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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. hours per day, with more than one-half of that time (14.1 hours) allocated to preventive care. hours) allocated to preventive care.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Travel to the doctor’s office. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Wait times.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Active surveillance is a management strategy that is intended to limit overtreatment of localized prostate cancer by monitoring patients with periodic PSA measurements and prostate biopsies to delay or avoid curative therapy (radical prostatectomy or radiation therapy) and its adverse effects. and 6.1%, respectively). in 2000 to 59.8%

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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.