Search results for "Sleep"
Task Force finds insufficient evidence on screening for afib
The U.S. Preventive Services Task Force reviewed trials published since 2017 but did not deem them strong enough to show evidence of benefit or harm.
https://immattersacp.org/weekly/archives/2022/02/01/3.htm
1 Feb 2022
MKSAP Quiz: Discuss bariatric surgery
A 39-year-old woman comes to the office to discuss bariatric surgery. She has been unable to lose weight with diet and exercise, including supervised weight loss programs. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2022/02/15/3.htm
15 Feb 2022
Telehealth options show benefit in treating effects of osteoarthritis
Recent randomized trials in patients with osteoarthritis showed that an app-based program was associated with some reduction in reported pain and that cognitive behavioral therapy by phone improved insomnia symptoms.
https://immattersacp.org/weekly/archives/2021/03/02/4.htm
2 Mar 2021
Prescription, OTC drugs compared for insomnia
A systematic review and meta-analysis found that eszopiclone and lemborexant were effective, but eszopiclone might cause substantial adverse events and safety data on lemborexant were inconclusive.
https://immattersacp.org/weekly/archives/2022/07/26/1.htm
26 Jul 2022
MKSAP Quiz: 2-month history of a burning sensation
A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 2020
ACP's Performance Measurement Committee review has led to changes in quality measures
Of 30 quality measures that the committee found invalid in an assessment of the 2017 Merit-Based Incentive Payment System (MIPS), 12 are either already removed or scheduled for removal.
https://immattersacp.org/weekly/archives/2020/10/27/5.htm
27 Oct 2020
Inhaled bronchodilators may not improve respiratory symptoms in tobacco-smoking patients with preserved lung function
A randomized controlled trial in patients with at least a 10 pack-year smoking history and respiratory symptoms but normal spirometry results found no difference in symptoms over 12 weeks between those who received indacaterol plus glycopyrrolate twice daily or placebo.
https://immattersacp.org/weekly/archives/2022/09/13/1.htm
13 Sep 2022
Calling attention to adult ADHD
Missing an adult diagnosis of attention deficit hyperactivity disorder (ADHD) means patients also miss out on effective, often life-changing treatment.
https://immattersacp.org/archives/2023/04/calling-attention-to-adult-adhd.htm
1 Apr 2023
MKSAP Quiz: 1-year history of insomnia
An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023
New modalities may extend treatment for insomnia
While cognitive behavioral therapy has been proven effective for insomnia, and there are new delivery models to accommodate patients, comparative efficacy of online versus therapist-led treatment is uncertain.
https://immattersacp.org/archives/2020/11/new-modalities-may-extend-treatment-for-insomnia.htm
1 Nov 2020