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Article
Open AccessCigarette smoking during pregnancy and adverse perinatal outcomes: a cross-sectional study over 10 years
It has been shown that active exposure to tobacco is associated with adverse pregnancy outcomes including, but not limited to, intrauterine fetal death, reduced fetal weight, and higher risk of preterm birth. ...
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Article
Open AccessNicotine Replacement Therapy for Smokers with Acute Aneurysmal Subarachnoid Hemorrhage: An International Survey
Smoking prevalence is twice as high among patients admitted to hospital because of the acute condition of aneurysmal subarachnoid hemorrhage (aSAH) as in the general population. Smoking cessation may improve t...
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Article
Open AccessInvestigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study
Precision Medicine offers tailored prevention, diagnosis, treatment and management to patients that considers genomics, lifestyle and environmental factors. If implementation of Precision Medicine is to advanc...
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Article
Open AccessRepresentations of personalised medicine in family medicine: a qualitative analysis
The promise of personalised medicine (PM) to transform healthcare has sparked great enthusiasm in the last years. Yet, its lack of consensus around the nature and scope of the concept has ended in terminologic...
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Article
Open AccessMay direct-to-consumer genetic testing have an impact on general practitioners’ daily practice? a cross-sectional study of patients’ intentions towards this approach
Direct-to-consumer genetic testing (DTCGT) offers individuals access to information on their probable risks of suffering from a wide range of chronic diseases. General practitioners (GPs) will probably play a ...
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Article
Open AccessSelf-reported screening practices of family physicians participating in the colorectal cancer screening program of the canton of Vaud: a cross-sectional study
The organized colorectal cancer (CRC) screening program in the canton of Vaud, Switzerland offers citizens the choice of the faecal immunochemical test (FIT) or colonoscopy via a visit with a family physician ...
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Article
Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland
To determine the proportion of 50–75-year-old patients who visit a primary care physician’s (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood ...
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Article
Influence of body weight and UGT2B7 polymorphism on varenicline exposure in a cohort of smokers from the general population
The abstinence rate to tobacco after varenicline treatment is moderate and might be partially affected by variability in varenicline concentrations. This study aimed at characterizing the sources of variabilit...
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Article
Open AccessEfficacy of motivating short interventions for smokers in primary care (COSMOS trial): study protocol for a cluster-RCT
Tobacco abuse is a frequent issue in general practitioners' (GPs') offices, with doctors playing a key role in promoting smoking cessation to their patients. However, not all smokers are ready and willing to g...
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Article
Open AccessParticipation in medical activities beyond standard consultations by Swiss general practitioners: a cross-sectional study
Few data exist to support the observation that general practitioners (GPs) occupy many important positions in our communities or to characterize which GPs devote more of their time to such activities. We sough...
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Article
Open AccessPerformance of a brief geriatric evaluation compared to a comprehensive geriatric assessment for detection of geriatric syndromes in family medicine: a prospective diagnostic study
Geriatric syndromes are rarely detected in family medicine. Within the AGE program (active geriatric evaluation), a brief assessment tool (BAT) designed for family physicians (FP) was developed and its diagnos...
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Article
Open AccessPersonalized cancer screening: hel** primary care rise to the challenge
With their longitudinal patient relationships, primary care physicians and their care teams are uniquely situated to promote preventive medicine, including cancer screening. A confluence of forces is driving t...
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Open AccessDevelopment of a monitoring instrument to assess the performance of the Swiss primary care system
The Swiss health system is customer-driven with fee-for-service paiement scheme and universal coverage. It is highly performing but expensive and health information systems are scarcely implemented. The Swiss ...
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Article
Open AccessA prospective study assessing agreement and reliability of a geriatric evaluation
The present study takes place within a geriatric program, aiming at improving the diagnosis and management of geriatric syndromes in primary care. Within this program it was of prime importance to be able to r...
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Article
Open AccessWhy and how would we implement a lung cancer screening program?
For decades, lung cancer has been the most common cancer in terms of both incidence and mortality. There has been very little improvement in the prognosis of lung cancer. Early treatment following early diagno...
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Article
Open AccessPrimary care in Switzerland: evolution of physicians’ profile and activities in twenty years (1993–2012)
According to the Organization for Economic Cooperation and Development, the Swiss healthcare system is one of the most effective in the world. Yet, as other occidental countries, it has to face the increase of...
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Article
Open AccessPatients satisfaction in an academic walk-in centre: a new model of residents training achieved by family doctors
Walk-in centres may improve access to healthcare for some patients, due to their convenient location and extensive opening hours, with no need for an appointment. Herein, we describe and assess a new model of ...
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Article
Open AccessLeptin and smoking cessation: secondary analyses of a randomized controlled trial assessing physical activity as an aid for smoking cessation
Smokers have a lower body weight compared to non-smokers. Smoking cessation is associated with weight gain in most cases. A hormonal mechanism of action might be implicated in weight variations related to smok...
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Article
Open AccessPublication trends of shared decision making in 15 high impact medical journals: a full-text review with bibliometric analysis
Shared Decision Making (SDM) is increasingly advocated as a model for medical decision making. However, there is still low use of SDM in clinical practice. High impact factor journals might represent an effici...
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Article
Open AccessClinically relevant quality measures for risk factor control in primary care: a retrospective cohort study
Assessment of the proportion of patients with well controlled cardiovascular risk factors underestimates the proportion of patients receiving high quality of care. Evaluating whether physicians respond appropr...
