Sara Freeman When axial spondyloarthritis (SpA) is suspected, a “prompt referral to a rheumatologist” is in order. But with the referral possibly taking several weeks, if not months in some parts of the world, how can primary care practitioners manage patients with this type of chronic back pain in the meantime? And what is the...
Tag: <span>Primary care</span>
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Meet the Newest Acronym in Primary Care: CKM
Primary care clinicians play a central role in maintaining the cardiovascular-kidney-metabolic (CKM) health of patients, according to a new advisory from the American Heart Association. The advisory, published recently in Circulation, introduces the concept of CKM health and reevaluates the relationships between obesity, diabetes, kidney disease, and cardiovascular disease (CVD). “This approach not only raises...
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Renal Cell Carcinoma: 5 Things to Know for Primary Care
Karl J. D’Silva, MDDISCLOSURES Renal cell carcinoma (RCC) represents up to 85% of kidney cancers. It is considered the deadliest urologic cancer in the United States, with a 5-year survival rate of 76% overall, going down to only 12% for patients with late-stage disease. Here are five things that primary care clinicians should know about...
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Expert consensus statement defines best practices for integration of lifestyle medicine into primary care settings
by American College of Lifestyle Medicine Credit: CC0 Public Domain A multidisciplinary panel assembled by the American College of Lifestyle Medicine (ACLM) has published an expert consensus statement that defines the implementation of lifestyle medicine in primary care. The intention of this statement is to support clinicians in helping patients achieve optimal health outcomes in...
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New primary care model created to dispense nutrition advice
by UT Southwestern Medical Center Culinary Medicine eConsult EHR referral example, requesting clinician view. Credit: Nutrients (2023). DOI: 10.3390/nu15122816Expert advice on nutrition delivered to patients electronically saved physicians time, improved patient satisfaction, and was reimbursable by insurance, UT Southwestern Medical Center researchers report. The findings, published in Nutrients, showcase a new model developed at UT...
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Telemedicine visits comparable to in-person visits for addressing most patient clinical concern areas in primary careby American College of Physicians
Credit: Pixabay/CC0 Public DomainA study of more than 1 million adults has found that in primary care, telemedicine visits were comparable to in-person visits for addressing most patient clinical concern areas. Telemedicine visits resulted in lower treatment rates and higher rates of follow-up health care use compared with in-person office visits, but these differences were...
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Four Factors Complicate Treating OUD in Primary Care
Marcia Frellick August 14, 2023 Four themes in responses to a survey describe the multilevel barriers that make it difficult for primary care teams to incorporate medication for opioid use disorder (MOUD) in their practices, according to research published in JAMA Network Open. Elizabeth J. Austin, PhD, MPH, with the department of health systems and population health at...
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Integrating addiction medicine into primary care found to be clinically effective
by University of Pittsburgh Model Schematic for 3 Strategies Integrating Addiction Care Into Primary Care The 3 strategies were (1) primary care practitioner (PCP) services with external referral to addiction care (status quo), (2) PCP services plus onsite buprenorphine prescribing with referral to offsite harm reduction kits (BUP), and (3) PCP services plus onsite buprenorphine prescribing...
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Adult-Onset ADHD: Treatment in Primary Care
Matthew F. Watto, MD; Paul N. Williams, MD DISCLOSURES March 24, 2023 Matthew F. Watto, MD: Welcome back to The Curbsiders. Today we’re going to be talking about attention-deficit/hyperactivity disorder (ADHD). We had a great guest, Dr Kevin Simon, who taught us all about this. Paul, is it possible for adults to develop ADHD de novo? Paul N. Williams, MD: I’m...
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A New Approach to Type 2 Diabetes Management in Primary Care
Michael E. Bowen, MD, MPH, MSCS DISCLOSURES March 28, 2023 In the United States, primary care providers (PCPs) manage over 75% of patients with type 2 diabetes (T2D). Thus, PCPs are uniquely positioned to improve the glycemic control and cardiometabolic health of patients with T2D. In recent years, emerging data on the role of sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like...