Latest Articles

  • Which Is Better—Half-Dose or No Insulin on Day of Surgery?
    Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Kirk Smith, Vivek Moitra, Melinda Drum and Bobbie Jean Sweitzer
    Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S37;
  • What Is the Optimal Time Frame for Performing Hemodialysis in Patients with End-Stage Renal Disease Prior to Surgery?
    Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov and Ajay Kumar
    Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S32;
  • Screening for coronary heart disease: Has the time for universal imaging arrived?
    Michael S. Lauer, MD
    Cleveland Clinic Journal of Medicine September 2007, 74 (9) 645-656;

    Screening for coronary heart disease by means of an imaging test is not supported by evidence and is not endorsed by professional societies or the US Preventive Services Task Force.

  • What risks does a history of pulmonary hypertension present for patients undergoing noncardiac surgery?
    Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Roop Kaw, MD, Priyanka Sharma, MD and Omar A. Minai, MD
    Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S20-S21;
  • Does a systolic murmur heard in the aortic area need to be further evaluated prior to elective surgery?
    Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Thadeo Catacutan, MD, Ali Usmani, MD and Ashish Aneja, MD
    Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S21-S23;
  • The art and evidence of medical practice
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 544;

    A message from the Spine Patient Outcomes Research Trial (SPORT) could be that the artful judgment of a seasoned clinician, with patient input, may actually be a valid way to make decisions.

  • Obstructive sleep apnea (January 2007)
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 576;
  • Colorectal cancer screening lacks evidence of benefit
    Paul Moayyedi, BSc, MB ChB, PhD, MPH, FRCP, FRCPC
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 545-554;

    Although some studies indicate that screening with fecal occult blood testing or colonoscopy prevents deaths from colorectal cancer, the benefits may be offset by more deaths from other causes.

  • Interpreting the Spine Patient Outcomes Research Trial
    Daniel Mazanec, MD and Linda Okereke, MD
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 577-583;

    The Spine Patient Outcomes Research Trial compared surgical and nonsurgical treatment in patients with radicular pain. The treatments were equivalent on intention-to-treat analysis, but up to 40% of patients in each group “crossed over” to the other treatment, muddying the results.

  • Modafinil in the treatment of excessive daytime sleepiness
    Roxanne M. Valentino, MD and Nancy Foldvary-Schaefer, DO
    Cleveland Clinic Journal of Medicine August 2007, 74 (8) 561-571;

    We review the pharmacology, current approved and off-label uses, and side effects of this commonly prescribed wakefulness-promoting agent.

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