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.

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.


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.


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.


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