Search results for "Adherence"
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
ACP issues new guidance on colorectal cancer screening
For asymptomatic, average-risk patients ages 50 to 75 years, the guidance suggests use of a fecal immunochemical test (FIT) or high-sensitivity guaiac-based fecal occult blood test every two years, colonoscopy every 10 years, or flexible sigmoidoscopy every 10 years plus FIT every two years.
https://immattersacp.org/weekly/archives/2019/11/05/1.htm
5 Nov 2019
HCV patients being treated for opioid addiction appear to benefit from antiviral therapy
Patients with hepatitis C virus (HCV) infection who were receiving opioid-agonist therapy (such as methadone or buprenorphine) and treatment with elbasvir-grazoprevir had high rates of sustained virologic response regardless of continued drug use, an industry-funded study found.
https://immattersacp.org/weekly/archives/2016/08/09/4.htm
9 Aug 2016
U.S. Preventive Services Task Force recommends PrEP for HIV in high-risk patients
The Grade A recommendation was based on a systematic review of the literature that looked at the benefits of PrEP with oral tenofovir disoproxil fumarate monotherapy or combined tenofovir disoproxil and emtricitabine.
https://immattersacp.org/weekly/archives/2019/06/18/1.htm
18 Jun 2019
MKSAP Quiz: Colorectal cancer screening without colon preparation
A 65-year-old man is interested in initial colorectal cancer screening but adamantly refuses to undergo colon preparation and does not want to modify his diet. Medical and family histories and physical exam results are unremarkable, and he takes no medications. What is the most appropriate screening test?
https://immattersacp.org/weekly/archives/2019/10/08/3.htm
8 Oct 2019
Talking about migraines
Collecting good data is the first step in sorting through the many drugs and devices that are used to treat migraines.
https://immattersacp.org/archives/2019/07/talking-about-migraines.htm
1 Jul 2019
Reminder devices did not increase patients' medication adherence, study finds
There were no significant differences in the adjusted odds of optimal adherence (a medication possession ratio of 80% or more) between a control group and three groups using different reminder devices.
https://immattersacp.org/weekly/archives/2017/03/07/4.htm
7 Mar 2017
Gabapentinoid use associated with suicidal behavior, other adverse outcomes
The association of gabapentinoid with outcomes including overdoses, injuries, and accidents was strongest in younger patients, whereas those ages 55 years and older had reduced or no association.
https://immattersacp.org/weekly/archives/2019/06/18/2.htm
18 Jun 2019
Patients with obstructive sleep apnea perceived as looking younger after CPAP treatment
Data showed that perceived age of sleep apnea patients was six years younger after one month of using continuous positive airway pressure (CPAP).
https://immattersacp.org/weekly/archives/2019/04/02/2.htm
2 Apr 2019
Stopping preventive aspirin associated with 37% increased risk of cardiovascular events
Patients who continued aspirin had a 4.1% yearly incidence of cardiovascular events, compared to 5.4% among those who stopped taking the drug, while the risk of discontinuation corresponded to one additional cardiovascular event for every 74 patients who stopped taking aspirin in a year.
https://immattersacp.org/weekly/archives/2017/10/03/4.htm
3 Oct 2017