August 15, 2020

House calls reduce health care costs and improve patient outcomes for older adults and vulnerable populations. House calls may be initiated for acute reasons because of a change in health status, serial visits for chronic conditions, or a one-timevisit requested by caregivers…

Paget disease of bone is a benign disorder with focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men have a slightly higher risk than women. The disease most often affects the pelvis, spine, skull, and long bones; pain…

Henoch-Schönleinpurpura, now called immunoglobulin A (IgA) vasculitis, presents most commonly as nonthrombocytopenic palpable purpura, arthritis, and abdominal pain that may occur simultaneously or in sequence. It is the most common vasculitis in children but can occur in…

Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in. This is the first year for a fully integrated single match because the American Osteopathic Association accreditation of residency…

Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.

An older patient presented with a pruritic facial rash and oral lesions.

Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.

A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.

The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

Letters to the Editor from AFP reader regarding Wernicke encephalopathy following Roux-en-Y gastric bypass.

Reply: Shelley Selph

Paget disease of bone is a chronic disease that affects your bones. It makes them weak and easy to break. They also grow large and may change shape. You can have Paget disease in any bone, but most often it affects the spine, skull, pelvis, and legs. It can affect only one bone…