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ChronicDisease

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Guideline recommended treatments in complex patients with multimorbidity

Multimorbidity is an increasing problem for both clinicians and patients. Aging populations, the increased complexity of managing chronic illness, and the tendency of guidelines to focus on a single disease have created a “perfect storm” of treatment burden. Consider the following patient: “Mrs S is a 79 year old woman with osteoporosis, osteoarthritis, type 2 diabetes mellitus, hypertension, and chronic obstructive pulmonary disease who takes 12 separate drugs in 19 doses five times during a typical day. A drug review revealed three drug-disease interactions, nine drug-drug interactions, and eight potential drug-food interactions.” With this hypothetical case, a decade ago one study showed that the application of multiple guidelines to a patient with multimorbidity creates three problems1: firstly, as comorbidity is a common reason for exclusion in clinical trials it is not known whether treatment effects in patients with multimorbidity are equivalent to those in patients with single diseases.2 3 Secondly, the application of multiple disease oriented guidelines bears the risks of potentially harmful interactions between diseases and treatments.4 5 Thirdly, an uncritical application of multiple guidelines adds to the burden of …  
feeds.bmj.com
almost 4 years ago
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Exercise During Pregnancy and Offspring Chronic Disease Risk

Research has shown the maternal health benefits of exercising during pregnancy, but could it also help protect their children against developing a chronic disease later in life?  
medscape.com
almost 4 years ago
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Treating Hidradenitis Suppurativa

New treatments using biologics, laser modalities and other novel agents are providing clinicians with better ways of managing hidradenitis suppurativa, a chronic disease of the follicular unit.  
medscape.com
almost 4 years ago
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Case Management in Primary Care for Frequent Health Care Users

People with chronic disease and frequent users of health care services experienced improved access, communication, and involvement in decision-making in a care management intervention.  
medscape.com
over 3 years ago
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KeyLIME 98: #MedEd + Chronic Disease

Let me join the long list of health care apocalyptic hand-wavers… the grey tsunami is coming.  Yep. Heard that one, right?  Yet, how has the #MedEd community thoughtfully anticipated this significant patient demographic change?  With the exception of our fixation on erectile dysfunction, I have not seen targeted education interventions that address the influence of…  
icenetblog.royalcollege.ca
over 3 years ago
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VTE a Chronic Illness Requiring Long-term Anticoagulation?

Two analyses support long-term anticoagulation in patients with VTE. Dr Goldhaber expects the benefits to outweigh the risks in the NOAC era.  
medscape.com
over 3 years ago
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Infertility in Men Tied to Heart Disease, Chronic Conditions

Compared with men with vasectomies or receiving fertility tests, those with infertility had increased risks for heart disease, diabetes, substance abuse, liver disease, and renal disease.  
medscape.com
over 3 years ago
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Asthma: Practice Essentials, Background, Anatomy

Asthma is a common chronic disease worldwide and affects approximately 24 million persons in the United States. It is the most common chronic disease in childhood, affecting an estimated 7 million children.  
emedicine.medscape.com
over 3 years ago
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Hands Off That Frozen Pizza! Docs Advise Customers As They Shop

A family physician in California is giving grocery store shoppers advice about healthy eating as part of an effort to reduce the incidence of chronic diseases such as obesity and diabetes.  
medscape.com
over 3 years ago
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Ivabradine for Angina Helped Quality of Life in SIGNIFY Trial

Researchers should consider chronic disease from the patients' perspective and place equal emphasis on quality of life as on morbidity and mortality, according to observers.  
medscape.com
over 3 years ago
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Treating High-Need People With Multiple Chronic Diseases

This systematic review looked at different models of care to determine which are most effective for people with multiple chronic conditions and high health-care use.  
medscape.com
over 3 years ago
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Coexistent Mental Health Disorders in Diabetic Patients

Diabetes is a psychologically and behaviorally demanding chronic disease, and is often accompanied by depression, anxiety, and other psychiatric disorders. How might this impact management?  
medscape.com
over 3 years ago
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Chronic Illness Care Transition From Pediatric to Adult

What barriers do patients with chronic illness face as they transition from pediatric to adult health care?  
medscape.com
over 3 years ago
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Texts Can Improve Drug Adherence for Chronic Disease

However, authors cautioned that their meta-analysis relied on self-reported data and the interventions were brief. An editorial said the results are promising but will not close all the gaps.  
medscape.com
over 3 years ago
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Telemedicine Popular With the Young and Chronically Ill

Baby boomers are leading the pack in resisting change to how healthcare is delivered, but physician groups continue to push for new approaches.  
medscape.com
over 3 years ago
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Can Text Messaging Improve Medication Adherence? CME/CE

: A new meta-analysis reveals that text messaging is effective in improving medication adherence for patients with chronic diseases, but these results are based on self-report.  
medscape.org
over 3 years ago
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Managing Depression a Challenge in Primary Care Settings

Primary care physicians see many patients with depression. New research finds they continue to struggle to apply the treatment strategies used for other chronic illnesses.  
medscape.com
over 3 years ago
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Exercise Prescriptions for Chronic Conditions: A How-to Guide

A new guide seeks to increase physicians' awareness about the effectiveness of different types of exercise in the treatment of specific chronic diseases.  
medscape.com
over 3 years ago
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US Rankings: Adult Smoking, Sedentary Behavior Decline

Where does the nation stand in reducing chronic disease rates? The state-by-state results of the 'America's Health Rankings Annual Report' are summarized in this brief.  
medscape.com
over 3 years ago
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A Customizable Model for Chronic Disease Coordination

This article describes lessons learned from the CDC's Coordinated Chronic Disease Program, identifying key elements of a coordinated public health approach to chronic disease prevention and control.  
medscape.com
over 3 years ago