Most Read Articles
11 Dec 2017
Combining the DASH (Dietary Approaches to Stop Hypertension) diet with low sodium intake reduces systolic blood pressure (SBP) in individuals with pre- and stage 1 hypertension, with progressively higher reductions at greater levels of baseline SBP, a recent study has shown.
Tristan Manalac, 5 days ago
Major depressive disorder (MDD) appears to be more prevalent in females than in males, particularly in those who are divorced or widowed, a recent study from Singapore has found.
6 days ago
Tadalafil may not be effective for reducing the decline in ambulatory ability in boys with Duchenne muscular dystrophy (DMD), as shown in a recent study.
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.

Physician-patient communication may improve liver cancer screening

18 May 2017

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
11 Dec 2017
Combining the DASH (Dietary Approaches to Stop Hypertension) diet with low sodium intake reduces systolic blood pressure (SBP) in individuals with pre- and stage 1 hypertension, with progressively higher reductions at greater levels of baseline SBP, a recent study has shown.
Tristan Manalac, 5 days ago
Major depressive disorder (MDD) appears to be more prevalent in females than in males, particularly in those who are divorced or widowed, a recent study from Singapore has found.
6 days ago
Tadalafil may not be effective for reducing the decline in ambulatory ability in boys with Duchenne muscular dystrophy (DMD), as shown in a recent study.
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.