• Articles

    Smoking Cessation Interventions

    Heidi L. Gaddey, MaryAnn Dakkak, Nicole Marie Jackson

    Cigarette smoking is the leading cause of preventable disease and death in the United States despite its known health effects. Although nearly one-half of people who smoke try to quit each year, only up to 1 in 20 who quit without support achieve abstinence for at least six...

    Long COVID: Rapid Evidence Review

    Eric Herman, Elizabeth Shih, Anthony Cheng

    Postacute sequelae of COVID-19, or long COVID, has affected millions of people, with a broad range of symptoms such as fatigue, postexertional malaise, and cognitive dysfunction. Symptoms usually resolve over time. However, there are varying rates of recovery and outcomes,...

    Adult Vaccination

    Grant M. Greenberg, Princy A. Koshy, Mary Jane S. Hanson

    Vaccination rates for adults in the United States have not met public health goals. Family physicians can positively influence vaccination uptake by educating, reassuring, and recommending vaccinations to patients.

    Management of Head and Neck Injuries by the Sideline Physician

    Saif Usman

    Sport-related injuries to the head and neck can be life threatening, and preparation is key for the sideline physician. This article provides guidance on sideline management of sport-related head and neck injuries.

    Enuresis in Children: Common Questions and Answers

    Rebecca A. Lauters, Kara W. Garcia, James J. Arnold

    Nocturnal enuresis is nighttime urinary incontinence occurring at least twice weekly in children five years and older. An in-depth history is an integral component of the initial evaluation; treatment should begin with behavioral modification and can progress to enuresis...

    Peripheral Edema: Evaluation and Management in Primary Care

    Hiten Patel, Christopher (C.J.) Skok, Anthony DeMarco

    Edema, an accumulation of fluid in the interstitial compartment, is a common clinical sign that may indicate numerous pathologies; it is a common finding in primary care and can be diagnostically challenging. Chronicity and laterality of the edema guide evaluation.

    Inside AFP

    The 2022 AFP Photo Contest Winners!

    Sumi Sexton, Matthew Neff

    The American Family Physician (AFP) photo competition encourages students and residents to share their stories through photographs about how they use the AFP journal.


    Long COVID in Children: What Do We Know?

    Anupma Wadhwa

    This editorial summarizes key points in the current understanding of long COVID in children and provides a suggested management approach.

    Encouraging Family Physicians to Fill the Gaps in Hospice and Palliative Care for Children

    Jennifer Nielsen Fan, Laurel Brown Kilpatrick

    There is a lack of physicians with training in caring for children with serious illnesses who also work with hospice agencies. A previous editorial in American Family Physician discusses why “…family physicians are in a unique position to champion this philosophy of terminal...

    AFP Clinical Answers

    Pneumonia, Preoperative Evaluation in Children, Premature Ejaculation, Celiac Disease, Pancreatitis

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

    Medicine by the Numbers

    Magnesium Sulfate Infusion to Prevent Hospitalization for Acute COPD Exacerbations

    Taran W. Silva, Christina Valerio, Breanna Gawrys

    Learn more about magnesium sulfate infusion to prevent hospitalization for acute COPD exacerbations.

    Cochrane for Clinicians

    Benefits of Individualized Discharge Plans for Hospitalized Patients

    Alexander Kim, Carlton Covey

    Older patients (i.e., 60 to 84 years of age) who are hospitalized but not undergoing surgery and who have individualized discharge plans have shorter hospital stays compared with patients who receive standard care only. Patients with individualized discharge plans have lower...

    Benefits and Harms of Anticoagulants in People Hospitalized With COVID-19

    William E. Cayley, Jr.

    In people hospitalized with COVID-19, the use of anticoagulants reduces all-cause mortality. Using a higher dose of anticoagulants may reduce the risk of pulmonary embolism compared with a lower dose of the same agent. Using a higher dose also increases the risk of major...

    U.S. Preventive Services Task Force

    Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer

    The USPSTF recommends against the use of beta carotene or vitamin E supplements for the prevention of cardiovascular disease or cancer.

    Putting Prevention Into Practice

    Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer

    Howard Tracer, Matthew Justus

    This PPIP quiz is based on the recommendations of the USPSTF.

    Curbside Consultation

    Care Transition and Long-term Care Options for Older Adults

    Brian K. Unwin, Nicole Bailey Bedsaul, Sarah Stubbs

    The goal of care transitions for older adults is to promote the best possible safe functioning for the individual in the least restrictive environment throughout their late life. Some needs of older adults for assistance due to normal aging, medical comorbidities, or...

    Photo Quiz

    Enlarging Scrotal Mass

    Vikram Raj Jörgen Butani

    A 53-year-old man presented with a mobile, spongy, ovoid scrotal mass superior to the testicle and roughly twice the size.

    Bilateral Wrist Discoloration

    Evelyne N. Chiakpo, Chibuzo J. Aguwa

    A 30-year-old woman presented with bilateral wrist pain that began about eight months earlier. The pain progressed in severity and was associated with tingling, numbness, weakness, and aching in both forearms. The patient used a thumb spica splint at night with occasional but...

    Diagnostic Tests

    Binx IO Point-of-Care Test for Chlamydia trachomatis and Neisseria gonorrhoeae Infections

    Karl T. Clebak, Justine Bensur, Jarrett K. Sell

    Binx IO is a rapid, point-of-care option for the detection of C. trachomatis and N. gonorrhoeae infections in adults and can be used for screening and diagnosis. The test can be completed in approximately 30 minutes, allowing for testing and treatment in the same visit.

    FPIN's Clinical Inquiries

    NSAID Use and Effects on Bone Healing

    Rebecca Mullen, Jennifer Cogburn, Kristen DeSanto

    The use of NSAIDs for more than three days at higher doses during the postoperative or acute phase of fracture healing may lead to increased rates of nonunion, delayed union, and pseudarthrosis in adults. NSAIDs do not appear to impair fracture healing in children younger...


    Vericiguat (Verquvo) for the Treatment of Heart Failure

    Abigail T. Elmes, Erika L. Hellenbart

    In patients with symptomatic HF with reduced ejection fraction following hospitalization for HF or the need for outpatient intravenous diuretics, the impact of vericiguat as an add-on treatment to optimal triple therapy on the composite of risk of death from cardiovascular...


    Use of Procalcitonin Guidance Reduces Antibiotic Duration in Hospitalized Patients

    Nita Shrikant Kulkarni

    Minimal Difference, if Any, in the Efficacy of Intramuscular vs. Intra-articular Steroid Injection for Knee Osteoarthritis

    David C. Slawson

    Early Treatment of Screen-Detected Anal High-Grade Squamous Intraepithelial Lesions Reduces Progression to Cancer

    Mark H. Ebell

    USPSTF Recommends Against Initiating Aspirin for Primary Prevention of CVD in Adults 60 Years or Older

    David C. Slawson

    Practice Guidelines

    Osteoporosis Prevention, Screening, and Diagnosis: ACOG Recommendations

    Lilian White

    The American College of Obstetricians and Gynecologists (ACOG) has new recommendations about screening for and diagnosis of osteoporosis.

    Surviving Sepsis: Updated Guidelines From the Society of Critical Care Medicine

    Michael J. Arnold

    The Society of Critical Care Medicine has updated the guidelines of the Surviving Sepsis Campaign.

    Letters to the Editor

    Doxycycline Preferred for the Treatment of Chlamydia

    Cara McAnaney

    Helping Adults With Dementia Travel by Air

    Benjamin Rosenstein

    Reply: Nicole Powell-Dunford

    Treatment for Patients With Acute Pulmonary Embolism Diagnosed in Primary Care

    David R. Vinson, Suresh Rangarajan, Erik R. Hofmann

    Information from Your Family Doctor

    Long COVID: What You Should Know

    A wide range of new, returning, or ongoing health problems may happen four or more weeks after getting COVID-19. These health problems are sometimes called long COVID.



    Inaccurate Description. In the Photo Quiz, “Growing Mass in an Adolescent,” (October 2021, p. 413) the term “flesh-colored” was used inaccurately numerous times. The seventh sentence of the introductory paragraph has been changed to “Physical examination revealed a skin...


    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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