Family Practice News articles from January 2008

Family Practice News archives from January 2008

Carotid stenosis screening nixed.(News)
January 1, 2008... [ILLUSTRATION OMITTED] Adults without symptoms of carotid artery stenosis should not be screened with ultrasonography or other tests, according to a recommendation issued by the U.S. Preventive Services Task Force. Carotid artery...

Adults who did not receive needed health care because they could not afford it.(VITAL SIGNS)(Table)(Brief article)
January 1, 2008... Age (years) 18-44 8.1% 45-64 7.7% [greater than or equal to]65 2.5% Note: Based on 2005 data from the previous 12 months. Source: Centers for Disease...

New guidelines for osteoarthritis spell out the science: the strength of each modality is rated.(Musculoskeletel Disorders)
January 1, 2008... FORT LAUDERDALE, FLA. -- New guidelines on the management of hip and knee osteoarthritis aim to provide a consensus on which modalities have been shown to be effective, according to presentations at the World Congress on Osteoarthritis. ...

Medicare's 10.1% fee cut averted for next 6 months.(News)
January 1, 2008... In what has become a year-end tradition, last-minute congressional action has staved off deep cuts to the Medicare physician fee schedule. The 2007 version means physicians won't feel the pinch of a 10.1% pay cut under Medicare; instead,...

Eyelash product containing glaucoma drug seized.(News)
January 1, 2008... The Food and Drug Administration seized more than 12,000 tubes of a product claiming to increase eyelash growth because it was found to contain bimatoprost the active ingredient in a prescription glaucoma solution--that could potentially cause...

Panel backs neuroleptic for Huntington's chorea.(News)
January 1, 2008... BELTSVILLE, MD. -- The neuroleptic tetrabenazine will likely become the first drug approved in the United States for the management of Huntington's disease, following a federal advisory panel's unanimous vote supporting approval of the drug to...

FDA panel wants modern evidence on phenylephrine dosages.(News)
January 1, 2008... SILVER SPRING, MD. -- Phenylephrine, a primary ingredient in hundreds of over-the-counter nasal decongestants, appears to be effective at the current dose, but further research is needed to determine whether higher doses might be more...

FDA requires warning labels for nonoxynol 9.(News)
January 1, 2008... The Food and Drug Administration is requiring manufacturers to include a warning label on all over-the-counter, stand-alone vaginal contraceptive and spermicide products containing nonoxynol 9 saying that the chemical does not protect against...

SCHIP is extended until 2009 amid lingering concerns.(News)
January 1, 2008... After months of debate and two presidential vetoes, Congress has successfully voted to extend the State Children's Health Insurance Program to April 2009. At press time, President Bush was expected to sign the legislation. The SCHIP...

FDA panel recommends against OTC lovastatin.(News)(Food and Drug Administration)(over the counter)
January 1, 2008... SILVER SPRING, MD. -- F or the third time since 2000, Merck & Co. failed to convince Food and Drug Administration advisory panelists that lovastatin should be made available over the counter. At a joint meeting, the FDA's Nonprescription...

"Behind-the-counter' prescribing is problematic.(Guest Editorial)
January 1, 2008... Americans are desperate for ways to reduce the costs of health care and prove access to care. At the same time, physicians are frustrated with the status quo. After a 30-year campaign by the media to disparage physicians with negative stories...

CPT: Current Procedural Tyranny.(Letters)(Letter to the editor)
January 1, 2008... Am I the only physician who is stunned by the ready acceptance of coding by a once-proud profession? You may be the best MD in the U.S. and save lives daily, but if you don't enter the proper code number for your work, you don't get a...

Retort on Edwards' tort reform.(Letters)(Letter to the editor)
January 1, 2008... I find it incredible that Sen. John Edwards allows himself to comment on tort reform ("Edwards Outlines Plans for Tort, Universal Health Care," Nov. 1, 2007, p. 49). As you know, Sen. Edwards made his millions (allowing for $400 haircuts)...

Correction.(Opinion)(Correction notice)
January 1, 2008... In an article that was published in FAMILY PRACTICE NEWS ("Atypical Antipsychotics Tied to Adrenal Issues," December 1, 2007, p. 16), a case described by Dr. Violeta Tan and Dr. Natalie Rasgon should have said that the patient's condition...

Pain relievers.(Opinion)(Cartoon)
January 1, 2008... [ILLUSTRATION OMITTED] "Lose some weight, quit smoking, move around more, and eat the carrot."

Expand CVD testing to close the detection gap: target for testing populations such as the high-risk elderly, the functionally impaired, and diabetics.(Cardiovascular Medicine)(cardiovascular disease)
January 1, 2008... SAN DIEGO -- Consider expanding subclinical cardiovascular disease testing to include asymptomatic high-risk patient populations, Leslee J. Shaw, Ph.D., advised attendees at the annual meeting of the American Society of Nuclear Cardiology. ...

Accuracy of noninvasive CT angiography supported by trial.(Cardiovascular Medicine)(computed tomography)
January 1, 2008... CHICAGO -- A second multicenter trial has shown that noninvasive CT angiography is highly accurate in assessing coronary artery disease when compared with conventional invasive angiography. The per-vessel negative predictive value of...

Calcification predicts CHD, CVD risks in some women.(Cardiovascular Medicine)(coronary heart disease)(cardiovascular disease)(Brief article)
January 1, 2008... Women with a "low-risk" Framingham heart score who are found to have coronary artery calcification on chest CT have a sixfold greater risk of a coronary event and a fivefold greater risk of a cardiovascular event developing within 4 years than...

Coronary artery bypass, stents tied to same cognitive changes.(Cardiovascular Medicine)
January 1, 2008... WASHINGTON -- There doesn't appear to be any difference in long-term cognitive function following coronary artery bypass graft or stenting. This finding comes from an assessment of cognitive function at 6 years in 152 patients whose...

Newer epilepsy drugs cut cholesterol, CRP levels.(Cardiovascular Medicine)
January 1, 2008... PHILADELPHIA -- Switching from an enzyme-inducing to noninducing antiepileptic drug led to a significant fall in serum levels of cholesterol and C-reactive protein in a review of 38 patients. The relatively high levels of serum cholesterol...

Irregular menses linked to increased heart risk.(Cardiovascular Medicine)
January 1, 2008... ORLANDO -- Postmenopausal women with a history of irregular menstrual cycles had a twofold increased risk of myocardial infarction and angina, compared with women with a regular menstrual history in a study with almost 700 patients. "A...

Smoking tied to greater type 2 diabetes risk.(Metabolic Disorders)
January 1, 2008... Cigarette smoking is associated with an increased risk of developing type 2 diabetes, results of a meta-analysis suggest. "Active smokers had an increased risk of developing type 2 diabetes, compared with nonsmokers, with a pooled relative...

Racial variations in thyroid Ca likely biological.(Metabolic Disorders)
January 1, 2008... WASHINGTON -- A population difference in tumor biology probably accounts for most of the 50% lower rate of thyroid cancer in blacks, compared with whites, Dr. Luc Morris said at the annual meeting of the American Academy of Otolaryngology-Head...

Lifestyle changes key to metabolic syndrome.(Metabolic Disorders)
January 1, 2008... COLUMBUS, OHIO -- For patients with metabolic syndrome, the focus should be on the two "L" words: lifestyle and LDL. That was the message from a talk given by former American Heart Association president Dr. Robert H. Eckel at a meeting on...

Combat 'diabesity' with color-coded nutrition advice.(Metabolic Disorders)
January 1, 2008... LA JOLLA, CALIF. -- "Diabesity," as Dr. David Heber calls type 2 diabetes, is a lifestyle disease, not a diagnosis that necessarily requires heavy lifting of the prescription pad. Too many physicians begin and end the conversation by...

Honey more soothing than dextromethorphan: data show OTC remedies are not very effective for colds and are associated with serious adverse effects.(Infectious Diseases)(over the counter)
January 1, 2008... A bedtime dose of buckwheat honey as more effective than was dexomethorphan or no treatment at all for quieting cough and facilitating sleep in children aged 2-17 who had upper respiratory infection, reported Dr. Ian M. Paul and his associates...

Antibiotics, topical steroids show no effect in acute bacterial sinusitis.(Infectious Diseases)
January 1, 2008... Neither an antibiotic nor a steroid nasal spray is effective against acute bacterial sinusitis, according to a randomized study of 240 adults in the United Kingdom. These findings add to the growing evidence that antibiotics do not yield...

China reports on first human cases of avian flu in 6 months.(Infectious Diseases)
January 1, 2008... China has confirmed the first human cases of the highly pathogenic H5N 1 avian influenza virus in 6 months, international public health officials have reported. The two cases are a father and son in the Jiangsu province, according to the...

Technique, weight should dictate needle length.(Infectious Diseases)
January 1, 2008... CHICAGO -- When immunizing adolescents, body weight and injection technique should guide the choice of needle length, according to a poster study presented at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy. "We...

Watchful waiting reduced antibiotic use for acute otitis media in the ED.(Infectious Diseases)(Medical condition overview)
January 1, 2008... TORONTO -- A strategy of watchful waiting reduced antibiotic use and was well accepted by parents of children diagnosed with acute otitis media in the emergency department in a randomized trial of 223 children. Previous trials have...

Pneumonia burden eased with introduction of PCV7.(Infectious Diseases)(pneumococcal conjugate vaccine)
January 1, 2008... The pneumococcal vaccine appears to have markedly reduced the overall burden of pediatric pneumonia, results of a large retrospective study suggest. Rates of hospitalization and ambulatory medical visits for all-cause and pneumococcal...

Age determines management of pediatric acne.(Skin Disorders)
January 1, 2008... SAN FRANCISCO -- Children can get acne at any age, but what many parents think is ache might actually be something else, Dr. Rebecca L. Smith said at a meeting sponsored by Skin Disease Education Foundation. A good example is "neonatal...

Top 5 skin diagnoses vary by ethnicity in study.(Skin Disorders)
January 1, 2008... MIAMI -- Unique structural and functional differences between the skin of black and white patients might help explain differences in the top five dermatology diagnoses for each ethnicity, according to study data presented at an international...

Few seek medical advice for problems linked to hair care.(Skin Disorders)
January 1, 2008... [ILLUSTRATION OMITTED] MIAMI -- Many black women experience adverse events-and dissatisfaction stemming from their hair care practices, but few seek medical advice, results of a survey presented at an international symposium sponsored by...

Specific symptoms flag endometriosis diagnosis.(Women's Health)
January 1, 2008... WASHINGTON -- The constellation of symptoms characterizing endometriosis may be more specific than currently thought, Karen D. Ballard, Ph.D., said at the annual meeting of the AAGL. There is often a long delay in the diagnosis of...

Diagnose and treat interstitial cystitis, painful bladder early.(Women's Health)(Disease/Disorder overview)
January 1, 2008... MINNEAPOLIS -- Early recognition of interstitial cystitis/painful bladder syndrome by the primary care physician can prevent this common and debilitating condition from becoming refractory, Dr. Robert Moldwin said at the annual meeting of the...

Iodine-contrast screen snags missed breast lesions.(Women's Health)
January 1, 2008... CHICAGO -- Iodine contrast-enhanced digital mammography may be a useful and inexpensive alternative to follow-up magnetic resonance imaging in women with suspicious lesions on mammography, according to data presented at the annual meeting of...

Hormone combo eased vasomotor symptoms.(Women's Health)(Brief article)
January 1, 2008... WASHINGTON -- Postmenopausal women who took a low-dose estrogen/ progestin medication reported significant improvements in vasomotor symptoms and quality of life after 6 months, according to findings from an open-label efficacy study. The...

Antihypertensive's antidepressant effects explored.(Mental Health)
January 1, 2008... VIENNA -- Mecamylamine, an old, rarely prescribed, truly obscure antihypertensive agent, may be favorably reincarnated as an antidepressant with a completely novel mechanism of action--and vastly greater potential use. The drug displayed...

Parent-completed tool IDs development issues.(Mental Health)
January 1, 2008... Incorporating a parent-completed developmental screening tool into 12and 24-month well-child office visits in a busy practice increased referrals for further evaluation by 224% in a recent study. The finding underscores the need for...

Schizophrenia patients respond to over-the-counter supplement.(Mental Health)(Medical condition overview)
January 1, 2008... VIENNA -- N-acetylcysteine, an inexpensive supplement widely available over the counter in health food stores, proved safe and effective as adjunctive therapy for chronic schizophrenia in a 6-month, double-blind, placebo-controlled trial, Dr....

Lack of awareness differentiates types of nighttime eating disorders.(Mental Health)
January 1, 2008... MONTREAL -- When night eating becomes pathological, with harmful effects on sleep and body weight, it is important to differentiate between sleep-related eating disorder and night-eating syndrome, said Dr. Jonathan Fleming, a psychiatrist at...

Abdominal height accurately gauges adiposity.(Obesity)
January 1, 2008... NEW ORLEANS -- In a patient with a body mass index of 40 kg/[m.sup.2] or more, measuring the height of the abdomen while the patient is lying down is a better indicator of visceral adiposity than is measuring waist circumference, according to a...

BMI's association with mortality varies by cause.(Obesity)
January 1, 2008... A study using national health survey data has found varying associations between body mass index and mortality, depending on the cause. Using data on cause-specific relative risks of mortality from the National Health and Nutrition...

Long-term weight loss aids arterial flow, function.(Obesity)(Brief article)
January 1, 2008... NEW ORLEANS -- Extremely obese individuals who lost weight and kept it off for at least 1 year significantly improved their vascular endothelial function, Dr. Noyan Gokce reported in a poster at the annual meeting of NAASO, the Obesity Society...

Bacterial gastroenteritis ups intussusception risk.(Digestive Disorders)
January 1, 2008... SALT LAKE CITY -- A young child who has a bacterial gastrointestinal infection may have a 30 times higher risk of intussusception in the following 6 months, according to a study of cases from a large military database. "There is a...

CBT eases psychiatric aspects of irritable bowel syndrome.(Digestive Disorders)(cognitive-behavioral therapy)
January 1, 2008... VIENNA -- Irritable bowel syndrome can be seen as an anxiety disorder--and, as such, responsive to cognitive-behavioral therapy. "Core symptomatology of IBS is clearly physiological, but the cause of suffering and severe loss of function...

Ultrasound classification aids diagnosis of appendicitis in kids.(Digestive Disorders)
January 1, 2008... CHICAGO -- A new ultrasound classification that elevates the importance of secondary signs in acute appendicitis facilitates surgical decision making in the diagnosis or exclusion of appendicitis in children. "[It] improves sensitivity in...

Meniscal damage shown to lead to radiographic knee arthritis.(Musculoskeletel Disorders)
January 1, 2008... BOSTON -- Preventing meniscal damage should be a top therapeutic priority in the fight against knee osteoarthritis, Dr. Martin Englund said at the annual meeting of the American College of Rheumatology. Dr. Englund of Boston University and...

Addressing insomnia may help reduce OA-related pain.(Musculoskeletel Disorders)(Medical condition overview)(Clinical report)
January 1, 2008... SAN FRANCISCO -- Cognitive-behavioral therapy for comorbid insomnia in patients with osteoarthritis not only improved sleep but also reduced self-reported pain in a randomized, controlled pilot study of 51 patients, reported Michael V....

Guidelines to take broader view of fracture risk.(Musculoskeletel Disorders)
January 1, 2008... LA JOLLA, CALIF. -- Management of osteoporosis is about to undergo some radical changes, including a new international focus on assessing fracture risk in clinical practice and an emphasis on higher doses of vitamin D, said Dr. Stuart L....

New biologic might help treatment of patients with severe, refractory gout.(Musculoskeletel Disorders)(Clinical report)
January 1, 2008... BOSTON -- A new, long-acting interleukin-1 inhibitor being tested for multiple inflammatory conditions substantially decreased disease activity and pain associated with chronic active gout in a placebo-controlled pilot study. If the...

Height loss over 3 years predicts osteoporosis in patients over age 50 years.(Musculoskeletel Disorders)
January 1, 2008... VANCOUVER, B.C. -- Measuring a patient's height during routine primary care visits may be one of the simplest and least expensive ways to predict osteoporosis risk and to guide screening, according to a study at Virginia Commonwealth...

Lung damage from secondhand smoke exposed.(Pulmonary Medicine)
January 1, 2008... [ILLUSTRATION OMITTED] CHICAGO -- A novel magnetic resonance imaging technique may have provided the proverbial smoking gun in the secondhand smoking debate. Using helium-3 diffusion MRI, researchers at the University of Virginia in...

Older adults receptive to try lifestyle changes.(Geriatric Medicine)
January 1, 2008... SAN FRANCISCO -- A surprisingly high 85% of older adults with hypertension, hyperglycemia, or hyperlipidemia reported engaging in lifestyle modifications, such as diet change or exercise, in a longitudinal study of 666 people, Eleanor M....

Tai Chi improved cognitive function in older, healthy adults.(Geriatric Medicine)
January 1, 2008... SAN FRANCISCO -- The Eastern exercise, tai chi, improved a measure of cognitive function in a year-long, randomized, controlled study of 132 healthy older adults. This is the first study to document mental improvements resulting from tai...

Age-related loss of peripheral vision increases risk of falls.(Geriatric Medicine)
January 1, 2008... Peripheral visual field loss significantly increased the risk of falling in older adults, according to data from 2,375 community-dwelling adults aged 65 to 84 years. Poor vision has been implicated in falls in previous studies, and many...

PCPs, specialists failing in care for CKD patients.(Clinical Rounds)
January 1, 2008... SAN FRANCISCO -- A recent study indicates that about 41% of patients with chronic kidney disease receive their treatment solely from nonnephrologists, and about a third of these patients were not diagnosed, judging from the fact that their...

Kidney disease is associated with an increased risk of ICD infection.(Clinical Rounds)
January 1, 2008... SAN FRANCISCO -- Patients with chronic kidney disease are at increased risk of infections associated with cardiac pacemakers or implantable cardioverter defibrillators, according to a study that Dr. Patrick H. Pun presented at the annual...

Loss of kidney function flags SCD risk in heart disease.(Clinical Rounds)
January 1, 2008... SAN FRANCISCO -- A declining glomerular filtration rate is a strong and independent predictor of sudden cardiac death in patients with significant coronary artery disease, Dr. Thomas R. Smarz reported at the annual meeting of the American...

Mediterranean diet found protective.(Clinical Capsules)(Brief article)
January 1, 2008... The more closely people in America adhere to a Mediterranean diet, the more they decrease their mortality risk, according to Dr. Panagiota N. Mitrou of the National Cancer Institute, Bethesda, Md., and her associates. To date, no U.S....

Fiber helps black women fight diabetes.(Clinical Capsules)(Brief article)
January 1, 2008... Black women can cut their risk of type 2 diabetes by increasing their intake of cereal fiber, a study of 40,000 women suggests. Cereal fiber has been inversely related to diabetes risk in several studies, but the issue had never been...

Hypertension and cognitive impairment.(Clinical Capsules)(Brief article)
January 1, 2008... Hypertension increases the risk for nonamnestic mild cognitive impairment in the elderly, according to Dr. Christiane Reitz of the Gertrude H. Sergievsky Center at Columbia University, New York. Dr. Reitz and her colleagues assessed the...

TransforMED's growing pains deemed worth it.(Practice Trends)
January 1, 2008... VICTORIA, B.C. -- More than midway through the family medicine TransforMED National Demonstration Project, organizers have learned to focus on relationships, systems, and technology in converting offices into places where teams deliver...

FPs carry disproportionate load of indigent care.(Practice Trends)
January 1, 2008... VANCOUVER, B.C. -- Family physicians provide ambulatory care to a higher proportion of disadvantaged adults than do other specialists, including general internists, according to a study presented at the annual meeting of the North American...

Insurance status, race mediate mortality rates following trauma.(Practice Trends)
January 1, 2008... NEW ORLEANS -- Minority and uninsured patients are significantly more likely to die after injury than are white, insured patients, Dr. Adil H. Haider reported at the annual clinical congress of the American College of Surgeons. He...

ED visits by elderly increase.(Policy & Practice)(emergency department)(Brief article)
January 1, 2008... The number of emergency department visits among elderly persons could almost double from 6 million in 2003 to just under 12 million by 2013, according to an analysis using National Hospital Ambulatory Medical Care Survey data from 1993-2003....

Center takes on nursing shortage.(Policy & Practice)(Center to Champion Nursing in America)(Brief article)
January 1, 2008... A new think tank will address the burgeoning nursing shortage and its impact on the quality of patient care. To achieve this goal, the Center to Champion Nursing in America will focus on increasing funding for nursing education, expanding nurse...

DEA accused of electronic stalling.(Policy & Practice)(Drug Enforcement Administration)(Brief article)
January 1, 2008... The Drug Enforcement Administration, which investigates and prosecutes crimes involving illicit use of controlled substances, has been criticized for stalling implementation of a national electronic prescribing system for controlled substances....

Access reduced by cost.(Policy & Practice)(Brief article)
January 1, 2008... Forty million Americans can't get access to needed health care, and 20% said the main reason was because they could not afford the services, according to a report issued in December by the Centers for Disease Control and Prevention. Health,...

FDA can't fulfill mission.(Policy & Practice)(Food and Drug Administration)(Brief article)
January 1, 2008... Three members of the Food and Drug Administration's Science Board issued a damning report on the state of the agency, saying that it "suffers from serious scientific deficiencies and is not positioned to meet current or emerging regulatory...

Agency's approval plan flawed.(Policy & Practice)(Food and Drug Administration)(Brief article)
January 1, 2008... The Food and Drug Administration is considering new guidance that would allow drug companies to use journal articles to promote "potentially dangerous uses" of drugs and medical devices without prior FDA review and approval, according to a top...

Not your father's genome.(Genomic Medicine)
January 1, 2008... Our understanding of the genome is changing rapidly and drastically. For starters, the Human Genome Project has revealed that humans are, on a numerical basis, genetically less complex than a mustard plant (Arabidopsis). In fact, our...

Research sought on physicians' addiction recovery.(Practice Trends)
January 1, 2008... CORONADO, CALIF. -- Of 104 physicians in New York state who were admitted to substance abuse treatment programs between 2003 and 2004 and were monitored for a mean of 41 months by the state's Committee for Physicians' Health, only 9 (9%) were...

Raising the bar for all.(The Office)
January 1, 2008... The next time you find breathing room to attempt something new in the interest of improving care, try this: Ask every patient who walks through your door the following four questions: * Do you suffer from chronic pain? * Is your...

Personal health records pose 'wild West' situation.(Practice Trends)
January 1, 2008... As physicians struggle to decide if or when to incorporate electronic health records into their practices, personal health records are gaining popularity. Personal health records (PHRs) allow patients to store and access their medical...

Patient portals do not cause headaches.(Practice Trends)
January 1, 2008... NEW ORLEANS -- Rather than unlocking a Pandora's box of nattering emails, an electronic patient portal that allows messaging and even access to test results can improve patient satisfaction and decrease patient visits. "Many physicians...

Indications' case of the month.(Indications)(trichophagia)(Brief article)
January 1, 2008... A new weight-loss fad is gaining traction following the publication in the New England Journal of Medicine of a unique case of severe trichophagia. For those of you who are rusty on your Trivial Pursuit-worthy medical terminology, that means...

Tuition well spent.(Indications)(alcohol consumption of University of Texas (Austin) students during football games)(Brief article)
January 1, 2008... Rates of alcohol consumption by University of Texas, Austin, college students on days of football games rivaled levels seen on such "traditional" drinking days as New Year's Eve and Halloween. "Many college students view campus sporting events...

Dancing, not falling.(Indications)
January 1, 2008... A series of 20 hour-long dance classes led to a greater improvement in Parkinson's disease patients' balance than did regular exercise classes, according to a study in the American Journal of Dance Therapy. The study recruited 9 PD patients and...

Surgeon general hates fun, children.(Indications)(Steven K. Galson)(Brief article)
January 1, 2008... Now that the holidays are over and the presents already have been delivered, we think it's safe to say: Santa could stand to lose a few pounds. Or anyway, that's what U.S. Surgeon General Dr. Steven K. Galson told the Boston Herald. "It is...

Knowledge lacking on blood cancers.(News)(Reprint)
January 15, 2008... [ILLUSTRATION OMITTED] ATLANTA -- Hematologic malignancies pose diagnostic challenges, especially for primary care physicians who often lack exposure to even common forms of the cancer, according to sample survey responses from 357...

Direct patient contact hours in select primary care specialties were similar in 2006.(VITAL SIGNS)(Table)(Brief article)
January 15, 2008... Direct Patient Contact Hours in Select Primary Care Specialties Were Similar in 2006 Mean hours per week Internal medicine: pediatric (n = 76) 38.7 hours Internal medicine: general (n = 3,368) 37.0 hours Pediatric:...

BRCA1 carriers may require more frequent imaging: screening biannually may be warranted.(News)(Clinical report)
January 15, 2008... SAN ANTONIO -- Annual breast cancer screening by mammography plus MRI is insufficient for BRCA1 mutation carriers, according to the midterm results of the Dutch MRI Screening Study "It's clear the interval cancer rate is much higher in...