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Less Is More Collection - JAMA Network

JAMA Network

In this cohort study, preoperative medical consultation was not associated with a reduction but rather with an increase in adverse postoperative outcomes, suggesting a need for further refinement of target populations, processes, and interventions related to preoperative medical consultation. These findings highlight the need for further research and suggest that referral for preoperative medical consultation and subsequent testing should be carefully guided by individual-level consideration of ...

Less Is More Collection - JAMA Network

JAMA Network

Intensive blood pressure (BP) treatment is not recommended after the first 48 hours of hospitalization, defined as receipt of intravenous antihypertensives or oral classes not used before admission. A retrospective cohort study examined patients aged 65 years or older hospitalized for non-cardiovascular diagnoses and who experienced elevated blood pressure in the first 48 hours of hospitalization. Findings were consistent across subgroups stratified by age, frailty, pre-admission BP, early ...

Less Is More Collection - JAMA Network

JAMA Network

This cross-sectional study with a nested cohort between January 2009 and January 2022 in an integrated health system assessed asymptomatic patients older than 75 years who underwent screening colonoscopy in the outpatient setting. Reports with incomplete data, any indication other than screening, patients who had a colonoscopy within the previous 5 years, and patients with a personal history of inflammatory bowel disease or CRC were excluded.

NICE

NICE

People have the right to be involved in discussions and make informed decisions about their care. Evidence from multiple and different reviews (3) suggests that in terms of diagnosis, people over 16s have to be aware about the increased risk of cirrhosis in people who have hepatitis B or C virus infection, misuse alcohol, are living with obesity or have type 2 diabetes. In addition to discuss with the individual the accuracy, limitations and risks of different diagnostic tests, as well as the ...

NICE

NICE

Chronic subdural hematoma is formed by the pathological accumulation of blood in the subdural space after an acute process or several days. Its treatment will depend on the severity of the accompanying symptoms, being more conservative in asymptomatic patients and more aggressive in patients with severe symptoms. Middle meningeal artery embolization is a procedure to treat blood buildup by eliminating the blood supply from the artery itself to the membrane surrounding the hematoma, in order to ...