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Adherence Labeling: Understanding the Origins, Limitations, and Ethical Challenges of "Diagnosing" Nonadherence [Theory]

Annals of Family Medicine

Promoting adherence to medical recommendations remains one of the oldest yet most persistent challenges of modern clinical practice.

Diagnose 242
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Outcomes of Guidelines from Health Technology Assessment Organizations: A Systematic Mixed Studies Review [Systematic review, meta-analysis, or scoping review]

Annals of Family Medicine

Objectives: To explore and measure the outcomes of HTA organizations’ guidelines in family medicine. learning), the use of guideline-based information in clinical practice, and subsequent patient health outcomes. After de-duplication, the selection process started with 4922 articles.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. There’s an article about her in New York Times. So how can we make it more integrated with other activities in the clinic? Is that right, Soo? Here we go.

Screening 119
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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

A 2020 meta-analysis of eight randomized controlled trials (summarized in a POEM in American Family Physician ) concluded that low-dose CT screening prevents one lung cancer death for every 250 people screened.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. If you put on your clinical hats, what is demoralization to you? Eric: Yeah.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. We got a couple of articles to discuss and a lot of different components of this.

Illness 136
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Potentially Unsafe Low-evidence Treatments: Adam Marks, Laura Taylor, & Jill Schneiderhan

GeriPal

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.