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Mashup Score: 0Trends in U.S. Medical Cannabis Registrations, Authorizing Clinicians, and Reasons for Use From 2020 to 2022 | Annals of Internal Medicine - 13 hour(s) ago
Background: As medical cannabis availability increases, up-to-date trends in medical cannabis licensure can inform clinical policy and care. Objective: To describe current trends in medical cannabis licensure in the United States. Design: Ecological study with repeated measures. Setting: Publicly available state registry data from 2020 to 2022. Participants: People with medical cannabis licenses and clinicians authorizing cannabis licenses in the United States. Measurements: Total patient volume and prevalence per 10 000 persons in the total population, symptoms or conditions qualifying patients for licensure (that is, patient-reported qualifying conditions), and number of authorizing clinicians. Results: In 2022, of 39 jurisdictions allowing medical cannabis use, 34 reported patient numbers, 19 reported patient-reported qualifying conditions, and 29 reported authorizing clinician numbers. Enrolled patients increased 33.3% from 2020 (3 099 096) to 2022 (4 132 098), with a corresponding
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Mashup Score: 8
Description: In July 2024, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DOD) released a joint update of their 2019 clinical practice guideline (CPG) for the management of stroke rehabilitation. This synopsis is a condensed version of the 2024 CPG, highlighting the key aspects of the guideline development process and describing the major recommendations. Methods: The VA/DOD Evidence-Based Practice Work Group convened a joint VA/DOD guideline development work group (WG) that included clinical stakeholders and conformed to the Institute of Medicine’s tenets for trustworthy CPGs. The guideline WG conducted a patient focus group, developed key questions, and systematically searched and evaluated the literature (English-language publications from 1 July 2018 to 2 May 2023). The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was used to evaluate the evidence. The WG developed 47 recommendations along with algorithms for stroke
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Mashup Score: 4
Can’t sign in? Forgot your password? If the address matches an existing account you will receive an email with instructions to reset your password. Can’t sign in? Forgot your username? The mission of the Annals of Internal Medicine: Clinical Cases (AIMCC) is to promote excellence in critical thinking around prevention, diagnosis, and management of challenging clinical situations and awareness of new or unique clinical entities by disseminating rigorously peer-reviewed reports of real clinical cases
Source: www.acpjournals.orgCategories: General Medicine News, Cardiac SurgeryTweet
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Mashup Score: 7
Can’t sign in? Forgot your password? If the address matches an existing account you will receive an email with instructions to reset your password. Can’t sign in? Forgot your username? Background: The overlap between inflammatory rheumatic diseases (IRD) and hematologic disorders is poorly understood, but the clinical picture of patients with UBA1 -mutated myelodysplastic syndrome (MDS) was recently comprehensively characterized (1). VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic)
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Mashup Score: 2Annals Graphic Medicine - 2 Face Comics Presents: Art Is the Best Medicine | Annals of Internal Medicine - 5 day(s) ago
Annals Graphic Medicine brings together original graphic narratives, comics, animation/video, and other creative forms by those who provide or receive health care. They address medically relevant t…
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Mashup Score: 3Letter From the American College of Physicians to the U.S. Presidential Transition Team | Annals of Internal Medicine - 5 day(s) ago
The American College of Physicians routinely sends a letter to the U.S. Presidential transition team. The letter outlines the health care issues the ACP believes should be priorities for the new ad…
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Mashup Score: 5Annals of Internal Medicine: ACP Journal Club - 6 day(s) ago
Can’t sign in? Forgot your password? If the address matches an existing account you will receive an email with instructions to reset your password. Can’t sign in? Forgot your username? ACP Journal Club summarizes the best new evidence for internal medicine from over 120 clinical journals. Research staff from McMaster University and clinical editors rigorously assess the scientific merit of the medical lite rature as it is published and a worldwide panel of over 3600 physicians assesses the clinical
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In the new @ACPIMPhysicians Journal Club, clinical editors & researchers from @McMasterU summarize new evidence for internal medicine from over 120 clinical journals. Read about ischemic stroke, COVID-19, naloxone to buprenorphine during pregnancy, & more. https://t.co/vKoU6eP6ht https://t.co/jJZZjrOG5K
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Mashup Score: 4Implementation of Billing for Patient Portal Messages as E-Visits in a Large Integrated Health System | Annals of Internal Medicine - 6 day(s) ago
Background: Patient–provider communication through the patient portal has markedly increased in recent years. Some health care facilities implemented programs to enable providers to bill for responding to patient-initiated messages that require substantive medical decision making through an e-visit. Objective: To evaluate the effect of billing eligible patient-initiated portal messages as e-visits using a mixed-methods approach. Design: Retrospective observational pre–post comparison and prospective survey. Setting: Large integrated health system with sites in 4 U.S. states. Participants: Patients initiating portal message threads and health system providers completing an online survey. Intervention: E-visit billing was implemented 18 August 2023. Measurements: The volume of patient-initiated medical advice message threads pre- versus postimplementation of e-visit billing was compared. Health system provider perceptions of e-visit billing were assessed using an online survey. Results:
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Mashup Score: 1
Background: Dialysis patients have high rates of fracture morbidity, but evidence on optimal management strategies for osteoporosis is scarce. Objective: To determine the risk for cardiovascular events and fracture prevention effects with denosumab compared with oral bisphosphonates in dialysis-dependent patients. Design: An observational study that attempts to emulate a target trial. Setting: A Japanese administrative claims database (April 2014 to October 2022). Patients: Adults aged 50 years or older who have initiated denosumab or oral bisphosphonates for osteoporosis in dialysis-dependent patients. Measurements: The safety outcome was major adverse cardiac events (MACE). The effectiveness outcome was a composite of all fractures. Follow-up was 3 years. Results: A total of 1032 patients were identified (658 denosumab users and 374 oral bisphosphonate users). Overall average age was 74.5 years, and 62.9% were women. The weighted 3-year risk difference for MACE was 8.2% (95% CI, –0.2
Source: www.acpjournals.orgCategories: General Medicine News, NephrologyTweet
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Mashup Score: 3
Background: The U.S. Preventive Services Task Force recommends annual lung cancer screening (LCS) for adults who meet specific age and smoking history criteria. Objective: To evaluate race-, ethnicity-, and rurality-based differences in distance to the nearest LCS facility. Design: Cross-sectional ecological study. Setting: U.S. census tracts. Participants: 71 691 census tracts. Measurements: The outcome variable was road network distance in miles between a census tract and the nearest LCS facility. Distance was log-transformed, and geometric means are reported. Census tracts were classified as majority (>50%) American Indian/Alaska Native (AI/AN), Asian, Black, non-Hispanic White (NHW), no single race, or Hispanic. Rurality was defined using the rural-urban commuting area codes. Ordinary least-squares regression examined the associations between distance and census tract race, ethnicity, and rurality. Results: Geometric mean distance to the nearest LCS facility was 6.5 miles. Compared
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From the Annals ‘Spotlight on 2024’ collection: Medical cannabis use is on the rise, especially for conditions like chronic pain & anxiety. However, more research is crucial to understand usage patterns and benefits. https://t.co/u1cZKDRyyc https://t.co/cqyqYPMm4u