Hereditary Cancer Testing in a Value Based World: The Evolving Standard of Care

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Hereditary Cancer Testing in a Value Based World: The Evolving Standard of Care

Commemorating the 20th anniversary of BRCA genetic testing, we are increasingly conscious of the social, economic, and medico-legal impacts of genetic cancer risk on both personal and public health. An ever-growing number of medical societies and expert panels have now charged clinicians with the duty to evaluate and manage their patients’ cancer risk profiles, with particular attention to those individuals carrying genetic mutations that confer elevated cancer susceptibility, a process commonly known as hereditary cancer risk assessment, or HCRA.

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This article is written for women’s health care clinicians, and will address the current status of hereditary cancer genetic testing, focusing on the evolution of pan-cancer, multigene panel testing in the context of value-based medicine.


Click on the video below to watch Dr. Frieder discuss Hereditary Cancer Testing.

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Richard P. Frieder, MD, FACOG
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David Geffen School of Medicine
University of California, Los Angeles
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Susan Kendig, JD, MSN, WHNP-BC, FAANP
Teaching Professor Coordinator, Women’s Health Emphasis Area
Clinical Associate Professor
College of Nursing
University of Missouri–St. Louis
St. Louis, Missouri
Dr. Frieder reports that he is a consultant and speaker for Myriad Genetic Laboratories.
Susan Kendig reports that she is a consultant for Myriad Genetic Laboratories.

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Richard P. Frieder, MD, FACOG
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David Geffen School of Medicine
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Susan Kendig, JD, MSN, WHNP-BC, FAANP
Teaching Professor Coordinator, Women’s Health Emphasis Area
Clinical Associate Professor
College of Nursing
University of Missouri–St. Louis
St. Louis, Missouri
Dr. Frieder reports that he is a consultant and speaker for Myriad Genetic Laboratories.
Susan Kendig reports that she is a consultant for Myriad Genetic Laboratories.

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Richard P. Frieder, MD, FACOG
Medical Director, Intelegene
Assistant Clinical Professor
Department of Obstetrics and Gynecology
David Geffen School of Medicine
University of California, Los Angeles
Los Angeles, California

Susan Kendig, JD, MSN, WHNP-BC, FAANP
Teaching Professor Coordinator, Women’s Health Emphasis Area
Clinical Associate Professor
College of Nursing
University of Missouri–St. Louis
St. Louis, Missouri
Dr. Frieder reports that he is a consultant and speaker for Myriad Genetic Laboratories.
Susan Kendig reports that she is a consultant for Myriad Genetic Laboratories.

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This supplement is sponsored through an educational grant by Myriad Genetic Lab…
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This supplement is sponsored through an educational grant by Myriad Genetic Lab…

Commemorating the 20th anniversary of BRCA genetic testing, we are increasingly conscious of the social, economic, and medico-legal impacts of genetic cancer risk on both personal and public health. An ever-growing number of medical societies and expert panels have now charged clinicians with the duty to evaluate and manage their patients’ cancer risk profiles, with particular attention to those individuals carrying genetic mutations that confer elevated cancer susceptibility, a process commonly known as hereditary cancer risk assessment, or HCRA.

Click here to download the PDF.

 

This article is written for women’s health care clinicians, and will address the current status of hereditary cancer genetic testing, focusing on the evolution of pan-cancer, multigene panel testing in the context of value-based medicine.


Click on the video below to watch Dr. Frieder discuss Hereditary Cancer Testing.

Commemorating the 20th anniversary of BRCA genetic testing, we are increasingly conscious of the social, economic, and medico-legal impacts of genetic cancer risk on both personal and public health. An ever-growing number of medical societies and expert panels have now charged clinicians with the duty to evaluate and manage their patients’ cancer risk profiles, with particular attention to those individuals carrying genetic mutations that confer elevated cancer susceptibility, a process commonly known as hereditary cancer risk assessment, or HCRA.

Click here to download the PDF.

 

This article is written for women’s health care clinicians, and will address the current status of hereditary cancer genetic testing, focusing on the evolution of pan-cancer, multigene panel testing in the context of value-based medicine.


Click on the video below to watch Dr. Frieder discuss Hereditary Cancer Testing.

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2015 MS Highlights: The Year in Review

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2015 MS Highlights: The Year in Review

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Antiepileptic Drugs and Hyponatremia

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2016 Directory of VA and DoD Facilities

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Abstracts Presented at the 2015 AVAHO Annual Meeting

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An Update on the Diagnosis and Treatment of Hidradenitis Suppurativa

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An Update on the Diagnosis and Treatment of Hidradenitis Suppurativa

Hidradenitis suppurativa (HS) is a chronic, inflammatory, scarring disease that occurs most frequently along the milk lines of the body from axillae to groin, is most common in the second and third decades of life, and is rarely observed before puberty. It disproportionately affects women and is associated with a host of comorbidities and dramatically reduced quality of life. The delay from HS symptom onset to diagnosis is approximately 7 years, with drastic consequences for patient well being. Early diagnosis and treatment are of paramount importance. While several nonpharmacologic, pharmacologic, and surgical treatment modalities exist for HS, only one agent, adalimumab, has been approved by the US Food and Drug Administration for this indication. Lifestyle modifications, dietary changes, patient education, and psychosocial support are important components of HS therapy.

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Hidradenitis suppurativa (HS) is a chronic, inflammatory, scarring disease that occurs most frequently along the milk lines of the body from axillae to groin, is most common in the second and third decades of life, and is rarely observed before puberty. It disproportionately affects women and is associated with a host of comorbidities and dramatically reduced quality of life. The delay from HS symptom onset to diagnosis is approximately 7 years, with drastic consequences for patient well being. Early diagnosis and treatment are of paramount importance. While several nonpharmacologic, pharmacologic, and surgical treatment modalities exist for HS, only one agent, adalimumab, has been approved by the US Food and Drug Administration for this indication. Lifestyle modifications, dietary changes, patient education, and psychosocial support are important components of HS therapy.

Click here to download PDF

Hidradenitis suppurativa (HS) is a chronic, inflammatory, scarring disease that occurs most frequently along the milk lines of the body from axillae to groin, is most common in the second and third decades of life, and is rarely observed before puberty. It disproportionately affects women and is associated with a host of comorbidities and dramatically reduced quality of life. The delay from HS symptom onset to diagnosis is approximately 7 years, with drastic consequences for patient well being. Early diagnosis and treatment are of paramount importance. While several nonpharmacologic, pharmacologic, and surgical treatment modalities exist for HS, only one agent, adalimumab, has been approved by the US Food and Drug Administration for this indication. Lifestyle modifications, dietary changes, patient education, and psychosocial support are important components of HS therapy.

Click here to download PDF

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Cardiovascular Disease: From Milestones to Innovations

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Cardiovascular Disease: From Milestones to Innovations

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Introduction: The transition from milestones to innovations
Maan a. Fares, MD

Transcatheter aortic valve replacement: History and current indications
Ahmad Zeeshan, MD; E. Murat Tuzcu, MD; Amar Krishnaswamy, MD; Samir Kapadia, MD; and Stephanie Mick, MD

Evolving strategies to prevent stroke and thromboembolism in nonvalvular atrial fibrillation
Ayman Hussein, MD; Walid Saliba, MD; and Oussama Wazni, MD

Stroke management and the impact of mobile stroke treatment units
Peter A. Rasmussen, MD

Biomarkers: Their potential in the diagnosis and treatment of heart failure
Barbara Heil, MD, and W.H. Wilson Tang, MD

Clinical challenges in diagnosing and managing adult hypertension
Joel Handler, MD

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Maan A. Fares, MD

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Introduction: The transition from milestones to innovations
Maan a. Fares, MD

Transcatheter aortic valve replacement: History and current indications
Ahmad Zeeshan, MD; E. Murat Tuzcu, MD; Amar Krishnaswamy, MD; Samir Kapadia, MD; and Stephanie Mick, MD

Evolving strategies to prevent stroke and thromboembolism in nonvalvular atrial fibrillation
Ayman Hussein, MD; Walid Saliba, MD; and Oussama Wazni, MD

Stroke management and the impact of mobile stroke treatment units
Peter A. Rasmussen, MD

Biomarkers: Their potential in the diagnosis and treatment of heart failure
Barbara Heil, MD, and W.H. Wilson Tang, MD

Clinical challenges in diagnosing and managing adult hypertension
Joel Handler, MD

Supplement Editor:
Maan A. Fares, MD

Contents

Introduction: The transition from milestones to innovations
Maan a. Fares, MD

Transcatheter aortic valve replacement: History and current indications
Ahmad Zeeshan, MD; E. Murat Tuzcu, MD; Amar Krishnaswamy, MD; Samir Kapadia, MD; and Stephanie Mick, MD

Evolving strategies to prevent stroke and thromboembolism in nonvalvular atrial fibrillation
Ayman Hussein, MD; Walid Saliba, MD; and Oussama Wazni, MD

Stroke management and the impact of mobile stroke treatment units
Peter A. Rasmussen, MD

Biomarkers: Their potential in the diagnosis and treatment of heart failure
Barbara Heil, MD, and W.H. Wilson Tang, MD

Clinical challenges in diagnosing and managing adult hypertension
Joel Handler, MD

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Cleveland Clinic Journal of Medicine - 82(12)
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The Use of Dual Antiplatelet Therapy in High-Risk Patients With Acute Coronary Syndromes

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Hot Topics in Primary Care

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The diverse array of diseases encountered by family physicians presents significant challenges to provide the best patient care consistent with evolving treatment. This supplement addresses some of these challenges by offering the insights of primary care and sub-specialist physicians about diseases whose management is rapidly evolving or where significant practice gaps exist.

 

 

Click here to read the Full Supplement

 

This supplement offers the opportunity to earn a total of 2 CME credits.

Credit is awarded for successful completion of the online evaluations at the links below; these links may also be found within the supplement on the first page of each article.

CME CREDIT: "Individualizing Pharmacologic Management of Irritable Bowel Syndrome"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to pceconsortium.org/ibs.

CME CREDIT: "Pharmacologic Approach to Obesity Management"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to cme.iafp.com/ and find the article in the Post-Tests and Evaluation Only tab.
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This supplement was sponsored by Primary Care Education Consortium. The CME art…

The diverse array of diseases encountered by family physicians presents significant challenges to provide the best patient care consistent with evolving treatment. This supplement addresses some of these challenges by offering the insights of primary care and sub-specialist physicians about diseases whose management is rapidly evolving or where significant practice gaps exist.

 

 

Click here to read the Full Supplement

 

This supplement offers the opportunity to earn a total of 2 CME credits.

Credit is awarded for successful completion of the online evaluations at the links below; these links may also be found within the supplement on the first page of each article.

CME CREDIT: "Individualizing Pharmacologic Management of Irritable Bowel Syndrome"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to pceconsortium.org/ibs.

CME CREDIT: "Pharmacologic Approach to Obesity Management"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to cme.iafp.com/ and find the article in the Post-Tests and Evaluation Only tab.

The diverse array of diseases encountered by family physicians presents significant challenges to provide the best patient care consistent with evolving treatment. This supplement addresses some of these challenges by offering the insights of primary care and sub-specialist physicians about diseases whose management is rapidly evolving or where significant practice gaps exist.

 

 

Click here to read the Full Supplement

 

This supplement offers the opportunity to earn a total of 2 CME credits.

Credit is awarded for successful completion of the online evaluations at the links below; these links may also be found within the supplement on the first page of each article.

CME CREDIT: "Individualizing Pharmacologic Management of Irritable Bowel Syndrome"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to pceconsortium.org/ibs.

CME CREDIT: "Pharmacologic Approach to Obesity Management"

 

  • To complete the online evaluation and receive 1 CME credit for this article: please click on the link at the end of the article or go to cme.iafp.com/ and find the article in the Post-Tests and Evaluation Only tab.
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The Power of Art in Medicine: The Patient Listening Project

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The Power of Art in Medicine: The Patient Listening Project

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The Power of Art in Medicine explores the role of artistic expression as a means of educating health care providers and, ultimately, improving communication with their patients. Author Lynn McKinley-Grant, MD, reviews the literature and offers personal insights gleaned from years of firsthand experience as the cofounder of the Insight Institute. This supplement also describes the Patient Listening Project, which asked patients living with psoriasis to create art to communicate the burden of their disease to physicians.A supplement to Dermatology News™. This supplement was sponsored by Novartis Pharmaceuticals Corporation.

 

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Lynn McKinley-Grant, MD
Associate Professor of Clinical Medicine/Dermatology
Georgetown University School of Medicine

Dr. McKinley-Grant discloses that she is a consultant for the Insight Institute and Novartis Pharmaceuticals Corporation.

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The Power of Art in Medicine explores the role of artistic expression as a means of educating health care providers and, ultimately, improving communication with their patients. Author Lynn McKinley-Grant, MD, reviews the literature and offers personal insights gleaned from years of firsthand experience as the cofounder of the Insight Institute. This supplement also describes the Patient Listening Project, which asked patients living with psoriasis to create art to communicate the burden of their disease to physicians.A supplement to Dermatology News™. This supplement was sponsored by Novartis Pharmaceuticals Corporation.

 

Author
Lynn McKinley-Grant, MD
Associate Professor of Clinical Medicine/Dermatology
Georgetown University School of Medicine

Dr. McKinley-Grant discloses that she is a consultant for the Insight Institute and Novartis Pharmaceuticals Corporation.

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Click here to download this supplement.

 

 

 

12/15        XDP-1319483

[[{"attributes":{},"fields":{}}]]

The Power of Art in Medicine explores the role of artistic expression as a means of educating health care providers and, ultimately, improving communication with their patients. Author Lynn McKinley-Grant, MD, reviews the literature and offers personal insights gleaned from years of firsthand experience as the cofounder of the Insight Institute. This supplement also describes the Patient Listening Project, which asked patients living with psoriasis to create art to communicate the burden of their disease to physicians.A supplement to Dermatology News™. This supplement was sponsored by Novartis Pharmaceuticals Corporation.

 

Author
Lynn McKinley-Grant, MD
Associate Professor of Clinical Medicine/Dermatology
Georgetown University School of Medicine

Dr. McKinley-Grant discloses that she is a consultant for the Insight Institute and Novartis Pharmaceuticals Corporation.

Link
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12/15        XDP-1319483

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