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As cancer shifts towards a chronic disease care model, general practitioners remain essential to the patient journey from first suspicion to survivorship.
Professional
Pancreatic cancer has the highest mortality rate among all main cancer types and is the fourth leading cause of cancer death in Australia.
Clinical
Provides a guide for long-term follow-up and surveillance for survivors of head and neck cancer, who are increasing in number as cancer therapies improve.
Primary care doctors may be asked about palliative sedation for a patient and can provide support to family members of patients who undergo palliative sedation.
This model of care recommends a systemic, coordinated, multidisciplinary approach to survivorship, using pathways of care that support wellness, disease prevention and cancer surveillance.
Editorial
Early detection of cancer requires us to maintain both knowledge of insidious warning signs and vigilance in seeking these out.
Letters
Readers express their opinions on published articles and topics of interest.
This case highlights the prevalence and potential consequences of elevated blood pressure in children and adolescents, as well as options for managing hypertension in the paediatric population.
Case Study
A man aged 19 years presented to a general practitioner with a one-day history of urinary frequency.
A woman aged 42 years presented with left-sided facial pain of three weeks’ duration.
Research
Clinic managers are encouraged to review their follow-up and electronic reminder systems, as these are associated with benefits for clients who require secondary prophylaxis for acute rheumatic fever.
General practitioners believe that principles underlying Medical Homes may support whole-person care, but aspects of the current Health Care Homes trial could impede this whole-person approach.
Most GPs surveyed had used a placebo in practice at least once, with active placebos (active treatments used primarily to generate positive expectations) more commonly used than inert placebos.
The study confirms under-treatment of Australian adults at high cardiovascular disease risk and indicates potential for health gains with increased implementation of evidence-based guidelines.
By enhancing the target population’s health literacy, the clinic functioned as a bridge between healthcare services and individuals experiencing homelessness who were disengaged from society.
Clinical challenge
This clinical challenge is based on this month’s Focus articles. To complete this activity, go to gplearning and log in with the username and password you use to log in to the RACGP website.
AJGP would like to thank all of our 2019 reviewers for their generous contribution to the journal.