In the News

Task Force releases systematic review about diabetes screening

A systematic evidence review by the U.S. Preventive Services Task Force suggests that screening asymptomatic adults for elevated glucose levels could help delay progression to diabetes but has not been shown to improve mortality rates.

Guideline offers recommendations to prevent acute COPD exacerbations

An evidence-based guideline from the American College of Chest Physicians and Canadian Thoracic Society offers recommendations on preventing exacerbations in patients with chronic obstructive pulmonary disease (COPD).

MKSAP Quiz: managing hypertension in a pregnant patient

A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. She is at 16 weeks' gestation with her first pregnancy. Prior to conception she was taking lisinopril, which was discontinued in anticipation of the pregnancy, and labetalol was initiated. Other medications are insulin glargine, insulin lispro, and a prenatal vitamin. Following a physical exam and lab studies, what is the most appropriate step in the management of this patient's hypertension?

Lower-extremity revascularization appears to yield poor functional outcomes in nursing home residents

Most nursing home residents who undergo lower-extremity revascularization are unlikely to benefit from it, according to a new study.

Methotrexate may decrease rates of large-joint replacement in RA patients taking TNF inhibitors

Patients with rheumatoid arthritis (RA) treated with tumor necrosis factor (TNF) inhibitors may have lower rates of large-joint replacement when also taking methotrexate, a new study indicates.

High Value Care fellowship winners announced

ACP and ABIM Foundation in collaboration with the New York Academy of Medicine are pleased to announce that Nicole Van Groningen, MD, and Annmarie Vilkins, MD, were selected from a group of 82 high-quality applicants to become the first Choosing Wisely High Value Care in Action fellows for the 2015-2016 academic year.

And the winner is …

ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption.