Canadian Family Physician最新文献

{"title":"Repenser la résidence pour une ère nouvelle en médecine de famille.","authors":"Khalidha Nasiri","doi":"10.46747/cfp.720708e235","DOIUrl":"10.46747/cfp.720708e235","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"e235-e238"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radial-sided wrist pain: First-line diagnostic approach and management of selected common pathologies.","authors":"Philippe Harris, René Wittmer, Émilie Valois, Patrick G Harris","doi":"10.46747/cfp.720708458","DOIUrl":"10.46747/cfp.720708458","url":null,"abstract":"<p><strong>Objective: </strong>To provide a clinical overview of selected common pathologies causing radial-sided wrist pain and to guide primary care physicians in the diagnostic approach and initial management of these conditions.</p><p><strong>Sources of information: </strong>A literature review was conducted using the PubMed MEDLINE database, supplemented by reference musculoskeletal clinical textbooks.</p><p><strong>Main message: </strong>Radial-sided wrist pain has a wide differential diagnosis due to the complex anatomy of the wrist. A thorough clinical evaluation-including detailed history, physical examination, and appropriate imaging-is essential for accurate diagnosis. Several common conditions are presented with diagnostic features, relevant physical examination tests, and an overview of treatment options.</p><p><strong>Conclusion: </strong>Radial-sided wrist pain requires careful clinical assessment to differentiate among multiple pathologies originating from anatomic causes. Primary care physicians can effectively manage many of these conditions with appropriate diagnostic strategies and conservative treatments. Early recognition and targeted interventions can prevent complications and improve patient outcomes.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"458-465"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking residency training for a new era of family medicine.","authors":"Khalidha Nasiri","doi":"10.46747/cfp.720708e232","DOIUrl":"10.46747/cfp.720708e232","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"e232-e234"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family physicians are trusted messengers of climate change.","authors":"Samantha Green, Melissa Lem, Sehjal Bhargava","doi":"10.46747/cfp.720708442","DOIUrl":"10.46747/cfp.720708442","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"442"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actualisation des approches et des protocoles diagnostiques pour la maladie de Lyme au Canada: Aperçu des stratégies de dépistage existantes et de leurs limitations.","authors":"Kashika Sareen, Cole Schonhofer, Calvin Ka-Fung Lo, Alan Gou, Hasan Hamze, Muhammad Morshed","doi":"10.46747/cfp.720708e224","DOIUrl":"10.46747/cfp.720708e224","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"e224-e231"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Streamlining hypertension management in family medicine practice.","authors":"Michelle Greiver","doi":"10.46747/cfp.720708469","DOIUrl":"10.46747/cfp.720708469","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"469-470"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Évaluer et traiter la consommation d’alcool chez les patients adultes âgés.","authors":"Chris Frank, Frank Molnar, Sonja Rummell, Peter Chan","doi":"10.46747/cfp.720708e239","DOIUrl":"10.46747/cfp.720708e239","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"e239-e241"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recognizing ethnic and cultural variation in menopause care.","authors":"Josheil Kaur Boparai, Jessica Canning, Kathy Chan, Sheila Wijayasinghe","doi":"10.46747/cfp.720708446","DOIUrl":"10.46747/cfp.720708446","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"446-448"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updating Canada's diagnostic coding system for physician billing: Exploring family physician perspectives of ICD-11 and ICPC-3.","authors":"Dewdunee Himasara Pathiraja, Kerry McBrien, Jim Dickinson, Noah Crampton, Cathy A Eastwood, Danielle Southern, Kees van Boven, Huib Ten Napel, Alexander G Singer, Maeve O'Beirne, Keith Denny, Terrence McDonald, Olawunmi Olagundoye, David J T Campbell, Neil Drummond, Hude Quan, Rubee Dev, William A Ghali, Tyler Williamson, Stephanie Garies","doi":"10.46747/cfp.720708e244","DOIUrl":"10.46747/cfp.720708e244","url":null,"abstract":"<p><strong>Objective: </strong>To assess how family physicians use and perceive the <i>International Classification of Diseases, 11th Revision</i> (ICD-11) and the <i>International Classification of Primary Care, Version 3</i> (ICPC-3) compared to the ICD-9.</p><p><strong>Design: </strong>Cross-sectional, pre-implementation study.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Family physicians.</p><p><strong>Main outcome measures: </strong>This mixed-methods study used an online patient vignette coding exercise and postcoding survey. Time taken to code and coding consistency were assessed and determined using the coding exercise. Physician-reported satisfaction measures and perspectives related to the 3 systems were evaluated using the postcoding survey.</p><p><strong>Results: </strong>A total of 161 family physicians participated in this study. Participants coded significantly faster with the ICPC-3 (median=48 seconds, interquartile range [IQR]=64 seconds), compared to the ICD-11 (median=59 seconds, IQR=71 seconds) and the ICD-9 (median=57 seconds, IQR=75 seconds). There were no differences in coding consistency based on the coding system used. More participants rated both the ICD-11 and ICPC-3 positively compared to the ICD-9 with respect to comprehensiveness, ability to find codes, precision, ease of use, ability to capture necessary information, and ability to capture medical and social complexity.</p><p><strong>Conclusion: </strong>This study demonstrated that the alternative coding systems, ICD-11 and ICPC-3, were associated with better utility and a more positive user experience among family physicians compared to the ICD-9. These study findings can be used as a foundation for future discussions toward an improved coding system in Canada.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"e244-e253"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital health that serves family medicine.","authors":"Sarah Cook","doi":"10.46747/cfp.720708507","DOIUrl":"10.46747/cfp.720708507","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 7-8","pages":"507"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}