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The following articles are abstracted in the Mar/Apr 2004 issue of ACP Journal Club. The declarative title of each abstract as published in ACP Journal Club precedes the article citation.
THERAPEUTICS
▸ Review: Prophylactic acetylcysteine reduces contrast nephropathy in chronic renal insufficiency
▸ Review: Catechol O-methyl transferase inhibitors plus L-dopa and some surgical interventions improve Parkinson disease symptoms
▸ Review: More frequent compared with less frequent chest radiographic screening may increase lung cancer mortality
▸ Review: Prophylactic use of β-carotene may increase the risk for all-cause mortality and cardiovascular death
▸ High- and moderate-intensity warfarin regimens did not differ for preventing thrombosis in antiphospholipid antibody syndrome
▸ Review: Communication of individualized risk estimates improves uptake of screening procedures
▸ Perindopril reduced cardiac events in stable coronary artery disease
▸ Noninvasive ventilation reduced duration of mechanical ventilation and ICU stay more than conventional weaning
▸ Clarithromycin, lansoprazole, and metronidazole eradicated H. pylori infection in chronic renal insufficiency
▸ Conventional-intensity was more effective than low-intensity warfarin therapy for preventing recurrent venous thromboembolism
▸ Prolonged antithrombotic pretreatment increased risk for MI or death in unstable coronary syndromes
▸ Ethics consultation reduced hospital, ICU, and ventilation days for ICU patients who died before hospital discharge
▸ Dietary supplements containing red clover extracts were no better than placebo for hot flashes in menopause
PROGNOSIS
▸ Review: High initial pain intensity is associated with persisting symptoms after whiplash
▸ D-dimer levels < 250 ng/mL after oral anticoagulation predicted a low risk for recurrent venous thromboembolism
QUALITY IMPROVEMENT
▸ Review: Ordering medications by computer can reduce medication errors
CLINICAL PREDICTION GUIDE
▸ Platelet count/spleen diameter ratio predicted the presence of esophageal varices in liver cirrhosis