Journal of general internal medicine
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To identify from the literature and clinical experience a rational approach to management of fibroadenomas of the breast. ⋯ Age-based algorithms that allow for conservative management and that limit excision to patients whose fibroadenomas fail to regress are presented.
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To document the outcomes of a telephone coverage system and identify patient characteristics that may predict these outcomes. ⋯ In the present study, younger patients, female patients, and patients in commercial managed care plans used the telephone most frequently. Also, the telephone provided a viable alternative to emergency department and walk-in visits. Overall satisfaction with telephone medicine was high, and the strongest predictors of high patient satisfaction were symptom relief and patients' own health perception.