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Picks of the Week: Chronic insomnia, NSAIDs, opioids for low back pain and more!

Posted on June 4, 2016 by

Besides the 69th World Health Assembly in Geneva that saw the release of many reports and news, this was a week of  a plethora of other articles and evidence published worldwide. Fellow physicians selected the most important ones and shared them on the Among Doctors network:

  • Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline
    The American College of Physicians recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. (Grade: strong recommendation, moderate-quality evidence)
  • Comparative effectiveness and safety of strategies for preventing NSAID-associated gastrointestinal toxicity: Systematic Review & Metanalysis
    The combination of selective COX-2 inhibitors plus PPIs provides the best gastrointestinal protection, followed by selective COX-2 inhibitors, and thirdly by nonselective NSAIDs plus PPIs.
  • Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: Systematic Review & Meta-analysis
    For people with chronic low back pain who tolerate the medicine, opioid analgesics provide modest short-term pain relief but the effect is not likely to be clinically important within guideline recommended doses.
  • A Systematic Review With Meta-Analysis of Dual Bronchodilation With LAMA/LABA for the Treatment of Stable COPD
    Dual bronchodilation is better than a LAMA or a LABA alone, regardless of the drugs used.
  • Blood-Pressure Lowering in Intermediate-Risk Persons without Cardiovascular Disease
    Therapy with candesartan at a dose of 16 mg per day plus hydrochlorothiazide at a dose of 12.5 mg per day was not associated with a lower rate of major cardiovascular events than placebo among persons at intermediate risk who did not have cardiovascular disease.
  • World No Tobacco Day 2016
    For this year’s World No Tobacco Day, the WHO are calling on countries to get ready for plain (standardized) packaging of tobacco products.
  • WHO releases report on Attacks on Health Care
    Over the two-year period from January 2014 to December 2015, there were 594 reported attacks on health care that resulted in 959 deaths and 1561 injuries in 19 countries with emergencies.
  • Prevention of sexual transmission of Zika virus
    An updated guide to inform the general public, and to be used by health care workers and policy makers to provide guidance on appropriate sexual practices in the context of Zika virus.

Do you wish to comment on these news or share your own? Join Among Doctors here and start exploring the physician-exclusive social network right away!

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Posted in Picks of the week COPD, emergencies, insomnia, low back pain, opioid, WHO, World No Tobacco Day, Zika, Zika virus

Picks of the Week: New guidelines and safety warnings on opioids

Posted on March 24, 2016 by

Sharing news within a peer community, such as the Among Doctors network, is a way of socially curating knowledge. Whether you wish to post your own piece of news, a guideline or a recently published article, or just start a new discussion within your own private group, Among Doctors is the right place to do all of that. So let’s have a look at what news have been shared lately on our network by fellow colleagues:

  • CDC Guideline for Prescribing Opioids for Chronic Pain
    This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.
  • Opioid Pain Medicines: New Safety Warnings Added to Prescription Opioid Medications
    FDA is warning about several safety issues with the entire class of opioid pain medicines. These safety risks are potentially harmful interactions with numerous other medications, problems with the adrenal glands, and decreased sex hormone levels. We are requiring changes to the labels of all opioid drugs to warn about these risks.
  • Long-Term Results of Stenting versus Endarterectomy for Carotid-Artery Stenosis
    Over 10 years of follow-up, no significant differences were found between patients who underwent stenting and those who underwent endarterectomy with respect to the risk of periprocedural stroke, myocardial infarction, or death and subsequent ipsilateral stroke.
  • The ABC (age, biomarkers, clinical history) stroke risk score: a biomarker-based risk score for predicting stroke in atrial fibrillation
    A novel biomarker-based risk score for predicting stroke in AF was successfully developed and internally validated in a large cohort of patients with AF and further externally validated in an independent AF cohort. The ABC-stroke score performed better than the presently used clinically based risk score and may provide improved decision support in AF.
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Posted in Picks of the week atrial fibrillation, cancer, corticosteroids, end-of-life care, FDA, neck pain, opioid, pain, pneumonia, stroke

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