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.

Feb 15, 2018 Issue
Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer Patients
Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and acute delirium who are receiving palliative care.


Feb 15, 2018 Issue
No Effect on Mortality with Oxygen Therapy in Nonhypoxemic Patients with Suspected MI
In patients with suspected MI and normal oxygen levels, giving immediate supplemental oxygen therapy does not improve mortality at one year. Although this study was underpowered because of fewer than expected deaths in the control group, the results were consistent across all subgroups, as well as with findings from other literature.


Feb 15, 2018 Issue
Light Therapy Improves Behavioral Disturbances, Sleep, Depression in Older Patients with Cognitive Impairment
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.


Feb 15, 2018 Issue
Single-Dose Oral Dexamethasone Decreases Sore Throat Pain
Sore throats are rarely fatal anymore, but there is really no such thing as “just a sore throat.” Whereas antibiotics have no analgesic activity, a single low dose of a corticosteroid such as oral dexamethasone—0.6 mg per kg for children at least five years of age and up to 10 mg for adults—is effective in decreasing pain in the first 24 hours.


Jan 1, 2018 Issue
Delayed Antibiotic Prescription for New-Onset Cough Associated with Decreased Reconsultation
Delayed antibiotic treatment (that is, giving a prescription with a suggestion to fill it only if symptoms are still present after three days) was associated with decreased revisits by adults with new-onset cough deemed to be infective.


Jan 1, 2018 Issue
Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function
In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing moderate renal dysfunction.


Jan 1, 2018 Issue
Long-Term Use of Bisphosphonates Increases the Risk of Fractures in Older Women
In this cohort study, older women at a high risk of fractures who used oral bisphosphonates for 10 to 13 years had a higher risk of fractures than women who used bisphosphonates for only two years.


Jan 1, 2018 Issue
Oral Steroids Not Helpful for Acute Lower Respiratory Tract Infection in Nonasthmatic Adults
This study found no clinically significant benefit of steroids for the treatment of acute LRTI in adults without asthma, including those presenting with wheezing or shortness of breath.


Dec 15, 2017 Issue
In Hospitalized Patients with Influenza and an Infiltrate, Adding Clarithromycin and Naproxen to Oseltamivir Improves Outcomes
Adding clarithromycin and naproxen to oseltamivir significantly lowered all-cause mortality at 30 days and at 90 days. This study was limited by its open-label design. The outcome of mortality would not be subject to observer bias, though, and the groups were balanced.


Dec 15, 2017 Issue
Home Glucose Monitoring Offers No Benefit to Patients Not Using Insulin
Home glucose monitoring of patients in primary care does not improve A1C scores or quality of life over one year in patients who are not taking insulin.


Pages: 1 2 3 4 5 6 7 8 9 10 ... 25 Next


Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now