Well Referenced

Tag: patient-centered care

CDC Clinical Practice Guideline for Prescribing Opioids for Pain – United States, 2022

The 2022 CDC guideline provides 12 evidence-based, voluntary recommendations for clinicians prescribing opioids to outpatients aged ≥18 years with acute, subacute, or chronic pain. It emphasizes patient-centered care, recommending nonopioid therapies as first-line treatments and advocating for individualized opioid prescribing when benefits outweigh risks. The guideline removes rigid dosage thresholds,

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June 26, 2025 No Comments

Re: Fifteen-Year Outcomes After Monitoring, Surgery, or Radiotherapy for Prostate Cancer

This 2023 expert commentary discusses the 15-year follow-up results of the ProtecT trial, which compared active monitoring, radical prostatectomy, and radiotherapy in men with localized prostate cancer. The trial found no statistically significant difference in prostate cancer-specific mortality among the three treatment modalities, with overall mortality remaining low across the

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June 26, 2025 No Comments

Usefulness of Beta blockade in contemporary management of patients with stable coronary heart disease

This observational study examined the effectiveness of beta-blockers in patients with stable coronary heart disease (CHD), suggesting that their routine use in all stable CHD patients may not be necessary. While beta-blockers significantly reduce mortality and recurrent cardiovascular events in patients with recent myocardial infarction or heart failure, their benefits

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June 26, 2025 No Comments

AGA Clinical Practice Guidelines on the Gastrointestinal Evaluation of Iron Deficiency Anemia

This AGA clinical practice guideline provides a standardized, evidence-based approach to the gastrointestinal evaluation of iron deficiency anemia (IDA) in adult men and postmenopausal women. It recommends initial diagnostic workup using bidirectional endoscopy (EGD and colonoscopy) and suggests additional testing, such as capsule endoscopy, in cases where the initial evaluation

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June 26, 2025 No Comments

Synthetic thyroxine vs dessicated thyroid

The letter “Synthetic thyroxine vs dessicated thyroid” by Edward M. Lichten, published in JAMA in 2004 (PMID: 15039409), discusses the comparative efficacy of synthetic thyroxine and desiccated thyroid extract for hormone replacement therapy in hypothyroid patients. While synthetic thyroxine (levothyroxine) is commonly prescribed, some practitioners advocate for desiccated thyroid extract,

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June 26, 2025 No Comments

Clinical evaluation and management strategy for sexual dysfunction in men and women

This systematic review provides comprehensive guidelines for the evaluation and management of sexual dysfunction in both men and women, emphasizing a patient-centered and evidence-based approach. It highlights the importance of thorough clinical assessments, considering medical, psychological, and relational factors, and proposes tailored treatment strategies, including pharmacological options like phosphodiesterase type

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June 26, 2025 No Comments

Recommendations for the clinical evaluation of men and women with sexual dysfunction

This article provides a comprehensive framework for evaluating sexual dysfunction in both men and women. It highlights the importance of a patient-centered approach that includes cultural competence and evidence-based medicine. The authors propose a stepwise diagnostic and treatment algorithm, including mandatory assessments of sexual, medical, and psychosocial history, with physical

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June 26, 2025 No Comments

Disorders of orgasm and ejaculation in men

The article “Disorders of Orgasm and Ejaculation in Men” explores the diagnosis and management of common male sexual dysfunctions, including premature ejaculation, inhibited ejaculation, anejaculation, retrograde ejaculation, and anorgasmia. It highlights the psychological, neurological, and hormonal factors contributing to these conditions and emphasizes a multidisciplinary approach to treatment, incorporating both

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June 26, 2025 No Comments