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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. Thus, the decline in endoscopic care (including flexible sigmoidoscopy) by family physicians in both urban and rural areas is cause for concern.

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Factors Associated with Accumulating Diabetes Complications in a Medicare Advantage Cohort to Inform a Prediction Tool [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Complications contribute to significant type 2 diabetes mellitus (T2DM) morbidity. While preventable, many fail to receive timely treatment in primary care, leading the most vulnerable to accumulate complications. Results: We included 49,843 individuals in model 1.

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

Wait, first of all, what’s the incidence of calling EMS for falls over almost a decade, I think like 2007 to 2016, and what happens to people afterwards? They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

Community 116
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Eric: And that’s similar to the 2016 JAMA paper, right? Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy. Did it negate everything from the 2016 trial?Palliative

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients. Primary outcome was quality of life. And so how do we think about palliative care in those patients? Yeah, that’s a more complicated story. Corita 04:32 Yep.