Firearm-related injuries and deaths in Ontario, Canada, 2002-2016: a population-based study.
We describe the burden, baseline characteristics and regional rates of firearm-related injury and death in Ontario. METHODS: We conducted a population-based cross-sectional study using linked data from health administrative data sets held at ICES. We identified residents of Ontario of all ages who were injured or died as a result of a firearm discharge between Apr. 1, 2002, and Dec. 31, 2016. We included injuries classified as assault, unintentional, self-harm or undetermined intent secondary to handguns, rifles, shotguns and larger firearms. The primary outcome was the incidence of nonfatal and fatal injuries resulti...
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Gomez D, Saunders N, Greene B, Santiago R, Ahmed N, Baxter NN Tags: CMAJ Source Type: research

Spinal cord stimulation: a nonopioid alternative for chronic pain management.
PMID: 33077521 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Hong A, Varshney V, Hare GMT, Mazer CD Tags: CMAJ Source Type: research

Acute generalized exanthematous pustulosis.
PMID: 33077522 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Cleminson K, Cunningham N Tags: CMAJ Source Type: research

Recognizing and addressing implicit gender bias in medicine.
PMID: 33077523 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Hui K, Sukhera J, Vigod S, Taylor VH, Zaheer J Tags: CMAJ Source Type: research

Erythrocytosis induced by sodium-glucose cotransporter-2 inhibitors.
PMID: 33077524 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Chin-Yee B, Solh Z, Hsia C Tags: CMAJ Source Type: research

Let's talk about the "S" word.
Let's talk about the "S" word. CMAJ. 2020 Oct 19;192(42):E1272-E1273 Authors: Warren V PMID: 33077525 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Warren V Tags: CMAJ Source Type: research

Public health experts are learning from Canada's anti-mask protests.
PMID: 33077526 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Hapuhennedige S Tags: CMAJ Source Type: research

Mod élisation mathématique de la transmission de la COVID-19 et stratégies d’atténuation des risques dans la population ontarienne au Canada.
Modélisation mathématique de la transmission de la COVID-19 et stratégies d’atténuation des risques dans la population ontarienne au Canada. CMAJ. 2020 Oct 19;192(42):E1276-E1285 Authors: Tuite AR, Fisman DN, Greer AL PMID: 33077527 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Tuite AR, Fisman DN, Greer AL Tags: CMAJ Source Type: research

TDM thoracique d ’un des premiers cas canadiens de COVID-19 chez un homme de 28 ans.
TDM thoracique d’un des premiers cas canadiens de COVID-19 chez un homme de 28 ans. CMAJ. 2020 Oct 19;192(42):E1286-E1287 Authors: Singh N, Fratesi J PMID: 33077528 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Singh N, Fratesi J Tags: CMAJ Source Type: research

Soins palliatifs en temps de pand émie: au-delà des respirateurs et des vies à sauver.
Soins palliatifs en temps de pandémie: au-delà des respirateurs et des vies à sauver. CMAJ. 2020 Oct 19;192(42):E1288-E1293 Authors: Arya A, Buchman S, Gagnon B, Downar J PMID: 33077529 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Arya A, Buchman S, Gagnon B, Downar J Tags: CMAJ Source Type: research

Éloignement social pour lutter contre la COVID-19: nous sommes tous en première ligne.
Éloignement social pour lutter contre la COVID-19: nous sommes tous en première ligne. CMAJ. 2020 Oct 19;192(42):E1294-E1295 Authors: Patrick K, Stanbrook MB, Laupacis A PMID: 33077530 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Patrick K, Stanbrook MB, Laupacis A Tags: CMAJ Source Type: research

G énérer des données d’essais randomisés pour optimiser le traitement à l’ère de la pandémie de COVID-19.
Générer des données d’essais randomisés pour optimiser le traitement à l’ère de la pandémie de COVID-19. CMAJ. 2020 Oct 19;192(42):E1296-E1298 Authors: Cheng MP, Lee TC, Tan DHS, Murthy S PMID: 33077531 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 19, 2020 Category: General Medicine Authors: Cheng MP, Lee TC, Tan DHS, Murthy S Tags: CMAJ Source Type: research

Benefit of hospital admission for detecting serious adverse events among emergency department patients with syncope: a propensity-score-matched analysis of a multicentre prospective cohort.
Abstract BACKGROUND: The benefit of hospital admission after emergency department evaluation for syncope is unclear. We sought to determine the association between hospital admission and detection of serious adverse events, and whether this varied according to the Canadian Syncope Risk Score (CSRS). METHODS: We conducted a secondary analysis of a multicentre prospective cohort of patients assessed in the emergency department for syncope. We compared patients admitted to hospital and discharged patients, using propensity scores to match 1:1 for risk of a serious adverse event. The primary outcome was detection...
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Krishnan RJ, Mukarram M, Ghaedi B, Sivilotti MLA, Le Sage N, Yan JW, Huang P, Hegdekar M, Mercier E, Nemnom MJ, Calder LA, McRae AD, Rowe BH, Wells GA, Thiruganasambandamoorthy V Tags: CMAJ Source Type: research

Undetectable measured serum bicarbonate associated with hypertriglyceridemia-induced pancreatitis.
PMID: 33051315 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Veltri NL, Chan M, Awad S Tags: CMAJ Source Type: research

Thalassemia.
PMID: 33051316 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Merkeley H, Bolster L Tags: CMAJ Source Type: research

Fundal intramural ectopic pregnancy.
PMID: 33051317 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Chaikof M, Hobson S, Sobel M Tags: CMAJ Source Type: research

Nurse anesthesiologists.
PMID: 33051318 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Bland R Tags: CMAJ Source Type: research

The authors respond to "Nurse anesthesiologists".
The authors respond to "Nurse anesthesiologists". CMAJ. 2020 Oct 13;192(41):E1215 Authors: Orser BA, Wilson CR PMID: 33051319 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Orser BA, Wilson CR Tags: CMAJ Source Type: research

Anesthesia assistants - a failed solution since 2005.
PMID: 33051320 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Booth J Tags: CMAJ Source Type: research

The tobacco reliquary.
Authors: PMID: 33051321 [PubMed] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Tags: CMAJ Source Type: research

Reimagining safety in a pandemic: the imperative to dismantle structural oppression in Canada.
PMID: 33051322 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Khare N, Shroff F, Nkennor B, Mukhopadhyay B Tags: CMAJ Source Type: research

Review uncovers fatal flaws in long-term care infection control.
PMID: 33051323 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Eggertson L Tags: CMAJ Source Type: research

Record gift to University of Toronto faculty of medicine supports AI, equity.
PMID: 33051324 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Lignes directrices de pratique clinique pour les personnes sans-abri, log ées précairement, ou ayant connu l’itinérance.
Lignes directrices de pratique clinique pour les personnes sans-abri, logées précairement, ou ayant connu l’itinérance. CMAJ. 2020 Oct 13;192(41):E1225-E1241 Authors: Pottie K, Kendall CE, Aubry T, Magwood O, Andermann A, Salvalaggio G, Ponka D, Bloch G, Brcic V, Agbata E, Thavorn K, Hannigan T, Bond A, Crouse S, Goel R, Shoemaker E, Wang JZJ, Mott S, Kaur H, Mathew C, Hashmi SS, Saad A, Piggott T, Arya N, Kozloff N, Beder M, Guenter D, Muckle W, Hwang S, Stergiopoulos V, Tugwell P PMID: 33051325 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Pottie K, Kendall CE, Aubry T, Magwood O, Andermann A, Salvalaggio G, Ponka D, Bloch G, Brcic V, Agbata E, Thavorn K, Hannigan T, Bond A, Crouse S, Goel R, Shoemaker E, Wang JZJ, Mott S, Kaur H, Mathew C, Hashmi SS, Saad A, Piggott T, Arya N, Kozloff N, B Tags: CMAJ Source Type: research

Consid érations pour la prise en charge sécuritaire d’une infection au SRAS-CoV-2 au moyen de chloroquine, d’hydroxychloroquine et d’azithromycine.
Considérations pour la prise en charge sécuritaire d’une infection au SRAS-CoV-2 au moyen de chloroquine, d’hydroxychloroquine et d’azithromycine. CMAJ. 2020 Oct 13;192(41):E1242-E1246 Authors: Juurlink DN PMID: 33051326 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Juurlink DN Tags: CMAJ Source Type: research

Quarantaine.
PMID: 33051327 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Coomes EA, Leis JA, Gold WL Tags: CMAJ Source Type: research

Travailler ensemble à contenir et gérer la COVID-19.
Travailler ensemble à contenir et gérer la COVID-19. CMAJ. 2020 Oct 13;192(41):E1248-E1249 Authors: Laupacis A PMID: 33051328 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Laupacis A Tags: CMAJ Source Type: research

Utilisation optimale de l ’assistance respiratoire extracorporelle durant la pandémie de COVID-19 : considérations pratiques en contexte canadien.
Utilisation optimale de l’assistance respiratoire extracorporelle durant la pandémie de COVID-19 : considérations pratiques en contexte canadien. CMAJ. 2020 Oct 13;192(41):E1250-E1252 Authors: Parhar KKS, Lequier L, Blackwood J, Zuege DJ, Singh G PMID: 33051329 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 13, 2020 Category: General Medicine Authors: Parhar KKS, Lequier L, Blackwood J, Zuege DJ, Singh G Tags: CMAJ Source Type: research

Temporal and spatial effect of air pollution on hospital admissions for myocardial infarction: a case-crossover study.
Abstract BACKGROUND: In studies showing associations between ambient air pollution and myocardial infarction (MI), data have been lacking on the inherent spatial variability of air pollution. The aim of this study was to determine whether the long-term spatial distribution of air pollution influences short-term temporal associations between air pollution and admission to hospital for MI. METHODS: We identified adults living in Calgary who were admitted to hospital for an MI between 2004 and 2012. We evaluated associations between short-term exposure to air pollution (ozone [O3], nitrogen dioxide [NO2], sulfur...
Source: cmaj - October 1, 2020 Category: General Medicine Authors: Liu X, Bertazzon S, Villeneuve PJ, Johnson M, Stieb D, Coward S, Tanyingoh D, Windsor JW, Underwood F, Hill MD, Rabi D, Ghali WA, Wilton SB, James MT, Graham M, McMurtry MS, Kaplan GG Tags: CMAJ Open Source Type: research

Heterogeneity in testing, diagnosis and outcome in SARS-CoV-2 infection across outbreak settings in the Greater Toronto Area, Canada: an observational study.
Abstract BACKGROUND: Congregate settings have been disproportionately affected by coronavirus disease 2019 (COVID-19). Our objective was to compare testing for, diagnosis of and death after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection across 3 settings (residents of long-term care homes, people living in shelters and the rest of the population). METHODS: We conducted a population-based prospective cohort study involving individuals tested for SARS-CoV-2 in the Greater Toronto Area between Jan. 23, 2020, and May 20, 2020. We sourced person-level data from COVID-19 surveillance and rep...
Source: cmaj - October 1, 2020 Category: General Medicine Authors: Wang L, Ma H, Yiu KCY, Calzavara A, Landsman D, Luong L, Chan AK, Kustra R, Kwong JC, Boily MC, Hwang S, Straus S, Baral SD, Mishra S Tags: CMAJ Open Source Type: research

Assessing the scalability of innovations in primary care: a cross-sectional study.
ute;garé F Abstract BACKGROUND: Canadian health funding currently prioritizes scaling up for evidence-based primary care innovations, but not all teams prepare for scaling up. We explored scalability assessment among primary care innovators in the province of Quebec to evaluate their preparedness for scaling up. METHODS: We performed a cross-sectional survey from Feb. 18 to Mar. 18, 2019. Eligible participants were 33 innovation teams selected for the 2019 Quebec College of Family Physicians' Symposium on Innovations. We conducted a Web-based survey in 2 sections: innovation characteristics and the Inn...
Source: cmaj - September 30, 2020 Category: General Medicine Authors: Ben Charif A, Zomahoun HTV, Massougbodji J, Khadhraoui L, Pilon MD, Boulanger E, Gogovor A, Campbell MJ, Poitras MÈ, Légaré F Tags: CMAJ Open Source Type: research

Working in a bubble: How can businesses reopen while limiting the risk of COVID-19 outbreaks?
PMID: 32998942 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - September 29, 2020 Category: General Medicine Authors: Shaw J, Day T, Malik N, Barber N, Wickenheiser H, Fisman DN, Bogoch I, Brownstein JI, Williamson T Tags: CMAJ Source Type: research

COVID-19 in long-term care homes in Ontario and British Columbia.
PMID: 32998943 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - September 29, 2020 Category: General Medicine Authors: Liu M, Maxwell CJ, Armstrong P, Schwandt M, Moser A, McGregor MJ, Bronskill SE, Dhalla IA Tags: CMAJ Source Type: research

Kidney injury associated with COVID-19.
PMID: 32928802 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Blum D, Meraz-Munoz A, Harel Z Tags: CMAJ Source Type: research

Rapidly enlarging scalp nodules in a 20-month-old child.
PMID: 32928803 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Ghazawi FM, Cheung K, Gavigan G Tags: CMAJ Source Type: research

Development of a framework for critical care resource allocation for the COVID-19 pandemic in Saskatchewan.
PMID: 32928804 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Valiani S, Terrett L, Gebhardt C, Prokopchuk-Gauk O, Isinger M Tags: CMAJ Source Type: research

Lyme carditis and neuroborreliosis.
PMID: 32928805 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Cormode EJ Tags: CMAJ Source Type: research

When the seizures wouldn't stop.
PMID: 32928806 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Taran S, Wilcox E Tags: CMAJ Source Type: research

How can Canada improve worsening wait times?
PMID: 32928807 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

What about the wait times Canada isn't tracking?
PMID: 32928808 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Marizel Reyes Evangelista.
PMID: 32928809 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 13, 2020 Category: General Medicine Authors: Marwaha S Tags: CMAJ Source Type: research

Pediatric inflammatory multisystem syndrome temporally associated with COVID-19: a spectrum of diseases with many names.
PMID: 32907819 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - September 8, 2020 Category: General Medicine Authors: Tam H, El Tal T, Go E, Yeung RSM Tags: CMAJ Source Type: research

Active testing of groups at increased risk of acquiring SARS-CoV-2 in Canada: costs and human resource needs.
Abstract BACKGROUND: Testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is largely passive, which impedes epidemic control. We defined active testing strategies for SARS-CoV-2 using reverse transcription polymerase chain reaction (RT-PCR) for groups at increased risk of acquiring SARS-CoV-2 in all Canadian provinces. METHODS: We identified 5 groups who should be prioritized for active RT-PCR testing: contacts of people who are positive for SARS-CoV-2, and 4 at-risk populations - hospital employees, community health care workers and people in long-term care facilities, essential business ...
Source: cmaj - September 8, 2020 Category: General Medicine Authors: Campbell JR, Uppal A, Oxlade O, Fregonese F, Bastos ML, Lan Z, Law S, Oh CE, Russell WA, Sulis G, Winters N, Yanes-Lane M, Brisson M, Laszlo S, Evans TG, Menzies D Tags: CMAJ Source Type: research

Aggressively find, test, trace and isolate to beat COVID-19.
PMID: 32907821 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - September 8, 2020 Category: General Medicine Authors: Matukas LM, Dhalla IA, Laupacis A Tags: CMAJ Source Type: research

Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study.
Abstract BACKGROUND: To mitigate the effects of coronavirus disease 2019 (COVID-19), jurisdictions worldwide ramped down nonemergent surgeries, creating a global surgical backlog. We sought to estimate the size of the nonemergent surgical backlog during COVID-19 in Ontario, Canada, and the time and resources required to clear the backlog. METHODS: We used 6 Ontario or Canadian population administrative sources to obtain data covering part or all of the period between Jan. 1, 2017, and June 13, 2020, on historical volumes and operating room throughput distributions by surgery type and region, and lengths of st...
Source: cmaj - August 31, 2020 Category: General Medicine Authors: Wang J, Vahid S, Eberg M, Milroy S, Milkovich J, Wright FC, Hunter A, Kalladeen R, Zanchetta C, Wijeysundera HC, Irish J Tags: CMAJ Source Type: research

Prioritizing specialized children's surgery in Canada during the COVID-19 pandemic.
PMID: 32873542 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - August 31, 2020 Category: General Medicine Authors: Skarsgard ED, Pediatric Surgical Chiefs of Canada Tags: CMAJ Source Type: research

International variation in dialysis discontinuation in patients with advanced kidney disease.
We examined international variation in the uptake of conservative approaches to the care of patients with advanced kidney disease, in particular discontinuation of dialysis. METHODS: We employed an observational cohort study design using data collected from patients maintained on long-term hemodialysis between 1996 and 2015 in facilities across 12 developed countries participating in the Dialysis Outcomes and Practice Patterns Study (DOPPS). The main outcome was discontinuation of dialysis therapy. We analyzed the association between several patient characteristics and time to dialysis discontinuation by country and p...
Source: cmaj - August 30, 2020 Category: General Medicine Authors: Jassal SV, Larkina M, Jager KJ, Murtagh FEM, O'Hare AM, Hanafusa N, Morgenstern H, Port FK, McCullough K, Pisoni R, Tentori F, Perlman R, Swartz RD Tags: CMAJ Source Type: research

Update on fertility preservation for younger women with breast cancer.
PMID: 32868272 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 30, 2020 Category: General Medicine Authors: Warner E, Glass K, Foong S, Sandwith E Tags: CMAJ Source Type: research

Herpetic whitlow in a 39-year-old woman.
PMID: 32868273 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 30, 2020 Category: General Medicine Authors: Ismail A, Gold WL Tags: CMAJ Source Type: research

Closing the gender pay gap in Canadian medicine.
PMID: 32868274 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 30, 2020 Category: General Medicine Authors: Cohen M, Kiran T Tags: CMAJ Source Type: research