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Bilateral, Multifocal Renal Masses in a 35-Year-Old Man With a History of Tuberous Sclerosis Complex
A 35-year-old man with a known history of tuberous sclerosis complex was referred to the urology clinic by his primary care physician for consultation regarding bilateral, multifocal renal masses. (Source: CancerNetwork)
Source: CancerNetwork - April 15, 2018 Category: Cancer & Oncology Authors: Allan Haynes, Jr, MD Pranav Sharma, MD Tags: Oncology Journal Source Type: news

Hepatitis C Treatments Reduce Transplants
(MedPage Today) -- Therapies also appear to reduce liver-related mortality (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

Do Hospital Mergers Put Patients at Risk?
(MedPage Today) -- Docs must manage practice changes, new systems, and new patients (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

Europe Gets Updated HCV Tx Guidelines
(MedPage Today) -- EASL panel touts " ease of use " of direct-acting antivirals (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

SIRT + Sorafenib = No Survival Bump in Liver Cancer
(MedPage Today) -- But clinical benefits suggested in certain patients with less severe disease (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

Despite OD Risk, Opioid-Benzo Rx Continues
(MedPage Today) -- Physicians know risks but still prescribe dangerous combination (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

Take-Home Opioid OD Kit Helps MAT Patients, Their Communities
(MedPage Today) -- But financial and institutional barriers limit distribution of naloxone kits (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

Adjuvant Anti-PD-1 Scores Again in Melanoma
(MedPage Today) -- Recurrence risk falls by more than 40% with pembrolizumab (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

War Erupts Over HbA1c Goals -- Who's Right?
(MedPage Today) -- Susan E. Spratt, MD, breaks down ACP's new guidelines (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 15, 2018 Category: Primary Care Source Type: news

10 Questions to Challenge Your Medical News Savvy
(MedPage Today) -- Weekly Quiz: April 6-12 (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 14, 2018 Category: Primary Care Source Type: news

Rheumatology Faces Major Workforce Shortage by 2030
(MedPage Today) -- Increase in training will not close the gap (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 14, 2018 Category: Primary Care Source Type: news

Best and Worst States to be a Doc
(MedPage Today) -- Must reads about the latest news and trends in healthcare careers (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 14, 2018 Category: Primary Care Source Type: news

Uninsured Struggle to Obtain, Afford Doctor Appointments Uninsured Struggle to Obtain, Afford Doctor Appointments
Without some kind of health insurance, getting an appointment with a primary care doctor, and being able to pay in full or over time remains a challenge for millions in the U.S., a recent study suggests.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

New HHS/ONC Tool Helps Consumers Access Health Records
Patients may come to their next appointment ready to talk about a new resource that aims to help patients, parents and caregivers access and use health records. (Source: AAFP News)
Source: AAFP News - April 13, 2018 Category: Primary Care Source Type: news

Omega-3s Don't Help Dry Eye
(MedPage Today) -- Supplements fail in randomized trial (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 13, 2018 Category: Primary Care Source Type: news

Even Modest Alcohol Intake May Up Mortality Risk Even Modest Alcohol Intake May Up Mortality Risk
Heavy drinking may shorten life expectancy by as much as 5 years, authors warn.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Team Care Doesn't Improve Patients' CKD Knowledge
(MedPage Today) -- Study compared multidisciplinary versus nephrologist-only care (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - April 13, 2018 Category: Primary Care Source Type: news

Home Office sharing NHS data shows 'blatant disregard' for GP-patient trust
MPs have repeated calls for NHS Digital to suspend a deal that allows government officials to use data from GP records to track 'immigration offenders'. (Source: GP Online News)
Source: GP Online News - April 13, 2018 Category: Primary Care Tags: Commissioning News Source Type: news

Weekly Postings
See something of interest? Please share our postings with colleagues in your institutions! Spotlight Funding applications are due today! Applications for our upcoming round of health information outreach funding are due by 11pm this evening – don’t forget our last funding tip – follow directions for submission. Please note, late applications will not be accepted. We look forward to funding some great projects! NNLM Edit-a-thon: don’t forget to use #citeNLM2018 next week during NNLM’s first Wikipedia Edit-a-thon – we’re adding citations to existing articles on rare diseases! Not sur...
Source: NN/LM Middle Atlantic Region Blog - April 13, 2018 Category: Databases & Libraries Authors: Hannah Sinemus Tags: Weekly Postings Source Type: news

Online consultations in general practice: the questions to ask.
This document contains a series of questions that patients, clinicians, practice staff or commissioners might wish to ask to get the most out of online services which support planned or actual consultations between patients and GPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2018 Category: Consumer Health News Source Type: news

Are Pharmacists Your Competitors or Your Collaborators? Are Pharmacists Your Competitors or Your Collaborators?
As physicians struggle to keep up with demand for their services, pharmacists are picking up some of that business. Many physicians are comfortable with this, but others feel differently.Medscape Business of Medicine (Source: Medscape Pharmacist Headlines)
Source: Medscape Pharmacist Headlines - April 12, 2018 Category: Drugs & Pharmacology Tags: Family Medicine/Primary Care Article Source Type: news

Uninsured struggle to obtain, afford doctor appointments
(Reuters Health) - Without some kind of health insurance, getting an appointment with a primary care doctor, and being able to pay in full or over time remains a challenge for millions in the U.S., a recent study suggests. (Source: Reuters: Health)
Source: Reuters: Health - April 12, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Ketamine: Key Predictor of Treatment Response for MDD Identified Ketamine: Key Predictor of Treatment Response for MDD Identified
More intense dissociative symptoms during ketamine infusion for severe depression, particularly depersonalization, may be a key predictor of treatment response.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - April 12, 2018 Category: Primary Care Tags: Psychiatry News Source Type: news

FDA Permits Marketing of IDx-DR for Automated Detection of Diabetic Retinopathy in Primary Care
IDx-DR becomes the first autonomous, AI-based diagnostic system authorized for marketing by the FDA CORALVILLE, Iowa, April 12, 2018 -- (Healthcare Sales & Marketing Network) -- IDx, a privately-held AI diagnostics company, announced today that the U.S... Devices, Ophthalmology, FDA, Product Launch IDx, IDx-DR, Diabetic Retinopathy (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - April 12, 2018 Category: Pharmaceuticals Source Type: news

How your practice can save 700 ‘inappropriate' appointments a year
Aylsham and Reepham Surgeries staff was aware of a number of frequent attenders to their practices, but they never analysed the problem until they came across theProductive General Practice (PGP) Quick Start programme.  With support from the NHS England’s Sustainable Improvement team, the practices pinpointed almost 700‘inappropriate appointments’ over a period of 12 months. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - April 12, 2018 Category: Practice Management Authors: vfiore Tags: *** Editor ' s Pick Patient Access Practice development Practice management Latest News Personal Practice Source Type: news

How your practice can save 700 ‘inappropriate appointments’ a year
Aylsham and Reepham Surgeries staff was aware of a number of frequent attenders to their practices, but they never analysed the problem until they came across theProductive General Practice (PGP) Quick Start programme.  With support from the NHS England’s Sustainable Improvement team, the practices pinpointed almost 700‘inappropriate appointments’ over a period of 12 months. Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - April 12, 2018 Category: Practice Management Authors: vfiore Tags: *** Editor ' s Pick Patient Access Practice development Practice management Latest News Personal Practice Source Type: news

AI Solutions Continue to Catch FDA & #039;s Eye
FDA has given a nod to yet another artificial intelligence (AI)-based technology. This time the agency has granted a De Novo request to market IDx’s AI-based diagnostic system for the autonomous detection of diabetic retinopathy, which can lead to blindness. The Coralville IA-based company’s IDx-DR diagnostic received expedited review under the FDA's Breakthrough Devices program. Earlier this year, the company told MD+DI that it met its endpoints in a pivotal trial of the IDx-DR system. The trial involved 900 diabetes patients at 10 sites. The study was designed to evaluate the diagnostic accuracy of the techno...
Source: MDDI - April 12, 2018 Category: Medical Devices Authors: Omar Ford Tags: Business Digital Health Source Type: news

An evaluation of the effectiveness of annual health checks and quality of health care for adults with intellectual disability: an observational study using a primary care database.
People with intellectual disability (ID) have poorer health than the general population; however, there is a lack of comprehensive national data describing their health-care needs and utilisation. Annual health checks for adults with ID have been incentivised through primary care since 2009, but only half of those eligible for such a health check receive one. It is unclear what impact health checks have had on important health outcomes, such as emergency hospitalisation. To evaluate whether or not annual health checks for adults with ID have reduced emergency hospitalisation, and to describe health, health care and morta...
Source: Current Awareness Service for Health (CASH) - April 12, 2018 Category: Consumer Health News Source Type: news

Public backs NHS funding hike as A & E performance 'worst in 15 years'
Public backing for higher taxation to boost NHS funding has risen sharply in recent years, a major survey has revealed, as the latest hospital performance data confirmed that extreme pressure on the health service has continued beyond winter. (Source: GP Online News)
Source: GP Online News - April 12, 2018 Category: Primary Care Tags: Commissioning News Source Type: news

Could Earlier Menopause Mean Poorer Memory in Senior Years?
Title: Could Earlier Menopause Mean Poorer Memory in Senior Years?Category: Health NewsCreated: 4/11/2018 12:00:00 AMLast Editorial Review: 4/12/2018 12:00:00 AM (Source: MedicineNet Menopause General)
Source: MedicineNet Menopause General - April 12, 2018 Category: Primary Care Source Type: news

As Menopause Symptoms Get Worse, Heart May Pay a Price
Title: As Menopause Symptoms Get Worse, Heart May Pay a PriceCategory: Health NewsCreated: 4/11/2018 12:00:00 AMLast Editorial Review: 4/12/2018 12:00:00 AM (Source: MedicineNet Menopause General)
Source: MedicineNet Menopause General - April 12, 2018 Category: Primary Care Source Type: news

Is Your Diagnosis Coding Ready for Risk Adjustment? Is Your Diagnosis Coding Ready for Risk Adjustment?
Learning how to correctly incorporate Hierarchical Condition Category (HCC) codes can have positive effect on payment as well as present a more accurate picture of patient health status.Family Practice Management (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Vitamin D Screening and Supplementation in Primary Care Vitamin D Screening and Supplementation in Primary Care
Screening for vitamin D deficiency during primary care visits has become commonplace -- but is it really necessary?American Family Physician (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Share Your Feedback on Continuing Board Certification
AAFP members have until May 11 to complete a survey on the future of continuing board certification. The survey is part of a collaborative effort to bring together multiple stakeholders to re-envision continuing certification. (Source: AAFP News)
Source: AAFP News - April 11, 2018 Category: Primary Care Source Type: news

Medical Volunteers: An Opportunity for Health Professionals Medical Volunteers: An Opportunity for Health Professionals
Have you ever thought about volunteering your services? Read about these amazing professionals who work with Mercy Ships on the'Africa Mercy'.Medscape Public Health (Source: Medscape PublicHealth Headlines)
Source: Medscape PublicHealth Headlines - April 11, 2018 Category: Primary Care Tags: Public Health & Prevention Article Source Type: news

CMS Releases Updated 2018 MIPS Eligibility Tool
CMS has finally updated an online tool that physicians need so they can check their eligibility for the 2018 Merit-based Incentive Payment Program. (Source: AAFP News)
Source: AAFP News - April 11, 2018 Category: Primary Care Source Type: news

FDA OKs AI Device to Detect Diabetic Retinopathy in Primary Care FDA OKs AI Device to Detect Diabetic Retinopathy in Primary Care
The IDx-DR device detects greater than mild diabetic retinopathy without the need for a clinician to interpret the image or results.FDA Approvals (Source: Medscape Ophthalmology Headlines)
Source: Medscape Ophthalmology Headlines - April 11, 2018 Category: Opthalmology Tags: Ophthalmology News Alert Source Type: news

How to Maintain FP Interest in Providing Maternity Care?
New research details the characteristics of residents and residency programs associated with intent to provide maternity care. (Source: AAFP News)
Source: AAFP News - April 11, 2018 Category: Primary Care Source Type: news

FDA OKs AI-Based Device to Detect Diabetic Retinopathy
(MedPage Today) -- In primary care setting, IDx-DR identified more than mild disease over 85% of the time (Source: MedPage Today Nephrology)
Source: MedPage Today Nephrology - April 11, 2018 Category: Urology & Nephrology Source Type: news

The AIMS Model: An Approach to Addressing the Social Determinants of Health in Primary Care
April 24, 2018 1:00-2:00pm ET. (Source: HSR Information Central)
Source: HSR Information Central - April 11, 2018 Category: International Medicine & Public Health Source Type: news

How HRSA is Addressing the Opioid Crisis
Page provides an overview of HRSA initiatives, resources, and training to integrate behavioral health into primary care and stem the opioid epidemic. (Source: HSR Information Central)
Source: HSR Information Central - April 11, 2018 Category: International Medicine & Public Health Source Type: news

GSK to Compensate for Merck's Pediatric HepB Vaccine Shortage
In the face of a continuing shortage of Merck's pediatric hepatitis B vaccines, the CDC says GlaxoSmithKline will fill in with sufficient supply to meet full U.S. demand. (Source: AAFP News)
Source: AAFP News - April 11, 2018 Category: Primary Care Source Type: news

Angola:Health Sector Must Improve Primary Care
[ANGOP] Luanda -The health sector must improve the work at the level of Primary Care, municipal hospitals and medical centres, so as to decrease the pressure on reference health units, said last Tuesday in Luanda the Angolan Health minister, S ílvia Lutucuta. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - April 11, 2018 Category: African Health Source Type: news

Pharmacists: Competitors or Collaborators? Pharmacists: Competitors or Collaborators?
As physicians struggle to keep up with demand for their services, pharmacists are picking up some of that business. Many physicians are comfortable with this, but others feel differently.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Would You Report an Impaired Physician? Many Doctors Won't Would You Report an Impaired Physician? Many Doctors Won't
Research shows that although most doctors say they'd report an impaired colleague, many fail to do so when confronted with the situation. What is their reasoning?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Physician Incomes Keep Rising, Albeit Modestly, Report Shows Physician Incomes Keep Rising, Albeit Modestly, Report Shows
Primary care physicians and specialists are earning more this year than last year, with male doctors outpacing female doctors and psychiatrists seeing the biggest gains in pay, according to a new report.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

The perspective of older men with depression on suicide and its prevention in primary care - Vannoy S, Park M, Maroney MR, Un ützer J, Apesoa-Varano EC, Hinton L.
This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and ... (Source: SafetyLit)
Source: SafetyLit - April 11, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Exclusive: Thousands of primary care staff 'left behind' by NHS pay deal
Tens of thousands of staff working in primary care could lose out on a pay rise after the government confirmed the new NHS pay deal would not apply to them. (Source: HSJ)
Source: HSJ - April 11, 2018 Category: UK Health Source Type: news

Preparation and Scope of Practice of Early Career FPs Preparation and Scope of Practice of Early Career FPs
Is there a gap between the training and preparation family medicine residents receive and the services they deliver in practice?Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 11, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Online consultations in general practice: the questions to ask
The RCGP has published a list of questions to consider before using online general practice services. It urges CCGs to consider whether online consultation systems are likely to address current demand or generate new demand. (Source: NHS Networks)
Source: NHS Networks - April 11, 2018 Category: UK Health Source Type: news