Canadian hospitals not doing enough to prevent opioid theft.
PMID: 31015354 [PubMed - in process] (Source: cmaj)
Source: cmaj - April 23, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Polite patients receive better care but "incivility in clinics and hospitals is rampant".
Polite patients receive better care but "incivility in clinics and hospitals is rampant". CMAJ. 2019 Apr 23;191(16):E457 Authors: Vogel L PMID: 31015355 [PubMed - in process] (Source: cmaj)
Source: cmaj - April 23, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Intensifying Ebola treatment in Africa to reduce high mortality rate.
PMID: 31015356 [PubMed - in process] (Source: cmaj)
Source: cmaj - April 23, 2019 Category: General Medicine Authors: Shuchman M Tags: CMAJ Source Type: research

Cervical cancer screening among women living with HIV: a cross-sectional study using the baseline questionnaire data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS).
Abstract BACKGROUND: Cisgender women with HIV experience an elevated risk of cervical cancer compared with HIV-negative women, but this cancer can be prevented through regular cervical cancer screening. Our study objective was to measure adherence to current national cervical cancer screening guidelines among women with HIV in 3 Canadian provinces and identify factors associated with delays. METHODS: We conducted a cross-sectional study using the baseline questionnaire of the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Participants were recruited through clinics, peers and commu...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: de Pokomandy A, Burchell AN, Salters K, Ding E, O'Brien N, Bakombo DM, Proulx-Boucher K, Boucoiran I, Pick N, Ogilvie G, Loutfy M, Kaida A, CHIWOS Research Team Tags: CMAJ Open Source Type: research

Postpartum self-inflicted injury, suicide, assault and homicide in relation to immigrant status in Ontario: a retrospective population-based cohort study.
Abstract BACKGROUND: Intentional injury, including suicide and assault, is a leading cause of maternal morbidity and mortality. We aimed to determine whether immigrant and nonimmigrant women differ in their 1-year risk of intentional injury after birth. METHODS: This population-based retrospective cohort study used administrative data from Ontario from 2002 to 2012. Risk of self-inflicted injury (self-harm or suicide), and injury inflicted by others (assault or homicide), were each analyzed within 1 year after delivery of a live-born infant for immigrant and nonimmigrant mothers. Relative risks (RRs) were adj...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: Vigod SN, Arora S, Urquia ML, Dennis CL, Fung K, Grigoriadis S, Ray JG Tags: CMAJ Open Source Type: research

Retention in care and mortality trends among patients receiving comprehensive care for HIV infection: a retrospective cohort study.
Abstract BACKGROUND: Studies examining the relation between comprehensive care and health outcomes associated with comorbidities unrelated to HIV infection have focused mainly on the health outcomes of HIV-infected people and comorbid substance use disorders. We aimed to assess the impact of retention in comprehensive HIV infection care on overall, AIDS-related and non-AIDS-related mortality. METHODS: Using a retrospective cohort design, we collected data for HIV-infected patients aged 19 years or more who first visited a comprehensive HIV infection clinic in Vancouver between Jan. 1, 2004, and Dec. 31, 2014....
Source: cmaj - April 1, 2019 Category: General Medicine Authors: Ulloa AC, Puskas C, Yip B, Zhang W, Stanley C, Stone S, Pedromingo M, Lima VD, Montaner JSG, Guillemi S, Barrios R Tags: CMAJ Open Source Type: research

Information needs of francophone health care professionals and the public with regard to medical assistance in dying in Quebec: a qualitative study.
The objective of this study was to explore the information needs of health care professionals and members of the public regarding MAiD. METHODS: This was a qualitative study involving a 1-day face-to-face forum followed by a 3-week online forum across the province of Quebec conducted in June 2016. French-speaking participants targeted for the study included members of the public (citizens, patients and caregivers) and health care professionals. Participants were recruited through calls for applications to a patient partner network and via social media, and through mailing lists of partner professional and community or...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: Boivin A, Gauvin FP, Garnon G, Gancia A, Rouly G, Marcoux I, Lehoux P Tags: CMAJ Open Source Type: research

Impact of comprehensive hospice palliative care on end-of-life care: a propensity-score-matched retrospective observational study.
Abstract BACKGROUND: Access to hospice palliative care may improve quality of life, reduce the use of potentially aggressive end-of-life care and allow for death to occur outside of an acute care hospital. The aim of this study was to examine the impact of an ambulatory hospice palliative care program on end-of-life care compared to care received by a matched control group of deceased patients. METHODS: This retrospective study included patients who received hospice palliative care through the Symptom Management Program in Sudbury, Ontario, during 2012-2015. Using linked administrative health records, we defi...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: Conlon MSC, Caswell JM, Knight A, Ballantyne B, Santi SA, Meigs ML, Earle CC, Hartman M Tags: CMAJ Open Source Type: research

Canadians' views on the use of routinely collected data in health research: a patient-oriented cross-sectional survey.
Abstract BACKGROUND: Little is known about Canadians' knowledge of and level of support for using administrative and other large, routinely collected data for health research, despite the benefits of this type of research to patients, health care systems and society. We sought to benchmark the views of Canadian adults on this topic. METHODS: Researchers and patient leaders of 3 joint and skin disease organizations codeveloped a cross-sectional online survey that was conducted between January and August 2017. The patient partners were engaged as full partners. Recruitment was mainly through the organizations' ...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: McCormick N, Hamilton CB, Koehn CL, English K, Stordy A, Li LC Tags: CMAJ Open Source Type: research

Shared decision-making experienced by Canadians facing health care decisions: a Web-based survey.
We presented characteristics of participants and responses using descriptive statistics and explored variations across sociodemographic factors, jurisdictions, geographical areas and care settings (home care or not) using multivariate weighted regressions. RESULTS: Of the 1591 participants surveyed, 1010 (63.5%) reported receiving health care in the previous 12 months. The mean of the average shared decision-making score was 2.25/5 (standard deviation [SD] 1.16). After weighting, 42.8% of respondents reported that their health care professional often or always mentioned that they had a choice of treatment or care plan...
Source: cmaj - April 1, 2019 Category: General Medicine Authors: Haesebaert J, Adekpedjou R, Croteau J, Robitaille H, Légaré F Tags: CMAJ Open Source Type: research

Managing work-related mental health conditions in family medicine.
PMID: 30910879 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Kidd M Tags: CMAJ Source Type: research

Socioeconomic inequalities in psychological distress and suicidal behaviours among Indigenous peoples living off-reserve in Canada.
Abstract BACKGROUND: Indigenous peoples in Canada have high rates of psychological distress and suicide. We sought to assess the socioeconomic inequalities in psychological distress and suicidal behaviours, and the factors that explain them within Indigenous peoples living off-reserve. METHODS: Using the nationally representative 2012 Aboriginal Peoples Survey collected from Indigenous adults living off-reserve in Canada, we measured income-related inequalities in psychological distress (measured on the 10-item Kessler Psychological Distress Scale) and suicidal behaviours (suicidal ideation and suicide attemp...
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Hajizadeh M, Bombay A, Asada Y Tags: CMAJ Source Type: research

Opioid-associated amnestic syndrome observed with fentanyl patch use.
PMID: 30910881 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Taylor RG, Budhram A, Lee DH, Mirsattari SM Tags: CMAJ Source Type: research

Dermatomyositis.
PMID: 30910882 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Chu LL, Rohekar G Tags: CMAJ Source Type: research

Bringing family medicine into the modern age.
PMID: 30910883 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Bouchard B Tags: CMAJ Source Type: research

A teaching counterpoint in response to "Whom should we really call a 'doctor'?"
A teaching counterpoint in response to "Whom should we really call a 'doctor'?" CMAJ. 2019 Mar 25;191(12):E344 Authors: Sparshu SB PMID: 30910884 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Sparshu SB Tags: CMAJ Source Type: research

A 71-year-old woman with an asymptomatic postoperative troponin elevation.
Authors: PMID: 30910885 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Tags: CMAJ Source Type: research

Global physician groups call on profession to address environmental health threats.
PMID: 30910886 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Life expectancy grows with supply of primary care doctors.
PMID: 30910887 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Teens, vaccines and the age of consent.
PMID: 30910888 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 25, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Clinical practice guidelines and the overuse of health care services: need for reform.
PMID: 30885967 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Jatoi I, Sah S Tags: CMAJ Source Type: research

A disease-specific comorbidity index for predicting mortality in patients admitted to hospital with a cardiac condition.
Abstract BACKGROUND: Comorbidity indexes derived from administrative databases are essential tools of research in global health. We sought to develop and validate a novel cardiac-specific comorbidity index, and to compare its accuracy with the generic Charlson-Deyo and Elixhauser comorbidity indexes. METHODS: We derived the cardiac-specific comorbidity index from consecutive patients who were admitted to hospital at a tertiary-care cardiology hospital in Quebec. We used logistic regression analysis and incorporated age, sex and 22 clinically relevant comorbidities to build the index. We compared the cardiac-s...
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Azzalini L, Chabot-Blanchet M, Southern DA, Nozza A, Wilton SB, Graham MM, Gravel GM, Bluteau JP, Rouleau JL, Guertin MC, Jolicoeur EM Tags: CMAJ Source Type: research

The impact of pharmaceutical rebates on patients' drug expenditures.
PMID: 30885969 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Memedovich KA, Manns B, Beall R, Hollis A, Clement F Tags: CMAJ Source Type: research

High-dose influenza vaccination.
PMID: 30885970 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Dalcin D, Kwong JC Tags: CMAJ Source Type: research

Hydrofluoric acid burn.
PMID: 30885971 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Wang S, Dai G Tags: CMAJ Source Type: research

Consider the economic burden for patients.
PMID: 30885972 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Lofsky S Tags: CMAJ Source Type: research

Flawed arguments in this commentary.
PMID: 30885973 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Ross M Tags: CMAJ Source Type: research

Measles resurgence comes to Canada.
PMID: 30885974 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Brown C Tags: CMAJ Source Type: research

Time to embrace the promise of virtual health care.
PMID: 30885975 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Lougheed T Tags: CMAJ Source Type: research

Family medicine again dominates unfilled positions in residency match.
PMID: 30885976 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 18, 2019 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Testing for blinding in sham-controlled studies for procedural interventions: the third-party video method.
PMID: 30858182 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Gill J, Prasad V Tags: CMAJ Source Type: research

Nephrology consultation and mortality in people with stage 4 chronic kidney disease: a population-based study.
Abstract BACKGROUND: Guidelines recommend nephrology referral for people with advanced non-dialysis-dependent chronic kidney disease, based mostly on survival benefits seen in retrospective studies of dialysis patients, which may not be generalizable to the broader population with chronic kidney disease. We aimed to examine the association between outpatient nephrology consultation and survival in adults with stage 4 chronic kidney disease. METHODS: We linked population-based laboratory and administrative data from 2002 to 2014 in Alberta, Canada, on adults with stage 4 chronic kidney disease (sustained estim...
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Liu P, Quinn RR, Karim ME, Bello A, Tam-Tham H, Weaver R, Ronksley PE, Quan H, Strippoli GFM, Manns B, Hemmelgarn BR, Tonelli M, Ravani P Tags: CMAJ Source Type: research

Sepsis-induced heparin resistance during extracorporeal membrane oxygenation.
PMID: 30858184 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Hage A, Louzada M, Kiaii B Tags: CMAJ Source Type: research

Necrolytic migratory erythema.
PMID: 30858185 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Lee HJ, Jang YH Tags: CMAJ Source Type: research

Rigorous policies ensure integrity of NLM literature databases.
PMID: 30858186 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Topper L, Marill J, Kelly C, Funk K Tags: CMAJ Source Type: research

The authors respond to "Rigorous policies ensure integrity of NLM literature databases".
The authors respond to "Rigorous policies ensure integrity of NLM literature databases". CMAJ. 2019 Mar 11;191(10):E290 Authors: Manca A, Moher D, Cugusi L, Dvir Z, Deriu F PMID: 30858187 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Manca A, Moher D, Cugusi L, Dvir Z, Deriu F Tags: CMAJ Source Type: research

Medical students call for more education on climate change.
PMID: 30858188 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Development of vaccine that could save lives of children in the North at a standstill.
PMID: 30858189 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Shuchman M Tags: CMAJ Source Type: research

When people hear "doctor," most still picture a man.
When people hear "doctor," most still picture a man. CMAJ. 2019 Mar 11;191(10):E295-E296 Authors: Vogel L PMID: 30858190 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 11, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

We should care more about caregivers.
PMID: 30833490 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Stall N Tags: CMAJ Source Type: research

Effect of methylprednisolone on acute kidney injury in patients undergoing cardiac surgery with a cardiopulmonary bypass pump: a randomized controlled trial.
ck RP, SIRS Investigators Abstract BACKGROUND: Perioperative corticosteroid use may reduce acute kidney injury. We sought to test whether methylprednisolone reduces the risk of acute kidney injury after cardiac surgery. METHODS: We conducted a prespecified substudy of a randomized controlled trial involving patients undergoing cardiac surgery with cardiopulmonary bypass (2007-2014); patients were recruited from 79 centres in 18 countries. Eligibility criteria included a moderate-to-high risk of perioperative death based on a preoperative score of 6 or greater on the European System for Cardiac Operative Risk ...
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Garg AX, Chan MTV, Cuerden MS, Devereaux PJ, Abbasi SH, Hildebrand A, Lamontagne F, Lamy A, Noiseux N, Parikh CR, Perkovic V, Quantz M, Rochon A, Royse A, Sessler DI, Shah PJ, Sontrop JM, Tagarakis GI, Teoh KH, Vincent J, Walsh M, Yared JP, Yusuf S, Whitl Tags: CMAJ Source Type: research

A 60-year-old woman with recurrent cellulitis.
PMID: 30833492 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Vijh R, Shah R, Andany N Tags: CMAJ Source Type: research

Cutaneous Lichtenberg figures from lightning strike.
PMID: 30833493 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Mutter E, Langley A Tags: CMAJ Source Type: research

Opioid Wisely.
PMID: 30833494 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Herx L Tags: CMAJ Source Type: research

A recall of high-strength opioids would be harmful.
PMID: 30833495 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Strang RA Tags: CMAJ Source Type: research

Recalling high-strength opioid formulations would cause harm.
PMID: 30833496 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Wade K Tags: CMAJ Source Type: research

Muddling Health Canada's powers and diluting accountability.
PMID: 30833497 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Forward PM Tags: CMAJ Source Type: research

Medical leaders propose appointing wellness officers to address physician burnout.
PMID: 30833498 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Bringing back the doctors' lounge to help fight burnout.
PMID: 30833499 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Brown S Tags: CMAJ Source Type: research

Health workers demand health coverage for migrants.
PMID: 30833500 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 4, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research