The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia


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Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia

Nathan and Amol want you to understand the following:

1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost.
2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical stability and length-of-stay in hospital.

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The papers

DA Etzioni et al. Association of Hospital Participation in a Surgical Outcomes Monitoring Program With Inpatient Complications and Mortality. JAMA. 2015 Feb 3;313(5):505-11. (PubMed).

CA Blum et al. Adjunct prednisone therapy for patients with community-acquired pneumonia: a multicentre, double-blind, randomised, placebo-controlled trial. Lancet. 2015 Jan 16. pii: S0140-6736(14)62447-8. (PubMed).

Good stuff

BR Roman. On Marginal Health Care — Probability Inflation and the Tragedy of the Commons. N Engl J Med. 2015 Feb 5;372(6):572-5.

A Edwards. Opinion: How do we delivery on the promise of personalized medicine? HealthyDebate. 2015 Feb 9.

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