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  1. Article ; Online: Documenting the patient's visit in the EHR-searching for the holy grail.

    Schattner, Ami

    QJM : monthly journal of the Association of Physicians

    2024  

    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1199985-8
    ISSN 1460-2393 ; 0033-5622 ; 1460-2725
    ISSN (online) 1460-2393
    ISSN 0033-5622 ; 1460-2725
    DOI 10.1093/qjmed/hcae030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comprehensive Evidence-based Health Maintenance.

    Schattner, Ami

    The American journal of medicine

    2024  

    Abstract: The potential of primary prevention to prevent, delay, or ameliorate disease is immense. However, the total spending on preventive services in the US remains astoundingly small and represents a meager 3.5% of total health care spending. Moreover, ... ...

    Abstract The potential of primary prevention to prevent, delay, or ameliorate disease is immense. However, the total spending on preventive services in the US remains astoundingly small and represents a meager 3.5% of total health care spending. Moreover, training focused on prevention in medical schools is often neglected, and time-constrained primary providers frequently omit effective preventive and early detection measures, or perform them perfunctorily. Indeed, preventable conditions of serious consequences including 'premature' mortality, cardiovascular events, and major organ failure are ubiquitous with the global obesity and diabetes epidemics, and the ongoing high prevalence of noxious habits and drug abuse. Although each aspect has been the subject of extensive research, a succinct evidence-base summary is scarce. We have conducted a review of high-quality evidence (systematic reviews, meta-analyses, and practice guidelines) over the last 20 years to extract the best updated recommendations on comprehensive disease prevention and approved screening, briefly citing significant risk reductions by lifestyle interventions, pharmacological prevention, cancer screening, other endorsed screening, immunizations, and issues in the patient-provider interface.
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2024.03.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Post-discharge syndrome in older adults.

    Schattner, Ami

    QJM : monthly journal of the Association of Physicians

    2023  Volume 116, Issue 9, Page(s) 739–740

    MeSH term(s) Humans ; Aged ; Patient Discharge ; Aftercare
    Language English
    Publishing date 2023-06-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 1199985-8
    ISSN 1460-2393 ; 0033-5622 ; 1460-2725
    ISSN (online) 1460-2393
    ISSN 0033-5622 ; 1460-2725
    DOI 10.1093/qjmed/hcad113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: In RA, new use of JAK inhibitors was associated with nonmelanoma skin cancer vs. TNF inhibitors at 2 y.

    Schattner, Ami

    Annals of internal medicine

    2023  Volume 176, Issue 7, Page(s) JC83

    Abstract: Source citation: Huss V, Bower H, Hellgren K, et al; ARTIS group. ...

    Abstract Source citation: Huss V, Bower H, Hellgren K, et al; ARTIS group.
    MeSH term(s) Humans ; Janus Kinase Inhibitors/adverse effects ; Tumor Necrosis Factor Inhibitors ; Cohort Studies ; Antirheumatic Agents/adverse effects ; Skin Neoplasms/drug therapy
    Chemical Substances Janus Kinase Inhibitors ; Tumor Necrosis Factor Inhibitors ; Antirheumatic Agents
    Language English
    Publishing date 2023-07-04
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/J23-0042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Six attitudes to promote personal, patient-centred care in an era of addictive technology.

    Schattner, Ami

    Postgraduate medical journal

    2023  Volume 99, Issue 1172, Page(s) 644–645

    Abstract: In contrast with the rapid advances in medical knowledge and technology, the clinical encounter may often appear as perfunctory, impersonal, and unworthy to both patient and practitioner who is often immersed in the computer screen rather than the ... ...

    Abstract In contrast with the rapid advances in medical knowledge and technology, the clinical encounter may often appear as perfunctory, impersonal, and unworthy to both patient and practitioner who is often immersed in the computer screen rather than the patient, stressed by improbable time constraints, and often finds deceptive relief in inappropriate test-ordering, prescriptions, and referrals. We suggest routinely adopting six attitudes to achieve a more balanced, personal, and patient-centred encounter: conducting a curiosity-driven encounter; emphasizing humanistic values; performing a complete physical examination; increasing patients' face time; addressing the patient's health as a whole; and rational test-ordering and judicious prescribing.
    MeSH term(s) Humans ; Physician-Patient Relations ; Patient-Centered Care ; Communication ; Patient Participation ; Patient Satisfaction
    Language English
    Publishing date 2023-05-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgad025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Cardiovascular Burden of Rheumatoid Arthritis - Implications for Treatment.

    Schattner, Ami

    The American journal of medicine

    2023  Volume 136, Issue 12, Page(s) 1143–1146

    Abstract: Mortality in rheumatoid arthritis is increased, about twice vs controls, and cardiovascular diseases are a major cause. The pathogenesis is primarily accelerated atherosclerosis of the coronary, cervical, and cerebral arteries, which is premature, ... ...

    Abstract Mortality in rheumatoid arthritis is increased, about twice vs controls, and cardiovascular diseases are a major cause. The pathogenesis is primarily accelerated atherosclerosis of the coronary, cervical, and cerebral arteries, which is premature, pervasive, and progressive, but often occult, under-recognized, and under-treated. It is mostly driven by the chronic, systemic autoimmune inflammation, but increased prevalence of traditional risk factors and adverse effects of treatments are also very important. Inflammatory markers, disease severity, and duration are major determinants of the cardiovascular risk in rheumatoid arthritis, which is underestimated by usual methods. Cardiovascular protection is best achieved by suppressing inflammation and disease activity as early as possible ("treat-to-target"), and striving to achieve and maintain remission or lowest disease activity. Secondly, identifying and addressing the whole spectrum of traditional risk factors, currently often neglected, is necessary. Because long-term glucocorticoid exposure ≥5 mg/d may be associated with cardiovascular events and other harm, more intensive treatment, especially useful for bridging with methotrexate at the outset of treatment, needs to be limited in time and dosage. A multipronged approach may improve cardiovascular outcomes of RA patients in future studies.
    MeSH term(s) Humans ; Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/drug therapy ; Risk Factors ; Inflammation/complications ; Atherosclerosis/complications ; Methotrexate/adverse effects ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/complications
    Chemical Substances Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2023-09-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2023.09.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Reply.

    Schattner, Ami

    The American journal of medicine

    2023  Volume 136, Issue 3, Page(s) e54

    Language English
    Publishing date 2023-01-29
    Publishing country United States
    Document type Letter
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2022.08.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: One Additional New Commonsense Quality Metric.

    Schattner, Ami

    The American journal of medicine

    2023  Volume 136, Issue 6, Page(s) e121

    Language English
    Publishing date 2023-03-24
    Publishing country United States
    Document type Letter
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2023.01.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Chronic illness-a battle fought on many fronts.

    Schattner, Ami

    Postgraduate medical journal

    2023  Volume 100, Issue 1180, Page(s) 131–132

    MeSH term(s) Humans ; Chronic Disease
    Language English
    Publishing date 2023-09-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgad074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: In RA, use of systemic glucocorticoids ≥5 mg/d (prednisolone-equivalent) was linked to MACE at 8.7 y.

    Schattner, Ami

    Annals of internal medicine

    2023  Volume 176, Issue 11, Page(s) JC131

    Abstract: Source citation: So H, Lam TO, Meng H, et al. ...

    Abstract Source citation: So H, Lam TO, Meng H, et al.
    MeSH term(s) Humans ; Glucocorticoids/adverse effects ; Prednisolone/therapeutic use ; Arthritis, Rheumatoid/drug therapy ; Antirheumatic Agents/therapeutic use
    Chemical Substances Glucocorticoids ; Prednisolone (9PHQ9Y1OLM) ; Antirheumatic Agents
    Language English
    Publishing date 2023-11-07
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/J23-0082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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