This systematic review assessed the evidence suggesting that reduced dietary salt intake benefits patients with heart failure in randomized clinical trials.
Archivi categoria: Linee Guida
Reduced Salt Intake for Heart Failure: A Systematic Review | Cardiology | JAMA Internal Medicine | JAMA Network
Con l’avvio del nuovo sistema nazionale linee guida occorrerà standardizzare anche in Italia gli strumenti per modificare i criteri diagnostici delle malattie al fine di prevenire i fenomeni di sovra-diagnosi e sovra-trattamento. “Bisogna evitare di etichettare come malattie e quindi ‘curare’ persone nelle quali gli effetti avversi sono maggiore dei benefici”. La Fondazione Gimbe pubblica la versione italiana della check-list “G-I-N” per guidare la modifica delle soglie di malattia. IL DOCUMENTO
### What you need to know ### What’s new in this guidance The prevalence of heart failure is increasing because of an ageing population and improved survival of chronic diseases that contribute to heart failure. Heart failure includes reduced ejection fraction (50%) disease. The National Institute for Health and Care Excellence (NICE) guideline on chronic heart failure was last updated in 2010. Since then, further evidence on novel and existing therapies, for example mineralocorticoid receptor antagonists (MRAs), has emerged. New research has also been published on diagnosing heart failure and approaches to heart failure care, including monitoring, rehabilitation, and the composition of the multidisciplinary team. This article summarises …
Prostate cancer screening with prostate-specific antigen (PSA) test: a clinical practice guideline | The BMJ
### What you need to know What is the role of prostate-specific antigen (PSA) screening in prostate cancer? An expert panel produced these recommendations based on a linked systematic review.1 The review was triggered by a large scale, cluster randomised trial on PSA screening in men without a previous diagnosis of prostate cancer published in 2018 (box 1).2 It found no difference between one-time PSA screening and standard practice in prostate cancer mortality but found an increase in the detection of low risk prostate cancer after a median follow-up of 10 years. Box 1 ### Results of the CAP Randomized Clinical Trial2 This cluster-randomised trial of 419 582 British men was published in March 2018. After a median follow-up of 10 years, there was no significant difference in prostate cancer-specific mortality in men receiving care by general practices randomised to a single PSA screening intervention compared with men receiving care … RETURN TO TEXT