• Can Fam Physician · Apr 2024

    Review

    Top studies of 2023 relevant to primary care: From the PEER team.

    • Betsy S Thomas, Danielle Perry, Samantha S Moe, Ricky D Turgeon, Jen Potter, Émélie Braschi, Nicholas Dugré, Jessica E M Kirkwood, and G Michael Allan.
    • Clinical Evidence Expert for the College of Family Physicians of Canada (CFPC) and Assistant Adjunct Professor in the Department of Family Medicine at the University of Alberta (U of A) in Edmonton.
    • Can Fam Physician. 2024 Apr 1; 70 (4): 245248245-248.

    ObjectiveTo provide a summary of the noteworthy medical articles published in 2023 that are relevant to family physicians.Selecting The EvidenceArticles were chosen and ranked by the PEER (Patients, Experience, Evidence, Research) team, a group of primary care health professionals focused on evidence-based medicine. The selection process involved routine surveillance of tables of contents in high-impact medical journals and continuous monitoring of EvidenceAlerts. Articles were prioritized based on their direct applicability to and potential to influence primary care practice.Main MessageSelected articles addressed various clinical areas of primary care. The topics included a comparison of a treat-to-target approach versus a high-intensity statins prescription for lipid management; semaglutide and its impact on cardiovascular outcomes; respiratory syncytial virus vaccine for older adults; chlorthalidone versus hydrochlorothiazide in preventing cardiovascular events; amitriptyline for irritable bowel syndrome; the role of opioids in acute back pain; safety of oral penicillin challenges in patients allergic to penicillin; spironolactone for facial acne; strategies to reverse frailty in older adults; and identifying the provider of chronic disease management. Two "up and coming" medications are also mentioned: retatrutide for weight loss and fezolinetant for vasomotor symptoms of menopause.ConclusionResearch published in 2023 yielded several high-quality articles with topics relevant to primary care, including cardiovascular care, irritable bowel syndrome, care of the elderly, and acne management.Copyright © 2024 the College of Family Physicians of Canada.

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