLoop study  | EHJ 

Mortality after takotsubo — Comparison with myocardial infarction and general population | JACC

Doente crítico/urgente

✔ Blunt Head Injury in the Elderly: Analysis of the NEXUS II Injury Cohort | AEM

Endocrinologia

✔ Duration of fracture prevention after zoledronate treatment in women with osteopenia | Lancet D&E

✗ Association of semaglutide with risk of suicidal ideation in a real-world cohort | Nat Med

Gastroenterologia & Hepatologia

✔ Magnetically guided capsule endoscopy with a detachable string for oesophagogastric varices in cirrhosis | BMJ

Propofol sedation does not improve measures of colonoscopy quality but increase cost | Lancet eCM

IA

✔ Artificial Intelligence to Transform Inpatient Discharge Summaries to Patient-Friendly Language and Format | JAMA NO

Artificial Intelligence–Enabled Intervention for Detecting Clinical Deterioration | JAMA Internal Medicine

ChatGPT pass the MRCP (UK) written examinations? Analysis of performance and errors | BMJ Open

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ 2023 Duke-ISCVID criteria in a multicenter cohort of patients with suspected infective endocarditis | CID

    2023 Duke-ISCVID diagnostic criteria in relation to the modified Duke criteria and to clinical management | CID

    2023 Duke-International Society of Cardiovascular Infectious Diseases classification for infective endocarditis | CID

    2023 Duke-ISCVID, 2000 Modified Duke and the 2015 ESC Criteria - French Multicenter Prospective Cohort | CID

    External Validation of the 2023 Duke - ISCVID Diagnostic Criteria for Infective Endocarditis | CID

✔✔✔Bacteremia From a Presumed Urinary Source in Hospitalized Adults w/ Asymptomatic Bacteriuria | JAMA Net O

✔ Eyes wide shut: A cohort study questioning the role of fundoscopy in infective endocarditis diagnosis | CID-IDSA

✔ Comparative effectiveness of 1st line and alternative antibiotic regimens in hospitalized patients with CAP | CHEST

Initial Clostridioides difficile infection (CDI) that are associated with increased risk of multiple CDI recurrences | OFID

Doxycycline vs cephalexin treatment of presumed streptococcal skin and soft tissue infection | AntimicrobAgentsChem

Effect of Preoperative Antibiotic Therapy on Operative Culture Yield for Diagnosis of Native Joint Septic Arthritis | CID

Meta-investigação & MBE

✔ Impact of evidence-based guidelines on healthcare and costs for disc related sciatica in the Netherlands | BMJ Open

Neurologia

✔ Skin Biopsy Detection of Phosphorylated α-Synuclein in Patients With Synucleinopathies | JAMA

Oncologia

✔✔✔ Cancer diagnoses after recent weight loss | JAMA

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cardiovascular

Biceps Tendon Rupture as an Early Manifestation of Hereditary Transthyretin Amyloidosis | ACP

Dermatologia

Mucosite e Rash Induzidos por Mycoplasma pneumoniae: Relato de um Caso Clínico e Revisão da Literatura | RSPMI

Bullosis Diabeticorum | RSPMI

Síndrome Trófica do Trigémio: Um Caso Exuberante | AMP

Geral, Geriatria & Paliativos

Esclerose Lateral Amiotrófica: O seu Impacto e Questões Éticas | RSPMI

Imuno-mediadas

Antineutrophil Cytoplasmic Antibody–Associated Vasculitis Masquerading as Giant Cell Arteritis  | AIM

Infecciologia, Microbiologia & Antimicrobianos

Doença de Hansen: Apresentação Incomum de uma Doença Antiga | AMP

Endogenous Endophthalmitis as a Complication of a Systemic Infection by Brucella Species | ACP

Pneumologia

Thinker's Sign - Severe COPD | ACP

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OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Meta-investigação & MBE

Rapid reviews methods series: assessing the appropriateness of conducting a rapid review | BMJ-EBM

Rapid reviews methods series: guidance on rapid qualitative evidence synthesis | BMJ-EBM

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PERSPECTIVA

tabela de conteúdos ↟

Cardiovascular

✔ New observational study on plastic and CV risk | This week in Cardiology (John Mandrola) - Medscape

✔ Everyone keeping blood pressure low because of the SPRINT trial is practicing bad medicine (Vinay Prasad) - Sensible Medicine

✔ No, We Should Not Denounce Digoxin (John Mandrola) - Sensible Medicine

Infecciologia, Microbiologia & Antimicrobianos

✔ Community-acquired pneumonia: the best candidates for clarithromycin | Lancet Respiratory Medicine

Exercise helps long covid patients in a randomized trial (as other things) | Sensible Medicine - Vinay Prasad

Meta-investigação & MBE

✔ A New Look at P Values for Randomized Clinical Trials | NEJM

✔ A letter to the Cochrane Board | Trust the evidence

Teaching to address overdiagnosis | BMJ-EBM

Psiquiatria

Nomenclatura Baseada na Neurociência para Psicofármacos: Quatro Razões para a Usar e Manter em Portugal | AMP

Proposta de Critérios de Internamento em Psiquiatria | AMP

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NOTÍCIAS

tabela de conteúdos ↟

Cardiovascular

FDA Approves Semaglutide for Cardiovascular Risk Reduction | Medscape

Infecciologia, Microbiologia & Antimicrobianos

CDC Eases Isolation Guidance for Respiratory Viruses | JAMA

Meta-investigação & MBE

The Ghost Research Haunting Nordic Medical Trials | Medscape UK

Oncologia

✔ Study: 1 of Every 9 US Cancer Cases Missed During 2020 Pandemic | JAMA

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✔✔✔ FOAMed

tabela de conteúdos ↟

Diagnóstico e Raciocínio Clínico

SGEM#432: SPEED, GIVE ME WHAT I NEED – TO DIAGNOSE ACUTE AORTIC DISSECTIONS

Doente crítico/urgente

SGEM#430: DE DO DO DO, DE DASH, DASH DASHED – DIAGNOSING ACUTE AORTIC SYNDROME IN THE ED

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