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U.S. Preventive Services Task Force A and B recommendations

U S Preventive Services

To update its 2016 recommendation, the USPSTF commissioned a systematic review on the effectiveness of aspirin to reduce the risk of CVD events (myocardial infarction and stroke), cardiovascular mortality, and all-cause mortality in persons without a history of CVD. The systematic review also investigated the effect of aspirin use on CRC incidence and mortality in primary CVD prevention populations, as well as the harms, particularly bleeding harms, associated with aspirin use Evidence ...

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

Sociedad Catalana de Pediatría

In the child population, the majority of acute pharyngotonsillitis (AFT) are of viral origin, especially in younger children. Antibiotic treatment is only indicated when the microorganism involved is group A beta-hemolytic streptococcus (GABHS). When there is suspicion of FAA due to GABHS, the diagnosis must be confirmed by means of a rapid diagnostic test before prescribing the antibiotic. The evidence does not allow us to establish a definitive conclusion about the usefulness of the clinical ...

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

Generalitat de Catalunya

Two recent systematic reviews show that, in low-risk postmenopausal women, no better results are observed in terms of fragility fracture prevention when bisphosphonates are compared with placebo. Most clinical practice guidelines recommend reassessing the therapeutic indication in patients treated with bisphosphonates after 3 to 5 years, depending on whether they received zoledronate (3 years) or oral bisphosphonates (5 years). If the patient is considered low risk at that time, it is ...

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

Sociedad Catalana de Medicina Familiar y Comunitaria

n adults, most acute tonsillopharyngitis is viral in origin. Antibiotic treatment is only indicated when the microorganism involved is group A beta-hemolytic streptococcus (GABHS). When there is suspicion of tonsillopharyngitis due to GABHS, the diagnosis must be confirmed by means of a rapid diagnostic test before prescribing the antibiotic. There are clinical prediction scales based on signs and symptoms, such as the Centor, which are useful when selecting patients for rapid diagnostic ...

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

Essencial Salud

Although transfusions can save lives and are generally a safe practice, they are also associated with increased morbidity and mortality in hospitalized patients. The decision to indicate a transfusion should be based on the patient's clinical picture, and not only on the hemoglobin concentration. In 2012, the Joint Commission identified blood transfusion as one of the five most overused procedures. In general, studies also show that the population over 60 years of age is the one who receives ...