Tag: primary care

Estimation of Glomerular Filtration Rate With vs Without Including Patient Race 1. The exclusion of patient race from glomerular filtration rate (GFR) estimation resulted in systematic error that significantly underestimated GFR in African American individuals more so than non-African Americans. Evidence Rating Level: 2 (Good) Glomerular filtration rate (GFR), an integral component...
1. A multi-modal antimicrobial stewardship program in primary care focused on individual educational interviews may improve antibiotic prescription practices and lead to sustained reductions in community-level extended-spectrum B-lactamase-producing Escherichia coli infections. Evidence Rating Level: 1 (Excellent) Inappropriate use of antibiotics is a leading cause of antimicrobial resistance. Antimicrobial stewardship programs (ASPs) have been identified as...
1. Selective serotonin reuptake inhibitors (SSRIs) are not associated with significant short-term reductions in depressive symptoms in the primary care setting, but reduce short-term anxiety and improve mental health and health-related quality of life. Evidence Rating Level: 1 (Excellent) While most patients with depression are managed in the primary care setting,...
1. In this retrospective cohort study, there was very little variation in 30-day readmission rates between different primary care physicians (PCPs). 2. Programs holding PCPs accountable for readmissions may be ineffective. Evidence Rating Level: 2 (Good) Study Rundown: Readmissions are costly for the patient and the healthcare system and may be the...
Antibiotic resistance is a growing challenge across the globe. As such, there have been increasing efforts towards reducing unnecessary or inappropriate antibiotic prescribing of antibiotics. There is limited evidence regarding the contribution of excessive antibiotic treatment duration to antibiotic overuse in the primary care setting. In this cross-sectional study,...
Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results Cervical artery dissection is a common cause of ischemic stroke in young patients. Whether antiplatelet (AP) therapy or anticoagulation (AC) therapy is more effective at preventing recurrent stroke...
1. In this survey of patients in the United States, primary care was associated with improved patient experience as well as improvement in rates of high-value primary care. 2. Use of primary care was also linked to an increase in low-value antibiotic use, and no difference in need for emergency...
1. Infants classified as having moderately or severely unsettled behavioral regulation at 12 months of age had greater odds of having a positive behavioral screen for mental disorder at 11 years compared to settled infants. 2. Odds of reporting clinically significant mental health concerns appeared to increase over time for...
1. In this systemic review, interventions from primary care were not found to reduce reports to child protective services or result in a lower likelihood of the child being removed from the home. 2. Insufficient evidence exists to associate primary care interventions with injuries, failure to thrive, and school attendance. Evidence...
1. Improved mental health appointment show rates were seen after the launch of an electronic referral system to mental health or social work services and social work follow-up protocol. 2. Rates of scheduling first appointments with mental health services and social work also rose; direct mental health outcomes were not...