Healthier doctors means healthier patients: CMA president-elect.
PMID: 28893890 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Health leaders must share the reins of reform: outgoing CMA pres.
PMID: 28893891 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

CMA must address physician burnout, pharmacare, say doctors.
PMID: 28893892 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Physicians support assisted death for mature minors, but not mental illness.
PMID: 28893893 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Fees for medical liability protection decrease in populous regions.
PMID: 28893894 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Temporal trends in the association between socioeconomic status and cancer survival in Ontario: a population-based retrospective study.
Abstract BACKGROUND: Cancer survival is known to be associated with socioeconomic status. The income gap between the richer and poorer segments of the population has widened over the last 20 years in Canada. The purpose of this study was to investigate temporal trends in disparities in cancer-specific survival related to socioeconomic status in Ontario. METHODS: There were 920 334 cancer cases between 1993 and 2009 in the Ontario Cancer Registry. We linked median household income from the Canadian census to the registry. We calculated 5-year cancer-specific survival rates for all cancers combined and for spec...
Source: cmaj - September 6, 2017 Category: General Medicine Authors: Dabbikeh A, Peng Y, Mackillop WJ, Booth CM, Zhang-Salomons J Tags: CMAJ Open Source Type: research

Human seroprevalence of Borrelia miyamotoi in Manitoba, Canada, in 2011-2014: a cross-sectional study.
Abstract BACKGROUND: Hard tick-borne relapsing fever caused by Borrelia miyamotoi has been reported in Russia, the Netherlands, Germany, Japan and the northeastern and upper midwestern United States. We sought to investigate the presence of B. miyamotoi infection in humans in Manitoba, Canada. METHODS: Two hundred fifty sera collected from residents of Manitoba with suspected Lyme disease between 2011 and 2014 were tested for Borrelia burgdorferi antibody using a C6 peptide enzyme-linked immunosorbent assay (ELISA) followed by Western blot. Residual sera were then anonymized, stored at -80°C and subsequen...
Source: cmaj - September 6, 2017 Category: General Medicine Authors: Kadkhoda K, Dumouchel C, Brancato J, Gretchen A, Krause PJ Tags: CMAJ Open Source Type: research

A cross-sectional population-based study of breast cancer screening among women with HIV in Ontario, Canada.
Abstract BACKGROUND: As women with HIV live longer, the need for age-appropriate breast cancer screening will increase. We compared rates of screening mammography among women with and without HIV. METHODS: We used administrative health databases to identify all women in Ontario, Canada, who were eligible for screening mammography (aged 50 to 74 yr and no history of breast cancer) as of Apr. 1, 2011. We used multivariable log-binomial regression to compare the 2-year period prevalence of screening mammography in 2011 to 2013 among women with and without HIV and to examine the correlates of screening among wome...
Source: cmaj - August 30, 2017 Category: General Medicine Authors: Kendall CE, Walmsley S, Lau C, Jembere N, Burchell AN, Loutfy M, Raboud J, Rosenes R, Rourke SB, Antoniou T Tags: CMAJ Open Source Type: research

New CMAJ policy on sharing study data.
PMID: 28847778 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Kelsall D Tags: CMAJ Source Type: research

It's time to allow assisted injection in supervised injection sites.
PMID: 28847779 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Gagnon M Tags: CMAJ Source Type: research

Perinatal suicide in Ontario, Canada: a 15-year population-based study.
We examined the epidemiology of and health service use related to suicides during pregnancy and the first postpartum year. METHODS: In this retrospective, population-based cohort study, we linked health administrative databases with coroner death records (1994-2008) for Ontario, Canada. We compared sociodemographic characteristics, clinical features and health service use in the 30 days and 1 year before death between women who died by suicide perinatally, women who died by suicide outside of the perinatal period and living perinatal women. RESULTS: The perinatal suicide rate was 2.58 per 100 000 live births, wit...
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Grigoriadis S, Wilton AS, Kurdyak PA, Rhodes AE, VonderPorten EH, Levitt A, Cheung A, Vigod SN Tags: CMAJ Source Type: research

Pediatric longitudinal melanonychia.
PMID: 28847781 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Burleigh A, Lam JM Tags: CMAJ Source Type: research

Beware selection bias.
PMID: 28847782 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Barrett JFR, Zaltz A, Geary M, Sermer M, Kingdom J Tags: CMAJ Source Type: research

The end of forceps deliveries?
PMID: 28847783 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Pairaudeau N Tags: CMAJ Source Type: research

The authors reply to "The end of forceps deliveries?" and "Beware selection bias".
The authors reply to "The end of forceps deliveries?" and "Beware selection bias". CMAJ. 2017 Aug 28;189(34):E1098 Authors: Muraca GM, Lisonkova S, Joseph KS, Skoll A, Cundiff GW, Brant R, Sabr Y PMID: 28847784 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Muraca GM, Lisonkova S, Joseph KS, Skoll A, Cundiff GW, Brant R, Sabr Y Tags: CMAJ Source Type: research

Medical cannabinoids.
Authors: PMID: 28847785 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Tags: CMAJ Source Type: research

Research Canada calls for public investment in health research.
PMID: 28847786 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Tackling Pharma corruption in Ukraine.
PMID: 28847787 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Colborne M Tags: CMAJ Source Type: research

Minors buy e-cigs online with ease. What about pot?
PMID: 28847788 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 28, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Screening for atrial fibrillation in Canadian pharmacies: an economic evaluation.
The objective of this study was to conduct an economic evaluation of the Program for the Identification of 'Actionable' Atrial Fibrillation in the Pharmacy Setting (PIAAF-Pharmacy), which screened 1145 participants aged 65 years or more at 30 community pharmacies in Ontario and Alberta between October 2014 and April 2015. METHODS: We used a 2-part decision model to evaluate the short- and long-term costs and quality-adjusted life-years (QALYs) of a pharmacy screening program for atrial fibrillation compared to no screening. Data from the PIAAF-Pharmacy study were used for the short-term model, and the relevant literat...
Source: cmaj - August 22, 2017 Category: General Medicine Authors: Tarride JE, Dolovich L, Blackhouse G, Guertin JR, Burke N, Manja V, Grinvalds A, Lim T, Healey JS, Sandhu RK Tags: CMAJ Open Source Type: research

Routinely collected data: the importance of high-quality diagnostic coding to research.
PMID: 28827435 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Nicholls SG, Langan SM, Benchimol EI Tags: CMAJ Source Type: research

Association between sedentary time and mortality across levels of frailty.
We examined whether the degree of frailty affects the association between sedentary behaviours and higher risk of mortality. METHODS: In this prospective cohort study, we used data from 3141 community-dwelling adults 50 years of age or older from the 2003/04 and 2005/06 cohorts of the US National Health and Nutrition Examination Survey. Time engaged in sedentary behaviours was measured using uniaxial accelerometers, and frailty was based on a 46-item frailty index. Mortality data were linked up to 2011. We used Cox proportional hazard models to estimate the hazard ratio (HR) of sedentary behaviour. RESULTS: We fo...
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Theou O, Blodgett JM, Godin J, Rockwood K Tags: CMAJ Source Type: research

Finding the right balance between precision medicine and personalized care.
PMID: 28827437 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: McAlister FA, Laupacis A, Armstrong PW Tags: CMAJ Source Type: research

Iatrogenic pulmonary air embolism.
PMID: 28827438 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Fernando SM, Munene PM, Pena E Tags: CMAJ Source Type: research

The utility and value of the "surprise question" for patients with serious illness.
The utility and value of the "surprise question" for patients with serious illness. CMAJ. 2017 Aug 21;189(33):E1072-E1073 Authors: Romo RD, Lynn J PMID: 28827439 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Romo RD, Lynn J Tags: CMAJ Source Type: research

The authors respond to "The utility and value of the 'surprise question' for patients with serious illness".
The authors respond to "The utility and value of the 'surprise question' for patients with serious illness". CMAJ. 2017 Aug 21;189(33):E1074 Authors: Downar J, Goldman R, Pinto R, Englesakis M, Adhikari N PMID: 28827440 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Downar J, Goldman R, Pinto R, Englesakis M, Adhikari N Tags: CMAJ Source Type: research

Growing use of integrated e-health systems.
PMID: 28827441 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Webster P Tags: CMAJ Source Type: research

Resignations raise questions about OMA finances.
PMID: 28827442 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

CMA adopts patient focus.
PMID: 28827443 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Reports of coerced sterilization of Indigenous women in Canada mirrors shameful past.
PMID: 28827444 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 21, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Coder perspectives on physician-related barriers to producing high-quality administrative data: a qualitative study.
Abstract BACKGROUND: Professional coding specialists ("coders") are experts at translating patient chart information into alphanumerical codes, which are then widely used in research and health policy decision-making. Coders rely solely on documentation by health care providers to complete this task. We aimed to explore physician-related barriers to coding that results in high-quality administrative data. METHODS: In a qualitative study conducted from December 2015 to March 2016, we recruited 28 coders who worked in health care facilities in Alberta using purposive and snowball sampling. Semistructu...
Source: cmaj - August 15, 2017 Category: General Medicine Authors: Tang KL, Lucyk K, Quan H Tags: CMAJ Open Source Type: research

Effects of the Fort McMurray wildfires on the health of evacuated workers: follow-up of 2 cohorts.
Abstract BACKGROUND: Wildfire engulfed Fort McMurray, Alberta on May 3, 2016, leading to a total evacuation. Access to 2 active cohorts allowed us to rapidly assess health effects in those evacuated. METHODS: People working in Fort McMurray who had been recruited before the fire for 2 occupational health cohort studies completed a questionnaire (online or via telephone) 3-26 weeks after evacuation. The questionnaire asked about respiratory and mental health and experiences since the fire. RESULTS: Of the 129 participants, 109 were in the Fort McMurray area on May 3. Thirty-seven (33.9%) of the participan...
Source: cmaj - August 15, 2017 Category: General Medicine Authors: Cherry N, Haynes W Tags: CMAJ Open Source Type: research

Predictive utility of swab screening for vancomycin-resistant Enterococcus in selection of empiric antibiotics for Enterococcus sterile-site infections: a retrospective cohort study.
Abstract BACKGROUND: Swab screening for vancomycin-resistant Enterococcus (VRE) is used to identify VRE carriers and thus prevent transmission of this organism. We tested whether screening results could have unintended benefits in predicting the vancomycin susceptibility of subsequent Enterococcus infections experienced by these patients. METHODS: We conducted a retrospective cohort study of all patients admitted to a large tertiary care hospital between 2010 and 2015 who underwent swab screening for VRE before experiencing an Enterococcus sterile-site infection. We derived test characteristics using the scre...
Source: cmaj - August 15, 2017 Category: General Medicine Authors: Brasg I, Elligsen M, MacFadden D, Daneman N Tags: CMAJ Open Source Type: research

Causes and consequences of gestational diabetes in South Asians living in Canada: results from a prospective cohort study.
Abstract BACKGROUND: The reasons for the increased risk of gestational diabetes among South Asian women are not well understood. We sought to identify the determinants of gestational diabetes and its impact on newborn health in a prospective birth cohort of South Asian women and their babies. METHODS: As part of the South Asian Birth Cohort (START) prospective birth cohort study in Ontario, we recruited 1012 South Asian women with singleton pregnancies in the second trimester of pregnancy between July 11, 2011, and Nov. 10, 2015. We collected health information and physical measurements and administered an or...
Source: cmaj - August 9, 2017 Category: General Medicine Authors: Anand SS, Gupta M, Teo KK, Schulze KM, Desai D, Abdalla N, Zulyniak M, de Souza R, Wahi G, Shaikh M, Beyene J, de Villa E, Morrison K, McDonald SD, Gerstein H, South Asian Birth Cohort (START) - Canada Investigators Tags: CMAJ Open Source Type: research

Canada needs a holistic First Nations health strategy.
PMID: 28790055 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Katz A, Enns J, Kinew KA Tags: CMAJ Source Type: research

Alcoholic versus aqueous chlorhexidine for skin antisepsis: the AVALANCHE trial.
Abstract BACKGROUND: Preoperative skin antisepsis is routine practice. We compared alcoholic chlorhexidine with aqueous chlorhexidine for skin antisepsis to prevent surgical site infection after minor skin excisions in general practice. METHODS: We conducted this prospective, multicentre, randomized controlled trial in 4 private general practices in North Queensland, Australia, from October 2015 to August 2016. Consecutive adult patients presenting for minor skin excisions were randomly assigned to undergo preoperative skin antisepsis with 0.5% chlorhexidine in 70% ethanol (intervention) or 0.5% chlorhexidine...
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Charles D, Heal CF, Delpachitra M, Wohlfahrt M, Kimber D, Sullivan J, Browning S, Saednia S, Hardy A, Banks J, Buttner P Tags: CMAJ Source Type: research

Bariatric surgery.
PMID: 28790057 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Rohailla S, Jackson TD, Fralick M Tags: CMAJ Source Type: research

Severe allergic contact dermatitis due to Polysporin.
PMID: 28790058 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Colantonio S, Kirshen C Tags: CMAJ Source Type: research

Maternal infection can cause spontaneous abortion.
PMID: 28790059 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Zipursky JS, Cressman A, Juurlink DN Tags: CMAJ Source Type: research

Response to: "Maternal infection can cause spontaneous abortion".
Response to: "Maternal infection can cause spontaneous abortion". CMAJ. 2017 Aug 08;189(31):E1022 Authors: Bérard A, Muanda FT, Sheehy O PMID: 28790060 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: BĂ©rard A, Muanda FT, Sheehy O Tags: CMAJ Source Type: research

Online pharmacy still open despite counterfeit allegations.
PMID: 28790061 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

New evidence of contaminants from fracking.
PMID: 28790062 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Hughes E Tags: CMAJ Source Type: research

Reactions to international health care rankings.
PMID: 28790063 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 8, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Outcomes associated with a pediatric clinical diabetes network in Ontario: a population-based time-trend analysis.
The objective of this study was to determine whether implementation of the network was associated with a decrease in the risk of acute diabetes-related complications and a reduction in the socioeconomic and geographic disparities in these outcomes. METHODS: We conducted a population-based time trend analysis of children (
Source: cmaj - July 24, 2017 Category: General Medicine Authors: Nakhla M, Rahme E, Simard M, Guttmann A Tags: CMAJ Open Source Type: research

Accuracy of administrative claims data for cerebral palsy diagnosis: a retrospective cohort study.
This study aimed to assess the accuracy of administrative claims data for the diagnosis of cerebral palsy. METHODS: We conducted a retrospective cohort study of children with cerebral palsy born between 1999 and 2002 within 6 health administrative regions of Quebec. Provincial cerebral palsy registry data (reference standard) and administrative physician claims were linked. We explored differences between true-positive and false-negative cases using subgroup sensitivity analysis. RESULTS: A total of 301 children were identified with confirmed cerebral palsy from the provincial registry, for an estimated prevalenc...
Source: cmaj - July 18, 2017 Category: General Medicine Authors: Oskoui M, Ng P, Dorais M, Pigeon N, Koclas L, Lamarre C, Malouin F, Richards CL, Shevell M, Joseph L Tags: CMAJ Open Source Type: research

Costs of services for homeless people with mental illness in 5 Canadian cities: a large prospective follow-up study.
Abstract BACKGROUND: Limited evidence on the costs of homelessness in Canada is available. We estimated the average annual costs, in total and by cost category, that homeless people with mental illness engender from the perspective of society. We also identified individual characteristics associated with higher costs. METHODS: As part of the At Home/Chez Soi trial of Housing First for homeless people with mental illness, 990 participants were assigned to the usual-treatment (control) group in 5 Canadian cities (Vancouver, Winnipeg, Toronto, Montréal and Moncton) between October 2009 and June 2011. They...
Source: cmaj - July 18, 2017 Category: General Medicine Authors: Latimer EA, Rabouin D, Cao Z, Ly A, Powell G, Aubry T, Distasio J, Hwang SW, Somers JM, Stergiopoulos V, Veldhuizen S, Moodie EEM, Lesage A, Goering PN, At Home/Chez Soi Investigators Tags: CMAJ Open Source Type: research

Caring for young carers in Canada.
PMID: 28716845 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 17, 2017 Category: General Medicine Authors: Chadi N, Stamatopoulos V Tags: CMAJ Source Type: research

Why support a separate medical access framework for cannabis?
PMID: 28716846 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 17, 2017 Category: General Medicine Authors: Cairns EA, Kelly MEM Tags: CMAJ Source Type: research

Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies.
Abstract BACKGROUND: Nonnutritive sweeteners, such as aspartame, sucralose and stevioside, are widely consumed, yet their long-term health impact is uncertain. We synthesized evidence from prospective studies to determine whether routine consumption of non-nutritive sweeteners was associated with long-term adverse cardiometabolic effects. METHODS: We searched MEDLINE, Embase and Cochrane Library (inception to January 2016) for randomized controlled trials (RCTs) that evaluated interventions for nonnutritive sweeteners and prospective cohort studies that reported on consumption of non-nutritive sweeteners amon...
Source: cmaj - July 17, 2017 Category: General Medicine Authors: Azad MB, Abou-Setta AM, Chauhan BF, Rabbani R, Lys J, Copstein L, Mann A, Jeyaraman MM, Reid AE, Fiander M, MacKay DS, McGavock J, Wicklow B, Zarychanski R Tags: CMAJ Source Type: research

Managing thyroid disease in women planning pregnancy.
PMID: 28716848 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 17, 2017 Category: General Medicine Authors: Yamamoto J, Donovan LE Tags: CMAJ Source Type: research