Predictors of Bone Loss in HIV-Infected Patients
Tenofovir and ddI use were each associated with accelerated loss of bone mineral density over time; weight training was protective against loss.
By Paul E. Sax, MD
November 10, 2008
Covering:
Jacobson DL et al., J Acquir Immune Defic Syndr 2008 Nov; 49:298
Monitor Bone Density Carefully After Bariatric Surgery
Women's Health
Summary and Comment
Free
BMD and serum calcium levels dropped following bariatric surgery in morbidly obese men and women.
By Ann J. Davis, MD
October 30, 2008
Covering:
Fleischer J et al., J Clin Endocrinol Metab 2008 Oct; 93:3735
Zoledronic Acid for Preventing Bone Loss in Young Breast Cancer Patients
Women's Health
Summary and Comment
Intravenous bisphosphonate prevented loss of BMD associated with chemotherapy.
By Andrew M. Kaunitz, MD
October 23, 2008
Covering:
Hershman DL et al., J Clin Oncol 2008 Oct 10; 26:4739
Change in Bone and Joint Disease E-mail Alert
General Medicine
Letter to Readers
Free
Dear Readers,
By Alberta Fitzpatrick, Publisher, Journal Watch
October 9, 2008
Proton-Pump Inhibitors and Osteoporosis-Related Fracture
Gastroenterology
Summary and Comment
Use of PPI therapy for 7 years or longer is associated with excess risk for osteoporosis-related fractures.
Maintaining Bone Mass in Premenopausal Breast Cancer Patients: How Effective Is Zoledronic Acid?
Women's Health
Summary and Comment
IV bisphosphonate provided long-term protection against BMD loss in premenopausal women receiving adjuvant endocrine therapy.
Meniscal Damage on Knee MRI in the General Population
General Medicine
Summary and Comment
Free
Only about one third of people with meniscal damage reported knee pain, aching, or stiffness.
By Allan S. Brett, MD
September 18, 2008
Covering:
Englund M et al., N Engl J Med 2008 Sep 11; 359:1108
For Bones, Calcium Trumps Vitamin D
Women's Health
Summary and Comment
Supplementation with vitamin D plus calcium was of no additional benefit over calcium supplementation alone in older women with vitamin D insufficiency.
By Wendy S. Biggs, MD
September 18, 2008
Covering:
Zhu K et al., J Bone Miner Res 2008 Aug; 23:1343
Arthroscopic Surgery for Knee Osteoarthritis — No Benefit
General Medicine
Summary and Comment
No incremental improvement was observed when arthroscopic surgery was added to physical and medical therapy.
By Allan S. Brett, MD
September 16, 2008
Covering:
Kirkley A et al., N Engl J Med 2008 Sep 11; 359:1097
Use of Proton-Pump Inhibitors Is Associated with Excess Risk for Osteoporosis-Related Fractures
General Medicine
Summary and Comment
Notably, continuous PPI use for 5 years was associated with significant excess risk for hip fracture.
SSRIs May Break Bones
Psychiatry
Summary and Comment
Two studies in older populations add to the evidence base.
By Steven Dubovsky, MD
September 15, 2008
Covering:
Bolton JM et al., J Clin Psychopharmacol 2008 Aug; 28:384
Ziere G et al., J Clin Psychopharmacol 2008 Aug; 28:411
Steroid Injections for Trigger Finger
General Medicine
Summary and Comment
Insulin-dependent diabetes mellitus was the only independent predictor of recurrent symptoms.
By Allan S. Brett, MD
August 28, 2008
Covering:
Rozental TD et al., J Bone Joint Surg Am 2008 Aug; 90:1665
Seeding Trials: Taking ADVANTAGE
Cardiology
Summary and Comment
Free
A case study of a drug trial provides valuable evidence of a disturbing practice: the disguise of marketing schemes as scientific research.
By Joel M. Gore, MD
August 18, 2008
Covering:
Hill KP et al., Ann Intern Med 2008 Aug 19; 149:251
Sox HC and Rennie D., Ann Intern Med 2008 Aug 19; 149:279
Low-Molecular-Weight Heparin After Knee Arthroscopy
General Medicine
Summary and Comment
Heparin prophylaxis lowered risk for deep venous thrombosis.
Methotrexate plus Etanercept for Early, Moderate-to-Severe RA
General Medicine
Summary and Comment
Likelihood of remission and of radiographic nonprogression was greater with combination therapy than with methotrexate alone.
By Thomas L. Schwenk, MD
August 12, 2008
Covering:
Emery P et al., Lancet 2008 Aug 2; 372:375
Kremer JM., Lancet 2008 Aug 2; 372:347
UVA-1 for Sclerotic Skin Disease: More Is Not Better
Dermatology
Summary and Comment
A moderate approach balances the therapeutic efficacy of enough UVA-1 exposure against the tanning effects of too much exposure, which can block its benefits.
By Craig A. Elmets, MD
August 8, 2008
Covering:
Wang F et al., Arch Dermatol 2008 Jul; 144:851
Kreuter A and Gambichler T., Arch Dermatol 2008 Jul; 144:912
MRI Evaluation of Costal Cartilage Injuries
General Medicine
Summary and Comment
MRI is an appropriate modality on rare occasions.
By Allan S. Brett, MD
August 7, 2008
Covering:
Subhas N et al., AJR Am J Roentgenol 2008 Jul; 191:129
Exercise plus Amenorrhea Equals Thinner Bones
Adolescent endurance athletes with amenorrhea had significantly lower BMD <$EMPH_O>z<$EMPH_C> scores than did either eumenorrheic athletes or eumenorrheic nonathletes.
Rivaroxaban Is Superior to Enoxaparin for Thromboprophylaxis After Knee and Hip Arthroplasty
General Medicine
Summary and Comment
The results of three studies could usher in a new era of fixed-dose oral thromboprophylaxis.
By Paul S. Mueller, MD, MPH, FACP
July 24, 2008
Covering:
Lassen MR et al., N Engl J Med 2008 Jun 26; 358:2776
Kakkar AK et al., Lancet 2008 Jul 5; 372:31
Eriksson BI et al., N Engl J Med 2008 Jun 26; 358:2765
Psoriatic Arthritis in Patients Treated with Efalizumab
Dermatology
Summary and Comment
Free
Sixteen patients in a group of 450 efalizumab recipients developed joint manifestations.
Simplified Thromboprophylaxis with Rivaroxaban After Hip Surgery
Cardiology
Summary and Comment
Results of a large randomized trial demonstrate the efficacy, safety, and convenience of a once-daily regimen of an oral factor Xa inhibitor.
By Beat J. Meyer, MD
July 16, 2008
Covering:
Kakkar AK et al. for the RECORD2 Investigators., Lancet 2008 Jul 5; 372:31
Eikelboom JW and Weitz JI., Lancet 2008 Jul 5; 372:6
Surgery vs. Nonoperative Treatment for Sciatica: Follow-Up After 2 Years
General Medicine
Summary and Comment
Short-term results were better with surgery, but outcomes were similar between groups at 1 year and 2 years.
Phenytoin and Bone Health
Women's Health
Summary and Comment
Free
Phenytoin monotherapy was associated with lower femoral neck BMD.
By Ann J. Davis, MD
June 26, 2008
Covering:
Pack A et al., Neurology 2008 Apr 29; 70:1586
Thiazolidinediones and Fracture Risk in Diabetic Women
Women's Health
Summary and Comment
Fracture risk was higher in diabetic women treated with thiazolidinediones than in those taking other antidiabetic drugs.
By Diane E. Judge, APN/CNP
June 26, 2008
Covering:
Kahn SE et al., Diabetes Care 2008 May; 31:845
Meier C et al., Arch Intern Med 2008 Apr 28; 168:820
Rivaroxaban for Thromboprophylaxis After Joint Replacement
Oncology and Hematology
Summary and Comment
Free
In two large, randomized studies, rivaroxaban was superior to enoxaparin in preventing venous thrombosis.
By David Green, MD, PhD
June 25, 2008
Covering:
Eriksson BI et al., N Engl J Med 2008 Jun 26; 358:2765
Lassen MR et al., N Engl J Med 2008 Jun 26; 358:2776