Response to "Data limitations may affect conclusions in study of vaginal delivery at midpelvic station".
Response to "Data limitations may affect conclusions in study of vaginal delivery at midpelvic station". CMAJ. 2017 Oct 30;189(43):E1344-E1345 Authors: Muraca GM, Skoll A, Lisonkova S, Sabr Y, Brant R, Cundiff GW, Joseph KS PMID: 29084763 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 30, 2017 Category: General Medicine Authors: Muraca GM, Skoll A, Lisonkova S, Sabr Y, Brant R, Cundiff GW, Joseph KS Tags: CMAJ Source Type: research

Researcher dedicated to tumour-suppressing genes.
PMID: 29084764 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 30, 2017 Category: General Medicine Authors: Ahuja CS Tags: CMAJ Source Type: research

England, US report sepsis successes.
PMID: 29084765 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 30, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

cmaj; +126 new citations
126 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: cmaj These pubmed results were generated on 2017/10/18PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites. (Source: cmaj)
Source: cmaj - October 18, 2017 Category: General Medicine Tags: Report Source Type: research

Use of hospital-related health care among Health Links enrollees in the Central Ontario health region: a propensity-matched difference-in-differences study.
Abstract BACKGROUND: Health Links are a new model of providing care coordination for high-cost, high-needs patients in Ontario. We evaluated use of hospital-related health care services among Health Links patients in the Central Local Health Integration Network (LHIN) of Ontario in the year before versus after program enrolment and compared rates of use with those among similar patients with complex needs not enrolled in the program (comparator group). METHODS: We identified all patients who received a Health Links coordinated care plan before Jan. 1, 2015, using linked registry and health administrative data...
Source: cmaj - October 12, 2017 Category: General Medicine Authors: Mondor L, Walker K, Bai YQ, Wodchis WP Tags: CMAJ Open Source Type: research

Reviving a national prevention agenda is key to sustainability of health care in Canada.
PMID: 29018083 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Strang R, Kendall P, Corriveau A, provincial/territorial chief medical officers of health with the exception of Quebec Tags: CMAJ Source Type: research

Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children: a randomized controlled trial.
Abstract BACKGROUND: Oral morphine for postoperative pain after minor pediatric surgery, while increasingly popular, is not supported by evidence. We evaluated whether oral morphine was superior to ibuprofen for at-home management of children's postoperative pain. METHODS: We conducted a randomized superiority trial comparing oral morphine (0.5 mg/kg) with ibuprofen (10 mg/kg) in children 5 to 17 years of age who had undergone minor outpatient orthopedic surgery (June 2013 to September 2016). Participants took up to 8 doses of the intervention drug every 6 hours as needed for pain at home. The primary outcome...
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Poonai N, Datoo N, Ali S, Cashin M, Drendel AL, Zhu R, Lepore N, Greff M, Rieder M, Bartley D Tags: CMAJ Source Type: research

Evaluating the effects of Quebec's private-public drug insurance system.
PMID: 29018085 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Morgan SG, Gagnon MA, Charbonneau M, Vadeboncoeur A Tags: CMAJ Source Type: research

Bitot spot: early marker for avoidable blindness.
PMID: 29018086 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Madan S, Beri S Tags: CMAJ Source Type: research

Natural health products are subjected to rigorous process prior to market.
PMID: 29018087 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Laidlaw M Tags: CMAJ Source Type: research

Natural health products, complementary and alternative medicine, and Health Canada.
PMID: 29018088 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Wong HCG Tags: CMAJ Source Type: research

Hundreds of doctors support controversial tax reforms.
PMID: 29018089 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Medical-legal concerns over prescribing opioids on the rise.
PMID: 29018090 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Sepsis kills one million newborns a year: WHO.
PMID: 29018091 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 10, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Relation between family physician retention and avoidable hospital admission in Newfoundland and Labrador: a population-based cross-sectional study.
Abstract BACKGROUND: Physician turnover, involving physicians' leaving clinical practice in a specific area, may disrupt continuity of care, leading to poorer health outcomes and greater use of health care services. The purpose of this study was to investigate the relation between family physician retention and avoidable hospital admission for ambulatory-care-sensitive conditions. METHODS: We conducted a population-based cross-sectional study using provincial health administrative data for residents of Newfoundland and Labrador who held a provincial health card between 2001 and 2009. Five-year family physicia...
Source: cmaj - October 6, 2017 Category: General Medicine Authors: Knight JC, Mathews M, Aubrey-Bassler K Tags: CMAJ Open Source Type: research

Self-reported versus health administrative data: implications for assessing chronic illness burden in populations. A cross-sectional study.
This study examined the agreement between self-reported and health administrative data. METHODS: A randomly selected cohort of participants aged 25-75 years recruited by telephone from the general population of Quebec reported on the presence of 1 or more chronic conditions from a candidate list of 12 conditions: diabetes, hypertension, thyroid disorder, any cardiac disease, cancer diagnosis in the previous 5 years (including melanoma but excluding other skin cancers), asthma, osteoarthritis, rheumatoid arthritis or lupus, osteoporosis, chronic obstructive pulmonary disease, intestinal disease and hypercholesterolemia...
Source: cmaj - September 25, 2017 Category: General Medicine Authors: Fortin M, Haggerty J, Sanche S, Almirall J Tags: CMAJ Open Source Type: research

Breast cancer survival by molecular subtype: a population-based analysis of cancer registry data.
Abstract BACKGROUND: The relation between breast cancer molecular subtype and survival has been studied in several jurisdictions, but limited information is available for Ontario. The aim of this study was to determine breast cancer survival by molecular subtype and to assess the effect on survival of selected demographic and tumour-based characteristics. METHODS: We extracted 29 833 breast cancer cases (in 26 538 girls and women aged ≥ 15 yr) diagnosed between 2010 and 2012 from the Ontario Cancer Registry. Cancers were categorized into 4 molecular subtypes: 1) luminal A (estrogen-receptor-positive an...
Source: cmaj - September 25, 2017 Category: General Medicine Authors: Fallahpour S, Navaneelan T, De P, Borgo A Tags: CMAJ Open Source Type: research

Addressing the scandal of early death among people with schizophrenia.
PMID: 28923794 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Ward PB Tags: CMAJ Source Type: research

Trends in standardized mortality among individuals with schizophrenia, 1993-2012: a population-based, repeated cross-sectional study.
We examined mortality time trends and premature mortality among individuals with and without schizophrenia over a 20-year period. METHODS: In this population-based, repeated cross-sectional study, we identified all individual deaths that occurred in Ontario between 1993 and 2012 in persons aged 15 and over. We plotted overall and cause-specific age- and sex-standardized mortality rates (ASMRs), stratified all-cause ASMR trends by sociodemographic characteristics, and analyzed premature mortality using years of potential life lost. Additionally, we calculated mortality rate ratios (MRRs) using negative binomial regress...
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Gatov E, Rosella L, Chiu M, Kurdyak PA Tags: CMAJ Source Type: research

Rebound adrenal insufficiency after withdrawal of ritonavir in a 65-year-old man using inhaled budesonide.
PMID: 28923796 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Veilleux O, Lee TC, McDonald EG Tags: CMAJ Source Type: research

Take-home naloxone.
PMID: 28923797 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Kumar T, Rosenberg H Tags: CMAJ Source Type: research

Contact dermatitis caused by methacrylates in nail products.
PMID: 28923798 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: DeKoven S, Holness DL Tags: CMAJ Source Type: research

Role of regulators in safe prescribing of opioids.
PMID: 28923799 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Oetter HM Tags: CMAJ Source Type: research

Response to "Role of regulators in safe prescribing of opioids".
Response to "Role of regulators in safe prescribing of opioids". CMAJ. 2017 Sep 18;189(37):E1196 Authors: Furlan AD, Williamson OD PMID: 28923800 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Furlan AD, Williamson OD Tags: CMAJ Source Type: research

Sensible approaches to manage the current opioid crisis.
PMID: 28923801 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Desapriya E, Ratnaweera K Tags: CMAJ Source Type: research

Treating iron deficiency.
Authors: PMID: 28923802 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Tags: CMAJ Source Type: research

Combating antibiotic resistance: New drugs or alternative therapies?
PMID: 28923803 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Hrvatin V Tags: CMAJ Source Type: research

Cabinet shuffle brings "seismic shifts" to Indigenous affairs, health.
Cabinet shuffle brings "seismic shifts" to Indigenous affairs, health. CMAJ. 2017 Sep 18;189(37):E1200-E1201 Authors: Vogel L PMID: 28923804 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Overweight or overfat? Many Canadians are both.
PMID: 28923805 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 18, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

The relation between promotional spending on drugs and their therapeutic gain: a cohort analysis.
This study examines the most heavily promoted drugs and the therapeutic value of those drugs to help determine whether doctors should be using promotional material to inform themselves about drugs. METHODS: Lists were constructed of the 50 most heavily promoted drugs (amount of money spent on journal advertisements and visits by sales representatives) and the 50 top-selling drugs (by dollar value) for 2013, 2014 and 2015. Therapeutic gain was determined by examining ratings from the Patented Medicine Prices Review Board and the French drug bulletin Prescrire International and was categorized as major, moderate or litt...
Source: cmaj - September 13, 2017 Category: General Medicine Authors: Lexchin J Tags: CMAJ Open Source Type: research

Working hard but working differently: a qualitative study of the impact of generational change on rural health care.
Abstract BACKGROUND: There is limited literature evaluating generational change in the physician workforce and the adjustments required of practices, practitioners and the health care system as a whole. The purpose of this study was to explore rural practitioners' experiences of their current contexts relevant to recruitment and retention and to determine how practices are responding to changing aspirations of new practitioners. METHODS: We used qualitative methods. Participants were selected to ensure diversity of career stage. Semistructured interviews conducted with 39 physicians, 2 nurses and 1 practice a...
Source: cmaj - September 12, 2017 Category: General Medicine Authors: Snadden D, Kunzli MA Tags: CMAJ Open Source Type: research

Secondary prevention treatment after acute stroke in older South Asian, Chinese and other Canadians: a retrospective data analysis.
Abstract BACKGROUND: Little is known about whether there are differences in medication use between older patients of Chinese descent, those of South Asian descent and other Canadian patients after acute ischemic or primary intracerebral hemorrhagic stroke. The aim of this population-based study was to evaluate potential ethnic differences in secondary prevention pharmacotherapy after acute stroke. METHODS: Using health administrative data, we conducted a retrospective analysis of all patients aged 66 years or more admitted to hospital with acute stroke in Ontario (1997-2011) and British Columbia (1997-2009). ...
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Khan NA, McAlister FA, Pilote L, Palepu A, Quan H, Hill MD, Fang J, Kapral MK Tags: CMAJ Open Source Type: research

Accuracy and predictive value of incarcerated adults' accounts of their self-harm histories: findings froman Australian prospective data linkage study.
Abstract BACKGROUND: Self-harm is prevalent in prison populations and is a well-established risk factor for suicide. Researchers typically rely on self-report to measure self-harm, yet the accuracy and predictive value of self-report in prison populations is unclear. Using a large, representative sample of incarcerated men and women, we aimed to examine the level of agreement between self-reported self-harm history and historical medical records, and investigate the association between self-harm history and medically verified self-harm after release from prison. METHODS: During confidential interviews with 13...
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Borschmann R, Young JT, Moran P, Spittal MJ, Snow K, Mok K, Kinner SA Tags: CMAJ Open Source Type: research

Sepsis, one of CMAJ's four new areas of focus.
PMID: 28893873 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Kelsall D, Kissoon N Tags: CMAJ Source Type: research

The quadruple burden of sepsis.
PMID: 28893874 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Dugani S, Laxminarayan R, Kissoon N Tags: CMAJ Source Type: research

Duration of antiresorptive activity of zoledronate in postmenopausal women with osteopenia: a randomized, controlled multidose trial.
Abstract BACKGROUND: Intravenous zoledronate 5 mg annually reduces fracture risk, and 5 mg every 2 years prevents bone loss, but the optimal dosing regimens for these indications are uncertain. METHODS: We conducted a 3-year open-label extension of a 2-year randomized, placebo-controlled, double-blind study. Late postmenopausal women with osteopenia were assigned to receive a single baseline dose of 1 mg, 2.5 mg or 5 mg of zoledronate or placebo. The primary outcome was change in spine bone mineral density (BMD). Secondary outcomes were changes in hip BMD and serum markers of bone turnover. RESULTS: The ...
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Grey A, Bolland MJ, Horne A, Mihov B, Gamble G, Reid IR Tags: CMAJ Source Type: research

Recommendations on screening for abdominal aortic aneurysm in primary care.
PMID: 28893876 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Canadian Task Force on Preventive Health Care Tags: CMAJ Source Type: research

Superimposed lateralized exanthem in a 30-year-old woman.
ejo R PMID: 28893877 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Alcántara-Reifs CM, Salido-Vallejo R Tags: CMAJ Source Type: research

Canadian hepatitis C virus screening guideline: a disconnect between evidence and recommendations.
PMID: 28893878 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Haines A, Wong WWL, Krahn M Tags: CMAJ Source Type: research

Extrapolation warning.
PMID: 28893879 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Quinlan C Tags: CMAJ Source Type: research

How physicians can "flex their advocacy muscles".
How physicians can "flex their advocacy muscles". CMAJ. 2017 Sep 11;189(36):E1152 Authors: Collier R PMID: 28893880 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

CMA votes for review of medical liability system.
PMID: 28893881 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Harm reduction is about providing safety for patients.
PMID: 28893882 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

CMA's new mission and vision statements rankle some members.
PMID: 28893883 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Doctors and health funding must focus on most vulnerable: Philpott.
PMID: 28893884 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Physicians debate tax reforms at CMA annual meeting.
PMID: 28893885 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Doctors dissect medicine's bullying problem.
PMID: 28893886 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Doctors should buckle up for health reforms: Barrette.
PMID: 28893887 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Focus on patients, the rest will follow, says new CMA pres.
PMID: 28893888 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Lively debate on disability insurance for medical students at CMA meeting.
PMID: 28893889 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research