•Journal•ISSN: 0008-350X
Canadian Family Physician
College of Family Physicians Canada
About: Canadian Family Physician is an academic journal published by College of Family Physicians Canada. The journal publishes majorly in the area(s): Health care & Population. It has an ISSN identifier of 0008-350X. It is also open access. Over the lifetime, 9148 publications have been published receiving 87190 citations. The journal is also known as: Médecin de famille canadien & Can. Fam. Physician.
Topics: Health care, Population, Medicine, MEDLINE, Pregnancy
Papers published on a yearly basis
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TL;DR: I thank Dr Genuis and Mr Tymchak for presenting their interesting article, “Approach to patients with unexplained multimorbidity with sensitivities”, and think this article should be considered.
Abstract: Balancing evidence-based medicine and patient preference is of huge importance to the current practice of family medicine. Certainly, family physicians must not act as “controller[s] of the decision-making process.”[1][1] But I disagree that family physicians act as mere “broker[s] of choices
526 citations
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490 citations
Journal Article•
TL;DR: The analgesic ladder was presented at the World Health Organization (WHO) in 1986 as a method to facilitate the treatment of pain and has since been used as a guide for clinical practice.
Abstract: Pain remains one of the main reasons for medical consultation worldwide. Numerous organizations and scientific associations have made efforts to find solutions for this problem and to facilitate the treatment of pain. In 1986 the World Health Organization (WHO) presented the analgesic ladder as a
389 citations
Journal Article•
TL;DR: The findings support attempts to reduce exposure to pesticides and are likely best achieved through decreasing pesticide use for cosmetic (non-commercial) purposes (where children might be exposed) and on the job.
Abstract: OBJECTIVE To review literature documenting associations between pesticide use and cancer. DaTa sOuRCEs We searched MEDLINE, PreMedline, CancerLit, and LILACS to find studies published between 1992 and 2003 on non-Hodgkin lymphoma, leukemia, and 8 solid-tumour cancers: brain, breast, kidney, lung, ovarian, pancreatic, prostate, and stomach cancer. sTuDY sELECTION Each title and abstract was assessed for relevance; disagreements among reviewers were resolved by consensus. Studies were assessed by a team of 2 trained reviewers and rated based on methodologic quality according to a 5-page assessment tool and a global assessment scale. Studies rated below a global score of 4 out of 7 were excluded. sYNTHEsIs Most studies on non-Hodgkin lymphoma and leukemia showed positive associations with pesticide exposure. Some showed dose-response relationships, and a few were able to identify specific pesticides. Children’s and pregnant women’s exposure to pesticides was positively associated with the cancers studied in some studies, as was parents’ exposure to pesticides at work. Many studies showed positive associations between pesticide exposure and solid tumours. The most consistent associations were found for brain and prostate cancer. An association was also found between kidney cancer in children and their parents’ exposure to pesticides at work. These associations were most consistent for high and prolonged exposures. Specific weaknesses and inherent limitations in epidemiologic studies were noted, particularly around ascertaining whether and how much exposure had taken place. CONCLusION Our findings support attempts to reduce exposure to pesticides. Reductions are likely best achieved through decreasing pesticide use for cosmetic (non-commercial) purposes (where children might be exposed) and on the job.
292 citations