Pros and Cons of PSA Screening for Prostate Cancer

An updated Cochrane systematic review of five randomized controlled trials involving 341,342 men found that PSA-based prostate cancer screening did not significantly reduce prostate cancer-specific mortality or overall mortality when all studies were combined, although one major European study (ERSPC) showed a 21% reduction in prostate cancer deaths among men […]

Egg Consumption Linked to Lower Alzheimer’s Risk

A US prospective study found that moderate egg consumption was associated with a significantly lower risk of Alzheimer’s disease, with participants eating eggs ≥5 times per week showing a 27% lower risk compared with those who rarely or never ate eggs. Researchers analyzed data from 39,498 participants in the Adventist […]

Primary Care Approaches to Anxiety: CBT and SSRIs/SNRIs Lead Effective Treatment

Anxiety disorders are common yet often underrecognized in primary care, but a review shows that cognitive-behavioral therapy (CBT), selective serotonin and serotonin-norepinephrine reuptake inhibitors (SSRIs/SNRIs), and collaborative care models can substantially improve outcomes. Current recommendations support anxiety screening for adults younger than 65 years, with assessment including symptom questionnaires, clinical […]

Recombinant Zoster Vaccination Linked to Reduced Risk of Dementia in Older Adults

Two-dose recombinant zoster vaccination (RZV) was associated with a significantly lower risk of new-onset dementia, including Alzheimer’s disease (AD) and vascular dementia (VD), among U.S. adults aged 65 years or older. In this Medicare-based study, individuals who received RZV were matched to unvaccinated counterparts by age, sex, and race/ethnicity, all […]

Colonoscopy Screening Reduced Colorectal Cancer Incidence but No Significant Mortality Benefit

A 13-year follow-up of a randomized controlled trial found that a single colonoscopy screening significantly reduced colorectal cancer incidence but did not significantly lower mortality. In this multicountry study involving 84,583 adults aged 55–64 years from Norway, Poland, and Sweden, participants were randomized to receive colonoscopy screening or no screening. […]

Ultra-Processed Food Intake Linked to Poorer Attention and Higher Dementia Risk

Higher consumption of ultra-processed foods (UPFs) is associated with poorer attention and increased modifiable dementia risk, independent of overall diet quality. In this cross-sectional study of 2,192 dementia-free Australian adults aged 40–70 years, dietary intake was assessed using a validated food frequency questionnaire and categorized by the Nova classification system, […]

BP-Lowering Reduces Cardiovascular Risk Across All CKD Stages, with Attenuated Benefit in Diabetes

Blood pressure (BP)-lowering treatment significantly reduces the risk of major cardiovascular events in individuals with chronic kidney disease (CKD) across all stages, with effects comparable to those without CKD, although benefits are diminished in patients with coexisting diabetes. This one-stage individual-participant meta-analysis included 52 randomized controlled trials, of which 46 […]

New Guideline Clarifies the Role of CBT-I in Chronic Insomnia

A new clinical practice guideline from the American Academy of Sleep Medicine indicates that cognitive behavioral therapy for insomnia (CBT-I) alone remains the most effective first-line treatment for chronic insomnia, while adding medication may offer modest benefits for select outcomes such as total sleep time. The guideline is supported by […]

Undiagnosed Heart Disease Account for a Large Share of Sudden Cardiac Deaths

While myocardial infarction (MI) accounts for a substantial proportion of sudden cardiac deaths (SCDs), most arrhythmic SCDs occur in individuals without previously diagnosed risk factors, often due to occult cardiac disease such as silent MI or dilated cardiomyopathy. In the 12-year US countywide POST SCD autopsy study, 943 presumed sudden […]

Triple Low-Dose BP-Lowering Pill Reduces Recurrent Stroke After Intracerebral Hemorrhage

In patients with prior intracerebral hemorrhage, adding a single pill combining three low-dose antihypertensive agents to standard care significantly reduced recurrent stroke and major cardiovascular events compared with placebo. In this multinational, double-blind, randomized controlled trial of 1,670 clinically stable patients with baseline systolic blood pressure (BP) of 130–160 mm […]