AFP DEPARTMENT COLLECTION

POEMs

POEMs (Patient-Oriented Evidence that Matters) are summaries of research that is relevant to physicians and their patients and meet three criteria: address a question that primary care physicians face in day-to-day practice; measure outcomes important to physicians and patients, including symptoms, morbidity, quality of life, and mortality; and have the potential to change the way physicians practice.

Jun 15, 2017 Issue
Bariatric Surgery Improves Quality of Life and Results in More Weight Loss Than Intensive Medical Therapy
Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and approximately 4% of patients in the surgical groups required a second surgery.


Jun 1, 2017 Issue
Antibiotics May Equal Surgery for Children with Appendicitis
Antibiotic treatment appears to be effective for children with uncomplicated appendicitis without evidence of perforation or rupture, with 97% of children discharged without surgery. Approximately one in seven children will eventually have recurrence and require surgery. A couple of days of intravenous antibiotics is an option before surgery.


Jun 1, 2017 Issue
Testosterone Does Not Improve Cognition in Memory-Impaired Older Men with Low Testosterone Levels
Testosterone supplementation for men 65 years or older with age-associated memory impairment and a low baseline testosterone level was not associated with significant improvements in memory or other cognitive functions.


Jun 1, 2017 Issue
Bare Arm Best for Blood Pressure Measurement
To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?


May 15, 2017 Issue
More Accurate Prediction of the Pretest Probability of Cardiovascular Disease with European Risk Score
The European approach to determining the pretest likelihood of coronary artery disease (CAD) in patients with chest pain is superior to that of the Diamond-Forrester approach recommended by U.S. guidelines, and will result in less need for immediate invasive treatment.


May 15, 2017 Issue
Topiramate and Amitriptyline Not Effective for Migraine in Children
Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.


May 15, 2017 Issue
Pelvic Floor Exercises Modestly Improve Pelvic Floor Prolapse Symptoms
In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.


May 1, 2017 Issue
One-Third of Adults with Diagnosed Asthma Can Be Weaned Off All Asthma Medications
This study found that current asthma was ruled out after repeated testing in one-third of adults with physician-diagnosed asthma. Patients ruled out for current asthma were less likely to be using asthma medications or daily controlling medications and less likely to have undergone testing for airflow limitation at the time of initial diagnosis.


Apr 1, 2017 Issue
Repeat Cytology Within Six Months Equals Colposcopy for Younger Women with ASCUS or LSIL
Among women 22 to 27 years of age with an index cervical cytology showing abnormal squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), the incidence of invasive cervical cancer did not differ between repeat cytology within six months or colposcopy with biopsy within six months.


Apr 1, 2017 Issue
PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main Coronary Artery Disease
Patients undergoing PCI had fewer early myocardial infarctions, but more later deaths and later myocardial infarctions. There are other benefits to PCI, including shorter hospital stay, lower cost, and faster recovery. But patients should be informed of the tradeoffs, and it is important to look at longer-term outcomes beyond three years.


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