Daily I receive the latest and greatest "medical break-through” via my computer. Sources can vary from the Wall Street Journal, to ABC news, to legitimate evidence based sites like InfoPoems and Medscape. All of the major specialty societies have these resources as well. Usually the news is highlighted with the words: “New Study Suggests That…”.
We have made a major transition from the days when information was scanty and available primarily from the meetings we attended and the few journals we were able to scan each month. Managing this endless electronic flow of information requires some time and expertise to sort out the real “breakthroughs.” In addition, our patients are deluged with consumer directed “studies” from companies focused on the sale of their products and services. Below are a few of the e-mails I have received and their sources:
Honey May Effectively Treat Cough in Childhood Upper Respiratory Tract Infections. Honey may be a viable option for treating cough associated with upper respiratory tract infections (URIs) in children, according to the results of a randomized study reported in the December 3 issue of the Archives of Pediatrics & Adolescent Medicine.
Acupuncture effective for chronic back pain.Acupuncture is an effective treatment for decreasing pain in patients with chronic low back pain. It doesn't seem to be a placebo effect; acupuncture produces a significantly greater effect on pain than sham acupuncture. There is not enough research to allow a conclusion for the treatment of acute low back pain. Manheimer E, White A, Berman B, Forsys K, Ernst E. Meta-analysis: Acupuncture for low back pain. Ann Intern Med 2005; 142:651-63.
Green tea consumption is associated with reduced mortality. Green tea consumption is associated with reduced cardiovascular and all-cause mortality, but not cancer mortality. Women appear to benefit more than men: Men's mortality was significantly reduced only in those consuming more than 5 cups per day. Furthermore, there appears to be no benefit of green tea consumption in smokers.
Kuriyama S, Shimazu T, Ohmori K, et al. Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. JAMA 2006;296:1255-1265.
These examples serve to emphasize our need to manage the quality of information that we and our patients use in clinical decision making. This newsletter contains some excellent online sites that serve as quality clearinghouses for patient education materials. I hope you find them valuable when directing patients in their search for answers to their health-related questions.
Patients are looking at websites for medical information. We, as physicians and other healthcare providers, should direct them to the best information available. The most comprehensive site we have found for educating people on evaluating health information is medlineplus. It contains links to several other documents, including the MedlinePlus Guide to HealthyWeb Surfing and a 16-minute video on Evaluating Internet Health Information: A Tutorial from the National Library of Medicine.
An excellent “bibliography” for health-related web sites that we found is the one put together by the Consumer and Patient Health Information Section (CAPHIS) of the Medical Library Association, who publish their “top 10” list at www.caphis.mlnet.org/consumer.
Since patients are advised to ask their physicians which web sites are worthwhile, it’s a good idea for us to stay well informed, so that we know what to recommend.
MLA’s “top 10” list includes the following: Cancer.gov, Centers for Disease Control and Prevention (CDC), familydoctor.org, healthfinder ®, HIV InSite, Kidshealth®, Mayo Clinic, MEDEM: an information partnership of medical societies, Medline Plus (English | Spanish), and NOAH: New York Online Access to Health.
Patient Recall
Using the M3/IQ™ technology and our M3/Connect technology, we can work with you to identify those patients in your practice who should be recalled for needed services. If you would like to discuss either these reports or an automated patient recall process using M3/Connect technology, please contact Geoff Coleman at: Geoff_Coleman@MED3000.com.