{"title":"Why reduce frequency of print issues if they are well read?","authors":"Nancy Craig","doi":"10.1503/cmaj.152112-l","DOIUrl":"https://doi.org/10.1503/cmaj.152112-l","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 15","pages":"E421"},"PeriodicalIF":9.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blastomycosis in a 49-year-old man from southwestern Ontario.","authors":"Hannah Stirton, David Croitoru","doi":"10.1503/cmaj.241680","DOIUrl":"https://doi.org/10.1503/cmaj.241680","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 15","pages":"E419-E420"},"PeriodicalIF":9.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic et prise en charge de la rhinosinusite chronique.","authors":"Christopher J Chin, John R Scott, John M Lee","doi":"10.1503/cmaj.241101-f","DOIUrl":"https://doi.org/10.1503/cmaj.241101-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 15","pages":"E427-E434"},"PeriodicalIF":9.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassan Jamal, Conor Broderick, Manal Tadros, Irene Lara-Corrales, Ari Bitnun
{"title":"Central nervous system blastomycosis in an immunocompetent child.","authors":"Hassan Jamal, Conor Broderick, Manal Tadros, Irene Lara-Corrales, Ari Bitnun","doi":"10.1503/cmaj.241332","DOIUrl":"https://doi.org/10.1503/cmaj.241332","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 15","pages":"E413-E416"},"PeriodicalIF":9.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"April 2025 obituaries.","authors":"","doi":"10.1503/cmaj.250545","DOIUrl":"https://doi.org/10.1503/cmaj.250545","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 15","pages":"E423-E426"},"PeriodicalIF":9.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Menstrual equity in Canada.","authors":"Ann C Lee, Serena M Topshee, Megan E Harrison","doi":"10.1503/cmaj.241513","DOIUrl":"https://doi.org/10.1503/cmaj.241513","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 14","pages":"E393"},"PeriodicalIF":9.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the evidence for hyperbaric oxygen therapy for sudden sensorineural hearing loss.","authors":"Peng You, Daniel Newsted, Munir Demir Bajin","doi":"10.1503/cmaj.242141-l","DOIUrl":"https://doi.org/10.1503/cmaj.242141-l","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 14","pages":"E395"},"PeriodicalIF":9.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geoff D C Ball, Roah Merdad, Catherine S Birken, Tamara R Cohen, Brenndon Goodman, Stasia Hadjiyannakis, Jill Hamilton, Mélanie Henderson, John Lammey, Katherine M Morrison, Sarah A Moore, Aislin R Mushquash, Ian Patton, Nicole Pearce, Joshua K Ramjist, Tracy Rhyason Lebel, Brian W Timmons, Annick Buchholz, Jennifer Cantwell, Jennifer Cooper, Julius Erdstein, Donna Fitzpatrick-Lewis, Dawn Hatanaka, Patrice Lindsay, Tasneem Sajwani, Meghan Sebastianski, Diana Sherifali, Julie St Pierre, Muhammad Usman Ali, Jessica Wijesundera, Angela S Alberga, Christine Ausman, Trisha C Baluyot, Emily Burke, Kara Dadgostar, Bronwyn Delacruz, Elizabeth Dettmer, Maegan Dymarski, Zahra Esmaeilinezhad, Ilona Hale, Soren Harnois-Leblanc, Josephine Ho, Nicole D Gehring, Marsha Kucera, Jacob C Langer, Amy C McPherson, Leen Naji, Krista Oei, Grace O'Malley, Angelica M Rigsby, Gita Wahi, Ian S Zenlea, Bradley C Johnston
Background: Obesity is a complex, chronic, stigmatized disease whereby abnormal or excess body fat may impair health or increase the risk of medical complications, and can reduce quality of life and shorten lifespan in children and families. We developed this guideline to provide evidence-based recommendations on options for managing pediatric obesity that support shared decision-making among children living with obesity, their families, and their health care providers.
Methods: We followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. We used the Guidelines International Network principles to manage competing interests. Caregivers, health care providers, and people living with obesity participated throughout the guideline development process, which optimized relevance. We surveyed end users (caregivers, health care providers) to prioritize health outcomes, completed 3 scoping reviews (2 on minimal important difference estimates; 1 on clinical assessment), performed 1 systematic review to characterize families' values and preferences, and conducted 3 systematic reviews and meta-analyses to examine the benefits and harms of behavioural and psychological, pharmacologic, and surgical interventions for managing obesity in children. Guideline panellists developed recommendations focused on an individualized approach to care by using the GRADE evidence-to-decision framework, incorporating values and preferences of children living with obesity and their caregivers.
Recommendations: Our guideline includes 10 recommendations and 9 good practice statements for managing obesity in children. Managing pediatric obesity should be guided by a comprehensive child and family assessment based on our good practice statements. Behavioural and psychological interventions, particularly multicomponent interventions (strong recommendation, very low to moderate certainty), should form the foundation of care, with tailored therapy and support using shared decision-making based on the potential benefits, harms, certainty of evidence, and values and preferences of children and families. Pharmacologic and surgical interventions should be considered (conditional recommendation, low to moderate certainty) as therapeutic options based on availability, feasibility, and acceptability, and guided by shared decision-making between health care providers and families.
Interpretation: This guideline will support children, families, and health care providers to have informed discussions about the balance of benefits and harms for available obesity management interventions to support value- and preference-sensitive decision-making.
{"title":"Managing obesity in children: a clinical practice guideline.","authors":"Geoff D C Ball, Roah Merdad, Catherine S Birken, Tamara R Cohen, Brenndon Goodman, Stasia Hadjiyannakis, Jill Hamilton, Mélanie Henderson, John Lammey, Katherine M Morrison, Sarah A Moore, Aislin R Mushquash, Ian Patton, Nicole Pearce, Joshua K Ramjist, Tracy Rhyason Lebel, Brian W Timmons, Annick Buchholz, Jennifer Cantwell, Jennifer Cooper, Julius Erdstein, Donna Fitzpatrick-Lewis, Dawn Hatanaka, Patrice Lindsay, Tasneem Sajwani, Meghan Sebastianski, Diana Sherifali, Julie St Pierre, Muhammad Usman Ali, Jessica Wijesundera, Angela S Alberga, Christine Ausman, Trisha C Baluyot, Emily Burke, Kara Dadgostar, Bronwyn Delacruz, Elizabeth Dettmer, Maegan Dymarski, Zahra Esmaeilinezhad, Ilona Hale, Soren Harnois-Leblanc, Josephine Ho, Nicole D Gehring, Marsha Kucera, Jacob C Langer, Amy C McPherson, Leen Naji, Krista Oei, Grace O'Malley, Angelica M Rigsby, Gita Wahi, Ian S Zenlea, Bradley C Johnston","doi":"10.1503/cmaj.241456","DOIUrl":"10.1503/cmaj.241456","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a complex, chronic, stigmatized disease whereby abnormal or excess body fat may impair health or increase the risk of medical complications, and can reduce quality of life and shorten lifespan in children and families. We developed this guideline to provide evidence-based recommendations on options for managing pediatric obesity that support shared decision-making among children living with obesity, their families, and their health care providers.</p><p><strong>Methods: </strong>We followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. We used the Guidelines International Network principles to manage competing interests. Caregivers, health care providers, and people living with obesity participated throughout the guideline development process, which optimized relevance. We surveyed end users (caregivers, health care providers) to prioritize health outcomes, completed 3 scoping reviews (2 on minimal important difference estimates; 1 on clinical assessment), performed 1 systematic review to characterize families' values and preferences, and conducted 3 systematic reviews and meta-analyses to examine the benefits and harms of behavioural and psychological, pharmacologic, and surgical interventions for managing obesity in children. Guideline panellists developed recommendations focused on an individualized approach to care by using the GRADE evidence-to-decision framework, incorporating values and preferences of children living with obesity and their caregivers.</p><p><strong>Recommendations: </strong>Our guideline includes 10 recommendations and 9 good practice statements for managing obesity in children. Managing pediatric obesity should be guided by a comprehensive child and family assessment based on our good practice statements. Behavioural and psychological interventions, particularly multicomponent interventions (strong recommendation, very low to moderate certainty), should form the foundation of care, with tailored therapy and support using shared decision-making based on the potential benefits, harms, certainty of evidence, and values and preferences of children and families. Pharmacologic and surgical interventions should be considered (conditional recommendation, low to moderate certainty) as therapeutic options based on availability, feasibility, and acceptability, and guided by shared decision-making between health care providers and families.</p><p><strong>Interpretation: </strong>This guideline will support children, families, and health care providers to have informed discussions about the balance of benefits and harms for available obesity management interventions to support value- and preference-sensitive decision-making.</p>","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 14","pages":"E372-E389"},"PeriodicalIF":9.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donna L Reynolds, Raoul Daoust, Melissa Subnath, Heather Limburg
{"title":"Prévention des méfaits dès la première prescription d’opioïdes.","authors":"Donna L Reynolds, Raoul Daoust, Melissa Subnath, Heather Limburg","doi":"10.1503/cmaj.250094-f","DOIUrl":"https://doi.org/10.1503/cmaj.250094-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 14","pages":"E400-E402"},"PeriodicalIF":9.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer M Akerman, Kelti M Munroe, Christopher J Chin
{"title":"Dysfonctionnement olfactif postviral.","authors":"Jennifer M Akerman, Kelti M Munroe, Christopher J Chin","doi":"10.1503/cmaj.241377-f","DOIUrl":"https://doi.org/10.1503/cmaj.241377-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 14","pages":"E396-E397"},"PeriodicalIF":9.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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