Open AccessJournal Article
Competing demands and opportunities in primary care
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TLDR
Preventive interventions have yielded dramatic improvements in population health, with substantial benefits in patient-oriented outcomes including death from infectious disease and infant mortality.Abstract:
Historically, preventive interventions have yielded dramatic improvements in population health, with substantial benefits in patient-oriented outcomes including death from infectious disease and infant mortality. As medicine evolves, greater numbers of preventive and screening recommendations areread more
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Risk Factors Associated With Transition From Acute to Chronic Low Back Pain in US Patients Seeking Primary Care
Joel M. Stevans,Anthony Delitto,Samannaaz S. Khoja,Charity G. Patterson,Clair N. Smith,Michael Schneider,Janet K. Freburger,Carol M. Greco,Jennifer A. Freel,Gwendolyn Sowa,Ajay D. Wasan,Gerard P. Brennan,Stephen J. Hunter,Kate I. Minick,Stephen T. Wegener,Patti L. Ephraim,Michael Friedman,Jason M. Beneciuk,Steven Z. George,Robert B. Saper +19 more
TL;DR: The transition from acute to chronic low back pain (LBP) is highly prevalent, with a presumed favorable prognosis; however, once chronic, LBP becomes a disabling and expensive condition, and it is unknown whether a standardized prognostic tool (i.e., Subgroups for Targeted Treatment Back tool [SBT]) can estimate this transition or whether early non-guideline concordant treatment is associated with the transition as discussed by the authors.
Journal ArticleDOI
Validation of an instrument for the assessment of patient-centred care among patients with multimorbidity in the primary care setting: the 36-item patient-centred primary care instrument
Jane M. Cramm,Anna P. Nieboer +1 more
TL;DR: Patients with multimorbidity who experienced joint decision making and responsibility taking in the primary care setting also had significantly higher scores for all eight PCC dimensions, indicating the instrument’s construct validity.
Journal ArticleDOI
Mailed Letter Versus Phone Call to Increase Uptake of Cancer Screening: A Pragmatic, Randomized Trial
TL;DR: Primary care practices should consider integrating phone call reminders into their practice, possibly as part of a targeted or staged approach to outreach for cancer screening, because phone calls were more expensive than letters.
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Logistical and structural challenges are the major obstacles for family medicine physicians' ability to administer adult vaccines.
TL;DR: In this pilot study, structural and logistical challenges appeared to make the biggest impact on adult vaccination for the responding family medicine physicians.
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Impact of a Primary Care Provider Tele-Mentoring and Community Health Worker Intervention on Utilization in Medicaid Patients with Diabetes
Saul Blecker,Emily Lemieux,Margaret M. Paul,Carolyn A. Berry,Matthew F. Bouchonville,Sanjeev Arora,John Billings +6 more
TL;DR: Patient enrollment in Endo ECHO was associated with increased outpatient and ED utilization and increased uptake of prescription-related quality measures and no impact was observed on hospitalization.
References
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Journal ArticleDOI
Primary care: is there enough time for prevention?
TL;DR: The amount of time required for a primary care physician to provide recommended preventive services to an average patient panel using published and estimated times per service was determined.
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Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension.
Jan A. Staessen,Lutgarde Thijs,Robert Fagard,Eoin O'Brien,Clement D,P. W. De Leeuw,Giuseppe Mancia,C Nachev,Paolo Palatini,Gianfranco Parati,J Tuomilehto,John Webster +11 more
TL;DR: In untreated older patients with isolated Systolic Hypertension in Europe, ambulatory systolic BP was a significant predictor of cardiovascular risk over and above conventional BP.
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Screening for breast cancer: an update for the U.S. Preventive Services Task Force.
TL;DR: New studies and evidence gaps that were unresolved at the time of the 2002 USPSTF recommendation are focused on, including the effectiveness of mammography screening in decreasing breast cancer mortality among average-risk women aged 40 to 49 years and 70 years or older.
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Mortality results from the Göteborg randomised population-based prostate-cancer screening trial
Jonas Hugosson,Sigrid Carlsson,Gunnar Aus,Svante Bergdahl,Ali Khatami,Pär Lodding,Carl-Gustaf Pihl,Johan Stranne,Erik Holmberg,Hans Lilja,Hans Lilja +10 more
TL;DR: It is shown that prostate cancer mortality was reduced almost by half over 14 years, however, the risk of over-diagnosis is substantial and the number needed to treat is at least as high as in breast-cancer screening programmes.
Journal ArticleDOI
Scientific Evidence Underlying the ACC/AHA Clinical Practice Guidelines
TL;DR: Recommendations issued in current ACC/AHA clinical practice guidelines are largely developed from lower levels of evidence or expert opinion, and the proportion of recommendations for which there is no conclusive evidence is also growing.