AFP DEPARTMENT COLLECTION
Medicine by the Numbers
From The NNT Group, these provide short, concise, evidence-based ratings of therapies, diagnostic tests, and risk assessments commonly used in family medicine. These rating are based on patient-important benefits and harms.
Sep 1, 2018 Issue
Chewing Gum for Reducing Post-Cesarean Section Ileus
Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.
Aug 1, 2018 Issue
Terbinafine for Onychomycosis
Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.
Jul 15, 2018 Issue
The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term Hormone Therapy in Perimenopausal and Postmenopausal Women
Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.
Jul 1, 2018 Issue
Nebulized Hypertonic Saline for Bronchiolitis
Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.
Jun 15, 2018 Issue
Antibiotics for Otitis Media in Children
This meta-analysis concludes that the risk of a prolonged course of antibiotics was twice as high for children younger than two years with bilateral acute otitis media than for children two years and older with unilateral acute otitis media, indicating that antibiotics might be beneficial in resolution of symptoms in this particular subgroup. Find out more.
Jun 1, 2018 Issue
Combined Inhaled Short-Acting Beta2 Agonist and Anticholinergic Agents for Asthma
Although the quality of evidence included in this review was low to moderate, the potential benefits of decreased hospitalization and relapse rates and the comparatively mild and limited adverse events suggest that patients presenting with acute asthma exacerbations are likely to benefit from combined short-acting anticholinergic and short-acting beta2 agonist.
May 15, 2018 Issue
Hyperpronation Method for Reduction of Nursemaid's Elbow
Although data are limited, the results have consistently shown a higher rate of success with first attempt reduction of nursemaids' elbow when the hyperpronation method was used. For other outcomes, including pain and adverse effects such as bruising, no conclusions could be drawn because the quality of evidence was poor.