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.

Apr 1, 2021 Issue
Three Strategies Are Effective in Managing Patients with Medication Overuse Headaches
Achieving cure from medication overuse headaches after six months was likely regardless of strategy: detoxification (discontinuation of analgesic) plus pharmacologic prophylaxis, pharmacologic prophylaxis without withdrawal, or detoxification with pharmacologic preventive therapy delayed for two months.

Apr 1, 2021 Issue
In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price
In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

Apr 1, 2021 Issue
Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic
Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery compared with no surgery.

Apr 1, 2021 Issue
iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation
Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

Mar 1, 2021 Issue
Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial Fibrillation
A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

Mar 1, 2021 Issue
HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive Cervical Cancer
HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

Mar 1, 2021 Issue
Bone Mineral Density Testing: One and Done
Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.

Mar 1, 2021 Issue
Better Primary Care Continuity Is Associated with Lower Mortality Risk
Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

Feb 15, 2021 Issue
Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone
For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

Feb 15, 2021 Issue
Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years
Following a high-quality colonoscopy (adequate bowel preparation, full visualization, and high rates of detection by the colonoscopist), patients at average risk with no neoplasm found on examination had the same rate of developing colorectal cancer or dying from it in the 10- to 17-year interval compared with the first five-year interval and the five- to 10-year interval.

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