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Medicine by the numbers

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afp20180601p696.pdf

...696 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Editorials How the FDA Ensures High-Quality Generic Drugs Kathleen Uhl, MD, and John R. Peters, MD U.S. Food and Drug Administration, Silver Spring, Maryland Physician acceptance of generic...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p696.pdf

afp20180601p698.pdf

...698 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Study Finds Decrease in Opioid Prescriptions Opioid prescriptions in the United States decreased 22% between 2013 and 2017, according to a new study from the IQVIA Institute for Human Data Science....

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p698.pdf

afp20180601p700.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p700.pdf

afp20180601p702a.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p702a.pdf

afp20180601p703.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p703.pdf

afp20180601p714.pdf

...714 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Cerebrospinal Fluid Biomarkers for Detection of Alzheimer Disease in Patients with Mild Cognitive Impairment Anne L. Mounsey, MD, and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p714.pdf

afp20180601p721.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 721 Although diet is the single most significant risk factor for disability and premature death,1 most Americans do not adhere to U.S. dietary recommendations,2 and nutrition is minimally addressed in...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p721.pdf

afp20180601p729.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 729 Hyperhidrosis is excessive sweating beyond what is physiologically required for thermoregu- lation, often causing social, emotional, and work impairment. This condition can be primary or secondary....

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p729.pdf

afp20180601p741.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 741 The National Cancer Institute estimates that 14.5 mil- lion persons in the United States have cancer, and that number could reach 19 million by 2024.1 Family physicians should be familiar with the most...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p741.pdf

afp20180601p750.pdf

...750 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Point-of-Care Guides Ruling Out Pulmonary Embolism in the Primary Care Setting Pete Yunyongying, MD, Augusta University/University of Georgia Medical Partnership, Athens, Georgia Clinical...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p750.pdf

afp20180601p755.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 755 POEMs Patient-Oriented Evidence That Matters Ultrasonography Is Reasonably Accurate in Detecting Synovitis in Patients with Rheumatoid Arthritis Clinical Question Is ultrasonography accurate in...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p755.pdf

afp20180615od2.pdf

...June 15, 2018 ◆ Volume 97, Number 12 www.aafp.org/afp American Family Physician 810A FPIN’s Help Desk Answers Treatments for de Quervain Tenosynovitis Suzan Skef, MD; Kenya Ie, MD, PhD; Sandra Sauereisen, MD, MPH; Gretchen Shelesky, MD, MS; and Amy Haugh, MLS University of...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615od2.pdf

afp20180615od3.pdf

...June 15, 2018 ◆ Volume 97, Number 12 www.aafp.org/afp American Family Physician 775A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Antibiotics for Otitis Media in Children Maurice Selby, MD, and Sigrid Wolfram, MD Details for This Review Study Population:...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615od3.pdf

afp20180615p770.pdf

...770 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 CMS Strategy Aims to Benefit Rural America The Centers for Medicare and Medicaid Services (CMS) recently announced a new rural health strategy aimed at ensuring that persons in rural communities have...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p770.pdf

afp20180615p772.pdf

...772 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 Editorials AFP 2018: How We’re Doing Jay Siwek, MD, and Sumi M. Sexton, MD, Georgetown University Medical Center, Washington, District of Columbia This editorial updates and adds to previous...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p772.pdf

afp20180615p776.pdf

...776 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 Older adults with complex chronic conditions will be an increasing proportion of family physicians’ patient pop- ulation. In 2015, patients older than 65 years accounted for 31% of all U.S. office...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p776.pdf

afp20180615p785.pdf

...June 15, 2018 ◆ Volume 97, Number 12 www.aafp.org/afp American Family Physician 785 There are a variety of terms used for recurrent abdom- inal pain (RAP) in children (Table 1).1,2 RAP is a descriptive term and not a diagnosis, and it has been defined as at least three bouts of pain...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p785.pdf

afp20180615p798.pdf

...798 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 Prostate cancer is the third most common cause of cancer-related death in U.S. men, with an estimated 161,000 cases and 26,700 deaths in 2017.1,2 In the United States, pros- tate cancer will be...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p798.pdf

afp20180615p808.pdf

...808 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 STEPS New Drug Reviews Oxymetazoline Hydrochloride 1% Cream (Rhofade) for Persistent Facial Erythema Associated with Rosacea Christina Garcia, DO, MPH, and Michele Birch, MD Carolinas Medical...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p808.pdf

afp20180615p813.pdf

...June 15, 2018 ◆ Volume 97, Number 12 www.aafp.org/afp American Family Physician 813 Putting Prevention into Practice An Evidence-Based Approach Screening for Ovarian Cancer Tina Fan, MD, MPH, Medical Officer, U.S. Preventive Services Task Force Program, Agency for Healthcare...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p813.pdf

afp20180615p815.pdf

...June 15, 2018 ◆ Volume 97, Number 12 www.aafp.org/afp American Family Physician 815 Photo Quiz Progressive Rash Involving the Hands and Feet Kelly L. Hughes, MD, Navy Operational Support Center, Fort Dix, New Jersey Andy Chern, MD, MPH, Uniformed Services University of the...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p815.pdf

afp20180615p818.pdf

...818 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 POEMs Patient-Oriented Evidence That Matters FIT More Acceptable with Better Detection Rate Than gFOBT for Colorectal Cancer Screening Clinical Question Are the uptake and detection rates better...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p818.pdf

afp20180615p819.pdf

...818 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 POEMs Patient-Oriented Evidence That Matters FIT More Acceptable with Better Detection Rate Than gFOBT for Colorectal Cancer Screening Clinical Question Are the uptake and detection rates better...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p819.pdf

afp20180615p819a.pdf

...818 American Family Physician www.aafp.org/afp Volume 97, Number 12 ◆ June 15, 2018 POEMs Patient-Oriented Evidence That Matters FIT More Acceptable with Better Detection Rate Than gFOBT for Colorectal Cancer Screening Clinical Question Are the uptake and detection rates better...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p819a.pdf

afp20180701p12.pdf

...12 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 Editorials Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common Acute Conditions Mark H. Ebell, MD, MS, University of Georgia College of Public Health, Athens, Georgia...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p12.pdf

afp20180701p20.pdf

...20 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections Christopher E. Jonas, DO, FAAFP; Francesca Cimino, MD, FAAFP; and Chad...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p20.pdf

afp20180701p21.pdf

...20 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections Christopher E. Jonas, DO, FAAFP; Francesca Cimino, MD, FAAFP; and Chad...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p21.pdf

afp20180701p23.pdf

...July 1, 2018 ◆ Volume 98, Number 1 www.aafp.org/afp American Family Physician 23 Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Nebulized Hypertonic Saline for Bronchiolitis Gholamreza Roodsari, MD, and Shahriar Zehtabchi, MD Details for This Review Study...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p23.pdf

afp20180701p25.pdf

...July 1, 2018 ◆ Volume 98, Number 1 www.aafp.org/afp American Family Physician 25 Appendicitis is one of the most common causes of acute abdominal pain, with a lifetime risk of 8.6% in males and 6.7% in females.1 It is the most common nonobstetric surgi- cal emergency during...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p25.pdf

afp20180701p34.pdf

...34 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 An estimated 10% to 30% of the global popu- lation has an allergic disease.1 The most common reasons that family physicians request a consulta- tion for allergy testing are recurrent or persistent...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p34.pdf

afp20180701p47.pdf

...July 1, 2018 ◆ Volume 98, Number 1 www.aafp.org/afp American Family Physician 47 Photo Quiz Asymptomatic Hyperpigmented Iris Lesion Matthew Hawks, MD, and Charlie Collenborne, MD Nellis Family Medicine Residency, Las Vegas, Nevada A fair-skinned seven-year-old girl...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p47.pdf

afp20180701p49.pdf

...July 1, 2018 ◆ Volume 98, Number 1 www.aafp.org/afp American Family Physician 49 FPIN’s Help Desk Answers Effects of Prenatal Yoga on Labor Pain Rebekah Byrne, MD, MPH, and Edwin Dennard, MD, Tulane University School of Medicine, New Orleans, Louisiana Clinical Question Does...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p49.pdf

afp20180701p50.pdf

...50 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 FPIN’s Help Desk Answers Staples vs. Sutures After Cesarean Delivery Kinder Fayssoux, MD; Ruyam Mahmood, MD; Jenna Grindle, MD; and Scott Nass, MD Eisenhower Medical Center, Rancho Mirage,...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p50.pdf

afp20180701p52.pdf

...Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 Curbside Consultation The Doorknob Phenomenon in Clinical Practice Commentary by Justin Faden, DO, and Gregg Gorton, MD Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania Case...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p52.pdf

afp20180701p8.pdf

...8 American Family Physician www.aafp.org/afp Volume 98, Number 1 ◆ July 1, 2018 AAFP Joins Partnership to Empower Physician-Led Care The American Academy of Family Physicians (AAFP) is part of a new coalition called the Partnership to Empower Physician-Led Care, which is dedicated to...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p8.pdf

afp20180715p105.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 105 Putting Prevention into Practice An Evidence-Based Approach Behavioral Counseling to Prevent Skin Cancer Tracy Wolff, MD, MPH, Medical Officer, U.S. Preventive Services Task Force Program, Agency...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p105.pdf

afp20180715p117.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 117 Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term Hormone Therapy in Perimenopausal and...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p117.pdf

afp20180715p119.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 119 STEPS New Drug Reviews Lifitegrast Ophthalmic Solution 5% (Xiidra) for Dry Eye Disease Jay Patel, MD, MPH, and John Franko, MD Atrium Health Department of Family Medicine, Charlotte, North...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p119.pdf

afp20180715p78.pdf

...78 American Family Physician www.aafp.org/afp Volume 98, Number 2 ◆ July 15, 2018 AMA Task Force Reports Progress on Reversing Opioid Epidemic The American Medical Association (AMA) Opioid Task Force, which was launched in 2014 to identify best practices for combatting opioid abuse,...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p78.pdf

afp20180715p85.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 85 Illicit drug use is among the top 10 preventable risk fac- tors for years of healthy life lost in developed countries.1 Approximately 10% of the U.S. population 12 years and older reported current use...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p85.pdf

afp20180715p93.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 93 A POEM (patient-oriented evidence that mat- ters) is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality of life, or mortality; is free of...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p93.pdf

afp20180715p99.pdf

...July 15, 2018 ◆ Volume 98, Number 2 www.aafp.org/afp American Family Physician 99 Family physicians, through building long- term, multigenerational relationships with patients and families, often find themselves the bearer of bad or serious news. Bad news is broadly defined as...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p99.pdf

afp20180801od1.pdf

...August 1, 2018 ◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 146A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Terbinafine for Onychomycosis Matthew K. Hawks, MD; Jedda P. Rupert, MD; and Jennifer E. Svarverud, DO Details for This Review...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801od1.pdf

afp20180801od2.pdf

...August 1, 2018 ◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 186A FPIN’s Help Desk Answers Diagnosis of Acute Coronary Syndrome Carla Graichen, MD, and Christina Tanner, MD University of Washington Family Medicine Residency, Seattle, Washington Help Desk...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801od2.pdf

afp20180801p140.pdf

...www.aafp.org/afp Volume 98, Number 3 ◆ August 1, 2018 Study Finds Disturbing Trends in Vaccination Exemptions A study recently published in PLOS Medicine shows that numerous states and large metropolitan centers have seen an uptick in the number of nonmedical exemptions granted...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p140.pdf

afp20180801p141.pdf

...August 1, 2018 ◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 141 Letters to the Editor Screening and Immunizations for Refugees to the United States Original Article: Primary Care for Refugees: Challenges and Opportunities Issue Date: July 15, 2017...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p141.pdf

afp20180801p142a.pdf

...August 1, 2018 ◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 141 Letters to the Editor Screening and Immunizations for Refugees to the United States Original Article: Primary Care for Refugees: Challenges and Opportunities Issue Date: July 15, 2017...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p142a.pdf

afp20180801p143.pdf

...◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 143 Editorials Food Insecurity: How You Can Help Your Patients Shivajirao Prakash Patil, MD, MPH; Kay Craven, MPH, RDN; and Kathryn Kolasa, PhD, RDN East Carolina University, Brody School of Medicine,...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p143.pdf

afp20180801p154.pdf

...154 American Family Physician www.aafp.org/afp Volume 98, Number 3 ◆ August 1, 2018 The benefit of tight glucose control in patients with type 1 diabetes mellitus is well established.1-4 Microvascular complications (e.g., neuropathy, nephropathy, retinopathy) and macrovascular...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p154.pdf

afp20180801p164.pdf

...164 American Family Physician www.aafp.org/afp Volume 98, Number 3 ◆ August 1, 2018 This article gives a framework for laboratory testing in patients with a suspected connective tissue disease. Common diseases are presented with typical symptoms, and an overview of appropriate...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p164.pdf

afp20180801p171.pdf

...August 1, 2018 ◆ Volume 98, Number 3 www.aafp.org/afp American Family Physician 171 Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonal- lergic rhinitis represents at least 23% of rhinitis cases in...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p171.pdf

afp20180815p198.pdf

...Number 4 ◆ August 15, 2018 Study Suggests Link Between Scope of Practice and Burnout Family physicians who have a broader scope of practice early in their careers may be less likely to experience burnout, according to findings published in the May/June issue of Annals of Family...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p198.pdf

afp20180815p200.pdf

...200 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 Editorials Point-of-Care Ultrasonography in Family Medicine Paul Bornemann, MD, University of South Caro- lina School of Medicine, Columbia, South Carolina Tyler Barreto, MD, University of Texas...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p200.pdf

afp20180815p205.pdf

...August 15, 2018 ◆ Volume 98, Number 4 www.aafp.org/afp American Family Physician 205 Skeletal bones can host numerous types of cancers. They commonly receive metastases from other malignancies, including breast, lung, renal, prostate, and thyroid cancers. Bone marrow can be the nidus...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p205.pdf

afp20180815p227.pdf

...August 15, 2018 ◆ Volume 98, Number 4 www.aafp.org/afp American Family Physician 227 During the transition from a liquid-based infant diet to a diet more typical of older family members, toddlers have their first exposures to many food types and are experienc- ing rapid growth. This...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p227.pdf

afp20180815p240.pdf

...240 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 Epistaxis is one of the most common otolaryn- gologic emergencies, occurring in up to 60% of the general population, with one in 10 of those affected seeking medical attention. It accounts for one in...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p240.pdf

afp20180815p246.pdf

...246 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 STEPS New Drug Reviews Delafloxacin (Baxdela) for Skin Infections Sarah Eudaley, PharmD, BCPS University of Tennessee Health Science Center College of Pharmacy, Knoxville, Tennessee STEPS...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p246.pdf

afp20180815p248a.pdf

...248 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 POEMs Patient-Oriented Evidence That Matters Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA Clinical Question Is aspirin as effective as rivaroxaban (Xarelto) for...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p248a.pdf

afp20180815p249.pdf

...248 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 POEMs Patient-Oriented Evidence That Matters Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA Clinical Question Is aspirin as effective as rivaroxaban (Xarelto) for...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p249.pdf

afp20180815p250.pdf

...248 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 POEMs Patient-Oriented Evidence That Matters Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA Clinical Question Is aspirin as effective as rivaroxaban (Xarelto) for...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p250.pdf

afp20180815p253.pdf

...August 15, 2018 ◆ Volume 98, Number 4 www.aafp.org/afp American Family Physician 253 Putting Prevention into Practice An Evidence-Based Approach Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults Tina Fan, MD, MPH, Medical Officer, U.S. Preventive...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p253.pdf

afp20180815p256.pdf

...256 American Family Physician www.aafp.org/afp Volume 98, Number 4 ◆ August 15, 2018 Point-of-Care Guides Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage Neelima Kale, PhD, MD, MBA, FAAFP, University of Texas Southwestern Medical Center, Dallas,...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p256.pdf

afp20180901od1.pdf

...Volume 98, Number 5 www.aafp.org/afp American Family Physician 322C FPIN’s Help Desk Answers Effect of Dietary Changes on IBS Symptoms Michael Erlandson, MD; Suzanne Hutchison, MD; Laurie C. Ivey, PsyD; Denise Ogden, PA; and Kenyon Weidle, MD Swedish Family Medicine...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901od1.pdf

afp20180901p270.pdf

...270 American Family Physician www.aafp.org/afp Volume 98, Number 5 ◆ September 1, 2018 FDA Updates Safety Warnings for Fluoroquinolones The U.S. Food and Drug Administration (FDA) has announced changes to the safety labeling of fluoroquino- lones, including strengthened warnings...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p270.pdf

afp20180901p272.pdf

...272 American Family Physician www.aafp.org/afp Volume 98, Number 5 ◆ September 1, 2018 Letters to the Editor Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture To The Editor: In our urban, tertiary care uni- versity hospital, family physicians take obstetric...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p272.pdf

afp20180901p275.pdf

...98, Number 5 www.aafp.org/afp American Family Physician 275 Cochrane for Clinicians Putting Evidence into Practice Feed Thickener for Newborn Infants with Gastroesophageal Reflux Corey Fogleman, MD, FAAFP, and Lara Kobrin, MD, Lancaster General Hospital Family Medicine...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p275.pdf

afp20180901p276.pdf

...98, Number 5 www.aafp.org/afp American Family Physician 275 Cochrane for Clinicians Putting Evidence into Practice Feed Thickener for Newborn Infants with Gastroesophageal Reflux Corey Fogleman, MD, FAAFP, and Lara Kobrin, MD, Lancaster General Hospital Family Medicine...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p276.pdf

afp20180901p283.pdf

...September 1, 2018 ◆ Volume 98, Number 5 www.aafp.org/afp American Family Physician 283 The word annular is derived from the Latin word annulus, meaning ringed. Many diseases present with cutaneous annular lesions, mak- ing distinction by physical appearance alone challenging. This...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p283.pdf

afp20180901p298.pdf

...298 American Family Physician www.aafp.org/afp Volume 98, Number 5 ◆ September 1, 2018 Foot pain reportedly affects 30% of the gen- eral population.1 In addition to causing pain and inconvenience, some foot problems are associated with disability and fall-related morbidity.2 Many...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p298.pdf

afp20180901p304.pdf

...304 American Family Physician www.aafp.org/afp Volume 98, Number 5 ◆ September 1, 2018 Long-acting reversible contraception (LARC) includes intrauterine devices (IUDs) and the contraceptive implant (Nexplanon). The use of LARC is on the rise in the United States, accounting for more...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p304.pdf

afp20180901p317.pdf

...September 1, 2018 ◆ Volume 98, Number 5 www.aafp.org/afp American Family Physician 317 Photo Quiz A Painless Facial Nodule J. Thomas Landers, MD, and John D. Peters, MD Naval Medical Center San Diego, San Diego, California A 19-year-old man with autism presented with a...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p317.pdf

afp20180915p338.pdf

...338 American Family Physician www.aafp.org/afp Volume 98, Number 6 ◆ September 15, 2018 Study Shows Antibiotic Prescribing Lowest in Medical Offices A research letter published online in JAMA Internal Med- icine compared antibiotic prescribing practices of urgent care centers, retail...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p338.pdf

afp20180915p343.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 343 Editorials Evidence-Based Medicine: Common Misconceptions, Barriers, and Practical Solutions Jay Siwek, MD, Georgetown University Medical Center, Washington, District of Columbia More than...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p343.pdf

afp20180915p347.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 347 Well-child visits for infants and young children (up to five years) provide opportunities for physicians to screen for med- ical problems (including psychosocial concerns), to provide anticipatory...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p347.pdf

afp20180915p354.pdf

...354 American Family Physician www.aafp.org/afp Volume 98, Number 6 ◆ September 15, 2018 Hemolytic anemia is defined as the destruction of red blood cells (RBCs) before their normal 120-day life span. It includes many separate and diverse entities whose common clinical features can...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p354.pdf

afp20180915p368.pdf

...368 American Family Physician www.aafp.org/afp Volume 98, Number 6 ◆ September 15, 2018 Breastfeeding is beneficial for both the mother and infant. Although more than 80% of women in the United States ini- tiate breastfeeding, many stop before the recommended 12 to 24 months.1 Any...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p368.pdf

afp20180915p375.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 375 Putting Prevention into Practice An Evidence-Based Approach Screening for Cardiovascular Disease Risk with Electrocardiography Howard Tracer, MD, U.S. Preventive Services Task Force, Agency...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p375.pdf

afp20180915p379.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 379 STEPS New Drug Reviews Crisaborole (Eucrisa) for Mild to Moderate Atopic Dermatitis Gregory Castelli, PharmD, BCPS, BC-ADM, and Monica Schaffer, MD University of Pittsburgh Medical Center...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p379.pdf

afp20180915p381.pdf

...15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 381 Curbside Consultation Violence in the Health Care Setting: What Can We Do? Commentary by Bonnie Huang Hall, MD, PhD UCSF Department of Family and Community Medicine, Fremont, California Case...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p381.pdf

afp20180915p384.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 383 POEMs Patient-Oriented Evidence That Matters Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and Beta Agonists for Asthma Clinical Question Is single...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p384.pdf

afp20180915p385.pdf

...September 15, 2018 ◆ Volume 98, Number 6 www.aafp.org/afp American Family Physician 383 POEMs Patient-Oriented Evidence That Matters Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and Beta Agonists for Asthma Clinical Question Is single...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p385.pdf

afp20181001od1.pdf

...October 1, 2018 ◆ Volume 98, Number 7 www.aafp.org/afp American Family Physician 418A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal Women Theodore J. Segarra, MD; Michael...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001od1.pdf

afp20181001p419.pdf

...98, Number 7 www.aafp.org/afp American Family Physician 419 Cochrane for Clinicians Putting Evidence into Practice Interventions for Increasing Fruit and Vegetable Consumption in Children Five Years and Younger Matthew Rensberry, MD, Florida Hospital Family Medicine Residency...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p419.pdf

afp20181001p421.pdf

...October 1, 2018 ◆ Volume 98, Number 7 www.aafp.org/afp American Family Physician 421 Mechanical low back pain refers to back pain that arises intrinsically from the spine, intervertebral disks, or sur- rounding soft tissues. This includes lumbosacral muscle strain, disk herniation,...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p421.pdf

afp20181001p429.pdf

...October 1, 2018 ◆ Volume 98, Number 7 www.aafp.org/afp American Family Physician 429 Pain originating from the abdominal wall has been described for nearly 100 years 1 but did not receive much attention until 1926, when a simple bedside test was pro- posed.2 Case reports in the early...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p429.pdf

afp20181001p437.pdf

...October 1, 2018 ◆ Volume 98, Number 7 www.aafp.org/afp American Family Physician 437 Anemia is a common condition in adults 60 years and older. Given the demographic growth of this population and the morbidity and mortality associated with anemia, primary care physicians should be...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p437.pdf

afp20181001p449.pdf

...October 1, 2018 ◆ Volume 98, Number 7 www.aafp.org/afp American Family Physician 449 Photo Quiz Fleshy Mass Passed Vaginally by a Young Woman Louis Strauss, MD, McLeod Family Medicine Residency Program, Florence, South Carolina A 19-year-old nulliparous woman presented with...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p449.pdf

afp20181001p459.pdf

...98, Number 7 www.aafp.org/afp American Family Physician 459 FPIN’s Help Desk Answers Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety Mary I. Dobbins, MD; Solmaz Bauk, MD; and Janet Albers, MD Southern Illinois University School of Medicine,...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p459.pdf

afp20181015p474a.pdf

...474 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 Letters to the Editor The Presence of Bull’s Eye Lesion Is Not Required to Diagnose Lyme Disease Original Article: Clinical Diagnosis of Lyme Disease Frequently Misses the Bull’s Eye [POEMs]...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p474a.pdf

afp20181015p476.pdf

...476 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 AAFP Supports ACT for Better Diagnosis Every nine minutes, someone in a U.S. hospital dies because a medical diagnosis was wrong or delayed. To combat this issue, the American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p476.pdf

afp20181015p478.pdf

...478 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 Editorials Counseling Patients About Prostate Cancer Screening James J. Stevermer, MD, MSPH, FAAFP University of Missouri Health, Columbia, Missouri Kenneth S. Fink, MD, MGA, MPH, FAAFP Uniformed...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p478.pdf

afp20181015p486.pdf

...486 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 High blood pressure in children and adolescents is a growing health problem, along with the worldwide epi- demics of obesity and physical inactivity. The combined prevalence of elevated blood...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p486.pdf

afp20181015p496.pdf

...496 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 Urinary retention is the inability to voluntarily pass an adequate amount of urine and can be attributable to acute and chronic etiologies. Acute urinary retention is a urologic emergency...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p496.pdf

afp20181015p508.pdf

...508 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 Major depression is one of the most common mental health disorders in the United States. Prevalence is esti- mated at 8% in persons 12 years and older.1 In 2015, an esti- mated 16.1 million adults...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p508.pdf

afp20181015p532.pdf

...532 American Family Physician www.aafp.org/afp Volume 98, Number 8 ◆ October 15, 2018 FPIN’s Clinical Inquiries Morning vs. Evening Administration of Levothyroxine Linda Contillo Garufi, MD, MEd; Katarzyna Jabbour, PharmD, BCPS; Susan E. Hansen, MA; Brian Stello, MD; and...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p532.pdf

afp20181015p537.pdf

...October 15, 2018 ◆ Volume 98, Number 8 www.aafp.org/afp American Family Physician 537 Putting Prevention into Practice An Evidence-Based Approach Screening for Prostate Cancer Tracy Wolff, MD, MPH, Associate Scientific Director, U.S. Preventive Services Task Force, Agency for...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p537.pdf

afp20181015p539.pdf

...October 15, 2018 ◆ Volume 98, Number 8 www.aafp.org/afp American Family Physician 539 STEPS New Drug Reviews Recombinant Zoster Vaccine (Shingrix) for the Prevention of Shingles Leena Deshpande, PharmD, BCACP, University of Illinois at Chicago College of Pharmacy at Rockford,...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p539.pdf

afp20181101od1.pdf

...November 1, 2018 ◆ Volume 98, Number 9 www.aafp.org/afp American Family Physician 570A Details for This Review Study Population: Women at more than 24 weeks’ gestation in active labor with meconium- stained amniotic fluid Efficacy End Points: Neonatal sepsis avoided, intrapartum...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101od1.pdf

afp20181101p559.pdf

...November 1, 2018 ◆ Volume 98, Number 9 www.aafp.org/afp American Family Physician 559 Surgeon General Updates Opioids Report The report Facing Addiction in America: The Surgeon General’s Spotlight on Opioids recaps data on the preva- lence of opioid misuse, opioid use disorders, and...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p559.pdf

afp20181101p560.pdf

...560 American Family Physician www.aafp.org/afp Volume 98, Number 9 ◆ November 1, 2018 Editorials Preventing Gun Violence: The Role of Family Physicians Sumi M. Sexton, MD; Kenneth W. Lin, MD, MPH; Barry D. Weiss, MD; Christopher W. Bunt, MD; Mark H. Ebell, MD, MS; Aaron Saguil,...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p560.pdf

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