POEMs: Patient-Oriented Evidence that Matters

POEMs (Patient-Oriented Evidence that Matters) are summaries of research that is relevant to physicians and their patients and meet three criteria: address a question that primary care physicians face in day-to-day practice; measure outcomes important to physicians and patients, including symptoms, morbidity, quality of life, and mortality; and have the potential to change the way physicians practice.

Jul 01, 2021 Issue
Low-Carb Diets May Produce Short-Term Diabetes Remission
Patients with type 2 diabetes can try cutting out bread and pasta, leaving the skin on chicken, or eating nuts and avocados to lower their blood glucose levels. Six months of a low-carbohydrate diet (less than 26% of calories from carbohydrates) was more likely than other diets or usual diet to reduce A1C level to less than 6.5% or a fasting blood glucose level to less than 126 mg per dL (7.0 mmol per L), with or without continued medication therapy.

Jul 01, 2021 Issue
Cryoablation Preferred as Initial Therapy for Paroxysmal Atrial Fibrillation
Initial cryoablation for patients with paroxysmal AF is superior to initial antiarrhythmic drug therapy. Another study in the same issue of New England Journal of Medicine compared cryoablation with medical therapy and had similar findings.

Jul 01, 2021 Issue
Single-Dose Opioid Analgesics Offer No Benefit over Nonopioid Analgesia for Musculoskeletal Pain
A single dose of opioid analgesics provides similar acute pain relief compared with a single dose of a combination of acetaminophen and ibuprofen in patients with acute musculoskeletal pain in the emergency department.

Jul 01, 2021 Issue
Once-Weekly Semaglutide Is an Effective Adjunct for Weight Loss in Adults without Diabetes Who Are Overweight or Obese
Once-weekly subcutaneous semaglutide used as an adjunct to intensive behavioral therapy significantly improves the likelihood that adults without diabetes who are overweight or obese will lose at least 5% of their baseline body weight compared with placebo.

Jun 1, 2021 Issue
Exercise Is the Only Intervention to Provide Long-Term Improvement in Patients with Chronic Low Back Pain
What interventions are effective in managing patients with chronic low back pain?

Jun 1, 2021 Issue
Continuous Glucose Monitoring Adds Little Benefit, Especially in Adults
In patients who have diabetes mellitus who are treated with intensive insulin regimens, continuous glucose monitoring modestly decreases A1C in short-term, unmasked studies.

Jun 1, 2021 Issue
Lipid Lowering Is Beneficial for Secondary Prevention but Not Primary Prevention in Patients 75 Years and Older
Does lipid lowering reduce major vascular events in patients 75 years and older?

Jun 1, 2021 Issue
Eating Eggs Is Not Associated with Cardiovascular Disease
Egg consumption is not associated with the occurrence of cardiovascular events over an average of 12 years.

May 15, 2021 Issue
Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality
High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.

May 15, 2021 Issue
SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless of Diabetes or Heart Failure Status
What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?

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