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There is uncertainty regarding the balance of benefits and harms of primary care interventions to prevent child maltreatment.
U.S. Preventive Services Task Force A and B recommendations
USPSTF
Child maltreatment, including child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. Because of the recommended schedule of regular health assessments and relationships with families, primary care physicians are uniquely positioned to identify child maltreatment. Evaluation of possible physical abuse may include a complete medical and event history, a physical examination, and additional diagnostic studies (e.g., ...
ver más ... 2024It is not recommended risk-reducing total hysterectomy in people with pathogenic variants other than MLH1, MSH2, MSH6 and PMS2, unless a personalised risk assessment shows a high risk of endometrial ...
NICE
NICE
The genetic variants associated with ovarian cancer are the following: variants in BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, PALB2, MLH1, MSH2 and MSH6 genes. Most of the people who carry a pathogenic variant for ovarian cancer do not have a family history suggestive of a genetic risk. This means many people have not sought testing for high-risk ovarian cancer pathogenic variants. Current best estimates are that only 3% of people with a pathogenic variant know that they are carriers. This proportion ...
ver más ... 2024There is uncertainty regarding treatment with epidermal radiotherapy using rhenium-188 paste in patients with non-melanoma skin cancer.
NICE
NICE
Non-melanoma skin cancer is the most common type of cancer. It affects the cells in the top layers of the skin. The most common types of non-melanoma skin cancer are basal cell carcinoma and squamous cell carcinoma. The main symptom is the appearance of lesions (lumps or discoloured patches) on the skin. The lesions are mostly found on skin that is regularly exposed to the sun. The procedure is done without the need for anaesthesia or inpatient admission. It uses a beta-emitter radioisotope, ...
ver más ... 2024Fosfomycin trometamol is recommended in acute uncomplicated cystitis in healthy women
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
GenCat
Acute uncomplicated cystitis is the most common form of urinary tract infection and manifests with voiding symptoms; acute onset dysuria, urinary urgency, polyaciuria, suprapubic pain or hematúria) It is important to carefully select the antibiotic to fight resistance. Clinical practice guidelines (European Association of Urology and Spanish Association of Urology) recommend single-dose treatment.
ver más ... 2024The recommendation of combined oral contraceptives as preventive medicine in women, trans men, or people born with any female reproductive organ at risk for epithelial ovarian càncer must be ...
NICE
NICE
The use of combined oral contraceptives is only recommended if the risk of developing ovarian cancer exceeds the risk of developing breast cancer, after taking into account any risk-reducing surgery (mastectomy or salpingo-oophorectomy), procedures not indicated in high age or planned pregnacy cases. Several observational studies are used to conclude the evidence.
ver más ... 2024