Moe Samantha S, Thomas Betsy S, Perry Danielle, Braschi Émélie, Dugré Nicolas, Falk Jamie, Lindblad Adrienne J, Paige Alli, Allan G Michael
Clinical Evidence Expert at the College of Family Physicians of Canada (CFPC).
Clinical Evidence Expert at the CFPC and Assistant Adjunct Professor in the Department of Family Medicine at the University of Alberta (U of A) in Edmonton.
Can Fam Physician. 2025 May;71(5):309-313. doi: 10.46747/cfp.7105309.
To identify and summarize the most impactful medical articles published in 2024 relevant to primary care.
Randomized controlled trials and meta-analyses relevant to primary care were identified by the PEER (Patients, Experience, Evidence, Research) team, a Canadian evidence-based medicine research group with a focus on primary care. The table of contents of major medical journals were reviewed as well as medical email alert services. The articles were ranked by the PEER team and selected studies were summarized.
Articles addressed various clinical areas in primary care. Topics included a behavioural strategy to reduce chronic benzodiazepine use for insomnia; the roles of β-blockers and colchicine after myocardial infarction; the effect of intensive blood pressure lowering on major cardiovascular outcomes; the effect of vitamin D on fracture prevention; walking for preventing recurrent back pain; testosterone for sexual dysfunction; methotrexate for osteoarthritis; dual antiplatelet use in patients with stable coronary artery disease and atrial fibrillation; and expanding indications for glucagon-like peptide-1 agonists. Four studies that evaluated the impact of screening and guideline-adherence strategies on patient outcomes were honourable mentions.
Several clinical trials and meta-analyses published in 2024 were relevant to primary care, particularly in the areas of insomnia, cardiology, and musculoskeletal disorders.
识别并总结2024年发表的与初级保健相关的最具影响力的医学文章。
与初级保健相关的随机对照试验和荟萃分析由PEER(患者、经验、证据、研究)团队识别,该团队是一个专注于初级保健的加拿大循证医学研究小组。主要医学期刊的目录以及医学电子邮件提醒服务都进行了审查。文章由PEER团队进行排名,并对选定的研究进行了总结。
文章涉及初级保健的各个临床领域。主题包括减少慢性苯二氮䓬类药物用于失眠的行为策略;心肌梗死后β受体阻滞剂和秋水仙碱的作用;强化降压对主要心血管结局的影响;维生素D对预防骨折的作用;步行预防复发性背痛;睾酮治疗性功能障碍;甲氨蝶呤治疗骨关节炎;稳定型冠状动脉疾病和心房颤动患者使用双重抗血小板治疗;以及扩大胰高血糖素样肽-1激动剂的适应症。四项评估筛查和指南依从性策略对患者结局影响的研究获得了荣誉提及。
2024年发表的几项临床试验和荟萃分析与初级保健相关,特别是在失眠、心脏病学和肌肉骨骼疾病领域。