Recent research that should influence practice

CHICAGO — Two speakers here reviewed what they believed were the top articles published in the Annals of Internal Medicine — research that reflects a diverse body of health issues and pharmacologic interventions.

Selected and presented at the ACP Internal Medicine Meeting by Christina C. Wee, MD, MPH, FACP, and Stephanie Chang, MD, who are both deputy editors of the Annals of Internal Medicine, some of the articles included guidelines developed by the ACP for the diagnosis and management of acute left-sided colonic diverticulitis, research on screening mammography beyond age 75 years, predicting end-stage kidney disease with eGFR, and comparative fracture risk during osteoporosis drug holidays.

Some of the research that they reviewed may be too new to change clinical practice, Wee told Healio. If there was any theme linking the articles, it would be an emphasis on individualized health care, she said.

Here is a selection of the research presented by Wee and Chang that Healio covered:

ACP releases inaugural guidelines for acute left-sided colonic diverticulitis

The ACP has released its first-ever guidelines for diagnosing, managing and preventing recurrence of acute left-sided colonic diverticulitis. Read more.

Adding new antihypertensive to current therapy may reduce BP more than maximizing dose

Adding a new medication to older adults’ antihypertension treatment regimen produced a slightly greater reduction in systolic BP than maximizing dosage, according to findings published in Annals of Internal Medicine. Read more.

Alcohol consumption raises odds of atrial fibrillation episode soon after in paroxysmal AF

In patients with paroxysmal atrial fibrillation, consumption of alcohol raises the risk for an atrial fibrillation event shortly thereafter, according to data presented at the American College of Cardiology Scientific Session. Read more.

Study shows survival benefits of smoking cessation after lung cancer diagnosis

Current smokers with early-stage lung cancer who quit smoking after their diagnosis had improved overall and progression-free survival rates, according to a prospective cohort study. Read more.

High-dose vitamin D does not prevent falls among older adults

Among older adults with an elevated fall risk and low serum 25-dydroxyvitamin D levels, daily vitamin D3 supplementation at doses of 1,000 IU did not prevent falls compared with a 200 IU dose, according to a randomized clinical trial. Read more.

Reference:

Wee CC, Change S. Annals of Internal Medicine: recent articles that should influence practice. Presented at: ACP Internal Medicine Meeting; April 28-30, 2022; Chicago.