AFP DEPARTMENT COLLECTION
FPIN's Help Desk Answers
Help Desk Answers from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.
May 1, 2019 Issue
Risks of Elective Labor Induction vs. Expectant Management
Elective labor induction at 39 weeks’ gestation leads to a mean 145-g (5.1-oz) lower birth weight compared with expectant management, but there is conflicting evidence about the effects on rates of cesarean delivery, perinatal mortality, operative vaginal birth, and admission to the neonatal intensive care unit (NICU).
Apr 1, 2019 Issue
Maternal Pertussis Vaccination During Pregnancy
Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.
Mar 1, 2019 Issue
Pharmacologic Treatment of Borderline Personality Disorder
There is no pharmacotherapy regimen that improves the overall symptoms of borderline personality disorder. When used for six months or less, antipsychotics can improve paranoia, dissociation, mood lability, anger, and global functioning.
Feb 1, 2019 Issue
Antibiotic Prophylaxis for UTIs in Patients with Neurogenic Bladder
Daily antibiotic prophylaxis should not be used in patients with acute and nonacute spinal cord injuries.
Jan 1, 2019 Issue
Antibiotic Prophylaxis for Severe Acute Pancreatitis
No, antibiotic prophylaxis does not decrease mortality in patients with severe acute pancreatitis, defined as pancreatitis associated with pancreatic necrosis.
Nov 1, 2018 Issue
Epidural Analgesia and Risk of Cesarean Delivery
There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation.
Oct 1, 2018 Issue
Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety
Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.
Sep 1, 2018 Issue
Effect of Dietary Changes on IBS Symptoms
A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.
Aug 1, 2018 Issue
Diagnosis of Acute Coronary Syndrome
The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, respectively.