Good Health Blog

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Monthly Archives: August 2009

Finalising database

Gavin LeSueur - August 30, 2009

A thorough review of the US Preventative Services Task Force and The Royal Australian College of General Practitioners ‘Guidelines for preventative activities in general practice’ is now complete. The recommendations that are evidence based have been used to provide the database behind the free ‘age and sex’ based results and the more comprehensive health guidelines. Where there has been a variation between the recommendations I have reviewed the referenced literature and determined the more conservative recommendation in most cases as the one to roll with. The results are a guide for you to talk over with your health professional. They can only be general in nature as they are a result of population studies. Applying them to an individual requires knowing your complete medical history and we hope that you find them a useful start to good preventative health.

To test or not? The decision making process.

Gavin LeSueur - August 27, 2009

Medical specialty groups are often presenting recommendations for routine follow-up and screening within their area. These recommendations are tested, studies relevant to the area reviewed and then the peak Medical Bodies – in the US the Preventative Services Task force and in Australia and New Zealand the College of General practitioners make a recommendation based on the evidence available at the time.
Sifting through the recommendations is a slow task and one that has given me insight into the complex nature of taking a preventative health protocol for a population and working out how to apply it at an individual patient level. The mens health area for PSA (Prostate Specific Antigen) screening is one such area. Prostate cancer is a common problem but the screening tests are not perfect – they detect ‘false positives’ which can lead to anxiety and unnecessary intervention. On the other hand nobody wants to miss the diagnosis of prostate cancer. These are the sort of problems all Doctors deal with when doing examinations and ordering investigations. The perfect test has yet to be developed.

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