January/February Annals of Family Medicine tip sheet

, the age at diagnosis of type 2 diabetes decreased from 52 to 46 years. They offer three plausible explanations for the dramatic decrease, including: 1) earlier onset of type 2 diabetes, 2) improved recognition and earlier detection of the disease by clinicians, and 3) increased public awareness and education about the disease.
Changes in Age at Diagnosis of Type 2 Diabetes Mellitus in the United States, 1998 to 2000
By Richelle J. Koopman, M.D., M.S.

In a qualitative study of 22 women over the age of 40 who had experienced an osteoporotic fracture in the previous year, researchers found that only a minority recognized their previous fracture as an indicator of increased susceptibility for future fractures and committed themselves to long-term prevention. The majority of the women's perceptions fell into one of two groups: 1) They took a laissez faire approach, preferring to wait and see what the future held, or 2) They recognized some of the things they should be doing to reduce their risk but were inconsistent in maintaining changes or seeking information.
Women's Perceptions of Future Risk After Low-Energy Fractures at Midlife
By Lynn M. Meadows, Ph.D., et al

Physician values may be shifting, according to a cross-sectional survey of 372 physicians from 11 managed care organizations. The researchers found that a strong sense of physician responsibility to individual patients is less common among younger physicians and physicians who practice in staff-model managed care organizations (compared to network-model managed care organizations). They also found that physicians with a strong sense of responsibility to individual patients were significantly more likely to report being satisfied with the quality of care they prov

Contact: Angela Lower
American Academy of Family Physicians

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