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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Evidence Aid

Law enforcement workers (police, military) are subjected to stress at work, which increases the risk of psychological disorders (as anxiety, depression, sleep problems, cynicism, anger, post-traumatic stress disorder, marital problems, and distress), especially in case of disaster or emergency situations. The evidence was found thanks to randomized clinical trials and quasi-experimental studies, and it was considered an uncertain evidence.

Less Is More Collection - JAMA Network

JAMA Network

Prostate cancer screening instruments frequently result in men undergoing prostate biopsies that find either clinically insignificant cancer or no cancer. A polygenic risk score measures the burden of risk-associated single-nucleotide polymorphisms that an individual carries, and there is interest in using these scores to improve risk prediction for prostate cancer. Although polygenic risk scores have been associated with prevalent and incident disease, prior studies have shown that they do not ...

Less Is More Collection - JAMA Network

JAMA Network

Coronary heart disease screening is a cornerstone of kidney transplant evaluation and, to our knowledge, is recommended by every guideline to date. Testing, either noninvasive or invasive, in asymptomatic patients awaiting kidney transplant is prevalent in practice. High rates of testing have persisted despite multiple large randomized clinical trials published during the 2000s that argued against coronary heart disease screening in asymptomatic patients. Proponents of screening contend that ...

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ®: Things we do for no reason

The "Things We Do for No ReasonTM (TWDFNR)” series reviews practices, which have become common parts of hospital care, may provide little value to our patients. Practices reviewed in the TWDFNR series do not represent “black and white” conclusions or clinical practice standards, but are meant as a starting place for research and active discussions among hospitalists and patients

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ®: Things we do for no reason

It is recommended to evaluate the exacerbation of inflammatory bowel disease in patients with a known history when presenting to the hospital for rectal bleeding or hematochezia. It is also recommended to evaluate risk factors that predispose the patient to an excessive risk of major bleeding during hospitalization. In the absence of risk factors for major bleeding, it is recommended that prophylactic medications be prescribed for all hospitalized patients with flares of inflammatory bowel ...