Search results for "Adherence"
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
Guideline recommends colorectal cancer screening starting at age 45
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
https://immattersacp.org/weekly/archives/2018/06/05/4.htm
5 Jun 2018
Structured exercise program did not slow cognitive impairment in people with mild or moderate dementia
Scores on the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog) at 12 months showed greater cognitive decline in the exercise group.
https://immattersacp.org/weekly/archives/2018/05/22/1.htm
22 May 2018
Screening for lung cancer a struggle
Lung cancer has an alarmingly low five-year survival rate, but screening, if implemented well, can improve it.
https://immattersacp.org/archives/2018/05/screening-for-lung-cancer-a-struggle.htm
1 May 2018
Foot orthotics may not be superior to conservative treatment for relieving plantar heel pain
Pooled data from six studies suggest no difference between prefabricated and sham orthotics, sham versus custom orthotics, or prefabricated versus custom orthotics, for plantar heel pain.
https://immattersacp.org/weekly/archives/2018/03/27/6.htm
27 Mar 2018
HIV incidence decreases overall, increases among Hispanic/Latino men who have sex with men
CDC researchers used data from the National HIV Surveillance System to model HIV incidence among people ages 13 years and older and to estimate HIV prevalence and percentage of undiagnosed HIV infections.
https://immattersacp.org/weekly/archives/2018/03/20/1.htm
20 Mar 2018
New BP guideline seeks earlier intervention
Recategorized, lower thresholds might give physicians effective new weapons in the fight against hypertension, but some contend that it's premature to change clinical practice.
https://immattersacp.org/archives/2018/03/new-bp-guideline-seeks-earlier-intervention.htm
1 Mar 2018
Apnea outcomes may be similar when treated by sleep specialist or nonspecialist
Low-strength evidence indicated that outcomes were similar whether care was provided by primary care physicians, sleep specialist nurses, or sleep specialist physicians, although study authors noted that non–sleep specialists were often highly experienced in sleep medicine.
https://immattersacp.org/weekly/archives/2018/01/30/4.htm
30 Jan 2018
New guideline released on lung cancer screening
Among the recommendations is one stating that low-dose CT screening should not be performed in individuals who have accumulated fewer than 30 pack-years of smoking or who are younger than age 55 years or older than age 77 years, or who have quit smoking more than 15 years ago, and do not have a high risk of having/developing lung cancer based on clinical risk prediction calculators.
https://immattersacp.org/weekly/archives/2018/01/30/1.htm
30 Jan 2018
AHA issues guidance on treating heart failure with reduced ejection fraction
The American Heart Association (AHA) recently released an expert consensus decision pathway that provides practical tips, tables, and figures to help physicians provide optimal care to patients with heart failure and reduced ejection fraction.
https://immattersacp.org/weekly/archives/2018/01/09/6.htm
9 Jan 2018