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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. in 2019, with 78% receiving radiation therapy and 22% undergoing surgery.

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PEMPix 2023 Online Case 2: Walk Softly

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. The family denies any sore throat, abdominal pain, diarrhea, vomiting, conjunctivitis.

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Disparities in Post-COVID Conditions among Persons with Disabilities: Findings from Primary Care Patients, 2019-2022 [COVID-19]

Annals of Family Medicine

Objective: Compare the incidence of post-COVID conditions (PCC) by pre-pandemic diagnosed by the type of disability. Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. 95% CI 0.51, 0.7)

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion.

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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

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The Promise and Pitfalls of AI in Medicine: Guest Bob Wachter

GeriPal

Alex: In 2019 … You wrote two viewpoints about AI recently in JAMA, relatively recently. I guess, 2019, and then, one again about last month or so. The results were that the chat bots got the diagnoses right and had an escalation strategy that was better than the doctors, as judged by blinded specialists reading the transcripts.

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