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.

Sep 15, 2018 Issue
Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and Beta Agonists for Asthma
When compared with standard therapy (inhaled corticosteroids with or without LABAs and SABAs as relief therapy), SMART is associated with a reduced risk of acute asthma exacerbations in patients 12 years or older.


Sep 15, 2018 Issue
HPV Testing Better Than Cytology for Women Vaccinated Against HPV
In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow-up cotesting as needed.


Sep 15, 2018 Issue
Febuxostat Increases All-Cause and Cardiovascular Mortality Compared with Allopurinol
For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.


Sep 1, 2018 Issue
Nonopioids Equivalent to Opioids for Severe Chronic Back, Hip, or Knee Pain with Fewer Adverse Outcomes
Nonopioid medications were at least as effective as opioid medications for improving pain-related function over 12 months in adults with severe chronic back pain or knee or hip osteoarthritis pain. The evidence that opioids are not superior to nonopioid medications for chronic and acute pain continues to mount.


Aug 15, 2018 Issue
Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment
Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does not extend life.


Aug 15, 2018 Issue
Medications Ineffective to Prevent Cognitive Decline or Dementia
None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.


Aug 15, 2018 Issue
Pulmonary Embolism Rule-Out Criteria Reduces the Need for CT Pulmonary Angiography in Low-Risk Patients
Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.


Aug 15, 2018 Issue
Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA
Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.


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.


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