Annals of internal medicine
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Multicenter Study Observational Study
Comparative Effectiveness and Safety of Bariatric Procedures for Weight Loss: A PCORnet Cohort Study.
There has been a dramatic shift in use of bariatric procedures, but little is known about their long-term comparative effectiveness. ⋯ Patient-Centered Outcomes Research Institute.
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Falls are common among older adults. One in 3 adults aged 65 years or older and 1 in 2 adults aged 80 years or older fall each year. Interventions for prevention have been identified; however, they are often not addressed in primary care practice. ⋯ Falls and the need for care from subsequent injury increase with age. They adversely affect quality of life and are a financial burden on the health care industry. As a result, risk reduction is a key focus of prevention efforts, even among very elderly persons.
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Multicenter Study
Diagnosis of Pulmonary Embolism During Pregnancy: A Multicenter Prospective Management Outcome Study.
Data on the optimal diagnostic management of pregnant women with suspected pulmonary embolism (PE) are limited, and guidelines provide inconsistent recommendations on use of diagnostic tests. ⋯ Swiss National Foundation for Scientific Research, Groupe d'Etude de la Thrombose de Bretagne Occidentale, and International Society on Thrombosis and Haemostasis.
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Observational Study
Use of High-Sensitivity Cardiac Troponin for the Exclusion of Inducible Myocardial Ischemia: A Cohort Study.
Many patients with coronary artery disease (CAD) are routinely referred for surveillance stress testing despite recommendations against it. ⋯ National Institutes of Health.
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Practice Guideline
Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.
In this position paper, the American College of Physicians (ACP) examines the rationale for patient and family partnership in care and reviews outcomes associated with this concept, including greater adherence to care plans, improved satisfaction, and lower costs. The paper also explores and acknowledges challenges associated with implementing patient- and family-centered models of care. ⋯ The principles state that patients and families should be treated with dignity and respect, be active partners in all aspects of their care, contribute to the development and improvement of health care systems, and be partners in the education of health care professionals. This paper also recommends ways to implement these principles in daily practice.