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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. What does the new 2024 ESC Guideline recommend? Both showed no significant benefit. Here are some insights.

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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. A Compass Rose episode was automatically generated in the patient’s medical record in Epic if patients indicated that they had at least one of the four social risk factors on the screening tool.

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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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Challenges and Gains of AI in Primary Health Systems

Physician's Weekly

The main opportunities for AI in PHC involve improving diagnostic accuracy, refining screening efforts, and predicting diseases early to enhance service delivery. Extracted data on study characteristics, opportunities, challenges, and requirements were synthesized using thematic-framework analysis based on the PCET.

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Top studies of 2024 relevant to primary care: From the PEER team

Canadian Family Physician

Objective To identify and summarize the most impactful medical articles published in 2024 relevant to primary care. Four studies that evaluated the impact of screening and guideline-adherence strategies on patient outcomes were honourable mentions.

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AMPLIFY™ Technology Enhances Prenatal Screening for 22q11.2 Microdeletion

Myriad Genetics

Less invasive options like prenatal cell-free DNA (cfDNA) screens can also be used to help identify the microdeletion. According to a study in Genes (Basel) , cfDNA screens have “a 70–83% detection rate and a 40–50% positive predictive value (PPV) for most associated 22q microdeletions.” Accessed February 22, 2024.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Results: Among 119,926 patients, 40% did not have SDOH assessed; 31% had 3 or more social needs identified during screening, 11% had 2, 7% had 1, and 11% had no social needs.