Latest Articles
- A guide to assessing decision-making capacity
Physicians must care for many patients who are neither fully capable nor totally incapable of understanding and expressing choices about their treatment. We present an algorithm for assessing decision-making capacity.
Epidural steroids for back and leg pain: Mechanism of action and efficacyEpidural steroid injections may relieve the patient’s pain while healing occurs. Who should receive this therapy, and what kind of benefit can they reasonably expect?
- Coping with the influenza vaccine shortage
How to decide which patients to vaccinate and how to use antiviral drugs, in light of the vaccine shortage.
- Passing the baton
Beginning next month, current deputy editor Brian Mandell, MD, PhD, will assume the role of editor-in-chief of the Cleveland Clinic Journal of Medicine. I have enjoyed my tenure and look forward to continuing my association with the Journal.
- A practical program for preventing delirium in hospitalized elderly patients
Delirium in hospitalized elderly patients is common, often unrecognized, and can lead to serious complications. A systematic program can improve the rate of recognition and decrease the rate of incidence.
Benign prostatic hyperplasia: Now we can begin to tailor treatmentThe management of benign prostatic hyperplasia has improved considerably in recent years. A review of medications, surgery, and new minimally invasive procedures.
- The Vioxx withdrawal: Latest in the COX-2 controversies
Discussion of the COX-2 inhibitors has been emotionally polarized every step of the way, and it’s not over. Two other COX-2 drugs are still available, and much money is at stake.
- Safe use of opioids in chronic noncancer pain
Many physicians needlessly avoid prescribing opioid analgesics for chronic pain because of misconceptions about efficacy, adverse effects, abuse, and addiction potential.
- Radiologic imaging in rhinosinusitis
Imaging may be necessary for rhinosinusitis that is refractory, chronic, recurrent, or complicated.