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Posts Tagged ‘ prevention ’

PCMH and Prevention Spin Using Simplistic Quality Measures

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February 29, 2016

Two recent reports extoll the virtues of the Patient-Centered Medical Home (PCMH) and direct primary/concierge care. One is the annual report of the Patient-Centered Primary Care Collaborative. The other is a study of a network called MD-Value in Prevention (MDVIP). Before I continue, let me be clear that there are positives...
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An Early Demented Example of Big-Data Silliness

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August 21, 2015

According to an article in Health Data Management, the Center for Brain Health at NorthShore University Health System in the Chicago area will use the organization’s electronic health records (Epic) and “advanced analytics” to “get ahead” of the onset of Alzheimer’s Disease. Many of the typical health scare tactics are in play...
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Diabetes and Other Screenings

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April 20, 2015

The best primary care-based research comes out of Europe, where countries have medical research budgets that actually fund primary care research. The U.S. has no equivalent funder. Therefore, American family physicians must often look overseas for answers to their daily clinical questions. Does screening for diabetes make any difference? A recent study...
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A Different View on the Value of Statins

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March 25, 2015

Do you like to take pills? I don’t. I bet most family physicians would say they have some patients who should be better at taking pills and some who love taking pills too much. For people who don’t like taking pills, what would a trade-off look like? If you were given...
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Treating Hypertension is Nearly Useless

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March 8, 2015

A study was recently published in the New England Journal of Medicine about the cost-effectiveness of treating hypertension based on the most recent JNC 8 guidelines. This study particularly caught my eye, because previous cost-effectiveness analyses found that screening and treating for hypertension did not save money. The upfront costs of...
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More Exaggerations of the Benefits of Screening

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February 18, 2015

Recent news stories touted a 22% drop in cancer death rates that has “spared the lives” of over 1.5 million people over the past two decades. The American Cancer Society (ACS) was attributed as explaining this drop as caused by U.S. smoking habits, extra attention to cancer prevention, improvements in various...
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New Cholesterol Guidelines — A Tale of Two Countries

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November 18, 2013

The American Heart Association/American College of Cardiology just published new guidelines for screening and treating cholesterol. In some ways these guidelines are more like the British guidelines. Instead of setting up doctors and patients to fail by calling for certain cholesterol number targets as in the old U.S. guidelines (LDL level...
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The Wacky Ignorant Dr. Oz, Part I

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May 5, 2013

Dr. Oz is back at it again, spreading ignorance across our fine land. But before I get to the most recent example …. A story about the good doctor that appeared earlier this year in the New Yorker included some fine quotes about his medical statements that have little to no...
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A Large Dose of Humility: the Influenza Vaccine

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January 20, 2013

It’s not too late. If you haven’t had a flu shot yet you can still get one. But what does it do for you? A Cochrane review in 2010 looked at all influenza vaccination trials in adults. In the background of the report, the authors reminded us that even if the...
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The Brits are Also Having to Fight the Early Detection Fearmongers

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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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