The Exchange

Commentary and Observations from
the Medical Front Lines

 

Welcome to PCE's The Exchange—Stay Current on Issues That Matter Most to You and Your NP/PA Colleagues

PCE is excited to announce the launch of The Exchange, a collection of short commentaries from your NP/PA colleagues on a broad range of topics relevant to your practice. The Exchange will bring you reflections on trends in medicine, observations about new treatments and guidelines, and advice related to career decisions and practicing in today's changing healthcare environment.


A Free Algorithm Program to Scan Big Data for Chronic Kidney Disease

A Free Algorithm Program to Scan Big Data for Chronic Kidney Disease

A team at Columbia University Medical Center in New York has developed and validated a free software algorithm that can scan an electronic medical record (EMR) and identify patients with chronic kidney disease (CKD) with a positive predictive value of 95% to 97% and a negative predictive value of 89%. They reported their findings in a partner journal to Nature.

The algorithm relies on multiple kidney-related metrics typically found in a patient's EMR. Two of the metrics inclu... Continue Reading

Filed under: Preventive Medicine, Public Health

Blood Tests for Detecting More Than 50 Cancer Types: Ready for Prime Time?

Blood Tests for Detecting More Than 50 Cancer Types: Ready for Prime Time?

In the March 2020 issue of Annals of Oncology, Liu and colleagues detailed a "sensitive and specific multi-cancer detection and localization using m... Continue Reading

Filed under: Oncology/Hematology, Preventive Medicine

Post-COVID Health Conditions

Post-COVID Health Conditions

As we climb out of this pandemic, a new syndrome is emerging: Post-Acute Sequelae of SARS-CoV-2 Infection (PASC), also known as post-COVID conditions or long... Continue Reading

Filed under: Infectious Diseases, Public Health

COVID- 19 and Trust in Healthcare in the US: Where Has it Gone?

COVID- 19 and Trust in Healthcare in the US: Where Has it Gone?

We are so fortunate in the United States to have access to not only the COVID- 19 vaccine, but also to options as to which vaccine to receive. Most Americans... Continue Reading

Filed under: Health Policy and Trends, Public Health

Two Low-tech, High-value Methods for Reducing Knee Pain in Your Patients With Arthritis

Two Low-tech, High-value Methods for Reducing Knee Pain in Your Patients With Arthritis

Osteoarthritis (OA) of the knee is one of the most common musculoskeletal conditions treated in this country. According to NIH statistics, in 2005 there were... Continue Reading

Filed under: Orthopedics, Rheumatology

An Exciting Prospect for an Old SSRI in the COVID-19 Pandemic

An Exciting Prospect for an Old SSRI in the COVID-19 Pandemic

Can an old selective serotonin reuptake inhibitor (SSRI), fluvoxamine, prevent individuals infected with COVID-19 from severe clinical decompensation? This 4... Continue Reading

Filed under: Infectious Diseases, Miscellaneous

Vaccinating Homebound Patients

Vaccinating Homebound Patients

How many of you have patients who are homebound? According to Trust for America's Health, there are between 2 million and 4 million homebound patients in the... Continue Reading

Filed under: Preventive Medicine

Significance of Atypical Transient Ischemic Attacks

Significance of Atypical Transient Ischemic Attacks

It is comprehensively recognized that the diagnosis of transient ischemic attacks (TIAs) can be difficult. While classic symptoms (motor weakness, dysphasia,... Continue Reading

Filed under: Cardiometabolic

Rhythm Control Versus Rate Control in Atrial Fibrillation

Rhythm Control Versus Rate Control in Atrial Fibrillation

It is a well-established fact that atrial fibrillation (AF) is the most common sustained arrhythmia; it can cause significant physical and emotional symptoms... Continue Reading

Filed under: Cardiometabolic

Kidney Function and Hypertension in Heart Failure: They Go Hand in Hand

Kidney Function and Hypertension in Heart Failure: They Go Hand in Hand

We all have been educated numerous times about the need to control hypertension in all patients with that diagnosis. This is particularly in patients with he... Continue Reading

Filed under: Cardiometabolic

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