Health & Medicine

Clinical research, public health and biomedicine — summarized conservatively, with evidence levels and limitations.

Articles in this section summarize medical research for general information. They are not medical advice, and every article shows its evidence level and limitations.

Abstract editorial illustration accompanying the article: Review finds longer survival with added toxicity in four cancer types
Health & Medicine
High evidenceReview

Review finds longer survival with added toxicity in four cancer types

This systematic review examined randomized human trials of concurrent chemotherapy and radiation for locally advanced head and neck, cervical, esophageal, and non-small-cell lung cancers. Across the included trials, combined treatment was reported to provide better overall survival than radiation alone, but it also caused more severe short-term side effects. The review did not provide enough information in its abstract to show how many trials or patients were included.

Abstract editorial illustration accompanying the article: Review suggests staged surgery may lower some risks for congenital moles
Health & Medicine
Moderate evidenceReview

Review suggests staged surgery may lower some risks for congenital moles

Researchers pooled results from seven human studies comparing multiple-staged with single-stage removal and reconstruction of congenital melanocytic nevi, sometimes called congenital moles. Staged surgery was associated with fewer major wound complications and recurrences, as well as slightly shorter and narrower scars, but the studies did not find a clear difference in cosmetic or overall patient satisfaction.

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Abstract editorial illustration accompanying the article: Trial reports better 12-week blood pressure control after salt-sensitivity testing
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Moderate evidenceHuman study

Trial reports better 12-week blood pressure control after salt-sensitivity testing

A cluster-randomized human study in 210 adults with recently detected stage 1 hypertension in Uzbekistan compared salt-sensitivity testing followed by assigned medication choices with conventional management. After 12 weeks, more participants in the testing-guided group reached the study's blood pressure target, although the study was small, short, and conducted in only three primary care centers.

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Abstract editorial illustration accompanying the article: Trial suggests one hand sanitizer was linked to fewer respiratory symptoms
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Moderate evidenceHuman study

Trial suggests one hand sanitizer was linked to fewer respiratory symptoms

This human randomized trial compared repeated use of a study hand-sanitizer formulation with a commercially available 79.7% ethanol sanitizer among 568 employees and cohabiting family members in Japan. The study-formulation group had fewer reported upper respiratory symptoms and illness-related work restrictions during the 72-day winter study, although the findings do not establish how well they apply to other populations or longer periods.

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Abstract editorial illustration accompanying the article: Review links higher tacrolimus variability with kidney graft loss
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Moderate evidenceReview

Review links higher tacrolimus variability with kidney graft loss

A systematic review and meta-analysis examined whether large changes over time in tacrolimus blood levels were associated with outcomes after kidney transplantation. Across 10 cohort studies involving 11,647 adults, higher variability was associated with a greater risk of graft loss and rejection. The findings show an association, not proof that variability causes these outcomes.

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Abstract editorial illustration accompanying the article: Review compares epigenetic drugs with chemotherapy in relapsed T-cell lymphoma
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Moderate evidenceReview

Review compares epigenetic drugs with chemotherapy in relapsed T-cell lymphoma

This meta-analysis examined 38 studies involving 2,170 people with relapsed or treatment-resistant peripheral T-cell lymphoma. Regimens containing an epigenetic drug had tumor response rates similar to conventional chemotherapy, but the studies reported higher one-year progression-free and overall survival rates with the epigenetic-containing regimens. Because the comparisons were based mainly on separate cohorts rather than randomized trials, the results show an association rather than proof that one approach caused better outcomes.

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Abstract editorial illustration accompanying the article: Review finds mixed outcomes after fetal shunting for fluid around the lungs
Health & Medicine
High evidenceReview

Review finds mixed outcomes after fetal shunting for fluid around the lungs

Researchers reviewed 10 retrospective studies involving 416 human fetuses with isolated pleural effusion, meaning fluid had built up around the developing lungs. After pleuro-amniotic shunting, pooled estimates suggested survival in about two-thirds of cases and resolution of fetal hydrops in about three-fifths, but preterm birth and other complications were also common.

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Abstract editorial illustration accompanying the article: Review finds artificial intelligence use in low-resource cancer care remains at early stages
Health & Medicine
High evidenceReview

Review finds artificial intelligence use in low-resource cancer care remains at early stages

A systematic review examined how artificial intelligence was being used in radiation oncology in low- and middle-income countries. Among 18 studies, most described limited, task-specific uses, while only one reported coordination across multiple stages of care. The review found that validation, infrastructure, workflow development, and governance were not yet sufficiently developed for broad scale-up.

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Abstract editorial illustration accompanying the article: Review finds cell salvage may not reduce total transfusions in spine surgery
Health & Medicine
High evidenceReview

Review finds cell salvage may not reduce total transfusions in spine surgery

Researchers combined results from 22 observational studies of 2,977 people undergoing spinal deformity surgery with or without intraoperative cell salvage, a process that collects and returns a patient’s own blood during surgery. Cell salvage was linked with a modest reduction in postoperative transfusion volume and higher hemoglobin on the first day after surgery, but it was not linked with lower total transfusion volume or fewer overall complications.

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Abstract editorial illustration accompanying the article: Review suggests cooling during root canal treatment may reduce short-term pain
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Moderate evidenceReview

Review suggests cooling during root canal treatment may reduce short-term pain

This systematic review and meta-analysis examined intracanal cryotherapy—using cooled liquid inside the tooth—as part of nonsurgical root canal treatment in people with symptomatic apical periodontitis. Across 11 randomized controlled trials, the analysis found lower reported pain at 6, 24, 48, and 72 hours, but not a statistically clear difference at 12 hours. The researchers said the results should be interpreted cautiously because most studies had some risk-of-bias concerns and the treatment methods varied.

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Abstract editorial illustration accompanying the article: Review links food insecurity with poorer well-being among adults with cancer
Health & Medicine
High evidenceReview

Review links food insecurity with poorer well-being among adults with cancer

This systematic review examined food insecurity among adults living with cancer and its relationship with quality of life, mental health, and cancer-care outcomes. Across seven observational studies, food insecurity was associated with poorer quality of life, more depressive symptoms or distress, financial strain, and difficulty accessing adequate food or medicines. These findings show associations and do not establish that food insecurity caused the reported outcomes.

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Abstract editorial illustration accompanying the article: Review finds unreliable evidence for berberine in polycystic ovary syndrome
Health & Medicine
Low evidenceReview

Review finds unreliable evidence for berberine in polycystic ovary syndrome

This systematic review examined randomized trials of berberine in women with polyendocrine metabolic ovarian syndrome, previously called polycystic ovary syndrome. Four trials involving 452 participants were identified, but all were judged to have a high risk of compromised integrity and were excluded from quantitative analysis. The researchers concluded that current evidence is insufficient to establish whether berberine is effective in this condition.

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Abstract editorial illustration accompanying the article: Review finds radiofrequency treatment had similar cancer outcomes to surgery
Health & Medicine
High evidenceReview

Review finds radiofrequency treatment had similar cancer outcomes to surgery

A systematic review and meta-analysis compared radiofrequency ablation with surgery and other heat-based procedures in 3,612 people with papillary thyroid carcinoma. Compared with surgery, radiofrequency ablation was associated with similar reported disease progression and fewer complications, but the evidence came from a limited number of studies and may not apply to all patients.

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Abstract editorial illustration accompanying the article: Study links feeding frequency with caregiver beliefs in Ethiopian children
Health & Medicine
Low evidenceHuman study

Study links feeding frequency with caregiver beliefs in Ethiopian children

Researchers studied 514 mothers or caregivers of children aged 6–23 months attending three public health centers in Harar City, Eastern Ethiopia. They found that 61.5% of the children met the study’s minimum meal-frequency standard, while meeting that standard was associated with caregiver beliefs, household circumstances, breastfeeding status, child age, and other factors.

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Abstract editorial illustration accompanying the article: Review reports fewer deep infections with topical antibiotic powder after fracture surgery
Health & Medicine
Moderate evidenceReview

Review reports fewer deep infections with topical antibiotic powder after fracture surgery

A systematic review of five randomized trials involving 1,373 people examined topical vancomycin powder used during surgery for limb fractures. The review reported fewer fracture-related or deep surgical-site infections with the powder than with control care, particularly infections caused by gram-positive bacteria. The authors emphasized that the available trials were small and not consistently high quality.

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