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1133 records – page 1 of 114.

A 9-year follow-up study of participants and nonparticipants in sigmoidoscopy screening: importance of self-selection.

https://arctichealth.org/en/permalink/ahliterature93168
Source
Cancer Epidemiol Biomarkers Prev. 2008 May;17(5):1163-8
Publication Type
Article
Date
May-2008
Author
Blom Johannes
Yin Li
Lidén Annika
Dolk Anders
Jeppsson Bengt
Påhlman Lars
Holmberg Lars
Nyrén Olof
Author Affiliation
Division of Surgery, Department for Clinical Science, Intervention and Technology, Karolinska Institutet at Karolinska University Hospital, K53, Huddinge, 141 86 Stockholm, Sweden. johannes.blom@ki.se
Source
Cancer Epidemiol Biomarkers Prev. 2008 May;17(5):1163-8
Date
May-2008
Language
English
Publication Type
Article
Keywords
Cause of Death
Colorectal Neoplasms - mortality - prevention & control
Female
Follow-Up Studies
Gastrointestinal Neoplasms - mortality
Health Behavior
Humans
Incidence
Lung Neoplasms - mortality
Male
Mass Screening
Middle Aged
Poisson Distribution
Registries
Sigmoidoscopy - utilization
Smoking - adverse effects
Sweden - epidemiology
Abstract
BACKGROUND: Self-selection may compromise cost-effectiveness of screening programs. We hypothesized that nonparticipants have generally higher morbidity and mortality than participants. METHODS: A Swedish population-based random sample of 1,986 subjects ages 59 to 61 years was invited to sigmoidoscopy screening and followed up for 9 years by means of multiple record linkages to health and population registers. Gender-adjusted cancer incidence rate ratio (IRR) and overall and disease group-specific and mortality rate ratio (MRR) with 95% confidence intervals (95% CI) were estimated for nonparticipants relative to participants. Cancer and mortality rates were also estimated relative to the age-matched, gender-matched, and calendar period-matched Swedish population using standardized incidence ratios and standardized mortality ratios. RESULTS: Thirty-nine percent participated. The incidence of colorectal cancer (IRR, 2.2; 95% CI, 0.8-5.9), other gastrointestinal cancer (IRR, 2.7; 95% CI, 0.6-12.8), lung cancer (IRR, 2.2; 95% CI, 0.8-5.9), and smoking-related cancer overall (IRR, 1.4; 95% CI, 0.7-2.5) tended to be increased among nonparticipants relative to participants. Standardized incidence ratios for most of the studied cancers tended to be >1.0 among nonparticipants and
PubMed ID
18483338 View in PubMed
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1998 clinical practice guidelines for the management of diabetes in Canada. Canadian Diabetes Association.

https://arctichealth.org/en/permalink/ahliterature203782
Source
CMAJ. 1998;159 Suppl 8:S1-29
Publication Type
Article
Date
1998
Author
S. Meltzer
L. Leiter
D. Daneman
H C Gerstein
D. Lau
S. Ludwig
J F Yale
B. Zinman
D. Lillie
Author Affiliation
Royal Victoria Hospital, Montreal, Que.
Source
CMAJ. 1998;159 Suppl 8:S1-29
Date
1998
Language
English
Publication Type
Article
Keywords
Canada
Diabetes Mellitus - diagnosis - etiology - therapy
Diabetes, Gestational - diagnosis - prevention & control
Diagnosis, Differential
Female
Humans
Mass Screening
Pregnancy
Prognosis
Abstract
To revise and expand the 1992 edition of the clinical practice guidelines for the management of diabetes in Canada incorporating recent advances in diagnosis and outpatient management of diabetes mellitus and to identify and assess the evidence supporting these recommendations.
All aspects of ambulatory diabetes care, including organization, responsibilities, classification, diagnosis, management of metabolic disorders, and methods for screening, prevention and treatment of complications in all forms of diabetes were reviewed, revised as required and expressed as a set of recommendations.
Reclassification of types of diabetes based on pathogenesis; increased sensitivity of diagnostic criteria; recommendations for screening for diabetes; improved delivery of care; recommendations for tighter metabolic control; and optimal methods for screening, prevention and treatment of complications of diabetes.
All recommendations were developed using a justifiable and reproducible process involving an explicit method for the citation and evaluation of the supporting evidence.
All recommendations were reviewed by an expert committee that included people with diabetes, family physicians, dietitians, nurses, diabetologists, as well as other subspecialists and methodologists from across Canada.
More aggressive screening strategies and more sensitive testing and diagnostic procedures will allow earlier detection and management of diabetes. Cost-effectiveness analyses suggest that this will lead to savings in health care costs relating to diabetes care by reducing the incidence of complications of diabetes. Similarly, tighter metabolic control in most people with diabetes, through intensive diabetes management, seeks to reduce the incidence of complications and, hence, their associated social and economic burdens.
This document contains numerous detailed recommendations pertaining to all aspects of ambulatory diabetes care, ranging from service delivery to prevention and treatment of diabetes-related complications. The terms "insulin-dependent diabetes mellitus" and "non-insulin-dependent diabetes mellitus" should be replaced by the terms "type 1" and "type 2" diabetes. Testing for diabetes using fasting plasma glucose (FPG) level should be performed every 3 years in those over 45 years of age. More frequent or earlier testing should be considered for people with additional specific risk factors for diabetes. The FPG level at which diabetes is diagnosed should be reduced from 7.8 to 7.0 mmol/L to improve the sensitivity of the main diagnostic criterion and reduce the number of missed diagnoses. Depending on the type of diabetes and the therapy required to achieve euglycemia, people with diabetes should generally strive for close metabolic control to achieve optimal glucose levels. This entails receiving appropriate diabetes education through a diabetes health care team, diligent self-monitoring of blood glucose, attention to lifestyle and adjustments in diet and physical activity, and the appropriate and stepwise use of oral agents and insulin therapies needed to maintain glycemic control. Also highlighted is the need for appropriate surveillance programs for complications and management options.
All recommendations were graded according to the strength of the evidence and consensus of all relevant stakeholders. Collateral efforts of the American Diabetes Association and the World Health Organization and the input of international experts were also considered throughout the revision process.
Notes
Cites: Stroke. 1997 Oct;28(10):1861-69341685
Cites: Stroke. 1994 Sep;25(9):1901-148073477
Cites: Stroke. 1991 Aug;22(8):1026-311866749
Cites: Ann Intern Med. 1994 Jul 1;121(1):41-537880225
Cites: Stroke. 1998 Jan;29(1):58-629445329
Comment In: CMAJ. 1999 Oct 5;161(7):797-810530291
PubMed ID
9834731 View in PubMed
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[Abdominal aortic aneurysms. Abdominal aortic aneurysm and mass screening].

https://arctichealth.org/en/permalink/ahliterature218329
Source
Tidsskr Nor Laegeforen. 1994 Apr 30;114(11):1344
Publication Type
Article
Date
Apr-30-1994
Author
C D Krohn
Source
Tidsskr Nor Laegeforen. 1994 Apr 30;114(11):1344
Date
Apr-30-1994
Language
Norwegian
Publication Type
Article
Keywords
Aortic Aneurysm, Abdominal - diagnosis - prevention & control - surgery
Humans
Mass Screening
Norway
Prognosis
PubMed ID
8079215 View in PubMed
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Acceptability of a faecal occult blood screening protocol for carcinoma of the colon in family practice.

https://arctichealth.org/en/permalink/ahliterature236220
Source
Fam Pract. 1986 Dec;3(4):246-50
Publication Type
Article
Date
Dec-1986
Author
J F Sangster
T M Gerace
M J Bass
Source
Fam Pract. 1986 Dec;3(4):246-50
Date
Dec-1986
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Colonic Neoplasms - diagnosis - prevention & control
Diagnostic Errors
Family Practice
Female
Humans
Male
Mass Screening
Middle Aged
Occult Blood
Ontario
Abstract
Cancer of the colon is the second most common malignancy in North America and screening methods are needed for diagnosing the lesions at an early stage. Faecal occult blood screening is a method of secondary prevention which is particularly adaptable to the family practice setting. In order to test the feasibility of using this test in family practice, 16 family physicians participated in a trial screening programme using the Hemoccult II test. During the two-month trial 776 patients over 40 years of age were screened; 19 of the tests were positive but in two cases patients were thought to have failed to follow dietary and medical restrictions. Of the 17 patients with verified positive tests, further investigation showed five patients had neoplastic disease and three of these had malignant disease. The detection rate for cancer of the colon using the Hemoccult II test was therefore 3/776, equivalent to 3.9 per 1000 cases screened. By narrowing the age range for screening patients to between 45 and 75 years, the time involved to screen the population at risk could be decreased.
PubMed ID
3803770 View in PubMed
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The acceptance of the cervical cytology screening programme in the province of British Columbia.

https://arctichealth.org/en/permalink/ahliterature111163
Source
J Obstet Gynaecol Br Commonw. 1967 Aug;74(4):479-86
Publication Type
Article
Date
Aug-1967

[A centralised screening program for abdominal aortic aneurysms in Stockholm. Experiences from the first 18 months].

https://arctichealth.org/en/permalink/ahliterature108754
Source
Lakartidningen. 2013 Jun 5-18;110(23-24):1161-4
Publication Type
Article

[Achievements and improvement in tuberculosis control in the western regions of the Ukrainian SSR]

https://arctichealth.org/en/permalink/ahliterature69856
Source
Probl Tuberk. 1982 Aug;(8):3-5
Publication Type
Article
Date
Aug-1982
Author
A F Gavrilenko
Source
Probl Tuberk. 1982 Aug;(8):3-5
Date
Aug-1982
Language
Russian
Publication Type
Article
Keywords
Humans
Mass Screening
Tuberculosis, Pulmonary - epidemiology - prevention & control
Ukraine
PubMed ID
7145897 View in PubMed
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[Achievements in the helminthiasis control in the Dnepropetrovsk district]

https://arctichealth.org/en/permalink/ahliterature42349
Source
Med Parazitol (Mosk). 1976 Mar-Apr;45(2):230-2
Publication Type
Article

1133 records – page 1 of 114.