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.

Jul 1, 2018 Issue
Short Courses of Antibiotics as Effective as Longer Courses for Outpatient Infections
Just about every time someone asks, “Can I get away with a shorter course of antibiotics,” the answer is, “Yes, you can.” Shorter courses reduce cost and may reduce the likelihood of adverse events.


Jul 1, 2018 Issue
Statins Effective for LDL 190 mg per dL or Higher, Regardless of Risk Level
These results confirm that the use of statins for men with an LDL cholesterol level of at least 190 mg per dL, regardless of calculated risk, is associated with a clinically and statistically significant reduction in cardiovascular events and probably cardiovascular and all-cause mortality.


Jul 1, 2018 Issue
PCI Equal to Sham PCI for Exercise Tolerance in Patients with Stable Angina Plus Severe CAD
In patients with stable angina and severe coronary artery disease (CAD), PCI plus optimal medical treatment does not improve exercise tolerance or angina more than sham PCI plus optimal medical treatment.


Jul 1, 2018 Issue
Surgery Equal to No Surgery for Patients with Subacromial Shoulder Pain
In patients with subacromial shoulder pain of at least three months' duration who receive physical therapy, surgical decompression is no better than arthroscopy without decompression in improving pain or function, and neither is much better than no invasive intervention at all.


Jun 15, 2018 Issue
Drugs for Chronic Idiopathic Constipation Are Similarly Effective
If nondrug measures are unsuccessful for chronic idiopathic constipation, the choice of a pharmacologic agent should be based on cost, tolerability, and long-term adherence rather than efficacy, because the efficacy is similar among drugs and drug classes.


Jun 15, 2018 Issue
FIT More Acceptable with Better Detection Rate Than gFOBT for Colorectal Cancer Screening
FIT is more sensitive and specific than the older guaiac-based fecal occult blood tests (gFOBTs) when screening for colorectal cancer. We now know that it is also more acceptable to patients and increases uptake in a centrally administered screening program.


Jun 15, 2018 Issue
Injectable Extended-Release Naltrexone Effective for Opioid Use Disorder
Injectable extended-release naltrexone administered every four weeks is similar in efficacy to daily oral buprenorphine/naloxone for the treatment of opioid use disorder. Patients using extended-release naltrexone reported higher satisfaction with treatment and were more likely to recommend it to others.


Jun 1, 2018 Issue
Ultrasound Is Reasonably Accurate in Detecting Synovitis in Patients with Rheumatoid Arthritis
In this systematic review of patients with rheumatoid arthritis, ultrasonography was reasonably accurate compared with magnetic resonance imaging (MRI) in detecting synovitis in fingers and wrists. The use of MRI as a reference standard is convenient, but problematic.


May 1, 2018 Issue
Lumbar Fusion of Variable Value Based on Treating Diagnosis, with Significant Complication Rates
Lumbar fusion for degenerative spinal disease appears to be most beneficial for patients undergoing the procedure for spondylolisthesis, but it is of little clear benefit for patients with other indications, such as spinal stenosis or chronic back pain.


May 1, 2018 Issue
Single Question Is Useful for Identifying Acute Mountain Sickness in Travelers at High Altitude
Three different diagnostic scoring tools have similar accuracy for identifying adults at risk of AMS. One tool, the clinical functional score, is the simplest to use and consists of asking a single question.


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