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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively. There may not be enough time for prevention in primary care, but family physicians need to keep providing it the best we can. ** This post first appeared on the AFP Community Blog.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

A cross-sectional study of Kaiser Permanente patients ages 50 to 75 years who completed a social needs survey in 2020 found that those who reported severe financial strain, severe social isolation, and severe food insecurity were statistically twice as likely to not be up to date on CRC screening than other patients. ** This post first appeared on (..)

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

in 2020, with higher percentages of patients with more favorable pathology or lower PSA levels choosing one of these strategies. A 2019 AFP editorial provided more guidance for estimating and having conversations about life expectancy with older patients. ** This post first appeared on the AFP Community Blog. and 6.1%, respectively).

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

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In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

A JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

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Pathways to primary care for underserved communities

Common Sense Family Doctor

Most family physicians have at some point heard the old saw "jack of all trades, master of none," which I have come to view as less insulting than is usually intended. A research letter in JAMA Network Open reported that in 2015 and 2020, graduates of U.S. and 3.6%, respectively, in 2008-09 to 14.3% in 2023-24.