Among other recommendations, screening mammography should be offered to women at average risk of breast cancer starting at age 40 years, and a shared decision-making process should be used to decide about the age to begin mammography screening.
While some primary care physicians may be able to manage genomic information appropriately, findings could prompt increased health care use with limited clinical value, the researchers said.
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
A meta-analysis of 12 studies found that fecal immunochemical testing (FIT) may be a viable alternative screening strategy for patients at increased risk for colorectal cancer, but the authors and an accompanying editorial noted that the quality of the evidence was low.
The intervention included a website with weekly lessons, a web diary, instructional videos, computerized feedback, text messages, and monthly in-person meetings at the clinics.