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[2016年普通内科更新:善意之举,可能带来不良后果]

[2016 Update in general internal medicine : Good intentions, possible bad outcomes].

作者信息

Zisimopoulou Sofia, Perivier Samuel, Gkoufa Kyriaki, Parrat David, Dos Santos Braganca Angel, Braillard Olivia, Guessous Idris

机构信息

Service de médecine de premiers recours, HUG, 1211 Genève 14.

PMU, 1011 Lausanne.

出版信息

Rev Med Suisse. 2017 Jan 18;13(546):148-151.

Abstract

Ideally, our clinical practices and decisions should be based on evidence derived from randomized clinical trials. Yet, we often have to determine the potential side effects (including interactions) of drugs that we prescribed using other level of evidence; clinical trials being obviously not appropriate for such situations. Results from observational studies published in 2016 should be of interest to primary care physicians. In this review, we present six of them. Once the limitations of these non-interventional studies acknowledged, primary care physicians should consider these results and be particularly attentive when prescribing these drugs.

摘要

理想情况下,我们的临床实践和决策应基于随机临床试验得出的证据。然而,我们常常不得不依据其他证据水平来确定所开药物的潜在副作用(包括相互作用);显然,临床试验并不适用于此类情况。2016年发表的观察性研究结果应会引起初级保健医生的兴趣。在本综述中,我们介绍其中六项研究。一旦认识到这些非干预性研究的局限性,初级保健医生就应考虑这些结果,并在开这些药物时格外留意。

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