Autore/Fonte: Journal of Clinical Gastroenterology
Linea guida sulla diagnosi e trattamento dell’Helicobacter pylori
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Febbraio 2023
Questo è quello che abbiamo trovato per te
Autore/Fonte: Journal of Clinical Gastroenterology
Peggio al Sud nonostante sia stato meno colpito da prima ondata
Autore/Fonte: AGA
Approvato il testo finale.Obiettivo migliorare accesso a terapie
Autore/Fonte: NICE
Approccio diverso da tumori; webinar Aisla il 28 febbraio
Autore/Fonte: ASCRS
Il progetto «La voce della cura» è l’ unico in Europa di questo tipo: basta inquadrare i QR Code sulle pareti del Day Hospital Oncologico, per accedere al podcast su Spotify e su tutte le piattaforme. L’audio-guida è suddiviso in 10 episodi da 20 minuti l’uno
Lancet pubblica studio di 7 Paesi,7mila pazienti.Ideato a Aviano
Stroke, Volume 54, Issue Suppl_1, Page ATP108-ATP108, February 1, 2023. Severe disability and critical illness due to stroke can be burdensome to patients, caregivers, and resource intensive, particularly in the elderly. Management of these patients is multifaceted and includes optimizing quality of life through palliative care (PC). PC in stroke patients can improve comfort while reducing overutilization of resources unlikely to prolong life or contribute meaningful quality. We investigated the impact of early PC involvement in disabled stroke patients, which we defined as NIH Stroke Score ≥ 5 and ICU admission. A screening program was implemented in 2019 at the Loyola University Medical Center for automatic PC consults in disabling stroke (ischemic or hemorrhagic) patients over age 70 or who require a ventilator. We hypothesized that early PC consultation via this protocol reduced resource consumption without compromising patient care. This pilot study gathered data prospectively for patients with a positive screen from 2020 to 2021 (“screening”, n=71), and retrospectively for those who met screening criteria in 2017 and 2018 prior to its application (“control”, n=193). Comparing the screening and control groups, there was no significant difference in age (75.9 ± 2.7 vs 72.1 ± 1.1, p >0.1), NIH stroke score (16.6 ± 0.5 vs 17.5 ± 0.9, p=0.2), stroke type (61% vs 69% ischemic, p >0.2), or proportion who expired (22% vs 18%, p=0.4). However, the screening group had more frequent code status change from full to DNR/DNI (42% versus 19%, p
In JAMA Internal Medicine, Peet and colleagues report remarkable trends in opioid and gabapentin prescribing patterns. Between 2006 and 2018, the total volume of opiate prescriptions initially rose, but began to plateau approximately 10 years ago before falling at the end of the observational period. In parallel, the number of gabapentin prescriptions increased 5-fold. Though the total volume of opioid prescriptions was stable before eventually falling, the number of episodes of overlapping gabapentin and opioid prescriptions more than tripled.
Nino Cartabellotta non ha dubbi sull’immediato effetto in Sanità della riforma dell’autonomia differenziata attesa questa settimana in consiglio dei ministri
Terapie personalizzate, più efficaci in base al tipo di malattia
A 13 anni da legge, poco diffuse e non pienamente applicate
Autore/Fonte: NICE
Difficoltà a garantire assistenza per mancanza di specialisti