Physician's First Watch

Physician's First Watch

Medical news from NEJM Journal Watch

March 20, 2017

By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH

Researchers have identified a population with the lowest recorded prevalence of coronary artery disease — the Tsimane, an indigenous group living a pre-industrial lifestyle in the Bolivian Amazon. The findings were reported in the Lancet...

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By the Editors

The American College of Cardiology's annual meeting brought forth a flood of heart-related medical news this weekend. Here's a quick look at the studies we thought you'd be most interested in:

Rivaroxaban vs. Aspirin for Recurrent VTE: Nearly 3400 adults with venous thromboembolism who'd completed 6–12 months of anticoagulation were randomized to daily rivaroxaban (20 or 10 mg) or aspirin (100 mg). At 1 year, rates of symptomatic recurrent VTE were significantly lower with rivaroxaban (1.5% and 1.2%) than with aspirin (4.4%), with no differences in major bleeding across the groups. Dr. Allan Brett of NEJM Journal Watch General Medicine tells us what the...

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March 18, 2017

March 17, 2017

By Amy Orciari Herman

Edited by André Sofair, MD, MPH

Patients undergoing coronary artery bypass grafting (CABG) fare best when they take a statin on the day of surgery, rather than taking one earlier or not at all, according...

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By Kelly Young

Edited by André Sofair, MD, MPH

Authorizing a second opioid prescription in opioid-naive adults doubles the risk for chronic opioid use, according to an MMWR study.

Researchers examined a sample of 1.3 million U.S. adults who were prescribed opioids for the first...

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March 16, 2017

By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

The benefits of the opioid painkiller Opana ER — an extended-release version of oxymorphone — do not...

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By Kelly Young

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

Eluxadoline (Viberzi), used to treat irritable bowel syndrome with diarrhea, is contraindicated in patients without a...

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By Kelly Young

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

The American Heart Association and the American College of Cardiology have updated their guidelines for managing valvular heart disease. The...

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By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

The American Academy of Sleep Medicine has issued guidelines on diagnosing obstructive sleep apnea (OSA) in adults.

Among the recommendations with a "strong" rating, published...

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By Kelly Young

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

The Medical Society Consortium on Climate

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March 15, 2017

By Amy Orciari Herman

Edited by Lorenzo Di Francesco, MD, FACP, FHM

Concurrent use of opioids and benzodiazepines nearly doubled from 2001 through 2013, leading to an increase in opioid overdoses, suggests a retrospective...

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By Kelly Young

Edited by Lorenzo Di Francesco, MD, FACP, FHM

Patients with atrial fibrillation who had an ischemic stroke often hadn't been prescribed guideline-recommended antithrombotics prior to the stroke, according to a retrospective analysis...

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By Joe Elia

Edited by Lorenzo Di Francesco, MD, FACP, FHM

Next year, 14 million more people would not have health insurance under the American Health Care Act than under the Affordable Care Act, the Congressional Budget Office...

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By Kelly Young

Edited by Lorenzo Di Francesco, MD, FACP, FHM

Both vaginal fetal fibronectin and serial transvaginal ultrasound cervical length are poor predictors for spontaneous preterm birth in nulliparous women, suggests a JAMA study.

Researchers compared 475 cases...

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By Amy Orciari Herman

Edited by Lorenzo Di Francesco, MD, FACP, FHM

Inpatient rehab appears to offer no benefit over a supervised home program for patients recovering from total knee arthroplasty, a JAMA study finds.

Some 165...

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