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301. In older adults with severe AS and complex CAD, PCI + TAVI vs. SAVR + CABG reduced patient-oriented outcomes at 1 y.

作者: Paolo Ciacci.;Giulio Francesco Romiti.;Bernadette Corica.; .
来源: Ann Intern Med. 2025年178卷4期JC45页
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].

302. In menopause-related moderate-to-severe vasomotor symptoms not suitable for hormone therapy, fezolinetant safely improved symptoms.

作者: Angela M Cheung.; .
来源: Ann Intern Med. 2025年178卷4期JC46页
GIM/FP/GP: [Formula: see text].

303. Rheumatology: What You May Have Missed in 2024.

作者: Brandon J Blau.;Lisa A Mandl.
来源: Ann Intern Med. 2025年178卷5_Supplement期S128-S142页
Internal medicine physicians are frequently responsible for caring for patients with rheumatologic diseases, whether as a primary provider or in collaboration with subspecialists. This article calls attention to 8 studies published in 2024 that shed new light on the management of common rheumatologic conditions that internal medicine physicians are likely to encounter. The first study suggests that the weight loss medication semaglutide can improve pain and function in patients with painful knee osteoarthritis (OA), potentially providing a novel approach to management of this condition. The results of the second study show that methotrexate, a proven therapy for inflammatory arthritis, has promise for improving pain in patients with knee OA. The third study establishes that a trial of resistance training does not provide similar benefits as total joint replacement for patients with hip OA. The fourth study finds that platelet-rich plasma injections are no more effective than exercise in reducing pain for patients with knee OA. The fifth study underscores the importance of screening for lung cancer in patients with rheumatoid arthritis (RA), particularly in those known to have interstitial lung disease. The results of the sixth study emphasize that exercise therapy is safe and effective at improving function in patients with RA and severe activity limitations. The seventh study highlights the increased short-term risk for acute cardiovascular events in patients experiencing a new gout diagnosis. The final study suggests that supplementation with omega-3 fatty acids may provide sustained protection against developing new autoimmune diseases. Familiarity with these new studies will provide internal medicine physicians with valuable insights to enhance their care of patients with rheumatic diseases.

304. Infectious Diseases: What You May Have Missed in 2024.

作者: Heba K A Hamed.;Alex Nachman.;Nick Riopel.;Mindy Schuster.
来源: Ann Intern Med. 2025年178卷5_Supplement期S54-S73页
In 2024, infectious disease literature focused on advancements in the treatment of severe infections and prevention of high-burden diseases. Building on prior data, further evidence supports both the use of shorter courses of antibiotics and the earlier transition to oral antibiotics, including for severe infections, such as bacteremia. A new medication has demonstrated significant, high-impact findings in the long-acting category of drugs for the prevention of HIV infection. Antibiotic resistance continues to be a growing threat, and research this year has demonstrated significant advances for new agents helping to combat resistant gram-negative organisms. Research on the long-term sequelae of COVID-19 continues to expand, with a living systematic review providing us a better understanding of symptom management. Novel treatment regimens for Helicobacter pylori infection are being studied, and the evidence is reviewed for these new regimens. Finally, several emerging infections are highlighted to raise awareness of new or concerning outbreaks that may cause significant effects in the coming year.

305. Oncology: What You May Have Missed in 2024.

作者: Zainab Ali Amer Al Maqrashi.;Sze Wah Samuel Chan.;Zeba Siddiqui.;Efrat Dotan.
来源: Ann Intern Med. 2025年178卷5_Supplement期S89-S109页
Over the past 5 decades, substantial advances in oncology have reshaped cancer care, reflecting the dynamic role of internal medicine physicians in patients' journey from screening to diagnosis, treatment, and surveillance. This review highlights 10 landmark studies from 2024 that address emerging therapies and evolving clinical standards. Immunotherapy remains a central focus, with checkpoint inhibitors redefining the management of solid tumors and showing expanded applications across disease sites and earlier stages of disease. Targeted therapies and antibody-drug conjugates, including trastuzumab deruxtecan and enfortumab vedotin, are enhancing precision treatment options in metastatic cancer. Meanwhile, advances in supportive care, such as magnetic resonance imaging-guided prostate cancer screening, ponsegromab for cachexia, and celiac plexus radiosurgery for pain, show enhanced symptom management and quality of life for patients. These innovations highlight the critical role of multidisciplinary approaches, where internal medicine physicians contribute to co-management and toxicity monitoring, ultimately optimizing patient care. By staying current with these developments, internal medicine physicians are positioned to navigate complex oncologic care, ensuring that the benefits of novel therapies are maximized while mitigating their challenges.

306. Patient Navigation to Improve Colonoscopy Completion After an Abnormal Stool Test Result : A Randomized Controlled Trial.

作者: Gloria D Coronado.;Amanda F Petrik.;Jamie H Thompson.;Michael C Leo.;Matthew Slaughter.;Priyanka Gautom.;Syed A Hussain.;Leslie Mosso.;Jeffrey Gibbs.;Neha Yadav.;Rajasekhara R Mummadi.;Eric S Johnson.;Ricardo Jimenez.
来源: Ann Intern Med. 2025年178卷5期645-654页
Patient navigation is a recommended practice of the Guide to Community Preventive Services; little is known about whether it improves colonoscopy completion for adults who have received an abnormal stool test result.

307. Excess Mortality Rate in Black Children Since 1950 in the United States: A 70-Year Population-Based Study of Racial Inequalities.

作者: Angel Paternina-Caicedo.;Oscar Espinosa.;Sangini S Sheth.;Nathaniel Hupert.;Soroush Saghafian.
来源: Ann Intern Med. 2025年178卷4期490-497页
Black Americans have lower wealth, income, and education and higher mortality rates than White Americans, especially during childhood.

308. Patients' Values and Preferences Regarding the Pharmacologic Treatment of Acute Episodic Migraine : A Rapid Review.

作者: Kylie Thaler.;Camilla Neubauer-Bruckner.;Johanna Feyertag.;Arianna Gadinger.;Emma Persad.;Andrea Chapman.;Gernot Wagner.;Irma Klerings.;Gerald Gartlehner.
来源: Ann Intern Med. 2025年178卷4期525-532页
Understanding patients' values and preferences is essential for guideline development.

309. Pharmacologic Treatment of Acute Attacks of Episodic Migraine: A Systematic Review and Network Meta-analysis for the American College of Physicians.

作者: Gerald Gartlehner.;Andreea Dobrescu.;Gernot Wagner.;Andrea Chapman.;Emma Persad.;Claus Nowak.;Irma Klerings.;Camilla Neubauer.;Johanna Feyertag.;Arianna Gadinger.;Kylie Thaler.
来源: Ann Intern Med. 2025年178卷4期507-524页
Migraine is common, affecting 15% of Americans.

310. Acute Pain Management in People With Opioid Use Disorder : A Systematic Review.

作者: Michele J Buonora.;Katherine Mackey.;Laila Khalid.;Thomas R Hickey.;Alyssa A Grimshaw.;Max Moss.;Joanna L Starrels.;Daniel P Alford.;William C Becker.;Melissa B Weimer.
来源: Ann Intern Med. 2025年178卷4期558-570页
Guidance on acute pain management among people with opioid use disorder (OUD) is limited.

311. Pharmacologic Treatments of Acute Episodic Migraine Headache in Outpatient Settings: A Clinical Guideline From the American College of Physicians.

作者: Amir Qaseem.;Jeffrey A Tice.;Itziar Etxeandia-Ikobaltzeta.;Timothy J Wilt.;Curtis S Harrod.;Thomas G Cooney.;Carolyn J Crandall.; .;Lauri A Hicks.;Ethan Balk.;J Thomas Cross.;Nick Fitterman.;Johanna Lewis.;Amy M Linsky.;Michael Maroto.;Matthew C Miller.;Adam J Obley.;Douglas K Owens.;Paul G Shekelle.;Tatyana Shamliyan.;Jennifer Yost.
来源: Ann Intern Med. 2025年178卷4期571-578页
The American College of Physicians (ACP) developed this guideline based on the best available evidence on the comparative benefits and harms of pharmacologic treatments of acute episodic migraine headache, patients' values and preferences, and economic evidence about these pharmacologic treatments.

312. Epidemiology of Coronary Atherosclerosis Among People Living With HIV in Uganda : A Cross-Sectional Study.

作者: Mark J Siedner.;Brian Ghoshhajra.;Geoffrey Erem.;Rita Nassanga.;Mangun Randhawa.;Andrew Ochieng.;Moses Acan.;Michael T Lu.;Vikas Thondapu.;Angelo Takigami.;Zahra Reynolds.;Flavia Atwiine.;Edna Tindimwebwa.;Rebecca F Gilbert.;Eliza Passell.;Shruti Sagar.;Yao Tong.;Ntobeko A B Ntusi.;Alexander C Tsai.;Prossy Bibangambah.;Thomas Gaziano.;Susanne S Hoeppner.;Christopher T Longenecker.;Samson Okello.;Stephen Asiimwe.
来源: Ann Intern Med. 2025年178卷4期468-478页
Data on the prevalence of coronary atherosclerotic disease (CAD) in the African region among people with and without HIV are lacking.

313. Health Care Delivery of Clinical Preventive Services for People With Disabilities : A Systematic Review.

作者: David I Buckley.;Frances Hsu.;Tracy Dana.;Keeley Blackie.;Rebecca Holmes.;Peggy Nygren.;Willi Horner-Johnson.;Christina Nicolaidis.;Roger Chou.
来源: Ann Intern Med. 2025年178卷5期671-686页
People with disabilities are less likely than the general population to receive clinical preventive services.

314. Gout.

作者: John D FitzGerald.
来源: Ann Intern Med. 2025年178卷3期ITC33-ITC48页
Gout is characterized by deposition of monosodium urate (MSU) crystals in or around joints, tendons, bursae, and other tissues, resulting in painful recurrent flares and tissue damage. Gout is the most common form of inflammatory arthritis, with a prevalence of 5.1% in the United States, affecting 12.1 million adults. When urate levels exceed the limit of solubility (6.8 mg/dL [400 μmol/L]), MSU crystals may form or grow. Gout flares are the result of inflammatory responses to MSU crystals. The primary method to prevent and reduce gout flares, tophi, chronic inflammatory arthritis, and joint damage is to reduce urate levels below the saturation threshold. The pathophysiology of gout is well understood, and inexpensive and effective therapies are available. However, outcomes for patients with gout remain poorly optimized.

315. Evaluation and Management of Chronic Kidney Disease: Synopsis of the Kidney Disease: Improving Global Outcomes 2024 Clinical Practice Guideline.

作者: Magdalena Madero.;Adeera Levin.;Sofia B Ahmed.;Juan Jesus Carrero.;Bethany Foster.;Anna Francis.;Rasheeda K Hall.;William G Herrington.;Guy Hill.;Lesley A Inker.;Rümeyza Kazancıoğlu.;Edmund Lamb.;Peter Lin.;Natasha McIntyre.;Kelly Morrow.;Glenda Roberts.;Dharshana Sabanayagam.;Michael Shlipak.;Rukshana Shroff.;Navdeep Tangri.;Teerawat Thanachayanont.;Ifeoma Ulasi.;Germaine Wong.;Chih-Wei Yang.;Luxia Zhang.;Karen A Robinson.;Lisa M Wilson.;Renee F Wilson.;Bertram L Kasiske.;Michael Cheung.;Amy Earley.;Paul E Stevens.;Elke Schaeffner.
来源: Ann Intern Med. 2025年178卷5期705-713页
The Kidney Disease: Improving Global Outcomes (KDIGO) organization updated its existing clinical practice guideline in 2024 to provide guidance on the evaluation, management, and treatment of chronic kidney disease (CKD) in adults and children who are not receiving kidney replacement therapy.

316. CBT and rehabilitation improved long COVID symptoms.

作者: Bruno Palma Granwehr.; .
来源: Ann Intern Med. 2025年178卷3期JC28页
GIM/FP/GP: [Formula: see text] Infectious Disease: [Formula: see text] Phys Med & Rehab: [Formula: see text].

317. In previous MI with ventricular tachycardia (VT), catheter ablation reduced mortality or VT events more than antiarrhythmic drug therapy at 4 y.

作者: Ellis W Lader.; .
来源: Ann Intern Med. 2025年178卷3期JC34页
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].

318. In symptomatic severe tricuspid regurgitation, adding TTVR to medical therapy improved a hierarchical composite outcome at 1 y.

作者: Paul Heidenreich.; .
来源: Ann Intern Med. 2025年178卷3期JC29页
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].

319. In patients with acute MI, spironolactone did not reduce cardiac events at 3 y.

作者: Michelle D Kelsey.;L Kristin Newby.; .
来源: Ann Intern Med. 2025年178卷3期JC33页
Cardiology: [Formula: see text].

320. In patients with acute MI, colchicine did not reduce cardiac events at 3 y.

作者: Michelle D Kelsey.;L Kristin Newby.; .
来源: Ann Intern Med. 2025年178卷3期JC32页
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
共有 11008 条符合本次的查询结果, 用时 6.9083101 秒