Medical Knowledge

Biomarker-Guided Cardioprotection for Patients Treated With Anthracyclines – A Randomized Clinical Trial

Importance  There are gaps in the understanding of the clinical actionability of cardiovascular biomarkers for risk stratification during cardiotoxic chemotherapy. Objectives  To gain insights into an N-terminal pro–B-type natriuretic peptide (NT-proBNP)–guided approach for cardioprotection in patients with breast cancer or lymphoma treated…

Fibromuscular Dysplasia and Spontaneous Cervical Artery Dissection

Importance  Fibromuscular dysplasia (FMD) is found in 6 to 14% of patients with spontaneous cervical artery dissection (SCEAD) and may be associated with recurrent SCEAD. Objective  To evaluate the correlates of FMD in patients with SCEAD and to determine whether FMD is…

Hearing Loss, Brain Structure, Cognition, and Dementia Risk in the Framingham Heart Study

Importance  Age-related hearing loss is a potentially modifiable risk factor for cognitive impairment and dementia. Objective  To investigate the association of hearing loss with brain structure changes, cognitive function, and incident dementia. Design, Setting, and Participants  This cohort study included Framingham Heart Study…

Comparative Effectiveness of Cladribine and S1P Receptor Modulators in Treatment-Naive Relapsing-Remitting MS

Importance  Early treatment choice in relapsing-remitting multiple sclerosis (RRMS) is prognostically crucial, yet robust comparative data on cladribine vs sphingosine-1-phosphate receptor modulators (S1PRMs) in treatment-naive patients with RRMS are limited. Objective  To compare the clinical effectiveness of cladribine vs S1PRMs in treatment-naive…

Empagliflozin and Dapagliflozin Outcomes in Heart Failure

Importance  Sodium-glucose cotransporter-2 inhibitors have emerged as important therapeutic options for heart failure (HF). However, their comparative clinical effectiveness remains uncertain. Objective  To compare the outcomes associated with dapagliflozin and empagliflozin use in patients diagnosed with HF. Design, Setting, and Participants  This cohort…

Angiogenesis Inhibitors and Arterial Dissection or Aneurysm in Patients With Metastatic Colorectal CancerAngiogenesis Inhibitors and Arterial Dissection or Aneurysm

Importance  Although pharmacovigilance signals and a strong pathophysiological rationale have suggested a potential risk of arterial dissections or aneurysms associated with angiogenesis inhibitors, this association deserves to be further investigated through clinical practice evidence studies. Objective  To evaluate the association between exposure…

Informing Hospital Physician Well-Being Interventions in Europe and the US

Importance  Physician burnout and retention problems are threatening workforce stability and patient care. Objective  To compare physician well-being in multiple European countries and the US to inform physician well-being interventions and evaluate whether modifiable aspects of hospital care environments are associated with…