Navigation Links
Annals of Internal Medicine tip sheet for April 1, 2008, issue
Date:3/31/2008

1. Perils of Testing: What Happens When Tests for Cervical Cancer are Normal but HPV Testing Is Abnormal?

When nearly 10,000 women were screened with Pap tests for cervical cancer and with DNA tests for high-risk human papillomavirus (HPV), 23 percent were found to be infected with high-risk HPV regardless of status on the Pap test (Article, p. 493.)

HPV is considered the major cause of cervical cancer.

Prevalence was highest among women age 14 to 19 years. Importantly, 9 percent of women 30 years of age or older with normal Pap tests had high-risk HPV infection.

Authors say that the results of the study imply that many women older than 30 who have the DNA tests for HPV will require follow-up colposcopy, in which the physician directly observes the cervix under magnification.

An editorial writer cautions that we know very little about the risk of cervical cancer in women with a normal Pap test and a positive HPV test. Women over age 30 who agree to have both Pap testing and HPV testing should know that the results could disagree, placing them in a group whose risk of cervical cancer is unknown (Editorial, p. 557).


2. Treat Smoking As Any Chronic Disease and Reimburse for Therapy

Smoking is the leading cause of preventable death in the United States. The authors state that cigarette smoking is an addiction that should be viewed as a chronic disease, as are addictions to other substances.

Insurers pay for life-time treatment for chronic diseases such as diabetes. Medications to prevent relapse of serious addictions such as heroin (by methadone) are provided long-term. But insurance companies often do not provide reimbursement for long-term treatment with nicotine replacement therapy, an FDA-approved treatment.

If we adopt the view that tobacco dependence is a chronic condition with severe consequences and death rates higher than those of other chronic conditions, health insurance should pay for long-term behavioral and pharmacotherapy (Perspective, p. 554).


3. Early Kidney Dysfunction Associated with Developing Hypertension

Most people with kidney disease have hypertension, but which comes first? Does kidney disease lead to hypertension, or does hypertension start the process that leads to kidney disease? A study of 2,767 people without kidney disease or hypertension in the Multi-Ethnic Study of Atherosclerosis found that about 20 percent who were initially free of hypertension developed the disease later on (Article, p. 501).

Serum cystatin C levels and urinary albumin excretion -- the most sensitive indicators of kidney dysfunction -- were associated with a statistically significant 15 percent greater incidence of hypertension. Apparently, early kidney damage triggers hypertension, rather than the other way around.


'/>"/>

Contact: Susan Anderson
sanderson@acponline.org
215-351-2655
American College of Physicians
Source:Eurekalert

Related medicine news :

1. Annals of Internal Medicine tip sheet for Feb. 5, 2008, issue
2. Annals of Internal Medicine tip sheet for Jan. 1, 2008, issue
3. Annals of Internal Medicine Tip Sheet for Nov. 20, 2007, Issue
4. Annals of Internal Medicine tip sheet for Oct. 2
5. September/October 2007 Annals of Family Medicine tip sheet
6. Annals of Internal Medicine tip sheet for Aug. 21, 2007, issue
7. Bond Laboratories First Quarter Fiscal 2008 Sales Exceeding Internal Projections
8. ACP to develop quality improvement tools to support internal medicine practice changes
9. McGraw-Hill Professional Enters Partnership with American College of Physicians, the Worlds Largest Internal Medicine Organization
10. Medical Simulation Corporation and the American Board of Internal Medicine Introduce New Simulation for Physician Assessment and Evaluation
11. Boosting Pharma Sales Force Effectiveness through Streamlined Internal Communications
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... , ... February 08, 2016 , ... ... and clothing, announced expansion into Canada to provide its range of unique and ... sales office in Quebec City that will provide bilingual customer service and marketing ...
(Date:2/8/2016)... ... 08, 2016 , ... Local insurance agency Dennis Fuller & ... has initiated a fundraiser for a two year old little girl named Bella, ... To support this beautiful child who is facing life’s journey without her loving ...
(Date:2/8/2016)... ... ... Remember the old saying “rub some dirt on it”? Perhaps you should ... Bentonite Clay” the health benefits of integrating clay into a daily diet are numerous, ... former motivational speaker, Perry A~ has since dedicated her life to learning about the ...
(Date:2/8/2016)... ... February 08, 2016 , ... Discover the Rocky Mountain region’s ... booths and 700 companies. Attendees also get to see the most incredible gardens ... & Home Show , at the Colorado Convention Center - 700 14th St. Denver ...
(Date:2/8/2016)... Overland Park, KS (PRWEB) , ... February 08, 2016 , ... ... Oils, a leader in Mole removal products. , Moles are derived from a cluster ... can appear in all the wrong places and create a lifetime of embarrassment. Historically, ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... -- --> --> ... Market by Product (Radiofrequency, Ultrasound, Irreversible Electroporation, Cryotherapy, Microwave) ... Gynecology) - Global Forecasts to 2020", published by MarketsandMarkets, ... period of 2015 to 2020. The market is expected ... 10.5% from 2015 to 2020. Browse 73 ...
(Date:2/8/2016)... , Feb. 8, 2016 ... of the "Global Skin Protective Equipment Market ... --> http://www.researchandmarkets.com/research/fqx6nz/global_skin ) has announced the ... Market 2016-2020" report to their offering. ... http://www.researchandmarkets.com/research/fqx6nz/global_skin ) has announced the addition of the ...
(Date:2/8/2016)... SOUTHAMPTON, N.Y. , Feb. 8, 2016 In a historic ... support of plans to construct a medical cannabis cultivation facility and dispensary ... State of New York as a provider for patients ... of New York as a provider for patients in the ... (83) to 29% (34) to approve the project and pursue designation from ...
Breaking Medicine Technology: