Search results for "Colorectal cancer"
Colonoscopies often recommended to patients with limited life expectancy
A study of patients ages 65 years and older found that 58.1% of those with life expectancy of less than five years and no polyps or only small hyperplastic polyps were told to return for future surveillance, as were 74.8% of those with life expectancy of five to 10 years.
https://immattersacp.org/weekly/archives/2023/03/21/4.htm
21 Mar 2023
MKSAP Quiz: Evaluation during annual follow-up visit
A 33-year-old woman is evaluated during her annual follow-up visit. She has a 2-year history of left-sided ulcerative colitis. All immunizations are up to date, and depression and anxiety screening results are negative. What is the most appropriate health maintenance screening test to perform?
https://immattersacp.org/weekly/archives/2023/03/07/3.htm
7 Mar 2023
More tools available for treating IBS
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
https://immattersacp.org/archives/2023/01/more-tools-available-for-treating-ibs.htm
1 Jan 2023
European trial finds reduction in cancers but not deaths with invitation to colonoscopy screening
Healthy patients in Poland, Norway, and Sweden were randomized to usual care or an invitation to screening colonoscopy; only 42% of invited patients responded. The invited group had an 18% lower risk of colorectal cancer at 10 years compared to the usual care group.
https://immattersacp.org/weekly/archives/2022/10/18/4.htm
18 Oct 2022
Physician training increased shared decision making at subsequent visits in elderly patients
A U.S. trial found that elderly patients whose physicians had taken a two-hour online course in communication skills were more likely to have had screening discussions focused on shared decision making during a primary care visit.
https://immattersacp.org/weekly/archives/2022/08/16/5.htm
16 Aug 2022
MKSAP Quiz: Follow-up after upper endoscopy, colonoscopy
A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/06/14/3.htm
14 Jun 2022
Take a tiered approach to CVD
Primary care physicians' efforts are paying off as they promote primary prevention of cardiovascular disease, even in a time-pressed visit.
https://immattersacp.org/archives/2022/02/take-a-tiered-approach-to-cvd.htm
1 Feb 2022
MKSAP Quiz: Follow-up evaluation for colon cancer
A 69-year-old woman undergoes follow-up evaluation for stage III colon cancer, which was resected 2 years ago. She is asymptomatic and takes no medications. Following a physical exam and surveillance CT scan that reveals two lesions in the right lobe of the liver, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/01/25/3.htm
25 Jan 2022
New ACP clinical guidelines address diagnosis, management of adult patients with diverticulitis
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
https://immattersacp.org/weekly/archives/2022/01/18/2.htm
18 Jan 2022
Flexible sigmoidoscopy associated with long-term reduction in colorectal cancer incidence, mortality
Colorectal cancer incidence and mortality were reduced by about 20% in patients who were randomized to receive once-only flexible sigmoidoscopy screening between the ages of 55 to 64 years instead of usual care.
https://immattersacp.org/weekly/archives/2021/11/09/2.htm
9 Nov 2021