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Medicine by the numbers

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Using DSM-IV Primary Care Version: A Guide to Psychiatric Diagnosis in Primary Care - ...

Oct 15, 1998 - The prevalence of patients with psychiatric disorders in primary care settings indicates that family physicians have a need for a diagnostic manual suited to the realities of their practice. This article reviews the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., primary...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1347.html

Treating Low Vitamin D Levels Is Ineffective in Postmenopausal Women - POEMs - American...

Feb 15, 2016 - You do not have to treat a low vitamin D level if your patient is a typical community-dwelling postmenopausal woman younger than 75 years. The usual dosage of vitamin D, 800 IU (20 mcg) daily, will not increase levels even after a year of therapy and has little effect on calcium ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0215/p315.html

Gabapentin Equals Epidural Steroid for Radicular Pain - POEMs - American Family Physician

Nov 1, 2015 - After controlling for the placebo effect that may accompany an epidural steroid injection, treatment with gabapentin is as effective as the injection in reducing radicular leg pain in the short term (three months). A placebo bump in response, if present, is likely to be transient.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1101/p814a.html

BPA Exposure and Health Effects: Educating Physicians and Patients - Editorials - ...

Jun 1, 2012 - Bisphenol A (BPA) is a polymerization agent used in the manufacturing of polycarbonate plastics and epoxy resins. It is also an environmental endocrine disruptor with estrogen-like activity that may affect the development and health of those who are exposed.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0601/p1040.html

Management Options for Early Incomplete Miscarriage - Cochrane for Clinicians - ...

Feb 1, 2011 - For the management of incomplete miscarriage, limited-quality evidence shows that medical treatment with misoprostol (Cytotec), expectant care, and surgical evacuation have a completion of miscarriage success rate between 80 to 99 percent in pregnancies at less than 13 weeks' ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0201/p258.html

Dexamethasone May Reduce Sore Throat Symptoms in Adults at 48 Hours - POEMs - American ...

Aug 15, 2017 - A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p260a.html

NIH Consensus Statement on Management of Hepatitis B - Practice Guidelines - American ...

Oct 15, 2009 - The National Institutes of Health (NIH) Consensus Development Panel has produced a report on the management of hepatitis B virus (HBV) created by independent panels of health professionals and public representatives using a systematic literature review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1015/p884.html

Topiramate (Topamax) for Migraine Prevention - STEPS - American Family Physician

Oct 15, 2005 - Topiramate is more effective than placebo for migraine prevention. Its effectiveness appears to be similar to that of other antiepileptic drugs and beta blockers. Because of the high cost of topiramate and the relative frequency of adverse effects, other approaches to migraine ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/1015/p1563.html

Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery - ...

Oct 15, 2007 - The American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend that pregnant women with a single previous cesarean delivery and a low-transverse incision be offered a trial of labor.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/1015/p1192.html

Prevention of Falls in Community-Dwelling Older Adults: Recommendation Statement - U.S....

Dec 15, 2012 - The U.S. Preventive Services Task Force (USPSTF) recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults 65 years or older who are at increased risk of falls.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2012/1215/od3.html

Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of ...

Apr 15, 2005 - All pregnant women should be offered screening for asymptomatic bacteriuria, syphilis, rubella, and hepatitis B and human immunodeficiency virus infection early in pregnancy. Women at increased risk should be tested for hepatitis C infection, gonorrhea, and chlamydia. All women should ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1555.html

Top 20 POEMs of 2019

American Family Physician's annual collection of the top 20 research studies for primary care addresses a variety of topics with the potential to change practice.

American Family Physician

https://www.aafp.org/journals/afp/content/top-poems/2019.html

Adapelene/Benzoyl Peroxide (Epiduo) for Acne Vulgaris - STEPS - American Family Physician

Jun 15, 2011 - Adapalene/benzoyl peroxide is as effective as other combination products for the treatment of acne. Once-daily application is an advantage in terms of simplicity and adherence to therapy, but the cost is much higher than that of the individual components sold separately; this may create...

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0615/p1486.html

Injectable Extended-Release Naltrexone Effective for Opioid Use Disorder - POEMs - ...

Jun 15, 2018 - Injectable extended-release naltrexone administered every four weeks is similar in efficacy to daily oral buprenorphine/naloxone for the treatment of opioid use disorder. Patients using extended-release naltrexone reported higher satisfaction with treatment and were more likely to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819.html

A Battle to Overcome "Diabulimia" - Close-ups - American Family Physician

Feb 15, 2009 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2009/0215/p263.html

Indications for Anticoagulation in Atrial Fibrillation - American Family Physician

Jul 1, 1998 - Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p130.html

Acupuncture for Chronic Back Pain: What Level of Evidence? - Letters to the Editor - ...

Oct 15, 2010 - ...evidence. In an online comment to an article in BMJ, Dr. Colquhoun stated: Such is the delusional nature of much alternative medicine that when the test is failed, the conclusion isn't that the treatment doesn't work, but that the test doesn't work and must be replaced with one that...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1015/p869.html

FPIN's Help Desk Answers Department Collection - American Family Physician

Help Desk Answers 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.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=114

FPIN's Help Desk Answers Department Collection - American Family Physician

Help Desk Answers 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.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=114&page=0

Aspirin in Patients with Actue Ischemic Stroke - FPIN's Clinical Inquiries - American ...

Feb 1, 2009 - Aspirin in a daily dose of 160 to 300 mg initiated within 48 hours of symptom onset results in a net decrease in morbidity and mortality caused by acute ischemic stroke, based on a systematic review), regardless of the availability of computed tomography (CT).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0201/p226.html

Who Filled First-Year Family Medicine Residency Positions from 1991 to 2004? - Graham ...

Aug 1, 2005 - Graduates of U.S. allopathic schools have filled less than one half of the family medicine positions offered in the National Resident Matching Program (NRMP) Match since 2001. Overall fill rates in July have been relatively stable at approximately 94 percent. Family medicine has become ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0801/p392.html

Medicine and the Pharmaceutical Industry: A Call to Action - Letters to the Editor - ...

May 15, 2007 - ...Medicine and the Pharmaceutical Industry: A Call to Action Am Fam Physician. 2007 May 15;75(10):1447-1448. Related Editorial to the editor: At our practice, we continue to regularly receive a barrage of invitations to free dinners, offers to attend professional athletic venues, and...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0515/p1447.html

Looking at the Benefit of Statins from a Different Perspective - Letters to the Editor ...

Oct 1, 2010 - ...in the group treated with statins and 5.7 percent in the control group. That translates into an absolute risk reduction of 0.6 percent and a number needed to treat (NNT) of 167. This means that 167 patients would need to be treated with a statin for 4.1 years to prevent one death....

American Family Physician : Letter

https://www.aafp.org/afp/2010/1001/p741.html

Title VII's Decline: Shrinking Investment in the Primary Care Training Pipeline - ...

Oct 15, 2009 - Title VII, Section 747 is a source of federal funding intended to strengthen the primary care workforce. Despite evidence that Title VII has been successful, its funding has declined over the past three decades, threatening the production of primary care physicians.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1015/p872.html

Generalized Anxiety Disorder - Clinical Evidence Handbook - American Family Physician

Jan 15, 2013 - What are the effects of treatments for generalized anxiety disorder in adults and children and adolescents?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0115/p122.html

Self-Monitoring and Self-Management of Anticoagulation Therapy - Cochrane for ...

Aug 1, 2011 - Self-monitoring and self-management of long-term oral anticoagulation therapy reduce the risks of thromboembolism, all-cause mortality, and minor hemorrhage for appropriately selected patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0801/p266.html

Intra-articular Corticosteroid for Treating Osteoarthritis of the Knee - Cochrane for ...

Oct 1, 2005 - An injection of the knee joint with a corticosteroid may improve the patient’s symptoms for up to three weeks after the injection (number needed to treat [NNT]= 3 to 4). There is no evidence that this intervention improves function, and there is little evidence of the benefits ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1001/p1222.html

Newer Oral Hypoglycemics Do Not Increase or Decrease Mortality - POEMs - American ...

Oct 15, 2017 - This seems like a strange question considering that the goal is to decrease mortality with drug therapy. Nevertheless, this study showed that the new kids on the diabetes block—exenatide (Byetta), dulaglutide (Trulicity), sitagliptin (Januvia), saxagliptin (Onglyza), and others—do not ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1015/od2.html

Methadone Therapy for Opioid Dependence - American Family Physician

Jun 15, 2001 - The 1999 Federal regulations extend the treatment options of methadone-maintained opioid-dependent patients from specialized clinics to office-based opioid therapy (OBOT). OBOT allows primary care physicians to coordinate methadone therapy in this group with ongoing medical care. This ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0615/p2404.html

Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing - AFP Journal Club - ...

Mar 15, 2011 - Does donepezil benefit patients with Alzheimer disease, and is the new dosage superior to the standard dosage? This study showed benefit, but the data are misleading.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0315/p742.html

One in Five Patients Overdiagnosed with Lung Cancer Screening - POEMs - American Family...

Jul 15, 2014 - In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion regarding ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0715/p112.html

Fidaxomicin (Dificid) for Clostridium difficile Infection - STEPS - American Family ...

Feb 1, 2013 - Fidaxomicin is effective for the treatment of C. difficile infection, but it is much more expensive than traditional therapy. Until it is known that the benefits outweigh the significant cost, metronidazole or oral vancomycin is the preferred treatment for most patients.

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0201/p211.html

Types of Medical Errors Commonly Reported by Family Physicians - Graham Center Policy ...

Feb 15, 2003 - In a group of studies about medical errors in family medicine, the five error types most often observed and reported by U.S. family physicians were: (1) errors in prescribing medications; (2) errors in getting the right laboratory test done for the right patient at the right time; (3) ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0215/p697.html

AFP Podcast

The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP). Each episode includes brief summaries of articles and other features.

American Family Physician

https://www.aafp.org/journals/afp/multimedia/podcast.html

The 2005 Recommended Adult Immunization Schedule, United States, September 2004-October...

Dec 15, 2004 - The 2005 Recommended Adult Immunization Schedule by Age Group, Medical, and other Conditions, United States, October 2004–September 2005 is now available, as cooperation continues between the American Academy of Family Physicians (AAFP), the Advisory Committee on Immunization Practices ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1215/p2372.html

High-Dose Vaccine Reduces Clinical Influenza in Older Adults Compared with Standard ...

Dec 1, 2014 - High-dose influenza vaccine provided a 25% relative reduction in the likelihood of developing laboratory-confirmed influenza compared with standard-dose vaccine in patients 65 years and older. This corresponds to a number needed to treat of approximately 220 to prevent a ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p796.html

Department Collections

Search Department collections from past and current issues of AFP, the peer-reviewed clinical journal of the American Academy of Family Physicians.

American Family Physician

https://www.aafp.org/journals/afp/content/departments.html

Preventing Congestive Heart Failure - American Family Physician

Apr 15, 1998 - The morbidity, mortality and health care costs associated with congestive heart failure make prevention a more attractive public health strategy than treatment. Aggressive management of etiologic factors, including hypertension, coronary artery disease, valvular disease and excessive ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1901.html

CIN Treatment May Increase Miscarriages but Does Not Affect Fertility - POEMs - ...

Apr 1, 2015 - In this analysis of 15 observational studies (it would be difficult and unethical to do randomized research on this topic), excision using any method for CIN did not affect fertility, although second trimester miscarriages were more likely. A study published at the same time found the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0401/p490.html

AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17

AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17&page=0

Discrete Papules on the Thigh of a Child - Photo Quiz - American Family Physician

Feb 15, 2010 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2010/0215/p511.html

Antidepressants and Psychological Therapies Are Effective for IBS - POEMs - American ...

Jan 15, 2015 - Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous analysis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p134.html

Effect of Mammography on Breast Cancer Mortality - Cochrane for Clinicians - American ...

Dec 1, 2011 - Although mammography can lead to false-positive results, emotional stress, and unnecessary biopsies, it appears to reduce deaths from breast cancer by about 15 percent.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1201/p1225.html

Integrating Cognitive Behavioral Therapy into Management of Depression - Editorials - ...

Apr 1, 2012 - Cognitive behavioral therapy (CBT) is a well-established, scientifically proven treatment for patients with depression. For family physicians to take full advantage of this treatment, they must be able to understand the nature and application of CBT; access professional resources that ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0401/p686.html

Disease Mongering and Excessive Daytime Sleepiness - Letters to the Editor - American ...

Oct 15, 2009 - ...Excessive daytime sleepiness is not recognized by the American Academy of Sleep Medicine's International Classification of Sleep Disorders. However, efforts have been made to link this concept of illness to modafinil through journal advertising, continuing medical education, journal...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1015/p775.html

Large, Dark Lesion on the Arm Present Since Birth - Photo Quiz - American Family Physician

Dec 1, 2011 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2011/1201/p1287.html

Counseling Women on Options for Management of Early Pregnancy Loss - Letters to the ...

Mar 15, 2012 - ...We find that with this counseling nearly all women elect to stay within the family medicine office because this allows them to have a support person of their choosing with them throughout the procedure, and provides them the comfort and convenience of remaining in a familiar setting...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0315/p547.html

AAFP and ACP Release Guideline on Dementia Treatment - Practice Guidelines - American ...

Apr 15, 2008 - A guideline created by the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) reviews the data on the effects of pharmacologic treatment of dementia for improving cognition, global function, behavior/mood, and quality of life (QOL)/activities of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0415/p1173.html

Human Parathyroid Hormone for Treating Osteoporosis - FPIN's Clinical Inquiries - ...

Feb 1, 2012 - Human parathyroid hormone should be used in patients with severe osteoporosis to decrease the rate of vertebral and nonvertebral fractures.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0201/od1.html

December 1, 2020 - American Family Physician

...Medicine by the Numbers: Antibiotics for Uncomplicated Diverticulitis Shiva Poola; Michael Ritchie FPIN's Clinical Inquiries: Immunogenicity of Childhood Vaccines after Pediatric Cancer Elizabeth Close; Grayson McConnell; Steven Cross; J. Lacie Bradford POEMs Fecal...

American Family Physician

https://www.aafp.org/afp/2020/1201/

December 1, 2020 - American Family Physician

...Medicine by the Numbers: Antibiotics for Uncomplicated Diverticulitis Shiva Poola; Michael Ritchie FPIN's Clinical Inquiries: Immunogenicity of Childhood Vaccines after Pediatric Cancer Elizabeth Close; Grayson McConnell; Steven Cross; J. Lacie Bradford POEMs Fecal...

American Family Physician

https://www.aafp.org/afp/2020/1201

Ethical Considerations of Patients with Pacemakers - Curbside Consultation - American ...

Aug 1, 2008 - Modern medicine has increasingly become infused with technology intended to extend a person's quantity and quality of life. More than 1 million persons in the United States have implantable pacemakers and the majority of this population is older than 65 years.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0801/p398.html

Medications for Treatment of Interstitial Cystitis - FPIN's Clinical Inquiries - ...

Jan 15, 2015 - There are no long-term clinically effective oral medications. Pentosan (Elmiron) can improve overall symptom scores for interstitial cystitis over three to six months, but it does not improve scores for any of three individual symptoms (dysuria, urgency, frequency) compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0115/p116.html

Complementary and Alternative Therapies for Atopic Dermatitis - FPIN's Clinical ...

Apr 15, 2012 - Evening primrose oil may be effective for the treatment of atopic dermatitis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0415/p817.html

Increased GI Bleeding After Switch from Warfarin to Dabigatran - POEMs - American ...

May 1, 2015 - The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal (GI) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0501/p648.html

Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of ...

Jul 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on routine aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) for the primary prevention of colorectal cancer and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2007/0701/p109.html

Emergency Postcoital Contraception - American Family Physician

Nov 15, 2000 - Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option. Two hormone regimens, ethinyl estradiol (100 microg) with levonorgestrel (0.5 mg) or high-dose levonorgestrel (0.75 ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2287.html

Prevention of Osteoporosis and Fractures - American Family Physician

Jul 1, 1999 - Osteoporosis and low bone density are associated with a risk of fracture as a result of even minimally traumatic events. The estimated lifetime risk of osteoporotic fracture is as high as 50 percent, especially in white and Asian women. The use of caffeine, tobacco and steroids is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p194.html

Management of Inflammatory Bowel Disease - American Family Physician

Jan 1, 1998 - Patients with an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, have recurrent symptoms with considerable morbidity. Patient involvement and education are necessary components of effective management. Mild disease requires only symptomatic relief and dietary ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p57.html

HIV Testing: Removing Barriers Can Lead to Earlier Detection and Reduced Transmission -...

Oct 15, 2010 - ...2006. Routine opt-out HIV testing was recommended after repeated studies showed that risk-based screening failed to identify a significant number of adults with HIV infection (20 to 25 percent), and that patients continue to present in advanced stages of disease despite the...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1015/p878.html

Clinical Significance of Meniscal Damage on Knee MRI - AFP Journal Club - American ...

May 15, 2011 - Can you make the assumption that, in a patient with knee pain, meniscal damage found on MRI is responsible for his or her symptoms? Meniscal findings on knee MRI do not correlate well with pain.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0515/p1160.html

<27A4> Antipsychotics for Fibromyalgia in Adults

July 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801od1.pdf

Appetite Suppressants as Adjuncts for Weight Loss - FPIN's Clinical Inquiries - ...

Apr 1, 2011 - Phentermine and diethylpropion are appetite suppressants approved for use in the United States as adjuncts in the treatment of obesity. These agents demonstrate a modest weight loss benefit when combined with dietary modifications and exercise.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0401/od1.html

<27A4> Buprenorphine Maintenance vs. Placebo for Opioid Dependence

March 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0301/afp20170301od1.pdf

Psychological Interventions for Noncardiac Chest Pain - Cochrane for Clinicians - ...

Nov 1, 2005 - Noncardiac chest pain can be caused by gastroesophageal reflux disease (GERD), panic disorder, or a number of other psychological conditions. Psychotherapy, particularly cognitive behavior therapy, has been shown to reduce the number of days with chest pain significantly over a ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1101/p1701.html

Antiepileptic Drugs After First Unprovoked Seizure

February 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0201/afp20170201od1.pdf

<27A4> Efficacy of Direct-Acting Antivirals Compared With Older Agents for Hepatitis C

June 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601od1.pdf

Preventing Acute Mountain Sickness - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2011 - Gradual ascent is the most effective method for preventing acute mountain sickness.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0815/p398.html

Moving On - Close-ups - American Family Physician

Oct 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/1015/p1137.html

afp20160901od1.pdf

September 1, 2016: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2016/0901/afp20160901od1.pdf

<27A4> Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events

October 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001od1.pdf

Family Physicians Make a Substantial Contribution to Maternity Care: The Case of the ...

Aug 1, 2003 - Family physicians provided nearly 20 percent of labor and delivery care in Maine in the year 2000. A substantial proportion of this care was provided to women insured by Medicaid and those delivering in smaller, rural hospitals and residency-affiliated hospitals. As family medicine ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0801/p405.html

<27A4> Valproate for Adult Migraine Prophylaxis

November 1, 2016: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2016/1101/afp20161101od1.pdf

Predicting Prognoses in Patients with Acute Stroke - Point-of-Care Guides - American ...

Jun 15, 2008 - A number of clinical decision models and scoring systems have been developed and validated to assist physicians in assessing the prognosis of patients with acute stroke.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0615/p1719.html

Fluoride Is an Essential Element of Childhood Oral Health - Letters to the Editor - ...

Nov 1, 2011 - ...for oral health maintenance may be difficult for some practicing physicians without additional training. The Society of Teachers of Family Medicine Group on Oral Health has created a seven-module oral health training program, which is available at http...

American Family Physician : Letter

https://www.aafp.org/afp/2011/1101/p968.html

More Evidence of Green Tea's Effectiveness Is Needed - Letters to the Editor - American...

Jul 1, 2010 - ...shows in his book Snake Oil Science: The Truth About Complementary and Alternative Medicine that many factors conspire to produce false-positive results, particularly in studies of alternative medicine.2 A rigorously scientific analysis of all the green tea research can be best...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0701/p17.html

Screening Recommendations Are Not Always One Size Fits All - Letters to the Editor - ...

Mar 1, 2011 - ...dollars to order two blood tests for every child on Medicaid, regardless of his or her risk? How is this practicing good, evidence-based medicine? My practice remains the same, despite Medicaid laws and the CDC's recommendations. I ask the child's parents or guardians about sources...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0301/p507.html

Discussing Treatment Options with Patients - Curbside Consultation - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0301/p645.html

More Ways to Improve Health and Reduce Harm: Choosing Wisely Phase 3 - Editorials - ...

Mar 1, 2014 - This campaign has resulted in more than 200 key clinical recommendations to help promote best practices and avoid unnecessary and potentially harmful medical interventions.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0301/p329.html

AAN Guideline Reassesses the Use of Neuroimaging in the Evaluation of Seizure - ...

Apr 1, 2008 - The Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology (AAN) has reassessed the use of neuroimaging in patients presenting to the emergency department with seizure.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0401/p1024.html

Evidence-Based Guidelines for Neuroimaging in Patients with Nonacute Headache - ...

Mar 15, 2005 - New guidelines for diagnostic testing in patients with nonacute headache have been released by the U.S. Headache Consortium and endorsed by the American Academy of Family Physicians (AAFP), the American Academy of Neurology (AAN), the American Headache Society (AHS), the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0315/p1219.html

Family Physicians Are an Important Source of Newborn Care: The Case of the State of ...

Aug 15, 2003 - Family physicians (FPs) provided 30 percent of inpatient newborn care in Maine in the year 2000. FPs cared for a large proportion of newborns, especially those insured by Medicaid and in smaller, rural hospitals where FPs also delivered babies. Family medicine's commitment to serve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0815/p593.html

Magnesium Sulfate in Women with Threatened Preterm Birth - Letters to the Editor - ...

Dec 1, 2010 - ...preterm labor. A recent committee opinion from the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine (ACOG/SMFM)1 also gives tentative support for the use of magnesium sulfate for fetal neuroprotection in preterm labor. I agree with the...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1201/p1310.html

Retapamulin (Altabax) 1% Topical ointment for the Treatment of Impetigo - STEPS - ...

Nov 15, 2007 - Retapamulin is an effective alternative to topical mupirocin in the treatment of limited-area impetigo in patients older than nine months. Although it is more expensive, retapamulin does have a dosing advantage over mupirocin; it only requires a twice-a-day application for five days, ...

American Family Physician : STEPS

https://www.aafp.org/afp/2007/1115/p1537.html

Thiazolidinedione Therapy for Managing Metabolic Syndrome - FPIN's Clinical Inquiries -...

Dec 15, 2010 - There is no patient-oriented evidence supporting the use of TZD therapy in patients in the general population who have metabolic syndrome. Rosiglitazone (Avandia) use decreases cardiovascular morbidity and mortality in patients with metabolic syndrome who are undergoing coronary stenting.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/1215/p1553.html

Colchicine Effective for First Episode of Acute Pericarditis - POEMs - American Family ...

Feb 1, 2014 - When used in addition to conventional anti-inflammatory therapy, colchicine decreases the rate of incessant or recurrent pericarditis. You would need to treat four patients with colchicine to prevent one such episode.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p226.html

<27A4> Vitamin E in Pregnancy

April 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401od1.pdf

Treatment of Recurrent Vulvovaginal Candidiasis - FPIN's Clinical Inquiries - American ...

Jun 15, 2011 - A six-month treatment regimen with an antifungal agent decreases the recurrence of vulvovaginal candidiasis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0615/p1482.html

Pioglitazone Exposure Increases Bladder Cancer Risk - POEMs - American Family Physician

Jan 15, 2014 - This review of all available data found a significantly increased risk of bladder cancer among adults with type 2 diabetes treated with pioglitazone. Pioglitazone also significantly increases the risk of heart failure, and there is minimal, if any, patient-oriented evidence of benefit ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0115/p136.html

Primary Nocturnal Enuresis: Current - American Family Physician

Mar 1, 1999 - Primary nocturnal enuresis sometimes presents significant psychosocial problems for children and their parents. Causative factors may include maturational delay, genetic influence, difficulties in waking and decreased nighttime secretion of antidiuretic hormone. Anatomic abnormalities ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1205.html

Secondary Causes of Obesity - FPIN's Clinical Inquiries - American Family Physician

Apr 15, 2011 - There is little evidence about secondary causes of obesity in adults. The evaluation for secondary causes of obesity should include a patient history and physical examination, with additional laboratory testing based on specific symptoms, risk factors, and index of suspicion.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0415/p972.html

Hard-to-Diagnose Headache: Practical Tips for Diagnosis and Treatment - Editorials - ...

May 15, 2013 - w/ Hainer

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0515/p672.html

Intranasal Corticosteroids for Acute Bacterial Sinusitis - Cochrane for Clinicians - ...

Sep 1, 2014 - Compared with patients not treated with intranasal corticosteroids, those who receive them have greater improvement or resolution of symptoms at two to three weeks, regardless of whether antibiotics are used. In a single head-to-head study, patients taking intranasal corticosteroids ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0901/p286.html

Recognizing Patients' Transitions Toward the End of Their Life - Letters to the Editor ...

Feb 15, 2010 - ...The authors provide an excellent overview of travel medicine and many of the topics that should be included in a pretravel consultation. I agree that family physicians are ideally suited to perform travel-related medicine and hope that this article will encourage other family...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0215/p401.html

Screening for Ovarian Cancer - Putting Prevention into Practice - American Family ...

May 15, 2013 - Case study: A 55-year-old woman presents for a routine well-woman examination. She states that she is worried about ovarian cancer because one of her friends was recently diagnosed. She has no family history of breast, ovarian, or colon cancer.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0515/p709.html

Screening Questionnaire for Work-Related Health Problems - Letters to the Editor - ...

Jun 1, 2011 - ...responding to a grant from the U.S. Department of Energy, the seven family medicine programs in South Carolina cooperated to produce a curriculum to teach environmental and occupational medicine to family medicine residents.1,2 We created a set of five questions that physicians can...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0601/p1247.html

Choosing Wisely: Don’t transfuse more than the minimum of red blood cell units ...

Don’t transfuse more than the minimum of red blood cell units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable patients).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=372

AFP Documents with Keyword: Family Medicine - American Family Physician

...Family Medicine May 15, 2020 Issue Top 20 Research Studies of 2019 for Primary Care Physicians [Article] The annual installment of this series summarizes the top studies of 2019. These studies were summarized as POEMs (patient-oriented evidence that matters) and were highly rated...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2325&page=1

Vitamin D in Children: The Right Dose of Evidence - Editorials - American Family Physician

Mar 15, 2010 - ...ROBERT ALAN BONAKDAR, MD, FAAFP, Scripps Center for Integrative Medicine, San Diego, California Am Fam Physician. 2010 Mar 15;81(6):703. Related Article In this issue of American Family Physician, Drs. Casey, Slawson, and Neal review recent recommendations on vitamin D...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0315/p703.html

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