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Newsline 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 www.cmaj.ca/cgi/content 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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