Novembro de 2024 - Inventário do mês

Vide também no Substack

Versão esquemática de Mariana Barosa:

What multimorbidity shows us about guideline-driven evidence based medicine ou Sensible Medicine

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

7. FOAMed

Glossário:

 ✔✔✔ --> Muito relevante

✔ --> Relevante

✗ --> Não eficaz mas relevante (contraria hipóteses, práticas, etc.)

(sem símbolo) --> Pouco relevante (mas eventualmente interessante)

(sem símbolo) --> Não eficaz e pouco relevante (mas eventualmente interessante)

classificação pessoal, nem todos concordarão

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META-REVISÃO

Psiquiatria

Valproate in acute mania, bipolar depression and maintenance therapy for bipolar disorder | BMJ Open

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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cirurgia, Ortopedia & MFR

Goal-directed haemodynamic therapy algorithms during surgery for the prevention of surgical site infection | eCM

Oncologia

✔First-line chemotherapy regimens in unresectable locally advanced or metastatic pancreatic cancer | Lancet Oncology

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✗✗✗ Effect of Screening for Undiagnosed Atrial Fibrillation on Stroke Prevention - GUARD-AF | JACC

✗✗✗ Colchicine in Acute Myocardial Infarction - CLEAR | NEJM

? ? ? Left Atrial Appendage Closure after Ablation for Atrial Fibrillation - OPTION | NEJM

? ? ? Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity - SUMMIT | NEJM

✔ Catheter Ablation or Antiarrhythmic Drugs for Ventricular Tachycardia - VANISH 2 | NEJM

✔ Partial Cardiac Denervation to Prevent Postoperative Atrial Fibrillation After CABG - pCAD-POAF | JAMA Cardiology

✗ Routine Spironolactone in Acute Myocardial Infarction - CLEAR | NEJM

Intensive Blood-Pressure Control in Patients with Type 2 Diabetes - BPROAD | NEJM

Diagnóstico e Raciocínio Clínico

✔ Large Language Model Influence on Diagnostic Reasoning | JAMA Network Open

Gastroenterologia & Hepatologia

✔ Lactobacillus spp., Bifidobacterium spp., B.coagulans, and S. boulardii to prevent AADiarrhea - SPAADA | OFID

Efficacy and safety of mirikizumab in patients with moderately-to-severely active Crohn's disease - VIVD-1 | Lancet

Geral, Geriatria & Paliativos

✔ Geriatrician-led assessment for elderly during emergency hospital attendance in Ireland - SOLAR | Lancet Health L

Vitamin K2 in managing nocturnal leg cramps: A randomized clinical trial | JAMA Intern Med

Patient-initiated follow-up supported by telemedicine vs usual care in spondyloarthritis - TeleSpA | Lancet Rheum

Imuno-mediadas

✔✔✔ Inebilizumab for Treatment of IgG4-Related Disease - MITIGATE | NEJM

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections - BALANCE | NEJM

Neurologia

✔✔✔ Discontinuation of Cholinesterase Inhibitors Following Initiation of Memantine | JAMA Network Open

Psiquiatria

Transcranial Direct Current Stimulation and Repetitive Transcranial Magnetic Stimulation for Depression | JAMA NO

Cost-Effectiveness of Computer-Assisted Cognitive Behavioral Therapy for Depression in Primary Care | JAMA NO

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Gastroenterologia & Hepatologia

✔ AGA Clinical Practice - Update on Integrating Potassium-Competitive Acid Blockers | Gastroenterology

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Prevention, Diagnosis & Management of UTI in Pediatrics&Adults-WikiGuidelinesConsensusStatement|JAMANO

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Infecciologia, Microbiologia & Antimicrobianos

??? Effects of respiratory isolation for tuberculosis to reduce community-based transmission | OFID

✔ Yellow fever breakthrough infections after yellow fever vaccination | Lancet Microbe

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

tabela de conteúdos ↟

Cirurgia, Ortopedia & MFR

✔ Safety of inpatient care in surgical settings: cohort study | BMJ

Laparoscopy-assisted versus open surgery for low rectal cancer at 3 years, LASRE | Lancet Gastroenterolgy&Hepatology

Dermatologia

Psoriasis Risk With Immune Checkpoint Inhibitors | JAMA Dermatology

Endocrinologia

✔✔✔ Tirzepatide for Obesity Treatment and Diabetes Prevention - SURMOUNT-1 at 3-years | NEJM

Geral, Geriatria & Paliativos

Overtreatment of Prostate Cancer Among Men With Limited Longevity in the Active Surveillance Era | JAMA IntMed

Infecciologia, Microbiologia & Antimicrobianos

✔ Midline vs Peripherally Inserted Central Catheter for Outpatient Parenteral Antimicrobial Therapy | JAMA IntMed

Climate Conditions and Pseudomonas aeruginosa in Diabetic Foot Infections Within the United States | OFID

Meta-investigação & MBE

Quality appraisal of clinical guidelines for PICC-related thrombosis prophylaxis in patients | BMJ Open

Oncologia

✔ Routine Imaging or Symptomatic Follow-Up After Resection of Pancreatic Adenocarcinoma | JAMA Surgery

Thyroidectomy without radioiodine in low-risk thyroid cancer - 5 years of follow-up of ESTIMABL2 | Lancet D&E

Pneumologia

Asthma healthcare burden score as a measure of severity and predictor of remission in SARPIII & U-BIOPRED|LancetRM

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Dermatologia

Newly Diagnosed Bullous Pemphigoid in a Patient Receiving Sitagliptin | AIM

Calciphylaxis: A Rare Cause for Lower Extremities Ulceration | RSPMI

Endocrinologia

Quando os Olhos Falam Mais Alto: Madarose e Edema Palpebral no Hipotiroidismo Não Controlado | AMP

Gastroenterologia & Hepatologia

Salvage Therapy w/ Infliximab in Carbamazepine-Induced TEN Complicated With Severe Acute Colitis | AIM

Black Esophagus and Diabetic Ketoacidosis | AIM

Neurologia

A Case of Stiff Person Syndrome | AIM

Oncologia

A Rare Case of Pulmonary Lymphoepithelial-Like Carcinoma | AMP

Diagnostic Accuracy of Computed Tomography in Lymphangioleiomyomatosis | AMP

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OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

✔ When Dysuria Is More Than Just a Urinary Tract Infection - A Teachable Moment | JAMA Internal Medicine

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PERSPECTIVA

tabela de conteúdos ↟

Infecciologia, Microbiologia & Antimicrobianos

Aumento de Infeções Sexualmente Transmissíveis: Uma Nova Realidade Inegável em Portugal | AMP

Meta-investigação & MBE

When Trials Are Stopped Early for Benefit... | Sensible Medicine - John Mandrola

Nefrologia

Insights from Portuguese Nephrologists and Rheumatologists Concerning the Treatment of ANCA Vasculitis | AMP

Oncologia

Immune Checkpoint Inhibitors: 10-Year Results in Melanoma Are Now Out – Let's Reflect | TDDL

The scattergun approach in research - a deep dive into CDK4/6 inhibitors tested in the neoadjuvant setting | TDDL

Lu-PSMA and the need to 'educate' medical professionals about its use | The Drug Development Letter

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FOAMed

tabela de conteúdos ↟

Cardiovascular

✗✗✗ Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension | Hypertension - Journal Feed

✔ NephJC Rewind: PATHWAY-2 | NephJC

Doente crítico/urgente

✔✔✔ Is the HINTS Exam Accurate? A Systematic Review | AEM - Journal Feed

✔ Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) | JAMA - First10EM

Can You Spot Cavernous Sinus Thrombosis? | AJEM - Journal Feed

Seizing? New ACEP Policy on Second-Line Anticonvulsants | AEM - Journal Feed

How Important is First Attempt Success in Airway Management? | AJEM - Journal Feed

Large- or Small-Bore Chest Tubes for Hemothorax? | JTACS - Journal Feed

How to Manage Massive Hemoptysis | AJEM - Journal Feed

IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) | First10EM

Endocrinologia

✔ Its time for a new paradigm in hyponatremia | NephJC

Gastroenterologia & Hepatologia

Episode 92 – When the Cause is the Remedy | Curious Clinicians

Geral, Geriatria & Paliativos

#376 Testosterone supplementation for cis-gender men: Let’s (andro-)pause for a moment (Update) | TFP

Episode 89 – Tusks and Tumor Suppressors | Curious Clinicians

TPN/PPN Parenteral Nutrition: 5 Pearls Segment | CoreIM

Hematologia

✔ Iron Deficiency Treatment: 5 Pearls | CoreIM

Infecciologia, Microbiologia & Antimicrobianos

✔ Can Bactrim Treat Streptococcus pyogenes? | IDStewardship

IV Push Antibiotics: Practical Insights & Tips From The Front Lines | IDStewardship

Episode 91 – Ancient Antibiotics | Curious Clinicians

Nefrologia

✔ The Ondansetron Ballet: Torsades de Pointes | JASN - NephJC

Pneumologia

✔ Episode 88 – Shunting a Mismatch - Curious Clinicians

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