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Posts Tagged ‘ Disease screening ’

Screening for Diabetes is Essentially Worthless

7
November 29, 2012

A major study was just published in Lancet that addressed the issue of whether or not diabetes screening in primary care improves major health outcomes. This was a 10-year randomized controlled trial!! In other words, this study is the granddaddy of them all in terms of the rigor of its methods....
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The Brits are Also Having to Fight the Early Detection Fearmongers

1
November 4, 2012

Several physicians contribute regularly to BMJ. One of my favorites is a GP in Glasgow named Des Spence. Through their writings, I have gained a glimpse of the challenges faced by GPs in the UK, and the broader culture in which they work. In two of his columns this summer, he...
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The Essentially Useless Annual Checkup

1
October 21, 2012

We now have even more proof that the annual physical, health check, health maintenance visit, or whatever else you want to call it, is essentially useless. The Cochrane Collaboration recently published a review of the topic. They performed a meta-analysis of 14 randomized controlled trials of annual checkups of 180,000 adults...
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The Cardi-Ologists and Pediatricians Have Lost Their Minds

3
November 20, 2011

In a recent statement published by the journal Pediatrics, an advisory panel sponsored by the National Heart, Lung, and Blood Institute of the NIH recommended universal cholesterol screening for all children ages 9 to 11. I’m sure they meant well, but this statement means important people in leadership positions have officially...
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It Just Takes a Minute to Erode Family Medicine with Unfunded Mandates

1
August 7, 2011

Thanks to everyone who wrote me back on some of the “simple” screening tests that “just take a few minutes” that well-meaning special interest groups want family physicians to give away their time to administer. And remember, the family physicians’ nurses are busy also, so if a special interest expects only...
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It Just Takes a Minute

2
July 24, 2011

I thought I’d try something different this week. Instead of me just going blah, blah, blah to the cyber world, I thought I’d ask for help compiling a list. It has always annoyed me when well-meaning special interest groups ask family physicians to give away their professional time and expertise. A...
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