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Skin-cancer Early COPD detection feasible
screening                               PRIMARY-CARE providers
                                        should make a point of screening
                                                                                                  presence of COPD in patients
                                                                                                  aged 40 years or older with a
lags in adults                          people with known risk factors
                                        for chronic obstructive pulmo-
                                                                                                  substantial smoking history, as
                                                                                                  well as a wider use of spirometry
                                        nary disease (COPD), recent study                         for diagnosis.”
WITH SUMMER under way,                  results indicate.                                           In another study focusing on
clinicians need to remind their           Investigators performed spirom-                         smoking-related respiratory issues,
older patients about the impor-         etry testing on 1,003 primary-                            investigators learned that nearly
tance of skin-cancer screening.         care patients, aged 40 years and                          40% of chronic rhinosinusitis
A recent analysis of 10,486 white       older, who had a smoking his-                             diagnoses are linked to second-
men and women aged 50 years and         tory of at least 20 pack-years. One                       hand smoke (Arch Otolaryngol Head
older found such examinations to        fifth of these individuals were       Nearly 40%          Neck Surg. 2010;136:327-334). The
be quite low in this population.        found to have COPD, but only          of chronic          examination of 306 nonsmokers
  The data—drawn from the               about a third had been aware of       rhinosinusitis      with chronic rhinosinusitis and
2005 National Health Interview          their diagnosis before the study      diagnoses           306 nonsmoking controls demon-
Survey—revealed that only 16%           (CMAJ. 2010;183:673-678, avail-       are linked to       strated that the risk of exposure to
of men and 13% of women had             able at       secondhand          secondhand smoke is even higher
undergone a skin examination            /full/182/7/673, accessed May         smoke.              in the workplace and in private
in the past year. These rates were      13, 2010).                                                social settings than in the home
considerably lower than the screen-       “Success of early intervention                          or in bars, restaurants, or other
ing rates for breast cancer, prostate   in this population could resu
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