Do YOU Agree with This Scary Finding?

Does your appointment time matter?

Although doctors are human, like other service providers, we hope that they are always on top of their game. Especially when they see us!!! But new research offers some scary insights. Do YOU believe these insights?

As reported in an article in the JAMA Network Open, authored by Esther Y. HsiangShivan J. MehtaDylan S. Small; et al.:

Question: “Are breast and colorectal cancer screening rates associated with the time of day a patient visits the primary care clinician?”

Findings:  “In this quality improvement study analysis of 33 primary care practices including 19,254 patients eligible for breast cancer screening and 33, 468 patients eligible for colorectal cancer screening, both clinician ordering and patient completion of cancer screening tests decreased as the time of day progressed.”

Meaning:  Patients with primary care clinic appointment times later in the day were less likely to be ordered for and receive guideline recommended cancer screening.”

As summed up in a Futurity.org article on this study:

“Examining data from 2014 through 2016 across 33 Pennsylvania and New Jersey primary care practices, the researchers found that ordering rates had far-reaching effects.”

“Among eligible patients, primary care doctors ordered breast cancer screening more often for patients seen in the 8 A.M (64 percent) as compared to those with appointments at 5 P.M. (48 percent). Similarly, doctors ordered colon cancer screening tests more frequently for 8 A.M patients (37 percent) compared to those coming in later in the day (23 percent).

“When looking at the entire sample eligible for screenings at these practices, the researchers tracked whether the patients completed a screening within a year of their appointment. The data showed that the downward trend associated with the timing of the appointments carried over. Breast cancer screening — which included mammograms—stood at a 33 percent one-year completion rate for the entire eligible population who had their appointment in the 8 A.M. hour. But for those who had clinic visits at 5 P.M. or later, just 18 percent completed screenings. For colorectal cancer, 28 percent of the patients with appointments in the 8 A.M. hour completed screenings such as colonoscopies, sigmoidoscopies, and fecal occult blood tests. That number dropped to 18 percent for patients who saw the doctor at 5 P.M. or later”.

Click the image to read the full research article.

Do YOU Agree with This Scary Finding?

 

Be Careful with Supplements

Choose your supplements wisely.

As part of our daily regimens, some of us take dietary supplements. BUT, we must be careful with these supplements.

In a very detailed and informative article, Markham Heid reports on issues related to supplement misuse. After just a short time, this article has received more than 11,100 likes!!!

According to Heid:

Background

“Earlier this year, federal authorities announced plans to strengthen oversight of the supplement industry. ‘The growth in the number of adulterated and misbranded products — including those spiked with drug ingredients not declared on their labels, misleading claims, and other risks — creates new potential dangers,’ said U.S. Food and Drug Administration (FDA) commissioner Dr. Scott Gottlieb in a February press release.”

“Heightened oversight is needed, Gottlieb argued, because expansion and change within the supplement industry has made it difficult for his agency to keep pace. ‘What was once a $4 billion industry comprised of about 4,000 unique products, is now an industry worth more than $40 billion, with more than 50,000 — and possibly as many as 80,000 or even more — different products available to consumers,” he said.”

BE CAREFUL!!!

“From multivitamins and botanicals to probiotics and protein powders, roughly three out of four Americans now take some kind of supplement on a regular basis. Since the days of palliative tonics and snake-oil salesmen, Americans have been readily lured by the promise of health or longevity in the form of a drink, pill, or powder. While the terminology has evolved — ’biohacking’ and ‘nutraceuticals’ are some of the buzzwords du jour — the implied benefits of most supplements still outpace or ignore the science. And despite recent studies that find supplements are frequently contaminated or that the best way to get nutrients is through food, Americans’ interest in supplements is only growing. And experts say many supplement users don’t recognize or appreciate the risks that accompany the use of these products.”

“The lesson here isn’t that supplements give people cancer. Rather, it’s that approaching supplements as though they’re all upside is a misguided and potentially harmful operating philosophy. When you swallow a capsule packed with concentrated amounts of a vitamin, nutrient, or other substance — a practice that did not become widespread until very recently — you can get into trouble.”

Click the image to access Heid’s full article.

Be Careful with Supplements

AN AUDIO SUMMARY

Click below to access a 15-minute audio summary from Heid.


 

4,400 Steps Daily Are the New 10,000

No excuses now not to hit the proper number of steps.

Interesting blog title, huh? 4,400 Steps Daily Are the New 10,000. To put this in context, consider that for years we have been told that a minimum of 10,000 steps per day are needed to be healthy. Yet, for many of us, this may not be a realistic goal. So, what do we do? Suppose that the 10,000-step figure is wrong.

According to new research, the proper minimum number may be as few as 4,400 steps daily.

As Allison Aubrey observes for NPR:

“There’s nothing magical about the number 10,000. In fact, the idea of walking at least 10,000 steps a day for health goes back decades to a marketing campaign launched in Japan to promote a pedometer. And, in subsequent years, it was adopted in the U.S. as a goal to promote good health. It’s often the default setting on fitness trackers, but what’s it really based on?”

“‘The original basis of the number was not scientifically determined,’ says researcher I-Min Lee of Brigham and Women’s Hospital. She was curious to know how many steps you need to take a day to maintain good health and live a long life, so she and her colleagues designed a study that included about 17,000 older women. Their average age was 72. The women all agreed to clip on wearable devices to track their steps as they went about their day-to-day activities.”

“It turns out that women who took about 4,000 steps per day got a boost in longevity, compared with women who took fewer steps. ‘It was sort of surprising,’ Lee says. In fact, women who took 4,400 steps per day, on average, were about 40 percent less likely to die during the follow-up period of about four years compared with women who took 2,700 steps. Another surprise: The benefits of walking maxed out at about 7,500 steps. In other words, women who walked more than 7,500 steps per day saw no additional boost in longevity. The findings were published  in JAMA Internal Medicine.”

“So, if 10,000 steps has been feeling out of reach to you, it may be time reset those factory settings on your fitness tracker. Instead, try to hit at least 4,400 a day, along with daily activities that you enjoy. And stick to it.”

Listen to the brief NPR audio for an overview. And click on the image to access the full NPR article.

https://www.npr.org/sections/health-shots/2019/05/29/727943418/do-you-really-need-10-000-steps-per-day
“New research shows that daily light walking is important for maintaining health as you age. But if you can’t hit 10,000 steps, don’t worry.” Peter Muller/Getty Images/Cultura RF