AFP DEPARTMENT COLLECTION

FPIN's Help Desk Answers

Apr 1, 2018 Issue
Duration of Bisphosphonate Therapy
Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.


Apr 1, 2018 Issue
Short-Term Antipsychotics for Alzheimer Disease
Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.


Mar 15, 2018 Issue
Probiotics for Symptoms of Depression and Anxiety
A combination of three probiotic species slightly improves symptoms in patients with major depressive disorder. Lactobacillus casei alone does not affect depressive symptoms in patients with chronic fatigue syndrome, but it does improve anxiety.


Mar 1, 2018 Issue
Life Expectancy with Hospice Care
Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.


Mar 1, 2018 Issue
Intercontraction Intervals for Predicting Timing of Labor Evaluation
Women at term who have at least 12 contractions per hour are more likely to be diagnosed with active labor within 24 hours. A reduction in the interval between contractions is associated with the onset of active labor.


Feb 1, 2018 Issue
Effectiveness of ACL Injury Prevention Programs
ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.


Feb 1, 2018 Issue
OnabotulinumtoxinA Injections for Urge Incontinence
Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.


Dec 15, 2017 Issue
Hypnosis for Surgical Pain
Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.


Dec 1, 2017 Issue
Local Anesthesia for IUD Insertion or Endometrial Biopsy
Topical application of lidocaine/prilocaine cream to the cervix reduces mean pain scores during IUD insertion. Intrauterine instillation of liquid anesthesia reduces median pain scores during endometrial biopsy.


Dec 1, 2017 Issue
Screening Tools for Unhealthy Alcohol Use
A single-question alcohol use screen and the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) can be used to detect unhealthy alcohol use and alcohol use disorder. Their performance is similar between sexes and across races.


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