Primary Care Corner with Geoffrey Modest MD: USPSTF breast cancer screening recommendations

By: Dr. Geoffrey Modest The US Preventive Services Task Task Force just published a draft recommendation for breast cancer screening in women after age 50 (see here), as follows. For women 50-74 years old, screening mammography every 2 years, grade B recommendation (moderate certainty that there is net benefit): –meta-analysis suggests that screening 10,000 women age […]

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Primary Care Corner with Geoffrey Modest MD: E-cigarettes

By: Dr. Geoffrey Modest So, no great surprise. E-cigarettes are taking over our youth…  The latest MMWR reviewed tobacco use in middle and high school students in the US, from 2011-2014, revealing profound changes (see here​ for full MMWR report). In brief:  –the CDC and FDA reviewed data of trends in current tobacco use (defined as: use […]

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Primary Care Corner with Geoffrey Modest MD: Too low blood pressure and cognitive decline in elderly

By: Dr. Geoffrey Modest  An Italian prospective cohort study of elderly patients (>65 yo) with baseline cognitive impairment assessed the association between achieved blood pressure in those who were hypertensive and the rate of cognitive decline (see JAMA Intern Med. 2015;175(4):578-585​). Details: –172 patients followed in 2 outpatient memory clinics, mean age 79, 63.4% female, mean mini-mental status exam (MMSE) baseline score […]

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