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Effects of the COVID-19 pandemic on primary care for diabetes in Canada: Results from a mixed-methods study [Health care services, delivery, and financing]

Annals of Family Medicine

Population Studied: Using CPCSSN data, we defined a cohort of patients aged 50-105 with diabetes diagnosed before the pre-pandemic period. 2) Qualitative interviews were conducted to understand patient experiences with navigating diabetes care during the pandemic and analyzed using qualitative description.

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Prevalence and management of symptom diagnoses in children in general practice

Canadian Family Physician

Objective To explore the prevalence of symptom diagnoses in children in general practice and the management strategies performed by GPs. For persistent symptom diagnoses, GPs indicated more therapeutic interventions (n=217, 40.1%) compared to diagnostic interventions (n=175, 32.3%) or referrals (n=149, 27.6%). Setting The Netherlands.

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Delivery of healthcare provider’s lifestyle advice and lifestyle behavioural change in adults who were overweight or obese in pre-diabetes management in the USA NHANES (2013–2018)

BMJ

doi: 10.1136/fmch-2021-001139 Prediabetes, a health condition with blood sugar levels higher than normal but not yet high enough to be diagnosed as type 2 diabetes, increases the risk of developing type 2 diabetes and heart disease. Of those, 76.8%

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Study links poor diet to 14 million cases of type 2 diabetes globally

Medical Xpress

million cases of type 2 diabetes in 2018, representing over 70% of new diagnoses globally. The analysis, which looked at data from 1990 and 2018, provides valuable insight into which dietary factors are driving type 2 diabetes burden by world region. The study was published April 17 in the journal Nature Medicine.

Diabetes 122
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Overall medication adherence as an indicator for health outcomes among elderly patients with hypertension and diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

Methods The study included individuals aged 75 to 90 years, diagnosed with diabetes or hypertension, who were treated with at least one antihypertensive, or antidiabetic medication in 2017. ORs were similar for the three consecutive years 2017, 2018, and 2019.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs.

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Working Out – Dan Minter

The Clinical Problem Solvers

Dr.’s Vivek Murthy, Bridget O’Brien, and Gurpreet Dhaliwal sought to answer this question in a 2018 study. From the perspective of an early career learner, I find these acts of diagnostic prowess to be awe-inspiring, if not a bit intimidating. Were they simply born with superior brains? How did they get this good?