• Articles

    House Calls

    Caitlyn M. Rerucha, Ruben Salinas, Jr., Jacob Shook, Marguerite Duane

    House calls reduce health care costs and improve patient outcomes for older adults and vulnerable populations. House calls may be initiated for acute reasons because of a change in health status, serial visits for chronic conditions, or a one-timevisit requested by caregivers...

    Paget Disease of Bone for Primary Care

    Nahid J. Rianon, Jude K. des Bordes

    Paget disease of bone is a benign disorder with focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men have a slightly higher risk than women. The disease most often affects the pelvis, spine, skull, and long bones; pain...

    Henoch-Schönlein Purpura (IgA Vasculitis): Rapid Evidence Review

    Brian V. Reamy, Jessica T. Servey, Pamela M. Williams

    Henoch-Schönleinpurpura, now called immunoglobulin A (IgA) vasculitis, presents most commonly as nonthrombocytopenic palpable purpura, arthritis, and abdominal pain that may occur simultaneously or in sequence. It is the most common vasculitis in children but can occur in...

    Editorials

    2020 National Residency Match Program Results: Where Does Family Medicine Stand and What Is Next?

    Clif Knight

    Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in. This is the first year for a fully integrated single match because the American Osteopathic Association accreditation of...

    Immunizations in Pregnancy: Updated Recommendations

    Denise K.C. Sur, Neha D. Chande

    Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

    AFP Clinical Answers

    Postpartum Care, COVID-19, Augmentation Therapy, Vitamin D Supplementation

    Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

    U.S. Preventive Services Task Force

    Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: Recommendation Statement

    The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

    Putting Prevention Into Practice

    Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents

    Tina Fan, Hunter Jackson Smith

    J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.

    Photo Quiz

    Facial Rash with Oral Lesions

    Weston Connelly, Robert Daze, Jason Mamino, Regina Zambrano

    An older patient presented with a pruritic facial rash and oral lesions.

    STEPS

    Sarecycline (Seysara) for the Treatment of Acne

    Jedda Rupert, Pamela Hughes

    Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.

    POEMs

    Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, but also Harms; No Change in All-Cause Mortality

    Mark H. Ebell

    A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

    Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina

    Nikita Shrikant Kulkarni

    Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

    Oseltamivir of Uncertain Benefit in Patients with Flulike Symptoms

    Henry C. Barry

    Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.

    Practice Guidelines

    Colorectal Cancer Screening: ACP Guidance Statements

    Enkhee Tuvshintogs

    The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

    Colorectal Cancer Screening: BMJ Rapid Recommendation

    Joanna L. Drowos

    Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

    Letters to the Editor

    Case Report: Wernicke Encephalopathy Following Roux-en-Y Gastric Bypass

    Dihn Dung, Kevin Chien, Lucy Ma

    Letters to the Editor from AFP reader regarding Wernicke encephalopathy following Roux-en-Y gastric bypass.

    Primary Care Clinicians Can Effectively Treat Depression in Children and Adolescents

    Letters to the Editor from AFP readers regarding previously published articles.

    Information from Your Family Doctor

    Paget Disease of Bone: What You Should Know

    Paget disease of bone is a chronic disease that affects your bones. It makes them weak and easy to break. They also grow large and may change shape. You can have Paget disease in any bone, but most often it affects the spine, skull, pelvis, and legs. It can affect only one...



    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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