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Survey finds some patients hate pills more than others

Physicians prescribing and talking to patients about medication should keep in mind their patients' disdain for taking pills and the lengths they will go to not have to take them.
https://immattersacp.org/archives/2015/05/pills.htm
1 May 2015

Fall, fracture risk may be increased with prostate-selective alpha antagonists in older men

Men 66 years of age and older who had filled a first outpatient prescription for tamsulosin, alfuzosin, or silodosin were compared with men who had not.
https://immattersacp.org/weekly/archives/2015/11/03/2.htm
3 Nov 2015

Repeat bone mineral density tests during osteoporosis treatment may help identify women at increased fracture risk, study finds

Monitoring bone mineral density in routine clinical practice may identify women with a suboptimal response to osteoporosis treatment who would benefit from closer follow-up, researchers noted.
https://immattersacp.org/weekly/archives/2016/07/19/1.htm
19 Jul 2016

Act early to counter rise in osteoporosis

Recent studies indicate that late-life bone resiliency has been eroding, and newly released guidelines suggest diagnostic and treatment strategies to counteract that slide among women.
https://immattersacp.org/archives/2017/01/osteoporosis-care.htm
1 Jan 2017

MKSAP Quiz: Evaluation for primary hyperparathyroidism

A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017

Antidepressants, antianxiety drugs frequently detected in plasma of older adults admitted for hip fracture, study finds

Of the patient population studied, nearly two-thirds had psychotropic or analgesic drugs or both detected in their blood.
https://immattersacp.org/weekly/archives/2017/03/14/4.htm
14 Mar 2017

MKSAP Quiz: Evaluation for a new-patient visit

A 55-year-old woman is evaluated for a new-patient visit. Medical history is significant for an eating disorder. Although she has maintained a normal weight for the past 20 years, she notes that prior to that time her weight would fluctuate in a range correlating with BMIs of 17 to 19. Family history is significant for postmenopausal osteoporosis in her mother. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2018/03/27/3.htm
27 Mar 2018

Factor frailty into preop assessment

There's no real consensus definition when it comes to assessing frailty perioperatively, but there are risk calculators and risk indices available to help.
https://immattersacp.org/archives/2018/07/factor-frailty-into-preop-assessment.htm
1 Jul 2018

Osteoporosis treatment often not started after hip fracture in elderly patients, study finds

The study found a continuous decline in starting osteoporosis treatment after hip fracture from 2004 to 2015, as well as a clinically meaningful reduction in rate of subsequent nonvertebral fracture in patients who did begin treatment versus those who did not.
https://immattersacp.org/weekly/archives/2018/07/24/4.htm
24 Jul 2018

Association between antidepressants and hip fracture in elderly patients may not be causal

Antidepressant users had more than twice as many hip fractures as nonusers, but this was true both in the year before and the year after starting antidepressant therapy, and the association was strongest immediately before antidepressant initiation.
https://immattersacp.org/weekly/archives/2019/01/08/1.htm
8 Jan 2019

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