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The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician

Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0815/p200.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm - ...

Feb 15, 2018 - Evidence for vitamin D screening and supplementation in adults shows that these commonplace practices have virtually no established health benefits.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0215/p226.html

Improving Quality by Doing Less: Overscreening - Editorials - American Family Physician

Jan 1, 2015 - This editorial is the first in a series of three that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overscreening often leads to overdiagnosis and overtreatment.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0101/p22.html

USPSTF Recommendations: New and Updated in 2016 - Editorials - American Family Physician

Dec 1, 2017 - In 2016, the USPSTF updated 14 previous recommendation statements and added a new recommendation on screening for autism spectrum disorder. Several updated recommendations are notable for having significant changes.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1201/p697.html

Improving Quality by Doing Less: Overdiagnosis - Editorials - American Family Physician

Feb 1, 2015 - The second in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overdiagnosis occurs when a disease is diagnosed and treated, even though that disease never would have harmed the patient if left untreated.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0201/p162.html

Screening Mammography: The Goal Is Changing - Editorials - American Family Physician

Feb 15, 2013 - Screening mammography is one of an increasing number of clinical issues that will require rethinking the clinical mission and restructuring clinical practice to help patients make informed choices.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0215/p246.html

Increased Alignment in Preventive Services Recommendations for Children - Editorials - ...

Aug 15, 2016 - Increased alignment between preventive services recommendations from the two major physician specialty groups who care for children.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0815/p272.html

How to Counsel Men About PSA Screening - Editorials - American Family Physician

Nov 15, 2016 - For family physicians to put PSA screening guidance into practice, they must elicit patients' preferences and provide accurate, understandable information about the benefits and harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1115/p782.html

The Annual Pelvic Examination: Preventive Time Not Well Spent - Editorials - American ...

Jan 1, 2013 - Given the lack of evidence to support annual pelvic examinations, it would be better for patients if we spend that time addressing screening, counseling, and other preventive services for which strong evidence exists.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0101/p8.html

ACS/ASCCP/ASCP Guidelines for the Early Detection of Cervical Cancer - Editorials - ...

Sep 15, 2012 - The American Cancer Society (ACS), the American Society for Colposcopy and Cervical Pathology (ASCCP), and the American Society for Clinical Pathology (ASCP) recently published updated recommendations for the early detection of cervical cancer. The guidelines are based on a systematic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0915/p501.html

Mammography Screening for Breast Cancer: Recommendation of the U.S. Preventive Services...

Sep 15, 2010 - The November 2009 U.S. Preventive Services Task Force (USPSTF) recommendation for breast cancer screening, while sparking much controversy, was not a radical departure from the previous 2002 recommendation. The USPSTF approached the recommendation update with the basic questions of what...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0915/p602.html

AAFP Recommends Universal Screening for HIV Infection Beginning at 18 Years of Age - ...

Apr 15, 2014 - The AAFP recommends delaying the start of routine HIV screening until 18 years of age, and screening all patients 18 to 65 years of age. The AAFP notes that screening younger patients may still be beneficial based on high-risk behaviors.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0415/p614.html

Do Electronic Health Records Improve Processes and Outcomes of Preventive Care? - ...

May 15, 2012 - Electronic health records (EHRs) are thought to be valuable tools to prompt physicians to provide preventive services. How strong is the evidence that EHRs can improve processes and outcomes of preventive care?

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0515/p956.html

When Is the Right Time to Repeat Colonoscopy? - Editorials - American Family Physician

Apr 1, 2008 - ...VIKRAM BOOLCHAND, MD, University of Arizona College of Medicine Tucson, Arizona Am Fam Physician. 2008 Apr 1;77(7):924-926. Related Article Post-polypectomy and post-cancer resection surveillance are the most common indications for performing colonoscopy.1 A summary of the new...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0401/p924.html

The CDC and USPSTF Recommendations for HIV Testing - Editorials - American Family ...

Nov 15, 2007 - ...JONATHAN E. RODNICK, MD, University of California, San Francisco, School of Medicine San Francisco, California Am Fam Physician. 2007 Nov 15;76(10):1456-1459. The Centers for Disease Control and Prevention (CDC) released new recommendations in 2006 for human immunodeficiency virus...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1115/p1456.html

Ultrasonography in Assessment of Developmental Dysplasia of the Hip - Editorials - ...

Oct 15, 2006 - ...In specialty settings, hip ultrasonography decreased the number of children treated for DDH and decreased the number of hip-related hospitalizations and subspecialist office visits. However, it had no impact on the number of infants who eventually underwent hip surgery for DDH. This...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1015/p1284.html

Screening for Breast Cancer: What to Do with the Evidence - Editorials - American ...

Jun 1, 2007 - ...RUSSELL HARRIS, MD, MPH, University of North Carolina, School of Medicine, Chapel Hill, North Carolina Am Fam Physician. 2007 Jun 1;75(11):1623-1626. Related Article Related Practice Guideline For many of the conditions we encounter in primary care, there is insufficient evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0601/p1623.html

Prostate Cancer Screening: Let Patients Decide - Editorials - American Family Physician

Dec 15, 2008 - ...MICHAEL LEFEVRE, MD, MSPH, University of Missouri–Columbia School of Medicine, Columbia, Missouri Am Fam Physician. 2008 Dec 15;78(12):1338. Related Article A more recent editorial on prostate cancer screening is available. This issue includes a well-done review of the controversy...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1215/p1338.html

Cancer Screening in Older Patients: Life Expectancy, Prioritization, and Health ...

Dec 15, 2008 - ...JOSEPH H. FLAHERTY, MD, Saint Louis University School of Medicine and Veterans, Health Administration Geriatric Research Education and Clinical Center, St. Louis, Missouri Am Fam Physician. 2008 Dec 15;78(12):1336-1338. Related Article In this issue, Albert and Clark address the...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1215/p1336.html

Clinical Diagnosis and Evaluation of Sinusitis in Adults - Editorials - American Family...

Dec 1, 2007 - ...MARTIN C. MAHONEY, MD, PhD, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York RICHARD M. ROSENFELD, MD, MPH, Long Island College Hospital and State University of New York Downstate Medical Center, Brooklyn, New York Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1201/p1620.html

The Mammography Debate - Editorials - American Family Physician

Dec 15, 2002 - ...This translates into 333 women who need to be screened to prevent one death; the number of women older than age 40 who need to be screened is more than 1,000. This is not much different than the number needed to screen for cervical or colorectal cancer, but it highlights the need to...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/1215/p2211.html

Should Risk Factors for Breast Cancer Influence Evaluation of Breast Abnormalities? - ...

Jul 1, 2004 - ...University of Pennsylvania School of Medicine, Philadelphia Am Fam Physician. 1911 Jul 1;70(1):35-36. When a woman presents with a breast complaint, initial management nearly always includes a clinical breast examination and an imaging study. Frequently, risk factors for breast...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0701/p35.html

ACS Guideline for the Early Detection of Cervical Cancer - Editorials - American Family...

Apr 15, 2003 - ...about the risks of HPV infection remains a priority. The recommendation to restrict HPV testing to women age 30 and older would reduce the number of women referred for colposcopy because of transient HPV infection. The ACS guideline also provides relevant recommendations for...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0415/p1677.html

Simplifying the Diagnosis of Diabetes Mellitus - Editorials - American Family Physician

Oct 15, 1998 - ...JAY S. SKYLER, M.D., University of Miami School of Medicine, Miami, Florida Am Fam Physician. 1998 Oct 15;58(6):1290-1292. Related Article In the United States today, diabetes mellitus is a public health nightmare.Consider the following: Of the estimated 15.6 million persons...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1015/p1290.html

Endoscopy for Barrett's Esophagus and Esophageal Adenocarcinoma - Editorials - American...

May 1, 2004 - ...esophagus, and then to follow those patients with Barrett’s esophagus to catch curable cancers? Unfortunately, as with most issues in medicine, the application of this simple concept is fraught with problems. Several barriers exist that make endoscopic screening, as currently...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0501/p2060.html

The Physician's Role in the Assessment of Older Drivers - Editorials - American Family ...

Jan 1, 2000 - ...As the number of older drivers in the United States increases, concern about the potential implications for safety and mobility is growing. The roles and responsibilities of the driver, the family, the licensing agency and the physician in the process of determining who should or...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0101/p39.html

The New U.S. Preventive Services Task Force - Editorials - American Family Physician

Dec 15, 2001 - ...the EPCs conduct a comprehensive analysis of the research literature using state-of-the-art standards of evidence, and solicit input from a number of federal and private reviewers. The USPSTF uses the reviews and comments, but guards its independence by separating the evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/1215/p1945.html

Subclinical Hyperthyroidism Detected by Screening: Look Before You Treat - Editorials -...

Feb 1, 2002 - ...MARK HELFAND, M.D., Portland VA Medical Center and Oregon Health and Science University School of Medicine Portland, Oregon Am Fam Physician. 2002 Feb 1;65(3):389-390. Related Article In 1998, the American College of Physicians1 recommended that a routine thyrotropin-stimulating...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0201/p389.html

Cardiovascular Risk Profiling in Blacks: Don't Forget the Lipids - Editorials - ...

Nov 1, 1998 - ...DAVID S. KOUNTZ, M.D., University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School, New Brunswick, N.J. SUSAN L. LEVINE, M.D., University of Connecticut Health Center, Farmington, Connecticut Am Fam Physician. 1998 Nov 1;58(7):1541-1542. As a population,...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1101/p1541.html

The Science and Politics of Cancer Screening - Editorials - American Family Physician

Feb 1, 2001 - ...large reduction in cervical cancer mortality attributable to the use of Papanicolaou smears. However, it is sobering to consider the large number of patients that must be screened for 10 years to prevent just one death (1,140 patients in the case of Pap smears, according to Gates1)....

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0201/p441.html

Cancer Screening in Perspective - Editorials - American Family Physician

Mar 15, 2001 - ...However, the number needed to screen (analogous to the number needed to treat in therapeutic trials, calculated as the reciprocal of the ARR)9 provides a better method of expressing the effectiveness of a screening intervention.10 Numbers needed to screen (i.e., the number of...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0315/p1039.html

Maternal Serum Triple Analyte Screening in Pregnancy - Editorials - American Family ...

Aug 15, 2000 - ...SARA CATE, M.D., Central Washington Family Medicine, Yakima, Washington Am Fam Physician. 2000 Aug 15;62(4):738-740. Related Article Genetic screening is a burgeoning field of medicine, and family physicians will be instrumental in translating this new science to patients. Dr....

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0815/p738.html

Diagnosis of Urinary Tract Infection in Children - Editorials - American Family Physician

May 15, 1998 - ...When urine specimens are obtained by suprapubic aspiration, growth of urinary pathogens in any number is considered significant (with the exception of 20,000 to 30,000 CFU per mL of coagulase-negative staphylococci). Even with catheterized specimens, the repeated recovery of a...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0515/p2337.html

Evaluating Children for Possible Sexual Abuse - Editorials - American Family Physician

Mar 1, 2001 - ...JOYCE A. ADAMS, M.D., Department of Pediatrics, University of California San Diego, School of Medicine, San Diego, California Am Fam Physician. 2001 Mar 1;63(5):843-847. Related Article In this issue of American Family Physician, Lahoti and colleagues1 provide a useful approach to...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0301/p843.html

Relationships and Routines in Preventive Service Delivery - Editorials - American ...

Nov 1, 2000 - ...KURT C. STANGE, M.D., PH.D.Case Western Reserve University School of Medicine, Cleveland, Ohio Am Fam Physician. 2000 Nov 1;62(9):1984-1990. Related Content The Policy Center One-Pager published in this issue1 contains take-home lessons for family physicians and challenges for...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/1101/p1984.html

Fever Without Source in Infants and Young Children--A Hot Potato? - Editorials - ...

Oct 1, 2001 - ...Ohio State University College of Medicine and Public Health, Columbus, Ohio Am Fam Physician. 2001 Oct 1;64(7):1148-1154. Related Article Although fever is common in infants and young children three to 36 months of age, its management remains challenging and controversial. In this...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/1001/p1148.html

Prostate Cancer Screening - Editorials - American Family Physician

Aug 1, 1998 - ...MATTHEW N. WITTE, M.D., and RONALD A. MORTON, JR., M.D., Baylor College of Medicine, Houston, Texas Am Fam Physician. 1998 Aug 1;58(2):342-347. Related Article Because of heightened awareness and media attention directed at high-profile celebrity cases, prostate cancer is one of...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0801/p342.html

Screening Options for Colorectal Cancer - Editorials - American Family Physician

Jun 1, 1999 - ...THEODORE G. GANIATS, M.D., University of California, San Diego, School of Medicine, La Jolla, California HERBERT F. YOUNG, M.D., M.A., American Academy of Family Physicians, Kansas City, Missouri Am Fam Physician. 1999 Jun 1;59(11):2979-2980. Related Article Colorectal cancer is a...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0601/p2979.html

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