Clinical intelligence & editorial.

Advertisement

Advertisement

Physicians Office Resource's authored articles and clinical reviews, alongside curated literature and news for practical point-of-care guidance and insight.

Showing 1,897–1,908 of 2,098 articles

PubMed

Application of Pain Management After Lumbar Spine Surgery: A Bibliometric Analysis of Randomized Controlled Trials.

Study Design Bibliometric analysis. Objective To optimize pain management and identify future research trends through bibliometric analysis. Summary of Background Data Postoperative lumbar spine pain is multifactorial and often persists despite successful surgery, reducing patients’ quality of life, increasing healthcare use, and increasing the risks of opioid dependence and psychological distress. Methods Data from eligible studies were extracted through a comprehensive search and variou...

Articles
Li D, Gan Y, Li X, Han S, Zhu H, Yang C, Zhang Y, Huang R, Li Q, Tudi A, Meng B, Liu C, Yu X•
PubMed

Pharmacological Therapies for Pain Management in Patients With Amputation: A Systematic Review and Network Meta-Analysis.

Objective To evaluate the efficacy and safety of pharmacological therapies for pain management in postamputation patients through a systematic review and network meta‐analysis of existing evidence. Methods This systematic review and network meta‐analysis (NMA) was conducted following the PRISMA‐NMA guidelines and registered in PROSPERO (CRD42024500600). In September 2024, two independent reviewers searched the Cochrane Library, LILACS, PubMed/MEDLINE, SciELO, ScienceDirect, Web of Science, Sc...

Articles
Leal NTB, Marinho LRDF, Pereira VDSL, Pontes BCR, Sarmento ACA, Medeiros KS, Ribeiro KRB, Dantas RAN, Dantas DV•
PubMed

Understanding the Evidence-to-Practice Gap in Persistent Pain Management.

Purpose Despite advances in pain science education, evidence‐based approaches to chronic pain are not consistently translated into physical therapy practice. Physical therapist (PT) clinical instructors (CIs) occupy a unique role as both clinicians and mentors of future practitioners. This study examined PT CIs’ pain knowledge, pain‐related beliefs, confidence, and self‐reported use of pain neuroscience education (PNE) and explored perceived barriers to implementing evidence‐informed persistent...

Articles
Henderson VK, Covert C, Pontiff R, Greenwood R•
PubMed

Artificial Intelligence and Connected Technologies in Chronic Pain Management: A Scoping Review.

Background Chronic pain affects over 1.5 billion people worldwide, facing persistent challenges in assessment subjectivity, treatment variability, and scalability (i.e., the limited ability to deliver individualized care to large populations within current clinical systems). Artificial intelligence (AI) and connected health technologies have transitioned from experimental tools to clinical reality in pain management. Objective This scoping review maps current AI applications, identifies imple...

Articles
Elhomsy P, Reliquet B, Sudria F•
PubMed

Nurse Competencies, Patient Characteristics, and Pain Management Protocol Adherence in Intensive Care Units: A Multicenter Cross-Sectional Study Accounting for ICU Clustering.

Aim(s) To examine the associations between nurse competencies (knowledge, self‐efficacy, and attitude), patient characteristics, and pain management protocol adherence in adult intensive care units, while accounting for between‐ICU clustering. Background Adherence to pain management protocols remains suboptimal despite available guidelines. Nurse competencies are essential for evidence‐based practice, yet their translation into clinical performance may depend on contextual factors. ICU‐level...

Articles
Shafie Motlagh Kashani Y, Shali M, Esmaieli M, Haghani S•
PubMed

Defining Wound Care Learning Objectives for Medical Students: A Multidisciplinary Comparison of Expert and Practitioner Perspectives.

ABSTRACT Assessing and treating a patient's wound is something that every medical student may be faced with from day one of their postgraduate clinical career, regardless of their chosen field of specialisation. This includes acute or post‐surgical wounds as well as chronic wounds. In contrast, learning content concerning wound care is currently underrepresented in medical school curricula, although there are many possible topics and options to incorporate this subject into medical teaching. As...

Articles
Erfurt-Berge C, Mahler L, Dissemond J, Krochmann A, Conrad PV•
PubMed

A Narrative Review of Weight Management Strategies: From Lifestyle Interventions to Emerging Pharmacotherapies.

Background Obesity is a chronic, multifactorial disease associated with significant cardiometabolic, psychological, and socioeconomic consequences. Its complex etiology necessitates integrated, evidence‐based management strategies beyond simple caloric restriction. Objective This narrative review aims to critically evaluate current and emerging weight management strategies, including lifestyle interventions, dietary patterns, behavioral approaches, pharmacotherapy, and bariatric procedures, w...

Articles
Ahmed IS, Tapponi SL, Manaa HM, Soltani A, Hussein ES, Parvaresh FA, Hussain Z•
PubMed

From Thesis to Publication: A Five-Year Cross-Disciplinary Analysis in Pathology, Urology, and Endocrinology (2018-2022).

Objective: Despite the legal requirement to complete a thesis during residency training in Türkiye, the extent to which these theses are translated into high-quality scientific publications remains unclear. Disciplinary differences in research culture, resource availability, and clinical workload may influence these outcomes. Material and Methods: This cross-sectional study analyzed 1245 open access residency theses completed between 2018 and 2022 in the fields of pathology (n=344), endocrinolo...

Articles
Tunce EB, Bayrak BY, Akgul M•
PubMed

Comments on "Use of ChatGPT in Urology and its Relevance in Clinical Practice": To-ward a Responsible AI Framework for Middle-Income Settings.

To the editor, We read with interest the article by Braga et al. evaluating ChatGPT's accuracy and reproducibility in pediatric urology (1). The study highlights important limitations: although ChatGPT can provide partially correct answers, it also produces incomplete, ambiguous, or potentially misleading responses—particularly regarding diagnostic definitions and treatment recommendations. We also noted a minor typographical error in the abstract ("those rwere evaluated qualitatively…"), which...

Articles
Osorio JMM•
PubMed

Targeted Ultrasound With Contrast Enhancement for Reassessment of MRI-Detected BI-RADS 4 Nonmass Enhancement: Impact on Biopsy Reduction and DCIS Detection.

Objective To evaluate whether targeted ultrasound (TUS) combined with contrast‐enhanced ultrasound (CEUS) can safely reclassify MRI‐detected BI‐RADS 4 nonmass enhancement (NME) lesions to reduce unnecessary biopsies while maintaining high diagnostic sensitivity for breast cancer. Materials and Methods In this prospective study (2017–2023), we enrolled 169 MRI‐detected BI‐RADS 4 NME lesions in 167 women (23–84 years). All patients underwent TUS and CEUS within one week after MRI, followed by s...

Articles
Niu Q, Sun T, Li M, Du L, Cai Y, Jin L, Jia C, Li H, Chen A, Li F•
PubMed

Ultrasound Features of Female Adnexal Tumor of Probable Wolffian Origin (FATWO): A Case Series and Literature Review.

Introduction Female adnexal tumor of probable Wolffian origin (FATWO) is an extremely rare gynecologic neoplasm derived from mesonephric duct remnants. It exhibits nonspecific clinical and imaging features, frequently leading to preoperative misdiagnosis. To date, ultrasound findings of FATWO remain poorly characterized, with limited systematic reports. This study summarizes the ultrasonic manifestations of four pathologically confirmed FATWO cases and reviews the literature, aiming to improve...

Articles
Xu L, Ye L, Chu K, Wang J•
PubMed

Frailty as a Key Determinant of Cardiovascular Risk and Mortality in Preserved Ratio Impaired Spirometry: A Nationally Representative Study.

ABSTRACT Background Preserved ratio impaired spirometry (PRISm) is associated with elevated cardiovascular disease (CVD) risk and progression to COPD, but the underlying mechanisms remain unclear. Frailty is known to worsen outcomes in COPD; however, its role in PRISm has not been well defined. This study examined factors associated with cardiovascular events and mortality in PRISm and developed risk models. Methods We analyzed 8882 adults (aged 20–79 years) from NHANES 2007–2012, identifyin...

Articles
Ren Y, Wu Y, Hu W, Liu L, Cai H, Zhang J•