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In the news: increase in colorectal cancer in millenials. Colorectal cancer incidence patterns in the United States, 1974-2013

by jmiller on March 2, 2017

Article (JNCI, Feb 28) concludes:  “Age-specific CRC risk has escalated back to the level of those born circa 1890 for contemporary birth cohorts, underscoring the need for increased awareness among clinicians and the general public, as well as etiologic research … learn more

Assessing the risks associated with MRI in patients with a pacemaker of defibrillator

by jmiller on March 2, 2017

“The presence of a cardiovascular implantable electronic device has long been a contra-indication for the performance of MRI.  We established a prospective registry to determine the risks associated with MRI at a magnetic field strength of 1.5 tesla for patients … learn more

Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Practice Guideline Update

by jmiller on February 2, 2017

Recommendations:  “Inpatients and outpatients with advanced cancer should receive dedicated palliative care services, early in the disease course, concurrent with active treatment.  Referral of patients to interdisciplinary palliative care teams is optimal, and services may complement existing programs.  Providers may … learn more

Folic Acid Supplementation for the Prevention of Neural Tube Defects: An Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

by jmiller on February 2, 2017

“In studies conducted before the initiation of food fortification in the United States in 1998, folic acid supplementation provided protection against neural tube defects. Newer postfortification studies have not demonstrated a protective association but have the potential for misclassification and … learn more

Clinical Guideline: Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline From the American College of Physicians and the American Academy of Family Physicians

by jmiller on February 2, 2017

“ACP and AAFP recommend that clinicians consider initiating or intensifying pharmacologic treatment in some adults aged 60 years or older at high cardiovascular risk, based on individualized assessment, to achieve a target systolic blood pressure of less than 140 mm … learn more

In the news: Use of CT and chest radiography for lung cancer screening before and after publication of screening guidelines, intended and unintended uptake

by jmiller on February 2, 2017

“The National Lung Screening trial (NLST) released its main findings in 2011,concluding that the use of low-dose findings in 2011, concluding that the use of low-dose computed tomography (CT) to screen for lung cancer reduced lung cancer deaths by 20% … learn more

The Collaborative Care Network: Preparing for Participation in Advanced Alternative Payment Models

by Medical Staff Office on January 31, 2017

Looking for an Advanced Alternative Payment Model (AAPM)? The CCN’s primary focus is to offer a portfolio of AAPMs to as many CCN-member clinicians as possible. Being in an AAPM provides several benefits: 1) automatic five percent Medicare bonus 2) … learn more

Essentials for a Culture of Safety

by Medical Staff Office on January 31, 2017

The Institute of Medicine’s groundbreaking report, “To Err Is Human,” highlights the importance of patient safety in health care organizations. This report, along with emphasis from many health care improvement entities such as the Joint Commission, triggered a renewed effort … learn more

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