Journal of the American Board of Family Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Angiotensin-Converting Enzyme (ACE) Inhibitor-Induced Angioedema of the Small Bowel: A Diagnostic Dilemma
Conclusion: In the literature, we found that age, patient demographics, and careful medical reconciliation, paired with diagnostic clues in radiology, can assist in accurate diagnosis. More broadly, family and emergency medicine physicians, surgeons, radiologists, and internists should be aware of this rare side effect caused by this commonly prescribed medication to avert unnecessary medical treatments and procedures. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Niyibizi, A., Cisse, M. S., Rovito, P. F., Puente, M. Tags: Brief Report Source Type: research

The Prevalence of Low-Value Prostate Cancer Screening in Primary Care Clinics: A Study Using the National Ambulatory Medical Care Survey
Conclusions: The use of low-value PSAs and DREs was sizable during the observed time period. Organizations who want to reduce low-value PSAs and DREs may want to focus interventions on providers who order a high number of tests. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Gillette, C., Garvick, S., Bates, N., Martin, C. M., Hanchate, A., Reuland, D. S. Tags: Brief Report Source Type: research

Antidepressant Tapering Is Not Routine But Could Be
Discussion: While reports of severe withdrawal are increasingly recognized and must be addressed, our data suggest that many patients can discontinue their antidepressants without a taper through the lowest dose. However, it is difficult to identify which patients will struggle without a careful taper. A "one-size-fits-all" taper approach is recommended, balancing the need for withdrawal prevention with the need to avoid unnecessary complexity for the majority of patients. The first decrement is key for all patients: it must go well. Thereafter many patients may accelerate but all should receive a prescription for the lowe...
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Phelps, J., Nguyen, J., Coskey, O. P. Tags: Brief Report Source Type: research

Are Boosters Necessary If Adult Patients Do Not Achieve Seroconversion After 2 Doses of the MMR Vaccine?
This report provides practical guidance for clinicians on when to use serologic testing to determine measles, mumps, and rubella immunity. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Karra, L., Costello, A., Trudeau, B. M., Khodaee, M. Tags: Brief Report Source Type: research

Relational Continuity, Physician Payment, and Team-Based Primary Care in the Canadian Health Care System
Conclusion: Our results suggest that continuity does not differ substantially by physician payment or organizational model among primary care patients who are formally enrolled with a physician in a setting with universal health insurance. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Kiran, T., Green, M. E., Bai, L., Latifovic, L., Khan, S., Kopp, A., Frymire, E., Glazier, R. H. Tags: Original Research Source Type: research

Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics
We report on data challenges in rural clinics and Medicaid health plans in Oregon in identifying patients eligible for CRC screening, in a large project implementing mailed fecal immunochemical tests (FIT) and patient navigation. Methods: We analyzed data from clinic intake surveys and administrative claims. Clinics were asked to identify total population numbers relevant to CRC screening and follow-up. Health plans also identified enrollees eligible for CRC screening in Spring, 2021. Clinic staff validated patient lists for eligibility using their electronic health records (EHR). Results: EHR features varied across the ...
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Petrik, A. F., Coury, J., Larson, J. H., Badicke, B., Coronado, G. D., Davis, M. M. Tags: Original Research Source Type: research

Burnout and Commitment After 18 Months of the COVID-19 Pandemic: A Follow-Up Qualitative Study with Primary Care Teams
Conclusion: Fundamental redesign of primary care is required to prevent further loss of health care personnel and to provide opportunities for these staff to recover during the grueling, ongoing crisis. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Cunningham, A. T., Felter, J., Smith, K. R., Sifri, R., Arenson, C., Patel, A., Kelly, E. L. Tags: Original Research Source Type: research

Infant and Maternal Vitamin D Supplementation: Clinician Perspectives and Practices
Conclusions: MIC are more likely than IC to embrace high-dose maternal vitamin D supplementation to provide adequate vitamin D for infants. This highlights an opportunity for further education of clinicians about this option. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Aul, A. J., Fischer, P. R., Benson, M. R., Oberhelman-Eaton, S. S., Mara, K. C., Thacher, T. D. Tags: Original Research Source Type: research

Primary Care Provider Demographics and Engagement in Interprofessional Collaboration
Conclusion: Female providers are more likely to share their patients with an interprofessional team. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Funk, K. A., Wahie, N., Senne, N., Funk, R. J. Tags: Original Research Source Type: research

The Association of Practice Type and the Scope of Care of Family Physicians
Conclusions: Significant variation in FP comprehensiveness exists across different practice types. FPs in practice types commonly associated with large health systems had narrower breadth of practice, concerning amid increasing practice consolidation. Given associations between comprehensiveness and desirable health care outcomes, policy makers should encourage payment/accountability models that incentivize broader SOP. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Killeen, D., Jetty, A., Peterson, L. E., Bazemore, A., Jabbarpour, Y. Tags: Original Research Source Type: research

Patient and Patient Caregiver Perspectives on Social Screening: A Review of the Literature
Conclusion: The themes emerging in this diverse set of largely descriptive studies warrant deeper and more rigorous exploration as social screening initiatives expand in health care settings across the United States. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Brown, E. M., Loomba, V., De Marchis, E., Aceves, B., Molina, M., Gottlieb, L. M. Tags: Original Research Source Type: research

An Assessment of Weight Loss Management in Health System Primary Care Practices
Conclusions: Practice-associated factors such as culture and implementation climate may be worth examining to understand how to implement weight management in primary care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Suresh, K., Willems, E., Williams, J., Gritz, R. M., Dickinson, L. M., Perreault, L., Holtrop, J. S. Tags: Original Research Source Type: research

Intergenerational Pathways Between Parental Experiences of Adverse Childhood Experiences (ACEs) and Child Weight: Implications for Intervention
Conclusions: Study findings suggest that intervening on parent low mental health may be a key factor in reducing the intergenerational transmission between parental ACEs and child weight. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Berge, J. M., Tate, A., Trofholz, A., Kunin-Batson, A. Tags: Original Research Source Type: research

Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care
Conclusions: This consensus statement will inform the development of PCP-targeted dermoscopy training initiatives designed to support early cancer detection. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Tran, T., Cyr, P. R., Verdieck, A., Lu, M. D., Ahrns, H. T., Berry, E. G., Bowen, W., Braun, R. P., Cusick-Lewis, J. M., Doan, H. Q., Donohue, V. L., Erlich, D. R., Ferris, L. K., Harkemanne, E., Hartman, R. I., Holt, J., Jaimes, N., Joslin, T. A., Kabaev Tags: Original Research Source Type: research

The Association Between Cost-Related Non-Adherence Behaviors and Diabetes Outcomes
Conclusions: CRN in patients with diabetes is higher than in other comorbid conditions and is associated with poor diabetes control. These findings may be driven by higher out-of-pocket costs for medications to manage diabetes, lack of symptoms associated with poor diabetes control, or other factors, with implications for both clinicians and health insurance programs. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - February 9, 2023 Category: Primary Care Authors: Chiang, Y.-C., Ni, W., Zhang, G., Shi, X., Patel, M. R. Tags: Original Research Source Type: research