Articles
Buprenorphine Therapy for Opioid Use Disorder
Although most family physicians prescribe opioids, few prescribe buprenorphine medication-assisted therapy. Family physicians who meet specific requirements can obtain a Drug Addiction Treatment Act of 2000 waiver to prescribe buprenorphine as maintenance therapy in persons…
Vaginitis: Diagnosis and Treatment
Vaginitis is a common condition defined by symptoms of abnormal vaginal discharge, odor, irritation, itching, or burning. The three primary causes are bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Noninfectious etiologies may include atrophic, irritant…
Care of the Colorectal Cancer Survivor
The American Cancer Society has released guidelines on surveillance, health promotion, screening for other malignancies, and management of treatment effects in survivors of colorectal cancer. Follow-up visits should occur every three to six months for the first two years, then…
AFP News Now - AFP Edition
AAFP News: AFP Edition
AAFP to FCC: Rural Telehealth Services Should Support Primary Care | Report Aims to Close Loop on Referrals | CDC Offers Free Online Resources on Fetal Alcohol Spectrum Disorders | AAFP Steers HHS on Protecting Patient Choice in Health Care
Editorials
Treating Opioid Use Disorder as a Family Physician: Taking the Next Step
An AHRQ review showed that there are different ways in which buprenorphine-based MAT can be safely and effectively delivered in primary care settings.
Cochrane for Clinicians
Written Action Plans for Self-Management of COPD Exacerbations
Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.
Effect of Pacifier Use on Duration of Breastfeeding
In healthy, full-term, breastfeeding infants, there is moderate evidence that unrestricted pacifier use, started at birth or after lactation has been established, does not decrease the likelihood of continued exclusive or partial breastfeeding through four months of age.
Photo Quiz
A Lesion on the Eye
A woman presented with a small, asymptomatic corneal growth on the left eye.
Curbside Consultation
Medical Aid in Dying
Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at…
POEMs
Ibuprofen Plus Acetaminophen Equals Opioid Plus Acetaminophen for Acute Severe Extremity Pain
In adults presenting to the emergency department with acute extremity pain severe enough to warrant radiologic investigation, ibuprofen plus acetaminophen was equally effective in reducing pain intensity at two hours compared with three different opioid and acetaminophen…
Practice Guidelines
Treatment of Low BMD and Osteoporosis to Prevent Fractures: Updated Guideline from the ACP
Osteoporosis, which most commonly occurs in the hip, spine, and wrist, puts persons at increased risk of fragility and fracture. The American College of Physicians (ACP) has updated its 2008 guideline to include new evidence regarding fracture prevention in adults with low bone…
Medicine by the Numbers
Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with Asthma
We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.
FPIN's Help Desk Answers
Intercontraction Intervals for Predicting Timing of Labor Evaluation
Women at term who have at least 12 contractions per hour are more likely to be diagnosed with active labor within 24 hours. A reduction in the interval between contractions is associated with the onset of active labor.
Life Expectancy with Hospice Care
Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.
Information from Your Family Doctor
Opioid Use Disorder: What You Should Know
Opioids (OH-pee-oyds) are a type of drug. Doctors give these drugs to people to make pain go away. Some people become addicted to them.
