Articles
Treatment of Adult Obesity with Bariatric Surgery
Patients with obesity who meet selection criteria for bariatric surgery commonly undergo one of three procedures. Laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, and laparoscopic adjustable gastric banding each result in greater weight loss for patients than…
Common Questions About the Evaluation of Acute Pelvic Pain
Acute pelvic pain has a broad differential diagnosis that can be narrowed using the patient's age and pregnancy status. In nonpregnant women, common causes include idiopathic pain, pelvic inflammatory disease, and acute appendicitis, among others. In pregnant women, it is…
Somatic Symptom Disorder
Primary care physicians often treat patients who manifest symptoms for which there is no biologic cause. Patients with somatic symptom disorder may be subjected to unnecessary testing and procedures, so appropriate diagnosis is essential. Management strategies include…
AFP News Now - AFP Edition
AAFP News: AFP Edition
Survey: One in Three Family Physicians Is Pursuing Value-Based Payment | AMA Aims to Combat Antibiotic Resistance | Heads Up: CMS Contractor May Call in 2016 | AAFP Urges Streamlining of MU Program
Editorials: Controversies in Family Medicine
Yes: Screening Makes Sense for High-Risk Adults
Chronic hepatitis C virus (HCV) infection is an important public health issue. It is estimated that 1% of the noninstitutionalized U.S. population has chronic HCV infection, corresponding to 2.7 million persons.1 This figure is likely low because of undersampling of populations…
No: One-time Screening Still Has Too Many Unanswered Questions
Of the estimated 2.7 million persons in the United States with chronic hepatitis C virus (HCV) infection in 2010,1 fewer than 200,000 were successfully diagnosed and treated, with success defined as a sustained viral response (SVR) or clearance of HCV at least three months…
Cochrane for Clinicians
Therapist-Supported Online Cognitive Behavior Therapy for Adult Anxiety
Therapist-supported online CBT is more effective than no treatment and as effective as face-to-face CBT for reducing overall anxiety as well as symptoms, and improving quality of life in adults with anxiety disorders.
FPIN's Help Desk Answers
Home Visits for Pregnant Adolescents
Nurse home visits for pregnant adolescents seem to improve resource utilization and prenatal clinic visit show rates.
Close-Ups
Making Lifestyle Changes After Gastric Bypass
Family physicians are well positioned to counsel and support patients making lifestyle changes before and after bariatric surgery.
Photo Quiz
Skin Ulcers of Unknown Etiology
A woman with a long history of cocaine use presented to the emergency department with leg ulcers and ecchymoses on her ears.
POEMs
More Nuanced Guidelines for Lipid Lowering to Prevent CVD
The authors of this guideline give a more nuanced and less aggressive approach to lipid lowering than other groups. For the primary prevention of CVD, check blood pressure and lipids (nonfasting is fine) to calculate the 10-year CVD risk. If greater than 12%, treat; if 12% or…
CBT Effective for Chronic Insomnia
A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.
Practice Guidelines
Early Peanut Introduction and Prevention of Peanut Allergy in High-Risk Infants: Consensus Communication
This consensus communication focuses on new data that support introducing peanuts early in infants, and it aims to assist with decisions about introduction; it can be used for guidance while formal guidelines are being developed.
Information from Your Family Doctor
Weight Loss Surgery
Weight loss surgery (also called bariatric or metabolic surgery) makes the stomach smaller and changes the hormones that signal hunger. The three most common surgeries are gastric banding, sleeve gastrectomy, and Roux-en-Y (ROO-en-Y) gastric bypass. The goal of these surgeries…
