• Articles

    Buprenorphine Therapy for Opioid Use Disorder

    Roger Zoorob, Alicia Kowalchuk, Maria Mejia de Grubb

    Although most family physicians prescribe opioids, few prescribe buprenorphine medication-assisted therapy. Family physicians who meet specific requirements can obtain a Drug Addiction Treatment Act of 2000 waiver to prescribe buprenorphine as maintenance therapy in persons...

    Vaginitis: Diagnosis and Treatment

    Heather L. Paladine, Urmi A. Desai

    Vaginitis is a common condition defined by symptoms of abnormal vaginal discharge, odor, irritation, itching, or burning. The three primary causes are bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Noninfectious etiologies may include atrophic, irritant,...

    Care of the Colorectal Cancer Survivor

    Kristina Burgers, Clint Moore, Lori Bednash

    The American Cancer Society has released guidelines on surveillance, health promotion, screening for other malignancies, and management of treatment effects in survivors of colorectal cancer. Follow-up visits should occur every three to six months for the first two years,...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    AAFP to FCC: Rural Telehealth Services Should Support Primary Care | Report Aims to Close Loop on Referrals | CDC Offers Free Online Resources on Fetal Alcohol Spectrum Disorders | AAFP Steers HHS on Protecting Patient Choice in Health Care

    Editorials

    Treating Opioid Use Disorder as a Family Physician: Taking the Next Step

    Elizabeth Salisbury-Afshar

    An AHRQ review showed that there are different ways in which buprenorphine-based MAT can be safely and effectively delivered in primary care settings.

    Cochrane for Clinicians

    Written Action Plans for Self-Management of COPD Exacerbations

    Corey Fogleman

    Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.

    Effect of Pacifier Use on Duration of Breastfeeding

    Dana Nguyen, Christopher E. Jonas, Joshua Will

    In healthy, full-term, breastfeeding infants, there is moderate evidence that unrestricted pacifier use, started at birth or after lactation has been established, does not decrease the likelihood of continued exclusive or partial breastfeeding through four months of age.

    Photo Quiz

    A Lesion on the Eye

    Helen Cann, Eric Luehrs

    A woman presented with a small, asymptomatic corneal growth on the left eye.

    Curbside Consultation

    Medical Aid in Dying

    David Nowels, Gregg VandeKieft, Jennifer Moore Ballentine

    Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient...

    POEMs

    Ibuprofen Plus Acetaminophen Equals Opioid Plus Acetaminophen for Acute Severe Extremity Pain

    David Slawson

    In adults presenting to the emergency department with acute extremity pain severe enough to warrant radiologic investigation, ibuprofen plus acetaminophen was equally effective in reducing pain intensity at two hours compared with three different opioid and acetaminophen...

    Practice Guidelines

    Treatment of Low BMD and Osteoporosis to Prevent Fractures: Updated Guideline from the ACP

    Lisa Hauk

    Osteoporosis, which most commonly occurs in the hip, spine, and wrist, puts persons at increased risk of fragility and fracture. The American College of Physicians (ACP) has updated its 2008 guideline to include new evidence regarding fracture prevention in adults with low...

    Medicine by the Numbers

    Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with Asthma

    Andrew Aherne, John Kilpatrick

    We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.

    FPIN's Help Desk Answers

    Life Expectancy with Hospice Care

    Todd Eichelberger, Anthony Shadiack

    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.

    Intercontraction Intervals for Predicting Timing of Labor Evaluation

    Richard Brown, Diane J. Madlon-Kay

    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.

    Information from Your Family Doctor

    Opioid Use Disorder: What You Should Know

    Opioids (OH-pee-oyds) are a type of drug. Doctors give these drugs to people to make pain go away. Some people become addicted to them.

    Vaginitis

    Vaginitis (va-jih-NI-tis) is a condition that causes itching, burning, irritation, odor, and discharge from the vagina. Your doctor can tell if you have it by examining you and doing some tests.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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