Journal rackBMJ 2003; 327 doi: https://doi.org/10.1136/bmjusa.02070002 (Published 19 November 2003) Cite this as: BMJ 2003;327:E124
From BMJ USA 2002;July:414
This section calls attention to new studies and systematic reviews, selected by the Editor from journals published just as this issue went into production (approximately 2 months before publication). The Journals hand-searched for the Journal Rack are: American Journal of Medicine, American Journal of Preventive Medicine, Annals of Internal Medicine, Circulation, JAMA, Journal of Family Practice, Journal of General Internal Medicine, Journal of the American Board of Family Practice, JNCI, Lancet, New England Journal of Medicine, and Pediatrics. Studies are noted that might directly influence clinical practice decisions in primary care and have been classified by type of problem addressed.
Cardiovascular—Two randomized trials, one in the US involving 569 patients and the other in the UK involving 1090 patients, found that immediate surgical repair of abdominal aortic aneurysms measuring 4–5.4 cm in diameter did not improve survival over ultrasound surveillance followed by surgery when the aneurysms enlarged beyond 5.5 cm or became symptomatic. In the British trial patients in the early surgery group had lower all-cause mortality after 8 years, a finding attributed to higher smoking cessation rates and healthier lifestyle (Lederle et al. N Engl J Med May 9 2002;346:1437–1444; The United Kingdom Small Aneurysm Trial Participants. N Engl J Med May 9 2002;346:1445–1452).
Endocrine—A randomized controlled trial involving 339 relatives of patients with …