For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Don’t lose hope – good outcomes still possible for pancreatic and liver cancers
+Practice
GASTROENTEROLOGY
Don’t lose hope – good outcomes still possible for pancreatic and liver cancers
Wednesday 14 April 2021, 12:25 AM

A solitary hepatocellular carcinoma
Pancreatic and liver cancers are leading causes of cancer-related death, but significant progress has been made in early diagnosis and treatment for both cancers. Gastroenterologist Alan Fraser provides an overview of these two distressing diseases
Key points, Tumour marker CA 19-9 is not helpful for detecting early stage pancreatic cancer; abdominal ultrasound is the usual initial investigation.
Safety a
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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