AAFP POEMs: Predictive Values for Six Common Abdominal Symptoms

Overview:

Using anonymous data from primary care records in the UK, PPV was examined six common abdominal symptoms for cancer (overall and for specific cancer sites) and for IBD. Based on evidence from more than 1.9 million patients presenting in primary care, the findings provide estimated PPVs that could be used to guide specialist referral decisions, considering the PPVs of common abdominal symptoms for cancer alongside that for IBD and their composite outcome (cancer or IBD), taking into account the variable PPVs of different abdominal symptoms for different cancers sites. Jointly assessing the risk of cancer or IBD can better support decision-making and prompt diagnosis of both conditions, optimizing specialist referrals or investigations, particularly in women. Change in bowel habit and rectal bleeding had the highest positive predictive values (PPVs) for colon and rectal cancer; dysphagia for esophageal cancer; and abdominal bloating/distension (in women) for ovarian cancer. The highest PPVs for abdominal pain (either sex) and abdominal bloating/distension (men only) related to non-abdominal cancer sites

Objectives:

• Summarize the AAFP POEM: Predictive Values for Six Common Abdominal Symptoms.
• Describe the findings of a retrospective population-based cohort study.
• Analyze and discuss results of the study based on calculations of PPVs of cancer, IBD, and either cancer or IBD, respectively, in the year following the index consultation.
• Indicate the practical application of study results.

Presenter:

Tara Toloui, MD
Resident Physician, PGY-3
Department of Family & Community Medicine
UT Health San Antonio

Maria Garcia, MD
Resident Physician, PGY-3
Department of Family & Community Medicine
UT Health San Antonio

Financial Disclosures:

Tara Touloui, MD, Maria Garcia, MD and their faculty preceptor Ramin Poursani, MD have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Maria Del Pilar Montañez Villacampa, MD, Stacy Ogbeide, PsyD, Yun Shi, MD, Mark Nadeau, MD, Marcy Wiemers, MD, Christine Song, DO, Nehman Andry, MD, Gabriela Gibson-Lopez, PsyD, Margaret Finley, MD, Richel Avery, MD, Lauren Fuller, MD, Jeff Svec, MD, Oralia Bazaldua, PharmD and Nichole Rubio) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

Credits:

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations.

Accreditation:

The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.

For activity related questions, please contact:
Name: Nichole Rubio- FCM Grand Rounds Coordinator
Email: rubion@uthscsa.edu

For CME general questions, please contact
Ph: (210) 567-4445
Email: cme@uthscsa.edu