scholarly journals Primary Care Physician Management, Referral, and Relations with Specialists Concerning Patients at Risk for Cancer due to Family History

2013 ◽  
Vol 16 (3) ◽  
pp. 75-82 ◽  
Author(s):  
M.E. Wood ◽  
B.S. Flynn ◽  
A. Stockdale
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Family History ◽  
Primary Care Physician ◽  
Care Physician ◽  
Patients At Risk

scholarly journals Evaluation of the Fracture Liaison Service within the Canadian Healthcare Setting

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Matthew Wong-Pack ◽  
Nawazish Naqvi ◽  
George Ioannidis ◽  
Ramy Khalil ◽  
Alexandra Papaioannou ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Primary Care Physicians ◽  
Osteoporotic Fractures ◽  
Fracture Liaison Service ◽  
Care Physician ◽  
Osteoporosis Management ◽  
Patients At Risk ◽  
Fracture Liaison ◽  
Canadian Healthcare

Previous studies evaluating fracture liaison service (FLS) programs have found them to be cost-effective, efficient, and reduce the risk of fracture. However, few studies have evaluated the clinical effectiveness of these programs. We compared the patient populations of those referred for osteoporosis management by FLS to those referred by primary care physicians (PCP), within the Canadian healthcare system in the province of Ontario. Specifically, we investigated if a referral from FLS is similarly effective as PCP at identifying patients at risk for future osteoporotic fractures and if osteoporosis therapies have been previously initiated. A retrospective chart review of patients assessed by a single Ontario rheumatology practice affiliated with FLS between January 1, 2014, and December 31, 2017, was performed identifying two groups: those referred by FLS within Hamilton and those referred by their PCP for osteoporosis management. Fracture risk of each patient was determined using FRAX. A total of 573 patients (n = 225 (FLS group) and n = 227 (PCP group)) were evaluated. Between the FLS and PCP groups, there were no significant differences in the absolute 10-year risk of a major osteoporotic fracture (15.6% (SD = 10.2) vs 15.3% (SD = 10.3)) and 10-year risk of hip fracture (4.7% (SD = 8.3) vs 4.7% (SD = 6.8)), respectively. 10.7% of patients referred by FLS and 40.5% of patients referred by their PCP were on osteoporosis medication prior to fracture. Our study suggests that referral from FLS is similarly effective as PCP at identifying patients at risk for future osteoporotic fractures, and clinically effective at identifying the care gap with the previous use of targeted osteoporosis therapies from referral from PCP being low and much lower in those referred by FLS. Interventional programs such as FLS can help close the treatment gap by providing appropriate care to patients that were not previously identified to be at risk for fracture by their primary care physician and initiate proper medical management.

scholarly journals Diabetes Detection and Prevention in Dermatology

2021 ◽  
pp. e2021131
Author(s):  
Alexandra Ngo ◽  
Luise Froessl ◽  
John Wesley McWhorter ◽  
William Brett Perkison ◽  
Rajani Katta
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Primary Care Physician ◽  
Diabetes Prevention ◽  
The United States ◽  
Care Physician ◽  
Current Data ◽  
Cutaneous Manifestations ◽  
Screening Guidelines ◽  
Increased Risk

We are currently in the midst of an international epidemic of diabetes mellitus (DM) and prediabetes. The prevalence of DM in the United States is estimated at 9.4% of the population across all ages, while an estimated 1 in 3 Americans (33.9%) has prediabetes. According to the WHO, about 60 million people suffer from diabetes in the European Region. Dermatologists may play an important role in tackling this epidemic via efforts to improve early detection of both diabetes and prediabetes. Dermatologists often treat patients with, or at risk of, diabetes. This includes patients who present with cutaneous manifestations such as acanthosis nigricans, as well as patient populations at increased risk, including those with psoriasis, hidradenitis suppurativa, and polycystic ovarian syndrome. Simple screening guidelines can be used to identify patients at risk, and screening can be performed via a single non-fasting blood test. The diagnosis of prediabetes is a key feature in diabetes prevention, as interventions in this group can markedly reduce progression towards diabetes. In addition to referral to a primary care physician, dermatologists may refer these patients directly to structured behavioral lifestyle intervention programs known as diabetes prevention programs. A significant portion of the population lacks routine care by a primary care physician, and current data indicates need for improvement in diabetes screening and prevention among patient groups such as those with psoriasis. These factors highlight the importance of the dermatologist’s role in the detection and prevention of diabetes.

Review of The fifteen minute hour: Applied psychotherapy for the primary care physician.

1988 ◽  
Vol 6 (4) ◽  
pp. 483-487
Author(s):  
Richard P. McQuellon ◽  
Guyton J. Winker
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Care Physician
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