1081. Regulatory Framework for Cannabis: A Position Paper From the American College of Physicians.
作者: Ryan Crowley.;Katelan Cline.;David Hilden.;Micah Beachy.; .
来源: Ann Intern Med. 2024年177卷8期1104-1105页
Cannabis, also known as marijuana, is the dried flowers, stems, seeds, and leaves of the Cannabis sativa plant. It contains more than 100 compounds, including tetrahydrocannabinol, which has psychoactive effects. Federal law prohibits the possession, distribution, and use of cannabis outside limited research activities, but most states have legalized cannabis for medical or recreational use. However, research into the potential therapeutic and adverse health effects of cannabis has been limited, in part because of the drug's federal legal status. In this position paper, the American College of Physicians (ACP) calls for the decriminalization of possession of small amounts of cannabis for personal use and outlines a public health approach to controlling cannabis in jurisdictions where it is legal. ACP recommends the rigorous evaluation of the health effects and potential therapeutic uses of cannabis and cannabinoids as well as research into the effects of legalization on cannabis use. It also calls for evidence-based medical education related to cannabis and increased resources for treatment of cannabis use disorder.
1093. Mammography Screening Preferences Among Screening-Eligible Women in Their 40s : A National U.S. Survey.
作者: Laura D Scherer.;Carmen L Lewis.;Kirsten McCaffery.;Jolyn Hersch.;Joseph N Cappella.;Channing Tate.;Brad Morse.;Kelly Arnett.;Bridget Mosley.;Heather L Smyth.;Marilyn M Schapira.
来源: Ann Intern Med. 2024年177卷8期1069-1077页
The U.S. Preventive Services Task Force (USPSTF) recently changed its recommendation for mammography screening from informed decision making to biennial screening for women aged 40 to 49 years. Although many women welcome this change, some may prefer not to be screened at age 40 years.
1094. Update Alert 2: Nonpharmacologic and Pharmacologic Treatments of Adult Patients With Major Depressive Disorder: A Systematic Review and Network Meta-Analysis for a Clinical Guideline by the American College of Physicians.
作者: Andreea Iulia Dobrescu.;Emma Persad.;Irma Klerings.;Gerald Gartlehner.
来源: Ann Intern Med. 2024年177卷8期e2400428页 1096. Nonpharmacologic and Pharmacologic Treatments of Adults in the Acute Phase of Major Depressive Disorder: A Living Clinical Guideline From the American College of Physicians (Version 1, Update Alert 2).
作者: Amir Qaseem.;Douglas K Owens.;Itziar Etxeandia-Ikobaltzeta.;Janice E Tufte.;J Thomas Cross.;Timothy J Wilt.; .;Carolyn J Crandall.;Lauri A Hicks.;Ethan M Balk.;Thomas G Cooney.;Nick Fitterman.;Jennifer S Lin.;Michael Maroto.;Matthew C Miller.;Adam J Obley.;Paul G Shekelle.;Jeffrey A Tice.;Curtis S Harrod.;Jennifer Yost.
来源: Ann Intern Med. 2024年177卷8期e2400593页 1097. Development and Evaluation of a Framework for Identifying and Addressing Spin for Harms in Systematic Reviews of Interventions.
作者: Riaz Qureshi.;Kevin Naaman.;Nicolas G Quan.;Evan Mayo-Wilson.;Matthew J Page.;Victoria Cornelius.;Roger Chou.;Isabelle Boutron.;Su Golder.;Lisa Bero.;Peter Doshi.;Matt Vassar.;Reint Meursinge Reynders.;Tianjing Li.
来源: Ann Intern Med. 2024年177卷8期1089-1098页
"Spin" refers to misleading reporting, interpretation, and extrapolation of findings in primary and secondary research (such as in systematic reviews). The study of spin primarily focuses on beneficial outcomes. The objectives of this research were threefold: first, to develop a framework for identifying spin associated with harms in systematic reviews of interventions; second, to apply the framework to a set of reviews, thereby pinpointing instances where spin may be present; and finally, to revise the spin examples, offering guidance on how spin can be rectified. The authors developed their framework through an iterative process that engaged an international group of researchers specializing in spin and reporting bias. The framework comprises 12 specific types of spin for harms, grouped by 7 categories across the 3 domains (reporting, interpretation, and extrapolation). The authors subsequently gathered instances of spin from a random sample of 100 systematic reviews of interventions. Of the 58 reviews that assessed harm and the 42 that did not, they found that 28 (48%) and 6 (14%), respectively, had at least 1 of the 12 types of spin for harms. Inappropriate extrapolation of the results and conclusions for harms to populations, interventions, outcomes, or settings not assessed in a review was the most common category of spin in 17 of 100 reviews. The authors revised the examples to remove spin, taking into consideration the context (for example, medical discipline, source population), findings for harms, and methodological limitations of the original reviews. They provide guidance for authors, peer reviewers, and editors in recognizing and rectifying or (preferably) avoiding spin, ultimately enhancing the clarity and accuracy of harms reporting in systematic review publications.
1098. Morbidity and Mortality of Hospital-Onset SARS-CoV-2 Infections Due to Omicron Versus Prior Variants : A Propensity-Matched Analysis.
作者: Michael Klompas.;Caroline S McKenna.;Sanjat Kanjilal.;Theodore Pak.;Chanu Rhee.;Tom Chen.
来源: Ann Intern Med. 2024年177卷8期1078-1088页
Many hospitals have scaled back measures to prevent nosocomial SARS-CoV-2 infection given large decreases in the morbidity and mortality of SARS-CoV-2 infections for most people. Little is known, however, about the morbidity and mortality of nosocomial SARS-CoV-2 infections for hospitalized patients in the Omicron era.
1099. Glucagon-Like Peptide-1 Receptor Agonists and Risk for Suicidal Ideation and Behaviors in U.S. Older Adults With Type 2 Diabetes : A Target Trial Emulation Study.
作者: Huilin Tang.;Ying Lu.;William T Donahoo.;Hui Shao.;Lizheng Shi.;Vivian A Fonseca.;Yi Guo.;Jiang Bian.;Jingchuan Guo.
来源: Ann Intern Med. 2024年177卷8期1004-1015页
A major concern has recently emerged about a potential link between glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and increased risk for suicidal ideation and behaviors based on International Classification of Diseases codes.
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