ACP Internist® Weekly
Welcome to this week's issue of ACP Internist Weekly, an update for internists published every Tuesday by the American College of Physicians.
In the News for the Week of April 26, 2016
Model finds universal HIV PrEP not cost-effective for injection drug users
Money instead spent on issues related to injection drug use, such as naloxone therapy and detoxification programs, would not only prevent HIV infections but also save lives, an editorial noted. More...
Survey reports on barriers to advance care planning discussions
Barriers included lack of a formal system to assess patients' end-of-life wishes and goals of care, no place in an electronic health record to indicate whether a patient has an advance care plan, and little formal training in end-of-life discussions with patients and families. More...
MKSAP Quiz: upper endoscopy for dyspepsia
A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management? More...
ACP testimony highlights educational efforts, recommends steps to implement MACRA
The College highlighted 3 priorities as the Medicare Access and CHIP Reauthorization Act of 2015 is implemented: to establish better measures and less burdensome reporting, to create realistic pathways for patient-centered medical homes, and to define eligible alternative payment measure requirements. More...
Score may help predict which patients are likely to achieve type 2 diabetes cure after bariatric surgery
After calculating each patient's preoperative DiaRem score, researchers determined the extent of their diabetes remission based on post-Roux-en-Y gastric bypass surgery criteria set by the American Diabetes Association. The proportion of patients achieving remission of any duration decreased as DiaRem scores increased. More...
ACP collaborates on study examining wasteful spending, overuse of health care services
The study will assess trends in potential overuse of bone density scans, cancer antigen 125 blood tests, and electrocardiography. More...
Cartoon caption contest
Put words in our mouth
ACP Internist Weekly wants readers to create captions for our new cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program, or service. More...
Editor's Note: ACP Internist Weekly readers will receive daily updates from Internal Medicine Meeting 2016 in Washington, D.C., on May 5, 6, and 7. There will be no issue of ACP Internist Weekly on May 3 or 10.
Physician editor: Daisy Smith, MD, FACP
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A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management?
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