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Primary Care Reports

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Articles

  • Physician Group Says to Start Colon Cancer Screening at Age 50 Years

    Patient advocates push back, standing by other recommendations that set the age at 45 years.

  • Diagnosing and Treating Pelvic Inflammatory Disease

    The term pelvic inflammatory disease (PID) describes a compilation of infections that arise from an ascending infection of the vagina or cervix to the upper genital tract, which is comprised of the uterus, fallopian tubes, and ovaries. These infections include, either alone or in combination, tubo-ovarian abscess, salpingitis, endometritis, and peritonitis. Making the diagnosis of PID is important, since it is associated with uterine and fallopian tube scarring leading to tubal factor infertility and ectopic pregnancy, as well as chronic pelvic pain. This article provides an evidence-based review of diagnostic and treatment recommendations for PID.

  • USPSTF Recommends Screening for Anxiety

    The group suggests including all patients younger than age 65 years, calls for more study of screening older patients.

  • Identifying and Treating Skin and Soft Tissue Infections

    Skin and soft tissue infections refer to infections that affect the skin and its underlying soft tissues. These infections are classified by the level of skin involvement. The costs associated with Staphylococcus aureus skin and soft tissue infections are estimated at an average of $8,865 for both inpatient and outpatient treatment, and a median charge of $19,984 for hospitalizations. These costs can place a significant burden on both patients and the healthcare system. Timely and accurate diagnosis and treatment can help to reduce this burden, both financially and by decreasing the risk of complications.

  • Quality Improvement Project Aims to Decelerate Aggressive Hypertension Treatment

    Although there might be good intentions behind administering intravenous antihypertensive medication, staff should remain mindful of possible consequences.

  • CMS to Test Innovative Primary Care Model

    The focus is on better management of chronic health conditions by streamlining access to integrated services.

  • Straight Shooting: Primary Care and the Reduction of Harm from Firearms

    Gun violence is a leading cause of premature death in the United States. More than 45,000 Americans died from gun violence in 2020, a substantial increase from previous years. The scope of the problem is such that the American Public Health Association has identified gun violence as a public health problem and recommends a “comprehensive public health approach.” Primary care providers (PCPs) are in a unique position to lead the way in a campaign to reduce harm from firearms.

  • The Hippocratic Oath: Are We Hurting Ourselves and Each Other?

    While there are multiple definitions of well-being, it commonly is described as a dynamic and ongoing process involving self-awareness and healthy choices, resulting in a successful and balanced lifestyle. Burnout results from chronic stress, which leads to emotional exhaustion, depersonalization, and decreased feelings of personal accomplishment. Unfortunately, given the rigor of the healthcare profession, healthcare providers often need to remember to consider their emotional well-being while navigating the shift toward an oligopolistic medical industry that perpetuates the cycle by focusing on profit — totaling 18.3% of the gross domestic product.

  • Stroke Prevention in Nonvalvular Atrial Fibrillation: A Review of the Past, Present, and Future

    Nonvalvular atrial fibrillation is a highly prevalent cardiac arrhythmia in the United States and often can be complicated by a thromboembolic phenomenon, the most concerning of which is stroke. This article reviews the current evidence for the use of various anticoagulants, surgical techniques, and the left atrial appendage occlusion devices currently available for stroke prevention in atrial fibrillation.

  • Financial Coaching Boosts Follow-Up Visit, Vaccination Rates for Babies

    Assisting low-income new parents can lead to better outcomes.