This case of an otherwise healthy man in his 30s who presented to an optometrist with sudden-onset horizontal diplopia and blurry vision illustrates the importance of assessing the prior probability of an underlying disease before diagnostic testing is undertaken and considering how test results may influence treatment.
This population-based study using the Medicare Advantage database examines the differences in care between Hispanic enrollees in Puerto Rico and Hispanic and white enrollees in the United States.
This cohort study evaluates the deintensification of medication used for glucose and blood pressure control in individuals older than 70 years with diabetes mellitus and discusses the possibility for reducing overtreatment.
This retrospective cohort study analyzes diabetes screening prevalence and predictors of screening among adults in the California public mental health care system with severe mental illness taking antipsychotic medications.
This survey study of primary care physicians assessed perceived barriers to deintensifying treatment in patients with diabetes at risk for hypoglycemia.
This prospective cohort study found a dose-response relationship between vigorous activity and mortality.
This randomized clinical trial found that 1 dose of zoledronic acid improved bone mineral density over 2 years in frail elderly women with osteoporosis, but the clinical importance of nonsignificant increases in fracture and mortality needs further study.
This meta-analysis determines that vitamin D supplementation does not lower blood pressure in a population of patients using vitamin D or its analogues.
Findings of this cross-sectional analysis suggest that a substantial proportion of older adults with diabetes were potentially overtreated.
This cross-sectional study finds that material need insecurities were common among patients with diabetes mellitus and had varying but generally adverse associations with control of diabetes mellitus and the use of health care resources.
This cross-sectional, retrospective cohort study found that veterans who receive glucose test strips through both the Department of Veterans Affairs and Medicare use more strips and are more likely to overuse strips.
This systematic review and meta-analysis indicate that medication therapy management may reduce the frequency of some medication-related problems, but the evidence is insufficient with respect to improvement in health outcomes.
This retrospective cohort study found that diabetes treatment with metformin reduced subsequent treatment intensification, without differences in rates of adverse clinical events. See also the Invited Commentary by Segal and Maruthur.
In a retrospective cohort study, Edwards et al characterize the association between enrollment in Home-Based Primary Care, a program operated by the Department of Veterans Affairs, and hospitalizations owing to an ambulatory care–sensitive condition among older veterans with diabetes mellitus. See the Invited Commentary by Federman and Soriano.