Primary Care Corner with Geoffrey Modest MD: Guidelines for incontinence

By: Dr. Geoffrey Modest  The Am College of Physicians released practice guidelines for the nonsurgical management of urinary incontinence in women (see doi:10.7326/M13-2410​). Baseline issues: –urinary incontinence is really common: 25% in women aged 14-21; 44-57% in middle-aged and postmenopausal women aged 40-60; 75% in those >75 yo (though likely that these numbers reflect under-reporting) –risk factors: […]

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Primary Care Corner with Geoffrey Modest MD: Neurology academy recommendations for chronic noncancer pain management

By: Dr. Geoffrey Modest The American Academy of Neurology published a position paper on the use of opioids for chronic noncancer pain, or CNCP, lasting more than 3 months (see doi: 10.1212/WNL.0000000000000839). Their basic argument is that there are no data showing that longer term opioids are effective (though they do acknowledge that none of the randomized controlled […]

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