Annals of Internal Medicine




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Short-Term Adverse Outcomes After Mifepristone–Misoprostol Versus Procedural Induced Abortion

Ning Liu, PhD  and Joel G. Ray, MD, MSc

doi : 10.7326/M22-2568

February 2023Volume 176, Issue 2

Prior studies comparing first-trimester pharmaceutical induced abortion (IA) with procedural IA were prone to selection bias, were underpowered to assess serious adverse events (SAEs), and did not account for confounding by indication. Starting in 2017, mifepristone–misoprostol was dispensed at no cost in outpatient pharmacies across Ontario, Canada.

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High- Versus Low-Dose Exercise Therapy for Knee Osteoarthritis

Tom Arild Torstensen, MSc, RPT ,  Håvard Østerås, MSc, RPT ,  Riccardo LoMartire, PhD, RPT ,  Georg Mørtvedt Rugelbak, MSc, RPT ,  Wilhelmus Johannes Andreas Grooten, PhD, RPT ,  and Björn Olov Äng, PhD, RPT

doi : 10.7326/M22-2348

The benefits of exercise in patients with knee osteoarthritis are well documented, but the optimal exercise dose remains unknown.

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Hydroxychloroquine Dose and Risk for Incident Retinopathy

Ronald B. Melles, MD* , April M. Jorge, MD* , Michael F. Marmor, MD , Baijun Zhou, MHS , Carol Conell, PhD , Jingbo Niu, MD, ScD , Natalie McCormick, PhD , Yuqing Zhang, ScD†

doi : 10.7326/M22-2453

Hydroxychloroquine is recommended for all patients with systemic lupus erythematosus and is often used for other inflammatory conditions, but a critical long-term adverse effect is vision-threatening retinopathy.

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Epstein–Barr Viral Load Monitoring Strategy and the Risk for Posttransplant Lymphoproliferative Disease in Adult Liver Transplantation

Bastian N. Ruijter, MD ,  Ron Wolterbeek, MD, MSc ,  Mitchell Hew, MD ,  Marjolein van Reeven, MD ,  Danny van der Helm, MSc, PhD ,  Jeroen Dubbeld, MD ,  Maarten E. Tushuizen, MD, PhD ,  Herold Metselaar, MD, PhD ,  Ann C.T.M. Vossen, MD, PhD ,  and Bart van Hoek, MD, PhD

doi : 10.7326/M22-0364

Primary infection with or reactivation of Epstein–Barr virus (EBV) can occur after liver transplant (LT) and can lead to posttransplant lymphoproliferative disease (PTLD).

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Effectiveness and Safety of Treatments to Prevent Fractures in People With Low Bone Mass or Primary Osteoporosis: A Living Systematic Review and Network Meta-analysis for the American College of Physicians

Chelsea Ayers, MPH , Devan Kansagara, MD, MCR , Brittany Lazur, MPH , Rongwei Fu, PhD , Amy Kwon, MD , and Curtis Harrod, PhD, MPH

doi : 10.7326/M22-0684

The prevalence of osteoporosis is increasing in the United States.

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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

Gerald Gartlehner, MD, MPH , Andreea Dobrescu, MD, PhD , Andrea Chapman, MA, BSc , Ana Toromanova , Robert Emprechtinger, MSc , Emma Persad, MD , Lisa Affengruber, MSc , Christoph Pieh, MD , Irma Klerings , and Gernot Wagner, MD

doi : 10.7326/M22-1845

Primary care patients and clinicians may prefer alternative options to second-generation antidepressants for major depressive disorder (MDD).

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Cost-Effectiveness of First- and Second-Step Treatment Strategies for Major Depressive Disorder

Andreea Dobrescu, MD, PhD , Andrea Chapman, MA, BSc , Lisa Affengruber, MSc , Emma Persad, MD , Ana Toromanova , Gernot Wagner, MD , Irma Klerings , Robert Emprechtinger, MSc , and Gerald Gartlehner, MD, MPH

doi : 10.7326/M22-1872

Major depressive disorder (MDD) is the most prevalent, disabling form of depression, with a high economic effect.

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Values and Preferences of Patients With Depressive Disorders Regarding Pharmacologic and Nonpharmacologic Treatments

Lisa Affengruber, MSc , Gernot Wagner, MD , Andreea Dobrescu, MD, PhD , Ana Toromanova , Andrea Chapman, MA, BSc , Emma Persad, MD , Irma Klerings , and Gerald Gartlehner, MD, MPH

doi : 10.7326/M22-1900

Developers of clinical practice guidelines need to take patient values and preferences into consideration when weighing benefits and harms of treatment options for depressive disorder.

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Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults: A Living Clinical Guideline From the American College of Physicians

Amir Qaseem, MD, PhD, MHA , Lauri A. Hicks, DO , Itziar Etxeandia-Ikobaltzeta, PharmD , Tatyana Shamliyan, MD, MS , and Thomas G. Cooney, MD , for the Clinical Guidelines Committee of the American College of Physicians* , J. Thomas Cross Jr., MD, MPH , Nick Fitterman, MD , Jennifer S. Lin, MD, MCR , Michael Maroto, JD, MBA , Adam J. Obley, MD , Jeffrey A. Tice, MD , Janice E. Tufte

doi : 10.7326/M22-1034

This guideline updates the 2017 American College of Physicians (ACP) recommendations on pharmacologic treatment of primary osteoporosis or low bone mass to prevent fractures in adults.

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Nonpharmacologic and Pharmacologic Treatments of Adults in the Acute Phase of Major Depressive Disorder: A Living Clinical Guideline From the American College of Physicians

Amir Qaseem, MD, PhD, MHA , Douglas K. Owens, MD, MS , Itziar Etxeandia-Ikobaltzeta, PharmD, PhD , Janice Tufte , J. Thomas Cross Jr., MD, MPH , and Timothy J. Wilt, MD, MPH , for the Clinical Guidelines Committee of the American College of Physicians*† , Carolyn J. Crandall, MD, MS , Ethan Balk, MD , Thomas G. Cooney, MD , Nick Fitterman, MD , Lauri A. Hicks, DO , Jennifer S. Lin, MD, MCR , Michael Maroto, JD, MBA , Adam J. Obley, MD , Jeffrey A. Tice, MD , Jennifer Yost, RN, PhD

doi : 10.7326/M22-2056

The purpose of this guideline from the American College of Physicians (ACP) is to present updated clinical recommendations on nonpharmacologic and pharmacologic interventions as initial and second-line treatments during the acute phase of a major depressive disorder (MDD) episode, based on the best available evidence on the comparative benefits and harms, consideration of patient values and preferences, and cost.

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How Would You Resuscitate This Patient With Septic Shock?

Zahir Kanjee, MD, MPH , Katherine Berg, MD , Taison D. Bell, MD, MBA , and Eileen E. Reynolds, MD

doi : 10.7326/M22-3385

Sepsis is a potentially life-threatening systemic dysregulatory response to infection, and septic shock occurs when sepsis leads to systemic vasodilation and subsequent tissue hypoperfusion.

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Colinet–Caplan Syndrome: History of an Outbreak of Autoimmune Disease in Scouring Powder Workers

Steven Ronsmans, MD, PhD  and Paul D. Blanc, MD, MSPH

doi : 10.7326/M22-2630

The first modern description linking rheumatoid arthritis to occupational dust exposure is generally attributed to the British physician Anthony Caplan. In 1953, Caplan reported on a “peculiar� nodular pattern on chest radiographs of Welsh coal miners with rheumatoid arthritis that differed from the typical coal workers' pneumoconiosis.

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The Dark Side of Rapid Reviews: A Retreat From Systematic Approaches and the Need for Clear Expectations and Reporting

Zachary Munn, PhD ,  Danielle Pollock, PhD ,  Timothy Hugh Barker, PhD ,  Jennifer Stone, PhD ,  Cindy Stern, PhD ,  Edoardo Aromataris, PhD ,  Alan Pearson, PhD ,  Sharon Straus, MD, MSc ,  Hanan Khalil, PhD ,  Reem A. Mustafa, MD, MPH, PhD ,  Andrea C. Tricco, PhD ,  and Holger J. Schünemann, MD, PhD

doi : 10.7326/M22-2603

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EMTALA After Dobbs: Emergency Reproductive Health Care in the Balance

Eli Y. Adashi, MD, MS and I. Glenn Cohen, JD

doi : 10.7326/M22-3222

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What Follows From State-Mandated Pregnancy?

Jake Earl, PhD and Caitlin J. Cain, MD

doi : 10.7326/M22-2879

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Lessons From the Front Line of Fighting Gender Inequity

Luci K. Leykum, MD, MBA, MSc

doi : 10.7326/M22-3213

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Chess Lessons: Harnessing Collective Human Intelligence and Imitation Learning to Support Clinical Decisions

Gary E. Weissman, MD, MSHP ,  Lyle H. Ungar, PhD ,  and Scott D. Halpern, MD, PhD

doi : 10.7326/M22-2998

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The War on Reproductive Health Care in the United States

Carol J. Hogue, PhD, MPH

doi : 10.7326/M22-3634

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Osteoporosis Treatment: Not Easy

Susan M. Ott, MD

doi : 10.7326/M22-3580

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The American College of Physicians Living Guideline on Depression: A Step Forward, but Gaps Remain

Miriam Shuchman, MD and Elia Abi-Jaoude, MSc, MD, PhD

doi : 10.7326/M22-3701

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The Minister's Wife

Ferdinand J. Venditti, MD

doi : 10.7326/M22-3376

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Armed With Cautious Eyes and a Kind Smile

Siddhi Nadkarni, BA

doi : 10.7326/M22-3337

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Efficacy and Safety of Ensovibep for Adults Hospitalized With COVID-19

Teluguakula Narasaraju, PhD , Amita Krishnappa, MD , Marko Radic, PhD , Vincent T.K. Chow, MD, PhD

doi : 10.7326/L22-0455

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Efficacy and Safety of Ensovibep for Adults Hospitalized With COVID-19

Eleftherios Mylonakis, MD, PhD , Christina Barkauskas, MD , Garyfallia Poulakou, MD, PhD , Barnaby E. Young, MD, PhD

doi : 10.7326/L22-0456

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Tea Consumption and All-Cause and Cause-Specific Mortality in the UK Biobank

Yasutaka Nishiyama, MD  and Tatsuya Fujikawa, MD, PhD

doi : 10.7326/L22-0477

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Tea Consumption and All-Cause and Cause-Specific Mortality in the UK Biobank

Maki Inoue-Choi, PhD , Yesenia Ramirez, MPH , Neal D. Freedman, PhD , Erikka Loftfield, PhD

doi : 10.7326/L22-0478

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Correction: Risk Heterogeneity and the Illusion of Waning Vaccine Efficacy

doi : 10.7326/L22-0508

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Correction: In the Clinic: Monoclonal Gammopathy of Undetermined Significance

doi : 10.7326/L22-0509

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Correction: Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis

doi : 10.7326/L22-0523

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Comfort Measures Only

Lauren E. Fields, MD

doi : 10.7326/M22-0487

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Ideation

Martin H. Ellbogen Jr., MD

doi : 10.7326/M22-0317

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Chagas Disease

Natasha S. Hochberg, MD, MPH , Susan P. Montgomery, DVM, MPH

doi : 10.7326/AITC202302210

Chagas disease, which is caused by infection with the parasite Trypanosoma cruzi, is a leading neglected tropical disease in the United States. An estimated 240 000 to 350 000 persons in the United States are infected, primarily immigrants from Mexico, Central America, and South America, where the disease is endemic.

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In basilar-artery occlusion stroke, thrombectomy improved functional outcome at 90 d but increased ICH

Bruce Lo, MD, MBA

doi : 10.7326/J22-0119

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In basilar-artery occlusion stroke, thrombectomy improved functional outcomes without increasing ICH

Bruce Lo, MD, MBA

doi : 10.7326/J22-0120

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In hypertension, evening vs. morning dosing of antihypertensive drugs did not differ for major CV outcomes at 5.2 y

KoKo Aung, MD, MPH , Thwe Htay, MD

doi : 10.7326/J22-0116

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In high-risk outpatients with COVID-19, neither colchicine nor aspirin reduced disease progression or death at 45 d

Joel M. Schectman, MD, MPH

doi : 10.7326/J22-0118

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In adults, a single colonoscopy screening invitation vs. no invitation reduced CRC incidence at 10 y

Thomas F. Imperiale, MD , David F. Ransohoff, MD

doi : 10.7326/J22-0112

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In adults, sigmoidoscopy screening invitation reduced CRC incidence and related mortality at 15 y

Thomas F. Imperiale, MD , David F. Ransohoff, MD

doi : 10.7326/J22-0113

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In nonalcoholic fatty liver disease, a diet of freshwater fish vs. freshwater fish plus red meat reduced liver fat

Sandeep Mukherjee, MD

doi : 10.7326/J22-0117

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In complicated UTI or pyelonephritis, cefepime–enmetazobactam increased success vs. piperacillin–tazobactam at 14 d

Dennis G. Maki, MD

doi : 10.7326/J22-0114

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In adults with active dermatomyositis, IV immune globulin improved treatment response at 16 wk vs. placebo

Ami Schattner, MD

doi : 10.7326/J22-0111

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In adults aged ≥65 y with head injuries, use of warfarin, but not DOACs, was associated with delayed ICH

Shan W. Liu, MD, SD , Christopher R. Carpenter, MD, MSc

doi : 10.7326/J22-0115

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Annals Graphic Medicine - Banking Blood

Michael J. Green, MD, MS , Molly Osborne, MD, PhD , Kimberly R. Myers, PhD, MA , and Zoe S. Schein, MA

doi : 10.7326/G22-0029

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Annals Graphic Medicine - Dr. Mom: Assorted Clinical Pearls From 2022

Grace E. Farris, MD

doi : 10.7326/G22-0081

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Annals for Educators - February 2023

Christine Laine, MD, MPH

doi : 10.7326/AWED202302210

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Annals for Hospitalists Inpatient Notes - How to Treat Poor Sleep in the Hospital

Katrina L. Piggott, MD, MSc and Christine Soong, MD, MSc

doi : 10.7326/M23-0001

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Summary for Patients: Short-Term Adverse Outcomes After Mifepristone–Misoprostol Versus Procedural Induced Abortion

doi : 10.7326/P22-0026

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Summary for Patients: High-Dose Versus Low-Dose Exercise Therapy for Knee Osteoarthritis

doi : 10.7326/P22-0029

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Summary for Patients: Hydroxychloroquine Dose and Risk for Incident Retinopathy

doi : 10.7326/P22-0028

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Summary for Patients: Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults

doi : 10.7326/P22-0025

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Summary for Patients: Nonpharmacologic and Pharmacologic Treatments of Adults in the Acute Phase of Major Depression

doi : 10.7326/P22-0027

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