Most Read Articles
12 days ago
Increased serum levels of C-X-C motif chemokine (CXCL)-11, CXCL-9, CXCL-10 and interferon (IFN)-γ are associated with clinical manifestations of adult-onset Still’s disease (AOSD), reports a new study.
4 days ago
At a recent lunch symposium during the 14th Annual Scientific Meeting of the Malaysian Society of Hypertension, Dr Chow Yok Wai spoke on the importance of patient adherence in the management of hypertension, highlighting the role of combination therapy in improving treatment outcomes.
6 days ago
Myopia is associated with depressive symptoms in Chinese adults, a new population-based study shows.
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Chronic obstructive pulmonary disease (COPD) is currently the 10th commonest cause of death in Singapore, with a disease burden of 5.9 percent according to a 2015 population-based survey (EPIC-Asia survey) in Singapore. Pearl Toh spoke with Dr Augustine Tee, chief and senior consultant of the Department of Respiratory and Critical Care Medicine at Changi General Hospital (CGH) in Singapore, on how COPD is often underdetected in the primary care population as symptoms are not specific and diagnosis requires a combination of clinical risk factors, symptoms and spirometry testing.

Physician-patient communication may improve liver cancer screening

11 days ago

Effective physician communication with chronic liver disease patients is important with respect to the risks of developing liver cancer and the significance of regular screening, particularly among nonwhites and those with lower education, suggests a recent study.

A total of 467 patients with chronic liver disease at a tertiary-care clinic participated in a phone survey regarding awareness of cancer screening, doctor-patient communication and health behaviours. Researchers retrospectively reviewed medical records for data on liver disease aetiology and dates of liver imaging tests.

Of the patients, 79 percent reported awareness of liver cancer screening and 50 percent reported talking to their doctor about liver cancer. Higher education (p=0.06), alcohol abstinence (p=0.005) and liver cirrhosis (p<0.0001) were associated with awareness of liver cancer screening.

Whites (p=0.006), patients with higher education (p=0.09) and those with cirrhosis (p<0.0001) were more likely to talk to their doctor about liver cancer. Awareness of liver cancer screening (79 percent) was comparable to that of colorectal cancer screening (85 percent), lower than breast cancer screening (91 percent) and higher than prostate cancer screening (66 percent).

Patients who were aware of liver cancer screening (odds ratio [OR], 4.81; 95 percent CI, 2.62 to 8.84) and reported talking to their doctor about liver cancer (OR, 1.97; 1.19 to 3.28) were more likely to receive consistent liver surveillance.

“Physicians need to be aware of the persistent disparities by patient education in clinical communication regarding cancer screening and tailor their efforts to the needs of low-education patients,” researchers from a previous study said. “Quality-improvement efforts targeted at physicians practicing in low-income communities may also be effective in addressing disparities in cancer screening communication by patient income.” [Health Serv Res 2007;42:950-970]

Patients with chronic liver disease have an increased risk of developing liver cancer.

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Most Read Articles
12 days ago
Increased serum levels of C-X-C motif chemokine (CXCL)-11, CXCL-9, CXCL-10 and interferon (IFN)-γ are associated with clinical manifestations of adult-onset Still’s disease (AOSD), reports a new study.
4 days ago
At a recent lunch symposium during the 14th Annual Scientific Meeting of the Malaysian Society of Hypertension, Dr Chow Yok Wai spoke on the importance of patient adherence in the management of hypertension, highlighting the role of combination therapy in improving treatment outcomes.
6 days ago
Myopia is associated with depressive symptoms in Chinese adults, a new population-based study shows.
7 days ago
Chronic obstructive pulmonary disease (COPD) is currently the 10th commonest cause of death in Singapore, with a disease burden of 5.9 percent according to a 2015 population-based survey (EPIC-Asia survey) in Singapore. Pearl Toh spoke with Dr Augustine Tee, chief and senior consultant of the Department of Respiratory and Critical Care Medicine at Changi General Hospital (CGH) in Singapore, on how COPD is often underdetected in the primary care population as symptoms are not specific and diagnosis requires a combination of clinical risk factors, symptoms and spirometry testing.