By Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman
50 experiences each Internist may still Know provides key reports that experience formed the perform of inner medication. chosen utilizing a rigorous technique, the reports hide subject matters together with: preventative drugs, endocrinology, hematology and oncology, musculoskeletal ailments, nephrology, gastroenterology, infectious illnesses, cardiology, pulmonology, geriatrics and palliative care, and psychological well-being. for every learn, a concise precis is gifted with an emphasis at the effects and barriers of the research, and its implications for perform. An illustrative scientific case concludes every one overview, by means of short info on different proper reports. This booklet is a must-read for well-being care execs and somebody who desires to research extra in regards to the facts in the back of medical perform.
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Additional info for 50 Studies Every Internist Should Know
Ann Intern Med. 2009;151:738–747. 4. Miller AB et al. Twenty-five-year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. BMJ. 2014 Feb 11;348:g366. 5. Biller-Andorno N, Jüni P. Abolishing mammography screening programs? A view from the Swiss Medical Board. N Engl J Med. 2014 May 22;370(21):1965–1967. 6 The European Randomized Study of Screening for Prostate Cancer (ERSPC) M IC H A EL E. . . [and there was no] significant between-group difference in all-cause mortality.
Based on the results of the Women’s Health Study, what would you recommend? Suggested Answer: The Women’s Health Study demonstrated that, in female health professionals ≥45, daily aspirin leads to a small but detectable reduction in the risk of cardiovascular disease while increasing bleeding risk. The US Preventive Services Task Force recommends low-dose daily aspirin in women 55–79 when the reduction in cardiovascular risk is judged to be greater than the increase in risk of gastrointestinal hemorrhage.
In addition, this study suggests that screening mammograms in women between the ages of 40 to 49 lead to only a small benefit but a high rate of false positive results. 4 • Based on the results of this analysis and others, in 2014 the Swiss Medical Board recommended against continuing the country’s mammography screening program. 2 lists breast cancer screening guidelines from two major organizations. 2. . ” • Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health Summary and Implications: Most of the trials of screening mammography have considerable methodological flaws.