By Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman
50 experiences each Internist should still Know offers key reports that experience formed the perform of inner medication. chosen utilizing a rigorous method, the reviews conceal themes together with: preventative drugs, endocrinology, hematology and oncology, musculoskeletal ailments, nephrology, gastroenterology, infectious ailments, cardiology, pulmonology, geriatrics and palliative care, and psychological future health. for every learn, a concise precis is gifted with an emphasis at the effects and boundaries of the examine, and its implications for perform. An illustrative scientific case concludes every one evaluation, through short details on different appropriate reviews. This ebook is a must-read for health and wellbeing care pros and someone who desires to examine extra in regards to the facts at the back of scientific perform.
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Additional resources for 50 Studies Every Internist Should Know
JAMA. 2010;304(15):1684–1692. 9. Salpeter SR et al. Brief report: Coronary heart disease events associated with hormone therapy in younger and older women: a meta-analysis. J Gen Intern Med. 2006;21(4):363. Schierbeck LL et al. Effect of hormone replacement therapy on cardiovas cular events in recently postmenopausal women: randomised trial. BMJ. 2012;345:e6409. 11. Moyer VA, US Preventive Services Task Force. S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;158(1):47.
The ERSPC trial is ongoing, and future analyses will provide longer term follow-up data. In the meantime, guidelines from the US Preventive Services Task Force recommend against routine screening. CLINICAL CASE: SCREENING FOR PROSTATE CANCER Case History: A 50-year-old African American man whose father died from prostate cancer at the age of 64 presents to your clinic for a routine evaluation. Based on the results of the ERSPC trial, do you recommend prostate cancer screening for this patient? Suggested Answer: The ERSPC trial found that screening for prostate cancer with PSA testing every 4 years leads to a small reduction in prostate cancer deaths along with a substantial increase in the (potentially unnecessary) diagnosis and treatment of prostate cancer.
There was no effect of screening on all-cause mortality, though the study was not powered for this analysis. The ERSPC trial is ongoing, and future analyses will provide longer term follow-up data. In the meantime, guidelines from the US Preventive Services Task Force recommend against routine screening. CLINICAL CASE: SCREENING FOR PROSTATE CANCER Case History: A 50-year-old African American man whose father died from prostate cancer at the age of 64 presents to your clinic for a routine evaluation.