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Primary Care and Family Medicine

Editor's Choice

Managing subclinical AF

What is the latest advice for managing patients with device-detected subclinical atrial fibrillation and atrial high rate episodes?

Exploring a role for AI in OSA

The use of AI for diagnosis of patients with sleep-disordered breathing shows exciting promise, especially with respect to identifying those with only mild apnea. 

Type 2 diabetes: translating advances into real-world practice

Many patients are yet to benefit from the advances and approaches now at our disposal for the management of type 2 diabetes. How can the gaps and delays be addressed?

AI improves spirometry in primary care

An AI support tool could aid clinicians using spirometry to accurately predict respiratory diagnoses, particularly chronic obstructive pulmonary disease.

Total diet replacement achieves type 2 diabetes remission in real-world setting

People with type 2 diabetes who are on a total diet replacement program can achieve remission in the real-world setting, but with lower frequency than in clinical trials.

Cardiometabolic risks in cancer survivorship

Managing cardiometabolic health in patients with a history of cancer is increasingly important. Discover the primary considerations including impact of demographic variables, cancer types, and treatment modalities. 

Triple combination pill works for hypertension management

GMRx2, a triple combination pill, has shown superior efficacy to placebo and dual therapy for reducing hypertension.

Managing gout and metabolic syndrome

Gout is associated with metabolic syndrome and its related comorbid conditions. Find out more about the clinical challenge that is managing both conditions in the same patient.

Substantia nigra pathology may explain increased parkinsonism risk in CTE

Parkinsonism in people with chronic traumatic encephalopathy due to sport-related repetitive head injury is linked to substantia nigra tau pathology and neuronal loss.

How diet can reduce CV risk in patients with autoimmune disease

Cardiovascular diseases are more prevalent in individuals with autoimmune diseases than in the general population. Is systemic inflammation the driver? Can nutritional interventions reduce the risk of CV complications in these individuals? 

Managing medication-induced hyperglycemia and diabetes

Many medications can impair glucose homeostasis, potentially leading to hyperglycemia and diabetes, but which are the main offenders and what management strategies can be put in place?

Testosterone therapy for functional hypogonadism

What is the evidence for testosterone therapy in men with functional hypogonadism? Can it address weak guideline recommendations and historic concerns about long-term safety?

Imaging of sports injuries in adolescents

Musculoskeletal injuries in an immature skeleton tend to occur in particular locations with distinct characteristics. How are different imaging methods used for diagnosis and management?

Nasal sprays and patient education fight respiratory illness burden

Both gel-based and saline nasal sprays reduce the duration of respiratory illness reported by adults compared with usual care.

Physical exercise as a therapeutic tool for lipedema

Lipedema is a complex condition that requires a multidisciplinary management approach. Structured exercise training is a promising intervention, offering physiological and psychological benefits.

Nutritional management of children with CKD

Practical advice on how to meet energy and protein needs to achieve optimal growth, neurodevelopment, and metabolic equilibrium in children with chronic kidney disease stages 2–5 and on dialysis.

Suboptimal CKD screening in people with type 2 diabetes

As many as three-quarters of US adults with type 2 diabetes are not being routinely screened for indicators of chronic kidney disease.

Pulmonologist-led care for undiagnosed COPD or asthma

Pulmonologist-directed care reduces healthcare service use in symptomatic adults with undiagnosed chronic obstructive pulmonary disease or asthma.

Unprovoked VTE revealing lung cancer

A case emphasizing the importance of occult cancer screening in patients with unprovoked venous thromboembolism, especially those with risk factors.

Medication overuse headache

MOH is common amongst patients with primary headache disorders, but how should you treat a condition caused by overuse of treatment? Explore practical guidance.