A new study in Annals of Internal Medicine found that patients connected to a specific primary care physician are more likely to receive guideline-consistent care than those without a connection. Researchers also discovered that connectedness was associated with smaller disparities in screening rates, but not race or ethnicity.
A new study in Annals of Internal Medicine argues that Medicare's current method for covering off-label uses of cancer drugs is based on an inconsistent and outdated source. The researchers found that the compendia methods varied greatly from their actual practices, and little evidence was cited by the authors of the compendia.
Researchers found that high-frequency telephone counseling with a dietician resulted in the same amount of weight loss as face-to-face counseling for obese patients taking sibutramine. Wider use of statins could be a cost-effective strategy to prevent heart disease, but may require reevaluation if pill costs are lower.
A comprehensive hospital discharge program reduced re-hospitalizations by 30% and improved patient self-perceived preparation for discharge. New immunochemical fecal occult blood tests (FOBTs) vary in detecting colorectal cancer, with sensitivity rates ranging from 25% to 72%.
Bariatric surgery rapidly improves insulin action, prompting adjustments to diabetic regimens. Genetic testing for heart disease is questioned as a reliable predictor of cardiovascular events, with traditional risk factors proving sufficient. Researchers advocate for increased clinical vigilance in methadone patients to reduce sudden c...
The American College of Physicians emphasizes the need for enhanced infection control practices to prevent viral hepatitis outbreaks. Researchers also stress the importance of proper antibiotic treatment for health care-associated pneumonia, highlighting its more serious nature compared to community-acquired pneumonia.
A new study published in Annals of Internal Medicine finds that colonoscopy significantly reduces deaths from colorectal cancer due to left-sided cancers. However, the risk reduction is negligible for right-sided cancer. The study suggests that physicians should advise patients of the limitations of colonoscopy.
A new study by American College of Physicians reveals that colonoscopy strongly reduces mortality from left-sided colorectal cancer, while offering little benefit against right-sided cases. The researchers suggest factors such as incomplete examinations and varying tumor biology contribute to these limitations.
Researchers found that hospitalist interventions can significantly reduce emergency room crowding, with a 6% decrease in ambulance diversion. Additionally, the study highlights the importance of physician communication through apology laws, which may improve doctor-patient relationships and increase patient satisfaction.
The American College of Physicians recommends that physicians adopt a routine screening policy for HIV, encouraging patients to get tested regardless of risk factors. Timely identification of undiagnosed cases can help prevent HIV transmission.
A new ACP clinical practice guideline states that second-generation antidepressants are equally effective in treating depression but have different adverse effects. The guideline recommends assessing patient status and modifying treatment if necessary, to maximize therapeutic response while minimizing side effects.
A new study found that stimulating growth hormone release in healthy older adults increased lean muscle mass, but not thigh muscle area. Another study revealed a decrease in cardiogenic shock rates among patients with acute coronary syndromes, possibly linked to improved angioplasty treatments
The USPSTF recommends primary care interventions to promote breastfeeding, with coordinated interventions increasing initiation, duration, and exclusivity. Breastfeeding has substantial health benefits to babies and their mothers, including reduced infections, allergic skin rashes, and type 2 diabetes.
The US Preventive Services Task Force (USPSTF) recommends high-intensity behavioral counseling for all sexually active individuals at increased risk for STIs. The new stool DNA test is twice as effective at detecting colon cancer and polyps than previous tests, showing promise for improved screening effectiveness.
A study published in Annals of Internal Medicine found that massage therapy provided immediate benefits on pain and mood among patients with advanced cancer. The treatment improved symptoms greater than simple touch, offering a safe and effective way to provide immediate relief.
The American College of Physicians (ACP) issues a guideline for the drug treatment of osteoporosis in men and women, recommending bisphosphonates as a first-line therapy. The guideline emphasizes individualized treatment decisions based on risks and benefits.
The American College of Physicians released a new clinical practice guideline recommending drug treatment for men and women with osteoporosis or low bone density. In addition, massage therapy may have an immediate positive effect on pain and mood for advanced cancer patients, according to a study from the National Institutes of Health.
Recent trials show intermittent HIV treatment increases risk of infections and death. A large-scale survey links 'burnout' to suicidal thoughts in med students, but finds it reversible. Whistleblower-initiated legal action against Medicare fraud has increased significantly since the 1990s.
A large study published in Annals of Internal Medicine found that West Nile virus patients experience similar physical and mental function recoveries, regardless of neurological symptoms, with pre-existing health conditions affecting prognosis. Recovery times averaged around one year.
Long-term West Nile virus infection recovery is possible within a year, with brain affected patients taking slightly longer to recover. Vitamin D deficiency is also identified as a risk factor for hip fractures in older women.
The USPSTF recommends against routine prostate cancer screening for men over 75 due to insufficient scientific evidence showing improved health outcomes. Men under 75 may benefit from screening with more evidence needed, according to the updated recommendations.
The USPSTF recommends against routine prostate cancer screening for men over 75 due to insufficient evidence. In contrast, the task force found that chronic illness is common among uninsured Americans, affecting an estimated 11.4 million adults with conditions like cardiovascular disease and hypertension.
Young adults with prehypertension are more likely to develop coronary artery calcium and atherosclerosis later in life. Researchers also found that low-molecular-weight heparin may prevent blood clots after knee arthroscopy, particularly for those undergoing meniscectomy.
A study published in Annals of Internal Medicine found that young adults with prehypertension are more likely to develop atherosclerosis later in life. The study suggests that keeping blood pressure below 120/80 mmHg through lifestyle modifications may help prevent progression to hypertension and reduce the risk of heart disease.
The American College of Physicians emphasizes the benefits of tight glucose control remain uncertain for patients aged 60-80 with Type 2 diabetes. Meanwhile, USPSTF strongly reaffirms screening recommendations for asymptomatic bacteriuria in pregnant women to reduce urinary tract infections and low birthweight babies.
Research highlights the association between diabetes and hearing loss, as well as the potential health benefits of moderate coffee consumption. A new study also examines the cost-effectiveness of HIV screening in patients over 55 years old, finding it a viable option for this age group.
A new study published in Annals of Internal Medicine found that hearing impairment is common among adults with diabetes, affecting up to 54.1% of those with the condition. The study suggests that high blood sugar levels may damage the inner ear and nerves, leading to hearing loss.
A new study published in Annals of Internal Medicine found that regular coffee drinking is not linked to increased deaths, but rather may be protective against heart disease and other causes of death. Moderate coffee consumption was associated with a lower risk of death from heart disease in women.
A database review of 101,832 critically ill patients found that ICU patients managed by critical care specialists had higher mortality rates. In contrast, a review of 66 trials on salmeterol added to inhaled corticosteroids for asthma did not alter the risk for asthma-related hospitalizations or deaths.
A new study published in the Annals of Internal Medicine has found that sequential therapy is superior to standard treatment for eradicating H. pylori, with potential implications for future treatments. Additionally, the study reveals a higher risk of certain cancers among HIV-infected patients and suggests a possible association betwe...
The American College of Physicians (ACP) is urging comprehensive reforms to address the declining state of primary care medicine in the US. The ACP suggests that payment policies need to be restructured to prioritize patient-centered medical home models, which focus on continuous and coordinated care.
The Diabetes Initiative aims to improve diabetes care by increasing the membership of the Diabetes Advisory Board and creating a Web-based version of the Closing the Gap model. The initiative has already shown statistically significant improvements in clinical measures, such as shorter patient office visits and increased annual testing.
The American College of Physicians recommends establishing a national research organization to improve physician and patient access to clinical and cost-effectiveness information. This would help address the current lack of reliable data on healthcare interventions' effectiveness, leading to more informed decision-making.
The American College of Physicians has released a new clinical practice guideline on screening for osteoporosis in men. Osteoporosis is expected to affect nearly 50% more men over the next 15 years due to increasing rates among older adults.
The American College of Physicians issues guideline for screening osteoporosis in men over 65, emphasizing regular assessments with DEXA scans. A study finds little difference in fracture prevention between osteoporosis drugs risedronate, raloxifene, and alendronate.
A study found that testosterone spray increased frequency of sexually satisfying events in premenopausal women, but the effect was only significant for the middle dose. Conventional treatments like cognitive behavioral therapy and sex therapy are recommended over hormone replacement therapy.
Research highlights the risks of cervical cancer in women with abnormal HPV test results, regardless of Pap test status. Additionally, a study finds that smoking is an addiction that should be treated like chronic diseases and that health insurance should reimburse for long-term nicotine replacement therapy.
Research findings suggest that growth hormone does not enhance athletic performance, while universal MRSA screening is associated with significant disease reduction. Additionally, cognitive impairment affecting 22% of older adults exists without dementia, and current colonoscopy guidelines may predict false positives for advanced polyps.
A new guideline for treating dementia emphasizes the importance of individualized assessment and treatment based on a patient's specific medication regimen. Researchers also developed two new blood tests to diagnose latent tuberculosis, finding that one test is more sensitive than traditional methods.
A two-year study found that glucosamine sulfate was no better than placebo in controlling hip pain and progression of osteoarthritis. In contrast, Taiwan's universal health insurance program showed a small increase in life expectancy among the least healthy population, but with increased utilization and healthcare expenditures.
The ACP and ACPF Diabetes Initiative has seen statistically significant improvements in clinical measures, including a nearly 50% reduction in office visits for diabetes patients. The team-based approach has also led to increased awareness of high-quality diabetes care among physicians.
Localized prostate cancer treatment options face uncertainty due to limited evidence. Gene expression tests for breast cancer hold promise but require further data on benefits and limitations. New HIV treatment guidelines suggest earlier initiation may increase life expectancy for younger patients. Pregnant women should not be screened...
A new study found that daily pain is far more prevalent and severe than previously thought in adults with sickle cell disease. Over half of the patients reported having pain on most days, with nearly one-third experiencing pain nearly every day.
The American College of Physicians has issued new guidelines to improve palliative care at the end of life, focusing on pain, shortness of breath, and depression. The guidelines recommend regular assessment and use of proven therapies to manage these symptoms, with a focus on improving quality of care for patients with serious illnesses.
Recent studies in Annals of Internal Medicine reveal significant advancements in palliative care and insights into sickle cell disease's prevalence. Researchers also discovered a new strain of antibiotic-resistant Staphylococcal Infections primarily affecting men who have sex with men, emphasizing the need for targeted prevention measu...
A study found that targeted digital mammography screening can be cost-effective for younger women with dense breasts, while conventional film mammography may be more effective for older women. Additionally, labeling epinephrine as a dose or ratio affected dosing errors among doctors.
The American College of Physicians has issued new clinical guidelines that recommend against routine screening for carotid artery stenosis. Meanwhile, the use of vitamin D as a standard treatment for chronic kidney disease remains unchanged despite concerns over its effectiveness. Additionally, experts have called for revisions to orga...
The American College of Physicians emphasizes the need for a more efficient and equitable healthcare system. Internists advocate for a focus on patient-centered care and recommend various strategies to achieve this goal. One such approach is implementing pay-for-performance programs that prioritize patient well-being over profit motives.
The American College of Physicians emphasizes the need to balance performance incentives with patient-centered care. Pay-for-performance programs may neglect complex patient needs, particularly for elderly patients with multiple chronic conditions. ACP advocates for a more nuanced approach that prioritizes patient welfare and preferences.
The American College of Physicians proposes a pluralistic system with government and private organizations ensuring universal access, or a single-payer system with lower administrative costs. The organization also recommends improving patient care coordination, disease prevention, and reducing healthcare administration costs.