1690. Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians.
作者: Amir Qaseem.;Paul Dallas.;Mary Ann Forciea.;Melissa Starkey.;Thomas D Denberg.;Paul Shekelle.; .
来源: Ann Intern Med. 2014年161卷6期429-40页
The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the nonsurgical management of urinary incontinence (UI) in women.
1691. Comparative effectiveness of generic and brand-name statins on patient outcomes: a cohort study.
作者: Joshua J Gagne.;Niteesh K Choudhry.;Aaron S Kesselheim.;Jennifer M Polinski.;David Hutchins.;Olga S Matlin.;Troyen A Brennan.;Jerry Avorn.;William H Shrank.
来源: Ann Intern Med. 2014年161卷6期400-7页
Statins are effective in preventing cardiovascular events, but patients do not fully adhere to them.
1692. Quality-of-life outcomes with coronary artery bypass graft surgery in ischemic left ventricular dysfunction: a randomized trial.
作者: Daniel B Mark.;J David Knight.;Eric J Velazquez.;Jaroslaw Wasilewski.;Jonathan G Howlett.;Peter K Smith.;John A Spertus.;Miroslaw Rajda.;Rakesh Yadav.;Baron L Hamman.;Marcin Malinowski.;Ajay Naik.;Gena Rankin.;Tina M Harding.;Laura A Drew.;Patrice Desvigne-Nickens.;Kevin J Anstrom.
来源: Ann Intern Med. 2014年161卷6期392-9页
The STICH (Surgical Treatment for Ischemic Heart Failure) trial compared a strategy of routine coronary artery bypass grafting (CABG) with guideline-based medical therapy for patients with ischemic left ventricular dysfunction.
1693. Spinal manipulation and home exercise with advice for subacute and chronic back-related leg pain: a trial with adaptive allocation.
作者: Gert Bronfort.;Maria A Hondras.;Craig A Schulz.;Roni L Evans.;Cynthia R Long.;Richard Grimm.
来源: Ann Intern Med. 2014年161卷6期381-91页
Back-related leg pain (BRLP) is often disabling and costly, and there is a paucity of research to guide its management.
1695. Low-dose aspirin use for the prevention of morbidity and mortality from preeclampsia: U.S. Preventive Services Task Force recommendation statement.
Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation on aspirin prophylaxis in pregnancy.
1697. Comparative effectiveness of pharmacologic treatments to prevent fractures: an updated systematic review.
作者: Carolyn J Crandall.;Sydne J Newberry.;Allison Diamant.;Yee-Wei Lim.;Walid F Gellad.;Marika J Booth.;Aneesa Motala.;Paul G Shekelle.
来源: Ann Intern Med. 2014年161卷10期711-23页
Osteoporosis is a major contributor to the propensity to fracture among older adults, and various pharmaceuticals are available to treat it.
1699. National Lung Screening Trial findings by age: Medicare-eligible versus under-65 population.
作者: Paul F Pinsky.;David S Gierada.;William Hocking.;Edward F Patz.;Barnett S Kramer.
来源: Ann Intern Med. 2014年161卷9期627-33页
The NLST (National Lung Screening Trial) showed reduced lung cancer mortality in high-risk participants (smoking history of ≥30 pack-years) aged 55 to 74 years who were randomly assigned to screening with low-dose computed tomography (LDCT) versus those assigned to chest radiography. An advisory panel recently expressed reservations about Medicare coverage of LDCT screening because of concerns about performance in the Medicare-aged population, which accounted for only 25% of the NLST participants.
1700. The U.S. health insurance marketplace: are premiums truly affordable?
作者: Ilana Graetz.;Cameron M Kaplan.;Erin K Kaplan.;James E Bailey.;Teresa M Waters.
来源: Ann Intern Med. 2014年161卷8期599-604页
The Patient Protection and Affordable Care Act requires that individuals have health insurance or pay a penalty. Individuals are exempt from paying this penalty if the after-subsidy cost of the least-expensive plan available to them is greater than 8% of their income. For this study, premium data for all health plans offered on the state and federal health insurance marketplaces were collected; the after-subsidy cost of premiums for the least-expensive bronze plan for every county in the United States was calculated; and variations in premium affordability by age, income, and geographic area were assessed. Results indicated that-although marketplace subsidies ensure affordable health insurance for most persons in the United States-many individuals with incomes just above the subsidy threshold will lack affordable coverage and will be exempt from the mandate. Furthermore, young individuals with low incomes often pay as much as or more than older individuals for bronze plans. If substantial numbers of younger, healthier adults choose to remain uninsured because of cost, health insurance premiums across all ages may increase over time.
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