geoffrey modest medical blogs

primary care physicians/providers actually do matter!!! A recent analysis found a pretty clear relationship between primary care physician supply and important health outcomes (s ee  primary care dec mortality jamaintmed2019  in dropbox, or doi:10.1001/jamainternmed.2018.7624). Details: -- this study compared information on  changes in primary care and specialist physician supply  with mortality in the US over the  period of  2005 to 2015 -- primary care physician numbers were obtained from the American Medical Association Physician Masterfile; population counts from the US Census Bureau; health outcomes from the National Center for Health Statistics and the Human Mortality Database. -- 3142 counties were assessed, 7144 primary care service areas, and 306 hospital referral regions -- The 5 major categories of health-related deaths were: cardiovascular, cancer, infectious diseases, respiratory tract diseases, and substance use or injury

Artificial sweeteners and stroke  You forwarded this message on Wed 2/27/2019 7:19 AM G      Geoff A. Modest, M.D. Wed 2/27/2019 7:17 AM Geoff A. Modest, M.D.  Analysis of the Women’s Health Initiative Observational Study found that artificially sweetened beverages are associated with increased risk of stroke, coronary heart disease, and all-cause mortality (s ee  stroke and artif sweeteners stroke2019  in dropbox, or DOI: 10.1161/STROKEAHA.118.023100 ) Details -- 81,714 women in the WHI Observational Study, a multicenter longitudinal study of the health of 93,676 postmenopausal women aged 50 to 79 at baseline, enrolled in the 1990s (t his was a long-term observational wing of WHI, as opposed to the clinical trials with hormone therapy, dietary modification, calcium/vitamin D) -- 64% were infrequent consumers (never or <1/week) of artificially sweetened b