AFP DEPARTMENT COLLECTION

POEMs: Patient-Oriented Evidence that Matters

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.

Nov 15, 2019 Issue
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office
automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension.


Nov 15, 2019 Issue
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic Atrial Fibrillation
For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.


Nov 15, 2019 Issue
Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator Cuff Disease
The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.


Nov 15, 2019 Issue
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients with Mild Asthma
In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance budesonide (Pulmicort) plus an as-needed SABA, and both were better than an as-needed SABA alone.


Oct 1, 2019 Issue
e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in Adults
Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).


Oct 1, 2019 Issue
Oral Antibiotics Are Equal to IV Antibiotics for Serous Bone and Joint Infections
Oral antibiotics started within seven days of surgery for patients with a serious bone or joint infection are as safe and effective as six weeks of IV antibiotics.


Oct 1, 2019 Issue
Pneumatic Compression in Addition to Pharmacologic Thromboprophylaxis Does Not Further Reduce DVT Risk
This study found no benefit to the addition of intermittent pneumatic compression to pharmacologic anticoagulation for the prevention of proximal DVT in critically ill patients.


Oct 1, 2019 Issue
Laboratory-Based Prediction Model Can Rule Out Serious Bacterial Infections in Febrile Infants
In febrile infants up to 60 days of age, the combination of a normal urinalysis result, an absolute neutrophil count of less than 4,090 per mL (4.1 × 109 per L), and a serum procalcitonin level of less than 1.71 ng per mL is accurate at ruling out serious bacterial infections.


Sep 15, 2019 Issue
Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute Respiratory Infection
Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).


Sep 15, 2019 Issue
Omega-3 Fatty Acids Do Not Prevent Cancer or Cardiovascular Disease Events
This is the second large, well-designed study (the first one included patients with diabetes mellitus; this one included patients without diabetes) that found no benefit from a 1-g daily dosage of marine n-3 fatty acid supplementation for the primary prevention of cardiovascular disease or cancer.


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