2019, Diagnosis and Family - Primary Care Digest

The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. The study is divided into three periods: pre-COVID (Oct 2019 to Mar 2020), COVID (Apr 2020 to May 2023), and post-COVID (Jun 2023 to Dec 2023). Mixed models were used for analysis.

Patient-Centered

Patient-Centered Patients Medical Diagnosis

The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

NOVEMBER 20, 2024

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. Results From November 2019 to June 2024, 636 clinicians attended ECHO Concussion sessions. The qualitative descriptive approach was used to inductively code FGD transcripts. 11 (9%) participated in FGDs.

Management

Management Education Illness Chronic Condition

Breaking ICD Codes: Identifying Ambiguous Respiratory Infection Codes via Regional Diagnosis Heterogeneity [Original Research]

Annals of Family Medicine

JANUARY 27, 2025

METHODS We analyzed national weekly diagnosis data for acute respiratory infections (ICD-10 codes J00-J22) in Poland from 2010 to 2019, covering all 380 county-equivalent administrative regions and encompassing 292 million consultations. Data were aggregated into age brackets.

Diagnosis

Diagnosis Diagnose Consulting Government

Outcomes associated with timing of screening for gestational diabetes [Women's health]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Women with singleton pregnancies who received prenatal care from a family physician MaRNet-FP sentinel between July 1, 2019 and December 31, 2022 and who also delivered within that timeframe were included. Exclusion criteria included a pre-pregnancy diagnosis of type 1 or type 2 diabetes.

Screening

Screening Diabetes Primary Care Family Physician

Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

DECEMBER 14, 2024

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.

Routine Screenings

Routine Screenings Screening Complication Diagnose

Neighborhood Determinants of Primary Care Access in Virginia [Original Research]

Annals of Family Medicine

MAY 27, 2025

METHODS We used the 2019 Virginia All-Payers Claims Database to identify primary care physicians (PCPs) and the number of distinct patients seen by each physician. Among need measures, PCP access was only positively associated with diagnosis of depression per 1,000 residents (0.01; P < 001).

Primary Care

Primary Care PCP PCP Primary Care Physician

PEMPix 2024 Online Case #1: Mission: SPACE

PEMBlog

SEPTEMBER 23, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. During this ED visit, the family notes that the child has had 1 week of vomiting whenever he eats. What’s the Diagnosis? 2019, doi:10.1136/bcr-2018-228790 Jafrani, Ryan et al. 40,3 (2019): 388-395.

Diagnosis

Diagnosis Physicals Hypertension Families

PEMPix 2023 Online Case 2: Walk Softly

PEMBlog

OCTOBER 17, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The family denies any sore throat, abdominal pain, diarrhea, vomiting, conjunctivitis. The diagnosis can be made clinically. Am J Med Sci 2019; 357:411. This is the second of the four cases. Gu SL, Jorizzo JL.

Diagnosis

Diagnosis Diagnose Clinic Patients

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

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. Measurements. 95% CI 0.51, 0.7)

Primary Care

Primary Care Patients Diagnosis Family Practice

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

PEMBlog

SEPTEMBER 27, 2023

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.

Patients

Patients Illness Hospital Management

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey [Population health and epidemiology]

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Determine the association(s) between receiving an annual eye exam and various economic, social, and geographic factors assessed in the 2019 National Health Interview Survey (NHIS) among adults with diabetes in the continental United States. Outcomes were reported as odds ratios (OR) with 95% confidence intervals (CI).

Diabetes

Diabetes Screening Insurance Healthcare

A portrait of primary care use in community dwelling persons with dementia in Quebec between 2018 and 2020 [Health care disparities]

Annals of Family Medicine

NOVEMBER 20, 2024

Context As the population ages, access and continuity of primary care with the family physician are crucial for managing the complex health needs of persons with dementia. Population Studied Community-dwelling persons aged 65 and older with a prevalent diagnosis of dementia on March 1st of 2018, 2019, and 2020.

Primary Care

Primary Care Community Family Physician Diagnosis

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

GeriPal

AUGUST 25, 2022

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.

Families

Families Family IT Patients

COVID-19 vaccine hesitancy and related factors among primary health care workers in a district of Istanbul: A cross-sectional study from Turkey

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4)

Vaccination

Vaccination Healthcare Professional Healthcare Primary Care

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

GeriPal

APRIL 18, 2024

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. And what I want to do is, this is a tough task for you, I’m sure, but I have a patient with a new diagnosis of cancer, and it’s actually a 35-year-old woman.

IT

IT Electronics Patients Healthcare

Primary Care Digest

The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Trending Sources

Breaking ICD Codes: Identifying Ambiguous Respiratory Infection Codes via Regional Diagnosis Heterogeneity [Original Research]

Outcomes associated with timing of screening for gestational diabetes [Women's health]

Overtreatment of prostate cancer in the active surveillance era

Neighborhood Determinants of Primary Care Access in Virginia [Original Research]

PEMPix 2024 Online Case #1: Mission: SPACE

PEMPix 2023 Online Case 2: Walk Softly

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

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

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey [Population health and epidemiology]

A portrait of primary care use in community dwelling persons with dementia in Quebec between 2018 and 2020 [Health care disparities]

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

COVID-19 vaccine hesitancy and related factors among primary health care workers in a district of Istanbul: A cross-sectional study from Turkey

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

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