I.M. Matters from ACP provides news and information for internal medicine physicians about the practice of medicine.
Philadelphia
Joined June 2009
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Patient characteristics may help with choice between cefepime, pip-tazo
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Intermediate care unit closures increased low-risk ICU admissions, study finds
ICU admissions increased from 14.2% of hospital admissions to 20.5% following the closure of intermediate care beds at a teaching hospital, a single-center study showed. acpjournals.org/doi/10.7326/…
Hospitalizations, ED visits can be tied to patients' transportation problems
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Intensive BP lowering may reduce CV events regardless of kidney function, review finds acpjournals.org/doi/10.7326/…
I.M. Matters from ACP retweeted
Medicare beneficiaries taking commonly prescribed medications could see meaningful savings under the Medicare Drug Price Negotiation Program. A new study projects an average annual savings of $685 for beneficiaries in stand-alone Part D plans and $470 for those in #Medicare Advantage drug plans. Patients taking some commonly prescribed medications could see annual out-of-pocket cost reductions of 26% to 49%. Read the report here: bit.ly/4yYMQYn
I.M. Matters from ACP retweeted
State of Louisiana v Food and Drug Administration (Louisiana v FDA) seeks to limit expanded access to mifepristone for medical abortion via telemedicine. In a new commentary, S. Sean Tu, JD, PhD, Lewis A. Grossman, JD, PhD, and William B. Feldman, MD, DPhil, MPH, describe how this represents a larger threat to evidence-based decisions of the FDA by allowing judges without the expertise to make decisions on questions of medication safety. Read here: bit.ly/4dETL0k
Hospital closure rates similar in urban, rural areas
In 2010 to 2025, 432 U.S. acute care hospitals closed, while only 216 opened, working out to a net loss of 24,399 beds, according to an analysis of American Hospital Association data. acpjournals.org/doi/10.7326/…
Optimizing consults for cytopenias
An expert at Southern Hospital Medicine 2026 discussed when to seek help with thrombocytopenia, disseminated intravascular coagulation, and more. acpjournals.org/doi/10.7326/…
8 takeaways from the updated ACLS guidelines
The American Heart Association's 2025 guidelines on advanced cardiac life support (ACLS) changed recommendations on defibrillator settings, oxygen saturation, temperature, and more. acpjournals.org/doi/10.7326/…
Guideline recommends preventive care for patients with cirrhosis
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First-trimester exposure to benzodiazepines does not raise risk of congenital malformation, study suggests acpjournals.org/doi/10.7326/…
The ins and outs of AI
While artificial intelligence shows promise for use in day-to-day clinical practice, physicians must look out for and mitigate its negative side effects. acpjournals.org/doi/10.7326/…
I.M. Matters from ACP retweeted
The latest Annals #InTheClinic feature explores the current evidence on screening, prevention, diagnosis, treatment, and practice improvement for delirium. bit.ly/3VHG7U8
How humanities help medicine
When doctors write creatively, it can help them process their roles as physicians, as well interact with patients on a human level.
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Retatrutide improved body weight, glycemic control, industry-funded phase 3 trial finds acpjournals.org/doi/10.7326/…
🔦 Spotlight on new recommendations 🔦
The ADA and EASD recently updated their consensus statements on type 1 and type 2 diabetes, and the EASD issued a guideline on managing diabetes distress. acpjournals.org/doi/10.7326/…
Periop assessment guideline reaffirmed by cardiology societies acpjournals.org/doi/10.7326/…
Older adults and those with impaired awareness of hypoglycemia spent 11.38% more time in their target glucose range when they used automated insulin delivery (AID) systems, a systematic review and meta-analysis found. acpjournals.org/doi/10.7326/…
Patients who were Black and Hispanic had lower odds of buprenorphine prescription fills and refills after hospital, ED, or rehab treatment for overdose, withdrawal, or infection compared with non-Hispanic White patients, an analysis of Medicaid data found. acpjournals.org/doi/10.7326/…
GLP-1s, SGLT-2s during first trimester about as safe as insulin, retrospective study finds
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