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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

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). Setting: AMCs within the US.

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Machine learning models for atrial fibrillation detection in primary care using electronic health records: systematic review [Cardiovascular disease]

Annals of Family Medicine

We searched seven databases from inception to May 2023. Population Studied: Adults without a prior AFib diagnosis. Objective: To synthesize data on the effectiveness, generalizability, and clinical relevance of ML models in detecting AFib cases using EHR in primary care settings. Data extraction and appraisal followed CHARMS checklist.

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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]

Annals of Family Medicine

Intervention: 12 monthly online OUD sessions held from April 2023 to March 2024. 4 expert faculty members developed session curriculum: screening and diagnosis, using behavioral health/counseling, addressing harm reduction, among others. Setting: 20 PC practices located in various regions across the US.

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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Search strategy developed for six medical databases (2000-March 2023), key terms of ID, pain, analgesia, medication. There was over-prescribing of antipsychotic medication without an associated diagnosis. Study Design and Analysis: Systematic review (PROSPERO CRD42023415051). Narrative synthesis of findings.

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Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Study design and analysis: A retrospective matched cohort study using data from more than 70 Dutch general practices collected from 2015 until 2023. Objective: To investigate whether the cardiovascular risk management of Dutch GPs differs in patients with and without depression.

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Feasibility and Acceptability of Implementing a Digital Cognitive Assessment for Alzheimer Disease and Related Dementias in Primary Care [Original Research]

Annals of Family Medicine

RESULTS There were 16,708 eligible encounters during the 12-month study period (June 2022-May 2023). received a new diagnosis of ADRD, and 5.1% received a new diagnosis of mild cognitive impairment within 90 days after the DCA. Among the 236 patients who were categorized as impaired, 2.1%

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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. Which one of those 17 doctors ultimately was able to pull together the pieces of Alex’s health picture and suggest a diagnosis? None of them. It was the AI program ChatGPT.