Canadian Family Physician最新文献

{"title":"Increasing prescribing of acetylsalicylic acid in pregnancy: Program evaluation in Saskatchewan.","authors":"Charleen Salmon, Kimberly-Ann Bordun-Slater, Rhonda Bryce, Vivian R Ramsden, Vijayalakshmi Udayasankar, Breanna Davis","doi":"10.46747/cfp.7210634","DOIUrl":"10.46747/cfp.7210634","url":null,"abstract":"<p><strong>Objective: </strong>To determine the proportion of patients with a singleton pregnancy who are at risk for preeclampsia, based on a Society of Obstetricians and Gynaecologists of Canada guideline that reclassified a body mass index value greater than 30 kg/m² as a stand-alone indication for daily acetylsalicylic acid (ASA) prophylaxis, and to assess the impact of a single educational session on clinicians' prescribing of ASA prophylaxis.</p><p><strong>Design: </strong>A pre-post study evaluated prescribing of preventive ASA for patients at risk for preeclampsia, as documented in electronic medical records (EMRs) before and after a lunch-and-learn session.</p><p><strong>Setting: </strong>Two private family medicine clinics located in a regional centre in Saskatchewan.</p><p><strong>Participants: </strong>The EMRs of all patients with a singleton pregnancy who received care at either of the 2 participating clinics between January 1 and March 31, 2023 (pre-intervention period) or between February 1 and April 30, 2024 (post-intervention period) were retrospectively reviewed.</p><p><strong>Main outcome measures: </strong>The proportion of patients at risk for preeclampsia, and the proportion of those patients who were prescribed prophylactic ASA.</p><p><strong>Results: </strong>Of the 119 patients evaluated, 95 had sufficient information to determine their risk status, of whom 46 (48%) were at increased risk for preeclampsia. ASA use increased statistically significantly among at-risk patients after the educational session; 2 of 29 (7%) patients received ASA before and 6 of 17 (35%) after the intervention (odds ratio=5.8; 95% confidence interval 2.2 to 15.7). More than 85% of patients in both intervention periods presented before 16 weeks' gestation, the recommended time for ASA initiation.</p><p><strong>Conclusion: </strong>Approximately half of the patients with singleton pregnancies in the community were eligible for ASA prophylaxis. Family physicians who provide early prenatal care and see patients during the optimal time for initiating prophylaxis with ASA infrequently provide this preventive treatment. A single educational session increased physicians' ASA prescription rates, but additional strategies are warranted.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"634-640"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186276","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":"Pseudomeningocele formed after spinal surgery detected using point-of-care ultrasound.","authors":"Amanda Tzenov, Noah Williams, Joel Koops","doi":"10.46747/cfp.7210623","DOIUrl":"10.46747/cfp.7210623","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"623-625"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186388","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":"Simplifier le diagnostic et le traitement des éruptions cutanées d’origine médicamenteuse.","authors":"Adhora Mir, Matthew McArthur, Kelly A Grindrod, Samira Jeimy","doi":"10.46747/cfp.7210e329","DOIUrl":"10.46747/cfp.7210e329","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e329-e335"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185817","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":"Implementing the 2023 Canadian Thoracic Society guideline on pharmacotherapy in patients with stable chronic obstructive pulmonary disease in primary care.","authors":"Anthony D D'Urzo, Lawrence D Jackson, Jean Bourbeau, Marie-France Beauchesne, Paul Hernandez, Don D Sin, Itamar E Tamari, Mohit Bhutani, Darcy D Marciniuk, Erika Penz, Joshua Wald, Ross E G Upshur","doi":"10.46747/cfp.7210610","DOIUrl":"10.46747/cfp.7210610","url":null,"abstract":"<p><strong>Objective: </strong>To increase family physician (FP) awareness of the 2023 Canadian Thoracic Society (CTS) guideline recommendations on pharmacotherapy in patients with stable chronic obstructive pulmonary disease (COPD) and self-efficacy in implementing the recommendations in primary care to achieve 3 high-priority patient outcomes.</p><p><strong>Quality of evidence: </strong>Strength and certainty of pharmacotherapy recommendations is based on meta-analysis of evidence. The strength of recommendations ranges from weak to strong and certainty ranges from low to high.</p><p><strong>Main message: </strong>Provider awareness and self-efficacy are 2 of the most employed strategies to facilitate guideline implementation. The 2023 CTS pharmacotherapy recommendations for the management of stable COPD are based on assessment of treatable traits including symptom burden, health status, and risk of exacerbations. Key pharmacotherapy recommendations include single long-acting bronchodilator (LABD) for patients with low symptom burden and mild health status impairment; dual long-acting bronchodilator for patients with moderate-to-high symptom burden and health status impairment but low risk for exacerbations; and single-inhaler triple therapy (over dual LABD or inhaled corticosteroid and long-acting β₂-adrenergic agonist) for patients with high symptom burden and health status impairment and high risk for exacerbations to reduce mortality.</p><p><strong>Conclusion: </strong>Various implementation strategies, including guideline awareness and provider self-efficacy, aim to reduce the gap between guidelines and real-world care. This synopsis aims to familiarize FPs with recommended pharmacotherapy in the context of stable COPD and gain the necessary confidence to apply the recommendations in their practices to alleviate symptoms, prevent exacerbations, and reduce mortality.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"610-617"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186243","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":"Simplifying diagnosis and treatment of drug rashes.","authors":"Adhora Mir, Matthew McArthur, Kelly A Grindrod, Samira Jeimy","doi":"10.46747/cfp.7210e323","DOIUrl":"10.46747/cfp.7210e323","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"e323-e328"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185722","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":"Correction.","authors":"","doi":"10.46747/cfp.7210595_1","DOIUrl":"10.46747/cfp.7210595_1","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"595"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186264","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":"Spontaneous menstrual function as a health monitoring tool for athletes.","authors":"Grace Kelley","doi":"10.46747/cfp.7210594","DOIUrl":"10.46747/cfp.7210594","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"594"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185896","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":"Implementing a structured osteoporosis management workflow in primary care.","authors":"Michelle Greiver, Rita Ha, Lara Rosenberg, Selina Suleman","doi":"10.46747/cfp.7210628","DOIUrl":"10.46747/cfp.7210628","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"628-630"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186225","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":"La volonté politique d’investir judicieusement.","authors":"Michael Allan","doi":"10.46747/cfp.7210655","DOIUrl":"10.46747/cfp.7210655","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"655"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186286","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":"Nature as medicine: The case for prescribing outdoor time.","authors":"Jean-Philippe Chaput, Mark S Tremblay","doi":"10.46747/cfp.7210600","DOIUrl":"10.46747/cfp.7210600","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 10","pages":"600-602"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186279","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}