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Should We Screen for Atrial Fibrillation? ESC Says Yes (2024), Evidence Says…?

Family Medicine Initiative

In November 2024, two new RCTs were published that investigated whether atrial fibrillation screening using an ECG is effective. A limitation was that only 49% of those invited participated in the screening. UK National Screening Committee (2019): “Screening is not currently recommended for this condition.”

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Rare Diseases: Pathways to accelerating diagnoses 

Myriad Genetics

Many of us have seen stories in the news about American families on diagnostic odysseys for their children with rare diseases. More and more, doctors, researchers, and families are turning to technologies like AI and even Google to help them decode health symptoms and get on the road to solutions and treatments.

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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. and 6.1%, respectively).

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GeneSight® Mental Health Monitor Results

Myriad Genetics

Myriad Genetics has been conducting the GeneSight Mental Health Monitor surveys since 2020 to learn about American attitudes towards mental health and related issues. Among those diagnosed with depression and/or anxiety, 62% of patients whose healthcare provider did not use PGx testing wish they had been informed about it. “I

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Poetry & Palliative Care: Podcast with Mike Rabow and Redwing Keyssar

GeriPal

Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. Eric: Like since a little kid? Eric: Yeah?

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.”

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Ageism and Elections: Louise Aronson and Ken Covinsky

GeriPal

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017).

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