Key points Canada’s health systems are stressed with increasing demands for health care and services. The causes of this stress are multifactorial and include an aging population and a health ...

Background: Subclinical hypothyroidism has been linked to adverse renal outcomes, but it is unknown whether treatment of subclinical hypothyroidism reduces the risk of these adverse outcomes. We ...

Key points The provision of health care is hard and, understandably, clinicians struggle. Beyond meaningful health care interactions, clinicians must also integrate large volumes of demographic, ...

Care should include explicit statements affirming patient choice. Clinicians with faith-based objections should provide timely, tolerant referral; judgmental or obstructive care may result in ...

Key points Health data are critical to health systems in Canada, but the potential of these data to be accessed and used by foreign entities for surveillance purposes without consent is concerning.

A 43-year-old man presents requesting screening for sexually transmitted infections (STIs). His medical history is remarkable for systemic lupus erythematosus (SLE), and he is currently receiving no ...

Accessibility adaptations like online booking and virtual consultations can reduce care avoidance observed in autistic people. Access to accurate diagnoses and better health outcomes can be supported ...

Measles in pregnancy poses serious maternal and fetal risks Pregnant people with measles are at higher risk of pneumonia, hepatitis, and hospitalization and have a 10-fold higher risk of death than ...

Background: The relation between emergency department opioid prescribing and subsequent harm is complex and poorly studied. We sought to quantify adverse outcomes, incremental risk, and rates of ...

KEY POINTS Correctional populations are characterized by disproportionately elevated levels of chronic diseases, including substance use and mental health disorders. In contexts of the present drug ...

Background: In Canada, many patients face substantial out-of-pocket costs for prescription medication, which may affect their ability to take their medications as prescribed. We sought to conduct a ...

KEY POINTS A 65-year-old woman presented to the emergency department with an 8-day history of progressive leg weakness and poor mobility in the setting of a known history of mixed neurogenic and ...