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The role of primary care teams in identifying modifiable risk factors for food insecurity in rural dwelling older adults [Screening, prevention, and health promotion]

Annals of Family Medicine

There is a gap in the literature on understanding experiences of food insecurity in rural dwelling older adults and the role primary care providers can play in systematically screening older adults for age related food issues. Data were analyzed using reflexive thematic analysis.

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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

This means we have the resources to reach out to the populations we manage and offer them immunizations, screening tests and advice without dragging them into the office one by one to do this for them (and bill their insurance for our efforts). A Country Doctor Writes: is a reader-supported publication.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

Michelle Rockwell and colleagues at the Carilion Clinic in Roanoke, Virginia, performed a sludge audit of their colorectal cancer (CRC) screening services in 2021 and 2022. In contrast, patients who reported no or minimal sludge were more likely to complete screenings and less likely to report distrust in the health system.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

Preventive Services Task Force (USPSTF) updated its recommendations on screening for osteoporosis. The comparative benefits and cost effectiveness of this prevention strategy vs fracture risk assessment and treating women at increased risk remains to be seen. ** This post first appeared on the AFP Community Blog. being perfect and 0.5

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Family physicians perform high-quality colonoscopies, but access is an issue

Common Sense Family Doctor

Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy. But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021.

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively. The USPSTF also has endorsed screening most adults for anxiety disorders and unhealthy drug use.

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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.