What is the likelihood of overdiagnosis of breast cancer after screening in women 70 years and older?
A retrospective cohort study of 54,635 women found that overdiagnosis of breast cancer—or identification, in this case— that would not have caused symptoms in a person's lifetime seems to increase with age. In this study, the overdiagnosis rate was 31% for women 70 to 74 years of age, 47% for women 75 to 84 years of age, and 51% for women 85 years and older who were screened and found to be positive.
- Read more: The Risk of Breast Cancer Overdiagnosis Is High in Older Women [POEMs]; February 2024
What can be used for treatment of nausea and vomiting caused by migraine headaches?
Metoclopramide combined with aspirin should be considered for nausea and vomiting caused by acute migraine.
- Read more: Evaluation and Treatment of Nausea and Vomiting in Adults; May 2024
Does percutaneous coronary intervention (PCI) reduce symptoms of stable angina compared with a placebo procedure in patients who are not taking antianginal medications?
A randomized controlled trial demonstrated that PCI is effective in patients with stable angina who are not taking antianginal medications. The study suggests there is little or no benefit of PCI for patients who can tolerate a maximal antianginal medical regimen, but it provides an important benefit for those unable to adhere to medication.
- Read more: PCI Is Better Than Placebo for Stable Angina in Patients Who Do Not Take Antianginal Medications [POEMs]; May 2024
What topical treatments can be used for rosacea?
Ivermectin 1% cream, metronidazole 0.75% gel, and azelaic acid 15% gel are first-line topical treatments for rosacea with papules and pustules.
- Read more: Rosacea: Common Questions and Answers; June 2024
Does delivery of bad news via telephone increase psychological stress more than in-person communication?
According to a meta-analysis of 11 observational and randomized controlled clinical trials, delivering bad news by telephone does not affect levels of anxiety, depression, or satisfaction with care vs. delivering the news in person.
- Read more: Delivery of Bad News Via Telephone Is Equal to In-Person Delivery [POEMs]; May 2024
What is the initial imaging choice for suspected symptomatic gallstone disease?
Abdominal ultrasonography is the initial imaging choice in patients with right upper quadrant pain and suspected symptomatic cholelithiasis or cholecystitis.
- Read more: Gallstone Disease: Common Questions and Answers; June 2024
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