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Primary Care Corner with Geoffrey Modest MD: Colon cancer screening, the latest

2 new articles on colorectal cancer screening in NEJM last month. 1. retrospective review of the nurses’ health study and the health professionals follow-up study (not a randomized controlled trial),...

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Primary Care Corner with Geoffrey Modest MD: Gastric Cancer Screening/Prevention

I have had 2 Cape Verdean patients over the past few years who have developed gastric cancer.  Several months ago I met with a Cape Verdean doctor who confirmed that gastric cancer was relatively...

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Primary Care Corner with Geoffrey Modest MD: One-time flexible sigmoidoscopy...

JAMA had a population-based clinical trial in Norway of flexible sigmoidoscopy (sig) screening (see doi:10.1001/jama.2014.8266). 100K men and women aged 50-64 were randomized to once-only flex sig...

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Primary Care Corner with Geoffrey Modest MD: Colorectal Cancer in Younger People

By Dr. Geoffrey Modest Colorectal cancer is increasingly being diagnosed in adults <50 yo (i.e., prior to the time of recommended screening by USPSTF), with projections that by the year 2030, 1 in...

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Primary Care Corner with Geoffrey Modest MD: Coffee and Decreased Colon Cancer

By Dr. Geoffrey Modest An interesting case-control study found that coffee consumption is associated with a decreased risk of colorectal cancer CRC (see Cancer Epidemiol Biomarkers Prev. 2016; 25(4):...

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Primary Care Corner with Geoffrey Modest MD: USPSTF Colorectal Cancer...

By Dr. Geoffrey Modest The USPSTF just published their 2016 guidelines for colorectal cancer screening (see doi:10.1001/jama.2016.5989). Background: Colorectal cancer is the second leading cause of...

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Primary Care Corner with Geoffrey Modest MD: One-time flex sig?

by Dr Geoffrey Modest An observational study in the UK initially reported that a single flexible sigmoidoscopy screening significantly reduced subsequent colorectal cancer incidence as well as...

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Primary Care Corner with Geoffrey Modest MD: Antibiotics, microbiome changes...

by Dr Geoffrey Modest There been a few studies over the past suggesting a relationship between the gut microbiome and colorectal cancer, as well as between antibiotic exposure and colorectal cancer. An...

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Primary Care Corner by Geoffrey Modest MD: Risks and benefits of longterm PPIs

​by Dr Geoffrey Modest The American Gastroenterological Association (AGA) just published a clinical practice update on the risks and benefits of long-term use of proton pump inhibitors (see...

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