EE+ POEM Archive
- H. pylori eradication decreases functional dyspepsia symptoms (HEROES)
- H. pylori eradication provides short-term prevention of aspirin-induced peptic ulcer bleeding in older adults (HEAT)
- H. pylori treatment, vitamins prevent gastric cancer in high risk patients
- H. pylori tx effective in long-term PPI users
- H1N1 influenza vaccination during pregnancy not associated with problems in exposed offspring
- H1N1 pandemic flu symptoms generally mild, brief
- Habit-reversal behavioral therapy effective for children with Tourette disorder
- Habit reversal improves skin score by reducing scratching in children with atopic dermatitis
- Half of adults and older teens with mild traumatic brain injury have symptoms 1 year later
- Hand exercises modestly improve function in patients with RA (SARAH)
- Handheld narrowband UVB plus topical corticosteroids are more effective for active limited vitiligo than either alone
- Hand washing children's dishes associated with fewer allergies
- Hand washing programs prevent GI and respiratory infections
- Hard-soled shoe is comparable to short leg cast in patients with fifth metatarsal base avulsion fractures
- Harms outweigh benefits of aspirin/NSAID for colon cancer prevention
- Harms per 100,000 colonoscopies: 50 perforations, 260 bleeds, and 3 deaths
- Have the USPSTF recommendations against screening caused more aggressive prostate cancer?
- Having a primary care doc is assoc with better outcomes in women with breast cancer
- HbA1c underestimates past glycemia in African Americans with sickle cell trait
- Head CT recommended before lumbar puncture in adults with suspected subarachnoid hemorrhage
- Healthful behaviors associated with lower likelihood of developing type 2 diabetes
- Hearing aids are more effective than education at reducing cognitive decline in highly selected elders but not the general population
- Heart and diabetes groups suggest there is little association between A1C levels and CVD risk
- Helium-oxygen improves exercise tolerance in pts with COPD
- Helmet for infant skull deformity provides no additional effect
- Hemicraniectomy for large MCA stroke reduces mortality but not neurologic outcomes
- Heparin + ASA better than ASA in preventing fetal loss in women with antiphospholipid antibodies
- Hep A vaccine similar to immune globulin for postexposure prophylaxis
- Hep C infection increases risk of non-Hodgkin lymphoma
- Herbal combination might be effective for nonpulsatile tinnitus
- Herbal infusion seems effective in reducing risk of death from sepsis (EXIT-SEP)
- Herbs effective in low back pain
- HET score: atypical chest pain + normal ECG + normal troponin = no acute coronary event
- Hi-dose ARB slightly better than standard dose in pts with CHF (HEAAL)
- High adenoma detection rate during colonoscopy associated with lower incidence of colorectal cancer
- High continuation of contraceptive ring vs patch
- High-dose amoxicillin plus clavulanate no better than standard dose for acute sinusitis in adults
- High-dose atorvastatin reduces recurrent stroke, not mortality (SPARCL)
- High-dose barium enemas prevent recurrent diverticular bleeding
- High-dose B vitamins do not slow cognitive decline in adults with AD
- High-dose B-vitamins harmful to patients with diabetic nephropathy
- High-dose CoQ10 = placebo in halting progression of Parkinson disease
- High-dose dexamethasone does not reduce mortality or complications in patients undergoing major noncardiac surgery
- High-dose furosemide plus small-volume hypertonic saline effective for refractory ascites
- High-dose gabapentin = estrogen for hot flashes
- High-dose influenza vaccine no more effective than the standard dose for adults with high-risk cardiovascular disease
- High-dose N-acetylcysteine decreases incidence of contrast-induced nephropathy
- High-dose oxytocin better than low-dose for augmentation of labor
- High-dose recombinant flu vaccine: NNT = 3000 to prevent one more infection, no impact on hospitalization
- High-dose saw palmetto no better than placebo for BPH symptoms
- High dose statin reduces cardiac events in pts with high CRP (JUPITER)
- High-dose vaccine reduces clinical flu in elderly compared with standard dose (NNT = 220)
- High-dose vitamin D does not reduce wintertime URIs in healthy children
- High-dose vitamin D prevents fractures in some older people
- High-dose zinc, vitamin C, or both are not effective in reducing symptoms of SARS-CoV-2 infection (COVID A to Z)
- High-efficiency air cleaners decrease exacerbations and the use of rescue medication in former smokers with COPD
- High-end normal bilirubin level associated with reduced risk of lung disease and mortality
- Higher BP target does not reduce mortality in septic patients (SEPSISPAM)
- Higher hemoglobin target with epoeitin alfa is harmful in CKD (CHOIR)
- Higher incidence of volume overload with aggressive fluid resuscitation for acute pancreatitis (WATERFALL)
- Higher positive screen rate for gestational diabetes with fasting vs fed 1-hour glucose tolerance test
- Higher qSOFA scores associated with worse clinical outcomes for ED patients requiring hospitalization
- Higher rates of successful extubation and decreased 90-day mortality with less-demanding pressure support trial
- Higher resource use and lower mortality associated with care by PCPs compared with hospitalists
- Higher risk for perinatal death beyond 41 weeks' gestation than in earlier term pregnancy
- Higher risk of bleeding events associated with concomitant use of amiodarone and direct oral anticoagulants
- Higher risk of psychosis with amphetamines than methylphenidate in treatment of ADHD
- Higher risks in pregnancy with PCOS
- Higher trauma of hospitalization associated with higher rates of readmissions and ED visits following discharge
- High false positive rate in repeated, multimodal screening for cancers (PLCO)
- High false-positive rate with lung cancer screening
- High-flow oxygen effective for treatment of cluster headache
- High-flow oxygen helpful in hospitalized infants with bronchiolitis
- High-flow oxygen therapy no worse than noninvasive ventilation and may reduce mortality
- High-frequency oscillation does not improve outcomes in adults with ARDS
- High-frequency spinal cord stimulation improves pain in patients with refractory painful diabetic neuropathy
- High-intensity exercise twice weekly improves academic scores in fourth graders
- Highly sensitive troponin I more accurate for AMI diagnosis (APACE)
- High mortality and rapid functional decline following a critical illness in older persons
- High-potency topical corticosteroids effective for alopecia areata in children
- High prevalence of positive blood culture in children with fever and acute lower extremity pain
- High-protein, low-carb diet associated with increased mortality in women
- High random glucose level weakly predictive of diabetes
- High rate of dementia associated with aging in Parkinson disease
- High risk of recurrent postpartum mental disorders
- High-sensitivity troponin can rule out MI in many patients within 2 hours of presentation to the emergency department
- High-sensitivity troponin I of less than 5 ng/L has negative predictive value of 99.9% for cardiac death at 1 year
- High-sensitivity troponin safely reduces admissions and duration of stay in the emergency department
- High-titer convalescent plasma associated with lower mortality in hospitalized nonventilated patients with COVID-19
- High-titer convalescent plasma prevents COVID-19 progression in elderly patients when given early
- High volume of AAA repairs associated with lower mortality
- Hip replacement has fewer complications than pinning after fracture
- History and physical cannot reliably indicate risk for glaucoma
- History and physical minimally helpful for diagnosing subarachnoid hemorrhage
- History and physical of limited value in diagnosing chronic wound infections
- History of fall and gait/balance problem confer high risk for falls
- Holter testing in octogenarians with syncope: 16% abnormal, 11% "diagnostic"
- Home = birth center = OB unit for pregnant women at low risk
- Home and pharmacy blood pressure readings promote ED visits
- Home-based exercise with coach and wearable activity monitor (eg, Fitbit) no better than usual care for PAD
- Home-care programs associated with improved outcomes in homebound elders
- Home glucose monitoring does not affect control in diabetes not treated with insulin
- Home glucose monitoring ineffective
- Home glucose monitoring offers no benefit to patients not using insulin
- Home sleep apnea tests are moderately accurate; depends on cutoff and baseline risk
- Home visit program ineffective on health status
- Homocysteine lowering not helpful in women at high risk for CVD
- Honey improves nocturnal cough in children
- Hormones + radiation decrease mortality compared with radiation in prostate cancer
- Hospital at home provides equivalent results at lower cost for mild COPD exacerbations
- Hospitalist discontinuity associated with higher costs
- Hospitalist-surgeon comanagement = no change in outcomes, but higher provider satisfaction
- Hospital program that emphasizes walking improves postdischarge mobility
- 24-hour ambulatory blood pressure readings: more informative for the risks of all-cause and cardiovascular mortality
- 6-hour balloon catheter placement is sufficient for cervical ripening at labor induction
- House dust mite sublingual allergen tablet reduces risk of asthma exacerbation
- Household teaspoons and tablespoons unreliable for dosing meds
- HP eradication: effective for cure (NNT = 14) or improvement (NNT = 9) of functional dyspepsia, especially if eradication is confirmed (NNT = 6)
- HPV-16 vaccine may be effective for vulvar intraepithelial neoplasia
- HPV-based screening can replace cytology-based screening for cervical cancer
- HPV-based screening more effective to prevent invasive cervical cancer than cytology alone
- HPV DNA screening detects CIN3 and cancer earlier
- HPV integration testing is a promising strategy for triage after positive initial HPV screening result
- HPV screening every 5 years = Pap smear every 3 years
- HPV screening more accurate than Pap (CCCaST)
- HPV screening produces best psychosocial results
- HPV testing accurate to rule out residual CIN
- HPV testing better than cytology for women vaccinated against HPV
- HPV testing in women aged 65 to 69 years seems to decrease cervical cancer rates
- HPV vaccination decreased diagnoses of CIN grade 3 or worse by 89%
- HPV vaccine not associated with chronic fatigue or other autonomic dysfunction syndromes
- HPV vaccine not effective in treating women with preexisting HPV infection
- HPV vaccine prevents external genital lesions in young men
- 24-hr observation and repeat imaging detects delayed bleeds in anticoagulated patients with minor head injury
- HRT associated with increased risk of ovarian cancer
- Human albumin infusions improve mortality in patients with persistent ascites (ANSWER)
- Human papillomavirus vaccine, especially before age 17, is associated with a large reduction in invasive cervical cancer
- Hyaluronate injection of the knee effective only after 2 years
- Hyaluronic acid = sham injections in patients with knee DJD
- Hyaluronic acids ineffective for knee osteoarthritis
- Hybrid and natural immunity are robust but, like vaccine immunity, wane over time
- Hydrochlorothiazide does not reduce the risk of kidney stone recurrence (NOSTONE)
- Hydrocodone/acetaminophen equivalent to codeine/acetaminophen for acute pain
- Hydrocortisone does not reduce mortality in septic shock
- Hydrolyzed infant formula does not reduce the risk of type 1 diabetes
- Hydroxychloroquine and other antimalarials improve outcomes in pts with SLE
- Hydroxychloroquine no better than placebo at 24 weeks for primary Sjogren syndrome
- Hyperbaric O2 therapy may improve diabetic foot ulcers
- Hyperglycemia in acute stroke associated with worse outcomes (GLIAS)
- Hypertension treatment effective even after age 80
- Hypertensive urgency not really an urgent problem
- Hypertonic saline ineffective for infants and children younger than 6 years with cystic fibrosis
- Hypnosis for irritable bowel syndrome
- Hypnosis training not effective for childbirth analgesia
- Hypnotherapy effective for functional abdominal pain and IBS in children
- Hypnotherapy effective for noncardiac, non-GERD chest pain
- Hypnotic agents are effective for insomnia but at the expense of adverse effects
- Hypoglycemia linked to increased mortality and LOS in noncritically ill hospitalized diabetics
- Hyponatremia predicts poor outcomes in patients hospitalized with acute sickle cell crisis
- Hysteroscopy does not increase IVF success rate