Abril 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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META-REVISÃO

Meta-investigação & MBE

Associations Between Surrogate Markers and Clinical Outcomes for Nononcologic Chronic Disease Treatments | JAMA

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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Shorter Dual Antiplatelet Therapy for Older Adults After Percutaneous Coronary Intervention | JAMA Net Open

✔✔✔ Statin on diagnoses of new-onset diabetes and worsening glycaemia in large-scale blinded RCTs | Lancet D&E

✔✔✔ Long-Term Effect of Salt Substitution for Cardiovascular Outcomes | Annals of Internal Medicine

Endocrinologia

✔✔✔ Newer Pharmacologic Treatments in Adults With Type 2 Diabetes: A SR and NMA for the ACP | Annals of IM

Gastroenterologia & Hepatologia

✔✔✔ Effect of exercise for depression: systematic review and network meta-analysis of RCTs | BMJ

Geral, Geriatria & Paliativos

Community based complex interventions to sustain independence in older people | BMJ

Psiquiatria

✔✔✔ Acute Adverse Effects of Therapeutic Doses of Psilocybin: A Systematic Review and Meta-Analysis | JAMA NetOp

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock - DanGer Shock | NEJM

Preventive PCI vs medical therapy for the treatment of vulnerable atherosclerotic coronary plaques - PREVENT | Lancet

Semaglutide in Patients with Obesity-Related Heart Failure and Type 2 Diabetes - STEP-HFpEF DM | NEJM Evidence

✗✗✗ Beta-Blockers after Myocardial Infarction and Preserved Ejection Fraction - REDUCE-AMI | NEJM

✗ Empagliflozin after Acute Myocardial Infarction | EMPACT-MI

✗ FFR-Guided Complete or Culprit-Only PCI in Patients with Myocardial Infarction - FULL-REVASC | NEJM

Diagnóstico e Raciocínio Clínico

✔ Transbronchial cryobiopsy (+- surgical lung biopsy) vs surgical lung biopsy for ILD - COLD | Lancet RespMed

Doente crítico/urgente

✔ Videolaryngoscope vs conventional technique for TEE in intubated ICU patients - VIDLARECO trial | ACC&PM

✗✗✗ Extracorporeal Carbon Dioxide Removal to Avoid MV During Exacerbations of COPD - VENT-AVOID Trial

Spiced RCT: Success and Pain Associated with Intravenous Cannulation in the Emergency Department | J Emerg Med

Gastroenterologia & Hepatologia

✔ Low FODMAP diet vs a low-carbohydrate diet vs pharmacological treatment in IBS - CARBIS | Lancet G&H

Geral, Geriatria & Paliativos

Effect of chair placement on physicians’ behavior and patients’ satisfaction: randomized deception trial | BMJ

Sitting Time Reduction and Blood Pressure in Older Adults: A Randomized Clinical Trial | JAMA Network Open

✗✗✗ 3 months of 10-h per-day time-restricted eating and 3 months of follow-up - RESET | Lancet Health Longevity

✗✗✗ Effect of Isocaloric, Time-Restricted Eating on Body Weight in Adults With Obesity | Annals of Internal Medicine

✗ Automated Text Message–Based Program and Acute Health Care Resources After Hospital Discharge | JAMA NO

Hematologia

✔✔✔ Remission induction vs immediate AHSCTransplantation for relapsed / poor responsive AML - ASAP |LancetHaem

Imuno-mediadas

Omalizumab for the Treatment of Multiple Food Allergies - OUtMATCH | NEJM

Infecciologia, Microbiologia & Antimicrobianos

✔Stewardship Prompts to Improve Antibiotic Selection for Pneumonia - The INSPIRE | JAMA

✔ Stewardship Prompts to Improve Antibiotic Selection for Urinary Tract Infection: The INSPIRE | JAMA

High-dose, short-duration vs standard rifampicin for tuberculosis preventive treatment | Lancet RespMed

✗ Nirmatrelvir for Vaccinated or Unvaccinated Adult Outpatients with Covid-19 - EPIC-SR | NEJM

Neurologia

✔ Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage - ENRICH | NEJM

✗ Trial of Lixisenatide in Early Parkinson’s Disease - LIXIPARK | NEJM

Oncologia

✔✔✔ Overall Survival with Adjuvant Pembrolizumab in Renal-Cell Carcinoma - KEYNOTE-564 | NEJM

✔ Prophylactic radiation therapy vs standard of care for high-risk asymptomatic bone metastases | J Clin Oncol

Pneumologia

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Doente crítico/urgente

✔ Society of Critical Care Medicine on recognizing and responding to clinical deterioration outside the ICU | CCM

Critical Issues in the Evaluation and Management of Adult OoH or ED Patients Presenting w/ Severe Agitation | ACEP

Endocrinologia

✔✔✔ Newer Pharmacologic Treatments in Adults With Type 2 Diabetes: Clinical Guideline From the ACP | AIM

Gastroenterologia & Hepatologia

✔ AGA clinical practice guideline on FMT for select gastrointestinal diseases | Gastroenterology

Infecciologia, Microbiologia & Antimicrobianos

Global guideline for the diagnosis and management of cryptococcosis: ECMM, ISHAM & ASM | Lancet Infect Diseases

Oncologia

Germline Testing in Patients With Breast Cancer: ASCO-Society of Surgical Oncology Guideline | JCO

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Doente crítico/urgente

Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis | AEM

Endocrinologia

✔✔✔ Cost-Effectiveness of Newer Pharmacologic Treatments in Adults w/ Type 2 Diabetes: SR of COS from ACP | AIM

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Trivalent and quadrivalent seasonal influenza vaccine in adults aged 60 and older | BMJ-EBM

✔ Antibiotic Prophylaxis and Infective Endocarditis Incidence Following Invasive Dental Procedures | JAMA Cardiology

Oncologia

Magnetic Resonance Imaging, Clinical, and Biopsy Findings in Suspected Prostate Cancer | JAMA Network Open

Magnetic Resonance Imaging in Prostate Cancer Screening: A Systematic Review and Meta-Analysis | JAMA Oncology

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

tabela de conteúdos ↟

Cardiovascular

✔ Vitamin K Antagonist Benefit in People w/ Atrial Fibrillation Accounting for Competing Risks | Circulation

✔ Re-analyses of 8 Historical Trials in CV Medicine Assessing Multimorbidity and its Association w/ Response | AJM

✔ Low-dose colchicine in T2D and recent MI in the Colchicine Cardiovascular Outcomes (COLCOT) Trial | DiabetesCare

Impact of Multidomain Frailty on the Mode of Death in Older Patients With Heart Failure - FRAGILE-HF | Circulation

Serious Bleeding in Patients With Atrial Fibrillation Using Diltiazem With Apixaban or Rivaroxaban | JAMA

Cirurgia, Ortopedia & MFR

✔✔✔ Long-term outcome of immediate vs postponed intervention in infected necrotizing pancreatitis - POINTER | AoS

✔ Preoperative GLP-1 Receptor Agonist Use and Risk of Postoperative Respiratory Complications | JAMA

Diagnóstico e Raciocínio Clínico

✔✔✔ Clinical Reasoning of a Generative Artificial Intelligence Model Compared With Physicians | JAMA Internal Med

Doente crítico/urgente

✔ The impact of double sequential shock timing on outcomes during ROHSC | Ressuscitation

Endocrinologia

✔ Spontaneous normalization of subclinical hypothyroidism in older adults | J Clin Endocrinol Metab

✔ Semaglutide vs Endoscopic Sleeve Gastroplasty for Weight Loss | JAMA Network Open

✔ Glucagon-like peptide 1 receptor agonist use and risk of thyroid cancer: Scandinavian cohort study | BMJ

Adrenal hemorrhage: Etiology, presentation, management, and outcomes | Mayo Clinical Procedures

Gastroenterologia & Hepatologia

✔ Loss of response to anti-TNF therapy for Crohn's disease: 3-year data from PANTS | Lancet Gastro & Hepatology

Geral, Geriatria & Paliativos

✔✔✔ Antihypertensive Medication and Fracture Risk in Old Nursing Home Residents | JAMA Internal Medicine

✔✔✔ Multiple adverse outcomes associated with antipsychotic use in people with dementia | BMJ

✔ Timely cessation of PPI in critically ill patients impacts morbidity and mortality: A PSM cohort study | Crit Care Med

IA

Current safeguards, risk mitigation & transparency measures of LLM against generation of health disinformation | BMJ

Imuno-mediadas

✔ Diagnostic prediction model for giant cell arteritis by sequential application of SGCAPScore and US | Lancet Rheuma

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Low-risk Staphylococcus aureus bacteremia patients do not require routine diagnostic imaging | CID

✔ Mutation rate of AmpC-β-lactamase-producing Enterobacterales and treatment in clinical practice | CID

✔ Anaerobic antibiotic coverage in aspiration pneumonia and the associated benefits and harms | Chest

Posaconazole Therapeutic Drug Monitoring in Oncology Patients: Clinical Implications of Hypoalbuminemia | OFID

Two Decades of Insights into Nontuberculous Mycobacterial Hand Infections | OFID

Comparison of Tuberculin Skin Testing and Interferon-γ Release Assays in Predicting Tuberculosis Disease | JAMA NO

Meta-investigação & MBE

✔✔✔ Differential Treatment Effects of Subgroup Analyses in Phase 3 Oncology Trials From 2004 to 2020 | JAMA Net Open

✔✔✔ Clinical Benefit and Regulatory Outcomes of Cancer Drugs Receiving Accelerated Approval | JAMA

Neurologia

✔ Functional Outcomes Associated w/ Blood Pressure Decrease After Endovascular Thrombectomy | JAMA Net Open

Oncologia

✔ Bacterial Subspecies Linked With Aggressive Colorectal Cancer Tumors | JAMA

Pneumologia

✔ Severity of Respiratory Syncytial Virus vs COVID-19 and Influenza Among Hospitalized US Adults | JAMA Net Open

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cardiovascular

Pericardial Effusion and Tamponade as the Manifestation of Erdheim–Chester Disease | Annals of Internal Medicine

Dermatologia

Nódulo de Irmã Maria José Associado a Adenocarcinoma do Reto | AMP

Imuno-mediadas

Brachial plexopathy: an unusual manifestation of Takayasu arteritis | Lancet Rheumatology

Orbital Inflammatory Disease as Initial Presentation of Primary Sjögren Syndrome | Annals of Internal Medicine 

Infecciologia, Microbiologia & Antimicrobianos

Mycoplasma hominis: A Case of Peritonitis and Hyperammonemia Syndrome in a Healthy Postpartum Woman | AIM

Visceral Leishmaniasis During Pregnancy: A Case Report | Annals of Internal Medicine  

Nefrologia

Watermelon-Induced Hyperkalemia: A Case Series | Annals of Internal Medicine  

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OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Diagnóstico e Raciocínio Clínico

✔ Síndrome VEXAS: O que Sabemos Dois Anos Após a sua Descoberta? | RSPMI

Point-of-Care Echocardiography in the Difficult-to-Image Patient in the ICU: A Narrative Review | CCE

Geral, Geriatria & Paliativos

✔ State-of-the-Art Review: Use of Antimicrobials at the End of Life | CID

Imuno-mediadas

Myeloperoxidase-specific antineutrophil cytoplasmic antibody-associated vasculitis | Lancet Rheumatology

Systemic Lupus Erythematosus: A Review | JAMA Internal Medicine

Meta-investigação & MBE

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

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PERSPECTIVA

tabela de conteúdos ↟

Imuno-mediadas

✔ Carta ao Editor – “Recomendações na Abordagem do Doente com Hidradenite Supurativa” | AMP

Meta-investigação & MBE

 ✔✔✔ Improving Your Critical Appraisal Skills 1 | Sensible Medicine - Adam Cifu

Our JAMA Paper on Industry Payments and Sowell's Conflict of Visions | Sensible Medicine - John Mandrola

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NOTÍCIAS

tabela de conteúdos ↟

Oncologia

Bacterial Subspecies Linked With Aggressive Colorectal Cancer Tumors | JAMA

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✔✔✔ FOAMed

tabela de conteúdos ↟

Diagnóstico e Raciocínio Clínico

Diagnostic reasoning as artificial intelligence emerges: a distributed cognition framework | First10EM

Doente crítico/urgente

The Needle Vs. The Knife for Spontaneous Pneumothorax: A Closer Look at the EXPRED Study | RebelEM

SGEM#433: BREATHE – SIMPLE ASPIRATION VS. DRAINAGE FOR COMPLETE PNEUMOTHORAX | TheSGEM

The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke | RebelEM

REBEL Cast Ep125: 1st 48 Hours of PE Management – How Good Is Unfractionated Heparin? | RebelEM

Propofol Related Infusion Syndrome (PRIS) | First10EM

The Brain Injury Guidelines: Can we avoid talking to neurosurgeons? | First10EM

An Approach to Adult Burns in the Emergency Department | CanadiEM

Endocrinologia

#433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns | Curbsiders

Gastroenterologia & Hepatologia

Ultrasound Case 111 - Hepatopulmonary syndrome | LFTL

Geral, Geriatria & Paliativos

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