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7542. Should Patients Have Periodic Health Examinations?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
作者: Eileen E Reynolds.;James Heffernan.;Ateev Mehrotra.;Howard Libman.
来源: Ann Intern Med. 2016年164卷3期176-83页
Physicians and patients have come to expect that periodic health examinations (PHEs) are a standard part of comprehensive ongoing medical care. However, considerable research has not demonstrated a substantial benefit of the PHE. Given this lack of benefit and the high total cost of PHE to the health care system, the American Board of Internal Medicine (ABIM) Foundation and the Society of General Internal Medicine (SGIM) have identified "routine health checks in asymptomatic patients" as something of low value that physicians and patients should question, as a part of the Choosing Wisely campaign. Two discussants review the debate about PHE and consider the value of PHE for a healthy 70-year-old woman who appreciates seeing her physician annually.
7545. Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening: A Retrospective Cohort Study.
作者: Christopher D Jensen.;Douglas A Corley.;Virginia P Quinn.;Chyke A Doubeni.;Ann G Zauber.;Jeffrey K Lee.;Wei K Zhao.;Amy R Marks.;Joanne E Schottinger.;Nirupa R Ghai.;Alexander T Lee.;Richard Contreras.;Carrie N Klabunde.;Charles P Quesenberry.;Theodore R Levin.;Pauline A Mysliwiec.
来源: Ann Intern Med. 2016年164卷7期456-63页
The fecal immunochemical test (FIT) is a common method for colorectal cancer (CRC) screening, yet its acceptability and performance over several rounds of annual testing are largely unknown.
7547. Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians.
The presence of blood in the urine, or hematuria, is a common finding in clinical practice and can sometimes be a sign of occult cancer. This article describes the clinical epidemiology of hematuria and the current state of practice and science in this context and provides suggestions for clinicians evaluating patients with hematuria.
7549. Disclosing Pleiotropic Effects During Genetic Risk Assessment for Alzheimer Disease: A Randomized Trial.
作者: Kurt D Christensen.;J Scott Roberts.;Peter J Whitehouse.;Charmaine D M Royal.;Thomas O Obisesan.;L Adrienne Cupples.;Jacqueline A Vernarelli.;Deepak L Bhatt.;Erin Linnenbringer.;Melissa B Butson.;Grace-Ann Fasaye.;Wendy R Uhlmann.;Susan Hiraki.;Na Wang.;Robert Cook-Deegan.;Robert C Green.; .
来源: Ann Intern Med. 2016年164卷3期155-63页
Increasing use of genetic testing raises questions about disclosing secondary findings, including pleiotropic information.
7551. Sharing Clinical Trial Data: A Proposal From the International Committee of Medical Journal Editors.
作者: Darren B Taichman.;Joyce Backus.;Christopher Baethge.;Howard Bauchner.;Peter W de Leeuw.;Jeffrey M Drazen.;John Fletcher.;Frank A Frizelle.;Trish Groves.;Abraham Haileamlak.;Astrid James.;Christine Laine.;Larry Peiperl.;Anja Pinborg.;Peush Sahni.;Sinan Wu.
来源: Ann Intern Med. 2016年164卷7期505-6页 7552. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention.
Acute respiratory tract infection (ARTI) is the most common reason for antibiotic prescription in adults. Antibiotics are often inappropriately prescribed for patients with ARTI. This article presents best practices for antibiotic use in healthy adults (those without chronic lung disease or immunocompromising conditions) presenting with ARTI.
7556. Acupuncture for Menopausal Hot Flashes: A Randomized Trial.
作者: Carolyn Ee.;Charlie Xue.;Patty Chondros.;Stephen P Myers.;Simon D French.;Helena Teede.;Marie Pirotta.
来源: Ann Intern Med. 2016年164卷3期146-54页
Hot flashes (HFs) affect up to 75% of menopausal women and pose a considerable health and financial burden. Evidence of acupuncture efficacy as an HF treatment is conflicting.
7557. Laparoscopic Lavage for Perforated Diverticulitis With Purulent Peritonitis: A Randomized Trial.
作者: Anders Thornell.;Eva Angenete.;Thue Bisgaard.;David Bock.;Jakob Burcharth.;Jane Heath.;Hans-Christian Pommergaard.;Jacob Rosenberg.;Nikolaj Stilling.;Stefan Skullman.;Eva Haglind.
来源: Ann Intern Med. 2016年164卷3期137-45页
Perforated diverticulitis with purulent peritonitis has traditionally been treated with open colon resection and stoma formation with risk for reoperations, morbidity, and mortality. Laparoscopic lavage alone has been suggested as definitive treatment.
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