Medical Knowledge

Feasibility of an Indigenous Food Is Medicine Program for Patients With Heart Failure in Rural Navajo Nation – The MUTTON-HF Nonrandomized Clinical Trial

Importance  The ongoing consequences of settler colonialism produce adverse structural drivers, particularly nutrition insecurity, that contribute to cardiovascular health disparities among Indigenous populations. There is increased focus in Native communities to reclaim traditional precontact foods to improve health. Therefore, a…

Diagnosis and Management of Resistant Hypertension – A Review

Hypertension, defined as office systolic blood pressure (SBP) 130 mm Hg or greater and/or diastolic blood pressure 80 mm Hg or greater, affects 43.9% of women and 49.5% of men in the US. Approximately 19.7% of patients treated for hypertension…

Time of Detection of Liver Metastases and Survival in Patients With Colorectal Cancer

Importance  Colorectal cancer liver metastases (CRLM) are a common manifestation of colorectal cancer, and clinical decision-making for these patients is complex. The timing of CRLM detection, defined as synchronous, early metachronous, or late metachronous, is hypothesized to influence survival outcomes,…

Treating Opioid Use Disorder With Methadone in Pharmacies

Importance  Methadone, a medication for opioid use disorder, is underused in the US response to the opioid overdose crisis. Under federal law, methadone can be offered in pharmacies via medication units, although a change to federal statutes or regulations could…

Hydralazine Use and Risk of Vasculitis

Importance  Hydralazine is a selectively used cardiovascular medication with case reports and case series demonstrating an association between the use of hydralazine and antineutrophil cytoplasmic antibody–associated vasculitis. Objective  To assess the risk of vasculitis associated with hydralazine use compared with…