4161. When to start antiretroviral therapy in resource-limited settings.
作者: Rochelle P Walensky.;Lindsey L Wolf.;Robin Wood.;Mariam O Fofana.;Kenneth A Freedberg.;Neil A Martinson.;A David Paltiel.;Xavier Anglaret.;Milton C Weinstein.;Elena Losina.; .
来源: Ann Intern Med. 2009年151卷3期157-66页
The results of international clinical trials that are assessing when to initiate antiretroviral therapy (ART) will not be available for several years.
4163. Screening older adults for impaired visual acuity: a review of the evidence for the U.S. Preventive Services Task Force.
Impaired visual acuity is common in older adults. Screening for impaired visual acuity could lead to interventions to improve vision, function, and quality of life.
4164. Screening for impaired visual acuity in older adults: U.S. Preventive Services Task Force recommendation statement.
Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for visual impairment.
4165. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.
作者: Jennifer R S Gordon.;Terry Wahls.;Ruth C Carlos.;Iraklis I Pipinos.;Gary E Rosenthal.;Peter Cram.
来源: Ann Intern Med. 2009年151卷1期21-7, W5页
Concern is growing about missed test results, but data assessing their effect on patient safety are limited.
4169. Positron emission tomography in staging early lung cancer: a randomized trial.
作者: Donna E Maziak.;Gail E Darling.;Richard I Inculet.;Karen Y Gulenchyn.;Albert A Driedger.;Yee C Ung.;John D Miller.;Chu-Shu Gu.;Kathryn J Cline.;William K Evans.;Mark N Levine.
来源: Ann Intern Med. 2009年151卷4期221-8, W-48页
Among patients with early-stage non-small cell lung cancer (NSCLC), preoperative imaging tests are important in defining surgical candidates.
4170. Systematic review: comparative effectiveness of radiofrequency catheter ablation for atrial fibrillation.
作者: Teruhiko Terasawa.;Ethan M Balk.;Mei Chung.;Ann C Garlitski.;Alawi A Alsheikh-Ali.;Joseph Lau.;Stanley Ip.
来源: Ann Intern Med. 2009年151卷3期191-202页
Atrial fibrillation is the most common sustained arrhythmia. Medical treatment often fails to control symptoms.
4172. Meta-analysis: travel and risk for venous thromboembolism.
The potential risk for travel-related venous thromboembolism (VTE) has become an important public health concern because of rapid increases in long-distance travel; however, previous studies on this relationship are surprisingly contradictory.
4174. Stepped-dose versus full-dose efavirenz for HIV infection and neuropsychiatric adverse events: a randomized trial.
作者: Alicia Gutiérrez-Valencia.;Pompeyo Viciana.;Rosario Palacios.;Rosa Ruiz-Valderas.;Fernando Lozano.;Alberto Terrón.;Antonio Rivero.;Luis F López-Cortés.; .
来源: Ann Intern Med. 2009年151卷3期149-56页
More than 50% of patients who start efavirenz treatment develop limiting neuropsychiatric adverse events (NPAEs).
4175. Rethinking randomized clinical trials for comparative effectiveness research: the need for transformational change.
作者: Bryan R Luce.;Judith M Kramer.;Steven N Goodman.;Jason T Connor.;Sean Tunis.;Danielle Whicher.;J Sanford Schwartz.
来源: Ann Intern Med. 2009年151卷3期206-9页 4177. Catheter-associated urinary tract infection and the Medicare rule changes.
作者: Sanjay Saint.;Jennifer A Meddings.;David Calfee.;Christine P Kowalski.;Sarah L Krein.
来源: Ann Intern Med. 2009年150卷12期877-84页
Catheter-associated urinary tract infection, a common and potentially preventable complication of hospitalization, is 1 of the hospital-acquired complications chosen by the Centers for Medicare & Medicaid Services (CMS) for which hospitals no longer receive additional payment. To help readers understand the potential consequences of the recent CMS rule changes, the authors examine the preventability of catheter-associated infection, review the CMS rule changes regarding catheter-associated urinary tract infection, offer an assessment of the possible consequences of these changes, and provide guidance for hospital-based administrators and clinicians. Although the CMS rule changes related to catheter-associated urinary tract infection are controversial, they may do more good than harm, because hospitals are likely to redouble their efforts to prevent catheter-associated urinary tract infection, which may minimize unnecessary placement of indwelling catheters and facilitate prompt removal. However, even if forcing hospitals to increase efforts to prevent complications stemming from hospital-acquired infection is commendable, these efforts will have opportunity costs and may have unintended consequences. Therefore, how hospitals and physicians respond to the CMS rule changes must be monitored closely.
4178. Screening for hepatitis B virus infection in pregnant women: evidence for the U.S. Preventive Services Task Force reaffirmation recommendation statement.
Screening for hepatitis B virus (HBV) infection in pregnant women to identify newborns who will require prophylaxis against perinatal infection is a well-established, evidence-based standard of current medical practice. In 2004, the U.S. Preventive Services Task Force (USPSTF) recommended universal screening of pregnant women for HBV infection at the first prenatal visit.
4179. Screening for hepatitis B virus infection in pregnancy: U.S. Preventive Services Task Force reaffirmation recommendation statement.
Reaffirmation of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for hepatitis B virus hepatitis B virus infection in pregnancy.
4180. Adverse events after outpatient colonoscopy in the Medicare population.
作者: Joan L Warren.;Carrie N Klabunde.;Angela B Mariotto.;Angela Meekins.;Marie Topor.;Martin L Brown.;David F Ransohoff.
来源: Ann Intern Med. 2009年150卷12期849-57, W152页
Although use of colonoscopy has increased substantially among elderly Medicare beneficiaries, no one has described colonoscopy-related adverse events in a representative sample of Medicare patients.
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