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Laura B. Vater, MPH; Julie M. Donohue, PhD; Robert Arnold, MD; Douglas B. White, MD, MAS; Edward Chu, MD; and Yael Schenker, MD, MAS

Direct-to-consumer advertising by cancer centers is common in popular magazines and on television. This study examined such advertisements and found that they often include patient testimonials and generally appeal to emotion rather than present objective data on treatment response, side effects, costs, and care alternatives. Whether and how such advertising influences patients' care-seeking decisions warrants study.

Topics: advertising, cancer care facilities, cancer, emotion

Recent events have prompted calls for the medical community's involvement in efforts to reduce firearm-related violence. This survey from the American College of Physicians found that most internists believed that firearm-related violence is a public health issue and physicians should have the right to discuss firearm safety with patients, but few reported doing so. Most internists favored various public policies aimed at reducing firearm-related violence.

Topics: attitude, firearms, violence
Ai Kubo, PhD; Lyle Shlager, MD; Amy R. Marks, MPH; Dena Lakritz, RN, MPH; Colette Beaumont, RN, MSN; Kim Gabellini, RN, MS; and Douglas A. Corley, MD, PhD

The Centers for Disease Control and Prevention recommends prenatal screening for hepatitis B virus followed by postnatal prophylaxis. The authors studied the effectiveness of this intervention in community practice and found that it resulted in no transmission of hepatitis B to infants whose mothers were hepatitis B e antigen–negative or –positive with a viral load less than 5 \x 107 IU/mL.

Topics: hepatitis b, vertical disease transmission, hepatitis b surface antigens, mothers, hepatitis b ...
Jennifer M. Gierisch, PhD, MPH; Evan R. Myers, MD, MPH; Kristine M. Schmit, MD, MPH; Douglas C. McCrory, MD, MHS; Remy R. Coeytaux, MD, PhD; Matthew J. Crowley, MD; Ranee Chatterjee, MD, MPH; Amy S. Kendrick, RN, MSN; and Gillian D. Sanders, PhD

Osteoarthritis is a leading cause of disability in the United States. This article describes the development of a prioritized research agenda about osteoarthritis management. The agenda includes 12 high-priority research needs rank-ordered by a diverse stakeholder group. Future research should focus on addressing patients' needs across the disease spectrum and enhancing long-term engagement in strategies that stabilize the symptoms of osteoarthritis.

Topics: osteoarthritis, patient-centered care, comparative effectiveness research

This Update summarizes studies published in 2013 that the author considers highly relevant to the practice of geriatric medicine.

Topics: hyperglycemia, dementia, geriatrics, adverse effects of medication, acute care, hypnotics, elderly, elderly ...

This Update summarizes studies published in 2013 that the author considers highly relevant to the practice of cardiology.

Topics: percutaneous coronary intervention, hypertension, cardiovascular diseases, cardiology, ischemic stroke, hypertension, refractory, obesity, ...

In February 2014, the American Heart Association/American Stroke Association released their first guideline focused on stroke prevention in women. This synopsis summarizes the evidence about risk factors for stroke in women and suggests prevention strategies. It also describes the new recommendations relevant to identifying and treating hypertensive disorders in pregnancy that increase risk for stroke.

Topics: cerebrovascular accident, ischemic stroke, stroke prevention, american heart association, hypertension
Renee Butkus, BA; Robert Doherty, BA; Hilary Daniel, BS, for the Health and Public Policy Committee of the American College of Physicians
Includes: CME

In 1995, the American College of Physicians issued its first statement that raised concern about the epidemic of firearm violence in the United States and advocated for policies to reduce the rate of firearm injuries and deaths. Nineteen years later, firearm-related mortality rates in the United States remain the highest among industrialized countries. This position paper presents updated recommendations from the American College of Physicians for reducing firearm-related injuries and deaths in the United States.

Topics: firearms, violence

A recently published update of the Canadian National Breast Screening Study found that annual screening mammography did not reduce breast cancer deaths. The authors of this commentary discuss those findings and believe that it is time to reframe our thinking about breast cancer.

Topics: breast cancer, breast neoplasm screening

Recent reports have found that mammography screening did not reduce deaths from breast cancer. The authors of this commentary discuss the evidence about the benefits and harms of screening and suggest that it is time to initiate another breast cancer screening trial.

Topics: breast neoplasm screening, breast cancer

The American College of Cardiology/American Heart Association updated their cholesterol guidelines in November 2013, sparking debate about the role of statins in the primary prevention of cardiovascular disease. In response, this commentary discusses the effect of statin therapy on overall mortality and calls for a thorough review of all trials on this topic.

Topics: primary prevention, statins

In this issue, Vater and colleagues present a content analysis of advertisements for cancer centers appearing on television and in magazines. The editorialist discusses the analysis and its implications and commends the authors for taking the first step toward understanding whether marketing increases or decreases burden for patients with cancer.

Topics: advertising, cancer care facilities, marketing
Richard B. Weinberg, MD
Includes: Audio/Video

I have never believed in the propriety of boutique practices catering to the rich and powerful, and I was especially wary of being at the beck and call of a wealthy local VIP.

Topics: #
Sheila M. Quinn, DO
Includes: Audio/Video

We all exchanged looks, some of humor and awe, some of humility. I counted eleven of us—eleven white coats. But only Danny knew the answer. As oddly satisfied as I was with Danny's answer to the question, I left the room equally as disturbed.

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Andrew Anglemyer, PhD
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Robert B. Sklaroff, MD
Topics: #
David Hemenway, PhD
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Joanne Lynn, MD, MA, MS
Topics: #
Steven M. Radwany, MD
Topics: #
Simon Kassabian, MD
Topics: #
Keyvan Ravakhah, MD, MBA
Topics: #
Samir K. Shah, MD
Topics: #
Jo Persoon-Gundy, MD
Includes: Audio/Video
Topics: #
Jack Coulehan, MD, MPH
Includes: Audio/Video
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Joseph Gascho, MD
Includes: Audio/Video
Topics: #
Topics: olive oil, mediterranean diet, diabetes mellitus, cardiovascular disease risk factors, fat-restricted diet, ...
Topics: systolic blood pressure, diet, vegetarianism, diastolic blood pressure, omnivore
Topics: obesity, diabetes mellitus, type 2, weight reduction, life style, overweight
Topics: primary health care
Topics: antibiotics, diarrhea, probiotics, diarrhea, clostridium difficile, antibiotic-associated diarrhea, elderly
Topics: atrial fibrillation, warfarin, cerebrovascular accident, embolism, apixaban
Topics: respiratory insufficiency, ventilator weaning, mechanical ventilation
Topics: septic shock, goal-directed therapy
Topics: watchful waiting, prostate cancer, radical prostatectomy
Topics: nicotine patches, birth weight, smoking in pregnancy, smoking abstinence
Topics: myocardial infarction, percutaneous coronary intervention, cerebrovascular accident, ischemic stroke, erythrocyte transfusion
Topics: cost effectiveness, cognitive-behavioral therapy, depression, treatment-resistant

The Consult Guys bring a new perspective to the art and science of medicine with lively discussion and analysis of real-world cases and situations.

Topics: magnetic resonance imaging, device safety
Topics: advertising, cancer care facilities
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