BC 056 – Recommandations sur le dépistage pour la prévention primaire des fractures de fragilisation (lignes directrices du GÉCSSP 2023)

Épisode de BaladoCritique - club de lecture médical par Dr Luc Lanthier et collaborateurs · 27 juin 2023 · 37 min

Dans cette 56e baladodiffusion, le Dr Luc Lanthier discute des nouvelles lignes directrices sur la prévention des fractures de fragilisation du GÉCSSP, en plus de réviser la littérature médicale d’avril et mai 2023.

Quiz clinique (3 min 21), présentation principale (3 min 48), critique (26 min 23), autres articles (31 min 25), réponse au quiz clinique (33 min 00)

Référence principale :

Theriault G, Limburg H, Klarenbach S, Reynolds DL, Riva JJ, Thombs BD, et al. Recommendations on screening for primary prevention of fragility fractures. CMAJ. 2023;195(18):E639-E49. PubMed PMID: 37156553.

Articles associés :

https://frax.groupeetudecanadien.ca.

https://gpevidence.org

Metlay JP, Waterer GW. Time to Treat Severe Community-Acquired Pneumonia with Steroids? N Engl J Med. 2023;388(21):2001-2. PubMed PMID: 37224202.

Pitre T, Abdali D, Chaudhuri D, Pastores SM, Nei AM, Annane D, et al. Corticosteroids in Community-Acquired Bacterial Pneumonia: a Systematic Review, Pairwise and Dose-Response Meta-Analysis. J Gen Intern Med. 2023:1-14. Epub 2023/04/20. doi: 10.1007/s11606-023-08203-6. PubMed PMID: 37076606.

Sivapalan P, Ellekjaer KL, Jessen MK, Meyhoff TS, Cronhjort M, Hjortrup PB, et al. Lower vs Higher Fluid Volumes in Adult Patients With Sepsis: An Updated Systematic Review With Meta-Analysis and Trial Sequential Analysis. Chest. 2023. Epub 2023/05/05. doi: 10.1016/j.chest.2023.04.036. PubMed PMID: 37142091.

Marcucci M, Painter TW, Conen D, Lomivorotov V, Sessler DI, Chan MTV, et al. Hypotension-Avoidance Versus Hypertension-Avoidance Strategies in Noncardiac Surgery : An International Randomized Controlled Trial. Ann Intern Med. 2023;176(5):605-14. PubMed PMID: 37094336.

Gaba P, O’Donoghue ML, Park JG, Wiviott SD, Atar D, Kuder JF, et al. Association Between Achieved Low-Density Lipoprotein Cholesterol Levels and Long-Term Cardiovascular and Safety Outcomes: An Analysis of FOURIER-OLE. Circulation. 2023;147(16):1192-203. PubMed PMID: 36779348.

Group RC. Higher dose corticosteroids in patients admitted to hospital with COVID-19 who are hypoxic but not requiring ventilatory support (RECOVERY): a randomised, controlled, open-label, platform trial. Lancet. 2023;401(10387):1499-507. PubMed PMID: 37060915.

Xie Y, Bowe B, Al-Aly Z. Nirmatrelvir and risk of hospital admission or death in adults with covid-19: emulation of a randomized target trial using electronic health records. BMJ. 2023;381:e073312. PubMed PMID: 37041016.

Kabore JL, Laffont B, Diop M, Tardif MR, Turgeon AF, Dumaresq J, et al. Real-World Effectiveness of Nirmatrelvir/Ritonavir on Covid-19-Associated Hospitalization Prevention: A Population-Based Cohort Study in the Province of Quebec, Canada. Clin Infect Dis. 2023. Epub 2023/05/07. doi: 10.1093/cid/ciad287. PubMed PMID: 37149726.

Autres articles d’intérêt récent :

Nissen SE, Lincoff AM, Brennan D, Ray KK, Mason D, Kastelein JJP, et al. Bempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients. N Engl J Med. 2023;388(15):1353-64. PubMed PMID: 36876740.

Sorajja P, Whisenant B, Hamid N, Naik H, Makkar R, Tadros P, et al. Transcatheter Repair for Patients with Tricuspid Regurgitation. N Engl J Med. 2023;388(20):1833-42. PubMed PMID: 36876753.

Bradbury AW, Moakes CA, Popplewell M, Meecham L, Bate GR, Kelly L, et al. A vein bypass first versus a best endovascular treatment first revascularisation strategy for patients with chronic limb threatening ischaemia who required an infra-popliteal, with or without an additional more proximal infra-inguinal revascularisation procedure to restore limb perfusion (BASIL-2): an open-label, randomised, multicentre, phase 3 trial. Lancet. 2023;401(10390):1798-809. PubMed PMID: 37116524.

Guides de pratique :

Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, Abdelmalek MF, Caldwell S, Barb D, et al. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023;77(5):1797-835. PubMed PMID: 36727674.

Borlaug BA, Sharma K, Shah SJ, Ho JE. Heart Failure With Preserved Ejection Fraction: JACC Scientific Statement. J Am Coll Cardiol. 2023;81(18):1810-34. PubMed PMID: 37137592.

Référence du quiz clinique :

Andrade JG, Aguilar M, Atzema C, Bell A, Cairns JA, Cheung CC, et al; Members of the Secondary Panel. The 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Comprehensive Guidelines for the Management of Atrial Fibrillation. Can J Cardiol. 2020;36(12):1847-1948. PubMed PMID: 33191198.

Fanous Y, Dorian P. Lifestyle modification for the management of atrial fibrillation. CMAJ. 2020 Nov 16;192(46):E1469. PubMed PMID: 33199453.

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