AFP DEPARTMENT COLLECTION

FPIN's Clinical Inquiries

Clinical Inquiries 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.

Oct 01, 2021 Issue
Does Light Therapy Decrease Depression in Older Adults?
Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.


Sep 01, 2021 Issue
Melatonin to Treat Insomnia in Older Adults
Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.


Aug 01, 2021 Issue
Physical Activity and the Prevention of Depression
Physical activity appears to be associated with a lower risk of developing depression and depressive symptoms.


Jul 01, 2021 Issue
Pharmacologic Management of Agitation in Patients with Dementia
Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in patients with dementia.


Jun 1, 2021 Issue
Preoperative A1C Threshold in Patients with Diabetes
In patients with diabetes mellitus who are preparing for total joint replacement, what is the preoperative A1C goal to reduce postoperative periprosthetic joint infections?


May 1, 2021 Issue
Positional Therapies for Obstructive Sleep Apnea
Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.


Apr 1, 2021 Issue
Kinesiology Taping for Knee Osteoarthritis Pain
How effective is kinesiology taping (elastic tape applied to the knee to create patellar tension) for osteoarthritis pain of the knee?


Mar 1, 2021 Issue
Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis
Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.


Feb 1, 2021 Issue
Screening for Cervical Intraepithelial Neoplasia with Patient-Collected HPV Samples
How useful are patient-collected human papillomavirus vaginal swabs as a screening test for cervical intraepithelial neoplasia?


Jan 1, 2021 Issue
Electronic Cigarettes for Smoking Cessation
e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.


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