62. 2025 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline for the Primary Care Management of Chronic Kidney Disease.
作者: Amy R Schwartz.;Jonathan Sosnov.;Jonathan Brown.;Cynthia Delgado.;Linda Fried.;Manjula Kurella Tamura.;John W Morrison.;Sankar D Navaneethan.;Paul M Palevsky.;Diane Rybacki.;James Sall.;Sunil Verma.;Maura Watson.;Jesse Wickham.;Mai Nguyen.
来源: Ann Intern Med. 2026年179卷3期411-424页
Management of chronic kidney disease (CKD) has been rapidly evolving, now involving many interventions that can be managed in the primary care setting. In April 2025, leadership within the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved a joint clinical practice guideline (CPG) for the primary care management of CKD. This synopsis reviews the 2025 recommendations related to diagnosis, assessment, and management of CKD.
69. Eligibility and Prognostic Performance of Smoking Duration-Based Versus Pack-Year-Based U.S. National Lung Cancer Screening Criteria Across Racial and Ethnic Groups.
作者: Chloe C Su.;Victoria Y Ding.;Kevin Ten Haaf.;Julie T Wu.;Neal D Freedman.;Leah M Backhus.;Ann N Leung.;Natalie S Lui.;Christopher A Haiman.;Sung-Shim Lani Park.;Joel W Neal.;Rafael Meza.;Martin C Tammemägi.;Iona Cheng.;Loïc Le Marchand.;Heather A Wakelee.;Eunji Choi.;Summer S Han.
来源: Ann Intern Med. 2026年179卷2期196-206页
The U.S. Preventive Services Task Force expanded lung cancer (LC) screening eligibility in 2021 (USPSTF-2021) by decreasing the minimum number of smoking pack-years from 30 to 20. Underrepresented minorities still experience disparities in screening eligibility.
76. Integrating Methadone Services Into Primary Care in Ukraine: Two-Year Outcomes From a Randomized Trial.
作者: Eteri Machavariani.;Denise Esserman.;Kostyantyn Dumchev.;Myroslava Filippovych.;Iryna Pykalo.;Roman Ivasiy.;Lynn M Madden.;Daniel J Bromberg.;Marwan Haddad.;Olga Morozova.;David Oliveros.;Bachar Ahmad.;Sergii Dvoriak.;Frederick L Altice.
来源: Ann Intern Med. 2026年179卷2期177-186页
Opioid use disorder (OUD) drives high morbidity and mortality, but access to opioid agonist therapy (OAT) is limited in low- and middle-income countries. Integrating OAT into primary care may expand access and improve comorbidity management, although provider discomfort remains a barrier.
77. The Incubation Periods of Mpox Virus Clade Ib.
作者: Javier Perez-Saez.;Patrick Musole Bugeme.;Megan O'Driscoll.;Patrick Kazuba Bugale.;Trust Faraja Mukika.;Levi Bugwaja.;Salomon Mashupe Shangula.;Justin Bengehya.;Stephanie Ngai.;Antonio Isidro Carrion Martin.;Jules Jackson.;Noella Mulopo-Mukanya.;Jackie Knee.;Isabella Eckerle.;Elizabeth C Lee.;Daniel Mukadi-Bamuleka.;Justin Lessler.;Andrew S Azman.;Espoir Bwenge Malembaka.
来源: Ann Intern Med. 2026年179卷2期207-215页
Mpox virus (MPXV) clade Ib, first detected in the Democratic Republic of the Congo (DRC) in September 2023, spread internationally within months, prompting an emergency declaration from the World Health Organization. Data on its incubation period, which both shapes outbreak dynamics and informs epidemic response strategies, remain limited.
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