Scandinavian journal of primary health care
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Scand J Prim Health Care · Dec 2013
Immunochemical faecal occult blood tests in primary care and the risk of delay in the diagnosis of colorectal cancer.
To evaluate the value, risks, and shortcomings of immunochemical faecal occult blood tests (iFOBTs) in the diagnosis of colorectal cancer (CRC) and adenomas with high-grade dysplasia (HGD) in patients initially presenting to primary care. ⋯ IFOBT might be helpful in selecting which patients to refer for colonoscopy. However, iFOBT has a limited sensitivity as a diagnostic test for CRC and adenomas with HGD. Relying only on iFOBT for colonoscopy referral could delay diagnosis, especially for patients with anaemia found en passant.
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Scand J Prim Health Care · Dec 2013
40 years of biannual family medicine research meetings--the European General Practice Research Network (EGPRN).
To document family medicine research in the 25 EGPRN member countries in 2010. ⋯ Since 1974, EGPRN organizes biannual conferences that unite and promote primary care practice, clinical research and academic family medicine in 25 member countries.
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To examine whether it is possible to further specify what is meant when we maintain that patient-centredness as a communication skill is a value-based clinical procedure. ⋯ Even though what is respected cannot be specified, the authors' analysis indicates that feeling respected is frequently and strongly associated with encounters reflecting core aspects of patient-centredness. In this sense, patient-centredness might be considered value-based. Future research might shed light on what is actually respected: is it the patient's autonomy, integrity, dignity, or honour?