Levels of Evidence
204 results
1 - 100
Levels of Evidence
Restrictive transfusion strategies are appropriate for most critically ill patients with varying levels of evidence
USPSTF: no evidence of benefit from screening for thyroid disease
USPSTF 2019: insufficient evidence to recommend lead screening in children and pregnant women (I statement)
Limited evidence of benefits of vitamin D supplementation
No evidence that dupilumab is effective as add-on therapy in mod-severe asthma with eosinophilia
Sodium supplementation as an adjunct to furosemide in acute decompensated heart failure leads to weight loss and decreased length of stay
More evidence that even small amounts of caffeine consumption during pregnancy affect childhood growth
SR: poor quality evidence on outcomes of lactate point-of-care testing in patients with suspected sepsis
USPSTF 2017 finds uncertain benefit of behavioral counseling for low-risk adults without obesity (C recommendation)
DHEA, testosterone not effective in aging patients
Do not treat subclinical hypothyroidism in most patients
Diabetes alone is NOT a coronary risk equivalent to a history of myocardial infarction
Low magnesium level not related to hypertension or CVD
American College of Physicians: Limit testosterone supplementation in older men to the treatment of sexual function issues
COVID-19 research briefs: prediction models for COVID-19 have important limitations
Useful clinical indicators to diagnose cirrhosis
Heart and diabetes groups suggest there is little association between A1C levels and CVD risk
USPSTF 2018: insufficient evidence to recommend nontraditional risk factors for CVD screening (I statement)
NICE guidelines for diabetes mellitus, type 2
USPSTF: Evidence insufficient to recommend routine screening for suicide risk
Cardiac troponin often falsely elevated in patients at low risk
Minimal, if any, cardiovascular benefit from intravenous iron for adults with heart failure and iron deficiency
Effect of anacetrapib on patient-oriented outcomes remains uncertain
Increased mortality with K <3.5 or >4.5 in patients hospitalized with acute MI
Statins effective for LDL 190 mg/dL or higher, regardless of risk level
Treatment of acne rosacea should be based on the phenotype: best evidence summary
Subclinical hypothyroidism associated with increased risk of CHD
ACP Guideline: Intensive insulin therapy not recommended for ICU patients
USPSTF 2022: updated review of statins for the primary prevention of cardiovascular disease
Guideline for chronic diarrhea: screening for IBD and celiac disease is in, screening for ova and parasites is out
Tenuous link between vitamin D and chronic pain
Useful history, physical, and laboratory findings for predicting secondary hypertension in children and adolescents
Many recommendations from TV docs are not based on evidence
Despite no evidence, the ATS issues a guideline on managing obesity hypoventilation syndrome
BNP testing does not decrease hospitalization rate
Low-quality evidence supports exercise, massage, yoga, acupuncture, and other interventions for chronic pain
Lowering homocysteine with B vitamins doesn't improve cognition
USPSTF: No recommendation for lipid disorder screening in patients 20 years or younger (I recommendation)
USPSTF 2022: Insufficient evidence of benefit vs harm of screening for type 2 diabetes in children and adolescents (I statement)
Nondrug therapy preferred for low back pain: American College of Physicians
Long-term use of PPIs appears to be safe in children
Delayed cord clamping in full-term infants reduces risk of anemia
Vitamin D supplementation does not prevent diabetes
High-dose B vitamins do not slow cognitive decline in adults with AD
USPSTF 2021 recommends oral fluoride supplementation and fluoride varnish application to prevent caries in children (B recommendation)
More nuanced guidelines for lipid lowering to prevent CV disease
USPSTF 2023: Evidence insufficient to recommend lipid screening in children and adolescents (I statement)
Treating low vitamin D levels is ineffective in postmenopausal women
Most tests for rotator cuff disease are inaccurate
Best way to perform lumbar puncture and analyze results
Intensive control of blood sugar (HbA1c < 7.0%) in DM2 may be harmful (ACCORD)
Home sleep apnea tests are moderately accurate; depends on cutoff and baseline risk
Colon CA unlikely if unexplained anemia but ferritin >100 ng/mL
Testosterone therapy may reduce symptoms of depression in men
AABB recommends restrictive transfusion strategy for hospitalized patients
Guidelines for osteoporosis screening (USPSTF)
Stent retriever therapy added to tPA is effective for treatment of acute ischemic stroke
Endocrine Society: Kids, and adults who are pregnant, have pre-diabetes, and are older than 74 years may benefit from empiric vitamin D
Transdermal testosterone does not improve libido in female cancer survivors
USPSTF 2016: screening for syphilis in adults and adolescents at increased risk
Gestational diabetes screening: Insufficient evidence of benefit
CV interventions in old elderly are not useful (DEBATE)
Convalescent plasma does not decrease deaths or mechanical ventilation in patients with COVID-19, hypoxia, and elevated CRP levels (RECOVERY)
Transient glucose elevations in DM patients receiving epidural steroid injections
Active management is more effective than expectant management for resolution of nonviable pregnancy of unknown location
No significant differences with liberal vs restrictive transfusion strategies for patients hospitalized with MI and anemia (MINT)
Type 2 diabetes: metformin first, other treatments second
Motivational interviewing increases physical activity, but the certainty of evidence is low
Long-term results of drug treatment for obesity
Peanut and tree nut consumption during pregnancy may decrease risk of allergic disease in children
Vitamin D does not prevent ARTI or asthma exacerbation in vitamin D–deficient patients
Guidelines: Management of RA
Early return to activity improves symptoms in children with concussion
Vitamin D does not reduce the incidence or severity of URIs in healthy adults
Overuse alert: treat-to-target LDL strategy of statin dosing is noninferior to high-intensity dosing
USPSTF 2016 recommendations on statin use for primary prevention of CVD
Pioglitazone exposure increases bladder cancer risk
No worsening of post-op atrial arrhythmias with relaxed potassium supplementation following coronary artery bypass grafting (TIGHT K)
No benefit to maintaining higher hemoglobin levels in hip surgery patients at high CV risk (FOCUS)


