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  1. Article ; Online: Fracture prediction tools in diabetes.

    Agarwal, Arnav / Leslie, William D

    Current opinion in endocrinology, diabetes, and obesity

    2022  Volume 29, Issue 4, Page(s) 326–332

    Abstract: Purpose of review: Type 1 (T1D) and 2 diabetes (T2D) are associated with increased risk of fracture independent of bone mineral density (BMD). Fracture risk prediction tools can identify individuals at highest risk, and therefore, most likely to benefit ...

    Abstract Purpose of review: Type 1 (T1D) and 2 diabetes (T2D) are associated with increased risk of fracture independent of bone mineral density (BMD). Fracture risk prediction tools can identify individuals at highest risk, and therefore, most likely to benefit from antifracture therapy. This review summarizes recent advances in fracture prediction tools as applied to individuals with diabetes.
    Recent findings: The Fracture Risk Assessment (FRAX) tool, Garvan Fracture Risk Calculator (FRC), and QFracture tool are validated tools for fracture risk prediction. FRAX is most widely used internationally, and considers T1D (but not T2D) under secondary osteoporosis disorders. FRAX underestimates fracture risk in both T1D and T2D. Trabecular bone score and other adjustments for T2D-associated risk improve FRAX-based estimations. Similar adjustments for T1D are not identified. Garvan FRC does not incorporate diabetes as an input but does includes falls. Garvan FRC slightly underestimates osteoporotic fracture risk in women with diabetes. QFracture incorporates both T1D and T2D and falls as input variables, but has not been directly validated in individuals with diabetes.
    Summary: Further research is needed to validate and compare available fracture prediction tools and their performance in individuals with diabetes.
    MeSH term(s) Bone Density ; Diabetes Mellitus, Type 1/complications ; Female ; Humans ; Osteoporosis/complications ; Osteoporosis/diagnosis ; Osteoporotic Fractures/etiology ; Risk Assessment ; Risk Factors
    Language English
    Publishing date 2022-06-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2272017-0
    ISSN 1752-2978 ; 1752-296X
    ISSN (online) 1752-2978
    ISSN 1752-296X
    DOI 10.1097/MED.0000000000000734
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: PoCUS: Just because we can doesn't mean we should.

    Agarwal, Arnav / Lang, Eddy

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2022  Volume 29, Issue 4, Page(s) 515–517

    Language English
    Publishing date 2022-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Moving Beyond the Doctor's Perspective of the Patient's Perspective.

    Agarwal, Arnav / Skurka, Montana / Lefkowitz, Ariel

    Journal of general internal medicine

    2023  Volume 38, Issue 8, Page(s) 1962–1965

    Abstract: The emergence of narrative medicine has promoted reflective practices and story-telling as means of promoting compassion, building resiliency, and understanding the "patient" and "physician" as "persons." However, though some narrative medicine pieces ... ...

    Abstract The emergence of narrative medicine has promoted reflective practices and story-telling as means of promoting compassion, building resiliency, and understanding the "patient" and "physician" as "persons." However, though some narrative medicine pieces describe patients' experiences, the narrative of the patient is usually told by physicians, producing a second-hand facsimile of the patient's lived experience. Stories written by physicians may have their roots in patient encounters, but are filtered through the physician's, rather than the patient's, understanding of the world. This focus on patient stories told by physicians replicates traditional gaps in legitimacy between the voices of physicians and patients and maintains the locus of power with physicians and the health care system. This paper explores the ways in which well-meaning physicians aiming to elevate patients' stories frequently fall short, and what we can do to better elevate patients' voices on the wards, in clinics, and in the medical literature. Stories about patients are important to help clinicians and trainees develop and practice compassionate person-centered care; stories written by patients on topics and with orientations of their choosing are currently lacking, and, we argue, even more important.
    MeSH term(s) Humans ; Physician-Patient Relations ; Physicians ; Empathy ; Narration ; Patient-Centered Care
    Language English
    Publishing date 2023-03-21
    Publishing country United States
    Document type Editorial
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-023-08144-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Web Exclusive. Annals Graphic Medicine - Last Human Contact in COVID-19.

    Gandhi, Pooja / Agarwal, Arnav

    Annals of internal medicine

    2021  Volume 174, Issue 6, Page(s) W58–W59

    Language English
    Publishing date 2021-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G20-0090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: In healthy older adults, daily aspirin increased cancer mortality.

    Agarwal, Arnav / Holbrook, Anne M

    Annals of internal medicine

    2021  Volume 174, Issue 7, Page(s) JC74

    Abstract: Source citation: McNeil JJ, Gibbs P, Orchard SG, et al. ...

    Abstract Source citation: McNeil JJ, Gibbs P, Orchard SG, et al.
    MeSH term(s) Aged ; Aspirin/adverse effects ; Humans ; Incidence ; Neoplasms
    Chemical Substances Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2021-07-06
    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/ACPJ202107200-074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: In adults hospitalized with COVID-19, the 5-variable SOARS score predicted in-hospital mortality.

    Agarwal, Arnav / Lang, Eddy

    Annals of internal medicine

    2021  Volume 174, Issue 8, Page(s) JC95

    Abstract: Source citation: Chua F, Vancheeswaran R, Draper A, et al. ...

    Abstract Source citation: Chua F, Vancheeswaran R, Draper A, et al.
    MeSH term(s) Adult ; COVID-19 ; Hospital Mortality ; Hospitalization ; Humans ; Risk Factors ; SARS-CoV-2
    Language English
    Publishing date 2021-08-03
    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/ACPJ202108170-095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Therapies for Preventing Bone Loss with Glucocorticoid Treatment.

    Agarwal, Arnav / Adachi, Jonathan D

    Current osteoporosis reports

    2021  Volume 19, Issue 1, Page(s) 34–39

    Abstract: Purpose of review: We aim to critically review recent recommendations regarding preventative strategies for glucocorticoid-induced osteoporosis and provide a summary of key evidence regarding available interventions.: Recent findings: Lifestyle ... ...

    Abstract Purpose of review: We aim to critically review recent recommendations regarding preventative strategies for glucocorticoid-induced osteoporosis and provide a summary of key evidence regarding available interventions.
    Recent findings: Lifestyle optimization remains the hallmark of bone health preservation. Early initiation of anti-osteoporotic agents in the setting of glucocorticoid exposure is essential, guided by appropriate risk stratification. Recommendations for calcium and vitamin D intake optimization are well-supported across all risk strata. Bisphosphonates are the mainstay of pharmacological therapy. Newer agents such as denosumab and teriparatide have demonstrated comparative benefit in terms of incident fracture risk reduction and bone mineral density preservation, with comparable adverse events. With due consideration to cost, resource availability, and patient values and preferences, these agents may warrant use as the first-line agents in this setting. Glucocorticoid-induced osteoporosis remains preventable and warrants early and targeted evidence-based therapy.
    MeSH term(s) Bone Density/drug effects ; Bone Density Conservation Agents/therapeutic use ; Calcium/therapeutic use ; Fractures, Bone/prevention & control ; Glucocorticoids/adverse effects ; Humans ; Osteoporosis/chemically induced ; Osteoporosis/prevention & control ; Osteoporotic Fractures/prevention & control ; Vitamin D/therapeutic use
    Chemical Substances Bone Density Conservation Agents ; Glucocorticoids ; Vitamin D (1406-16-2) ; Calcium (SY7Q814VUP)
    Language English
    Publishing date 2021-01-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2186581-4
    ISSN 1544-2241 ; 1544-1873
    ISSN (online) 1544-2241
    ISSN 1544-1873
    DOI 10.1007/s11914-020-00653-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Web Exclusive. Annals Graphic Medicine - More Than MD.

    Zhu, Annie / Agarwal, Arnav

    Annals of internal medicine

    2020  Volume 173, Issue 3, Page(s) W57–W58

    Language English
    Publishing date 2020-08-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G19-0090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Web Exclusive. Annals Graphic Medicine - More Than Suturing Wounds.

    Zhu, Annie / Agarwal, Arnav

    Annals of internal medicine

    2020  Volume 172, Issue 1, Page(s) W28

    Language English
    Publishing date 2020-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G19-0063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Unclear reporting of secondary outcome in randomized trial of Lv et al.

    Agarwal, Arnav / Lamontagne, François / Adhikari, Neill K J

    Irish journal of medical science

    2021  Volume 191, Issue 5, Page(s) 2431

    Language English
    Publishing date 2021-10-12
    Publishing country Ireland
    Document type Letter
    ZDB-ID 390895-1
    ISSN 1863-4362 ; 0021-1265
    ISSN (online) 1863-4362
    ISSN 0021-1265
    DOI 10.1007/s11845-021-02810-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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