Upper Gastrointestinal Bleeding in Adults: Evaluation and Management - American Family ...
Mar 1, 2020 - Upper gastrointestinal (GI) bleeding is defined as hemorrhage from the mouth to the ligament of Treitz. Common risk factors for upper GI bleeding include prior upper GI bleeding, anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes of upper GI ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0301/p294.html
HIV/AIDS - American Family Physician
Mar 1, 2020 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11
Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ...
Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0301/p302.html
Music Therapy for Depression - Cochrane for Clinicians - American Family Physician
Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p273.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
Women Have Closed Med School Enrollment Gap; Others Remain
For the first time, women make up the majority of students in U.S. medical schools. Ada Stewart, M.D., writes in this Leader Voices Blog post that although women physicians are making gains in leadership and other roles, they still have work to do to achieve equity in their field.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200228lv-diversity.html
Cerebral Palsy: An Overview - American Family Physician
Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0215/p213.html
Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ...
Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0215/p206.html
ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...
Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0215/p251.html
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...
Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p249.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
It's Not Only OK to Be Vulnerable, It's Necessary
Medical student Margaret Miller writes in this Leader Voices Blog post that although allowing ourselves to be vulnerable is difficult, it opens doors to learning and opportunities.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200205lv-vulnerability.html
Here's How We're Battling Administrative Burden for You
According to surveys, administrative burden is the top concern of family physicians. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the Academy's work to reduce prior authorization and ...
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200204itt-adminburden.html
Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...
Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0201/od1.html
Clostridioides difficile Infection: Update on Management - American Family Physician
Feb 1, 2020 - Guidelines for the diagnosis and treatment of Clostridioides difficile infection have recently been updated. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. C. difficile infection is characterized by a wide range of symptoms, from ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p168.html
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Menopause - American Family Physician
Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59
OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ...
Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0201/p144.html
The 2020 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p8.html
Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ...
Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p19.html
Improving the Waiting Room Experience -- FPM
Feb 1, 2020 - Adding a touch of tech, a dose of education, and plenty of creature comforts to your waiting room can make it more palatable for patients.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p14.html
Listening to the Little Voice Inside -- FPM
Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0100/p38.html
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ...
Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0201/p182.html
Screening for childhood trauma history -- FPM
Several screening tools can help you identify patients whose health may be affected by adverse childhood experiences (ACEs).
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/screen_for_aces.html
Burnout by Numbers
Recent surveys and studies paint a bleak landscape regarding physician burnout. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin writes in this In The Trenches blog post that the continued shortcomings of electronic health records are the prime driver.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200121itt-ehr.html
Functional Dyspepsia: Evaluation and Management - American Family Physician
Jan 15, 2020 - Functional dyspepsia is defined as at least one month of epigastric discomfort without evidence of organic disease found during an upper endoscopy, and it accounts for 70% of dyspepsia. Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p84.html
Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...
Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p89.html
America Needs More Family Doctors: The 25x2030 Collaborative Aims to Get More Medical ...
Jan 15, 2020 - ...America Needs More Family Doctors: 25×2030 Collaborative Aims to Get More Medical Students into Family Medicine JACOB PRUNUSKE, MD, MSPH, Medical College of Wisconsin, Wausau, Wisconsin Am Fam Physician. 2020 Jan 15;101(2):82-83. The United States faces a shortage of primary care...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0115/p82.html
Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...
Jan 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0115/p75.html
Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...
Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2020/0115/p119.html
Try These Tips to Overcome Flu Vaccine Hesitancy
During what is shaping up to be a severe flu season, Margot Savoy, M.D., M.P.H., offers tips on vaccinating reluctant patients in this Leader Voices Blog post.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200109lv-fluvacc.html
The Economics of Our Health Care System Are Horrifying
Millions of Americans are forgoing health care because of cost while others are accruing staggering debt to pay for care. AAFP Senior Vice President of Advocacy, Practice Management and Policy Shawn Martin examines a growing crisis in this In the Trenches blog post.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200107itt-economics.html
Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ...
Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0101/od1.html
Adolescent Idiopathic Scoliosis: Common Questions and Answers - American Family Physician
Jan 1, 2020 - Adolescent idiopathic scoliosis affects 1% to 3% of U.S. adolescents. It is defined by a lateral curvature of the spine (Cobb angle) of at least 10 degrees in the absence of underlying congenital or neuromuscular abnormalities. Adolescent idiopathic scoliosis may be detected via the ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0101/p19.html
Lymphoma: Diagnosis and Treatment - American Family Physician
Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0101/p34.html
Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ...
Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p17.html
C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...
Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p54.html
Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...
Jan 1, 2020 - ...Editor’s Note: Dr. Ebell is Deputy Editor for Evidence-Based Medicine for AFP. References 1. Ebell MH, Radke T. Antibiotic use for viral acute respiratory tract infections remains common. Am J Manag Care. 2015;21(10):e567–e575. 2. Van Vugt S, Broekhuizen BD, Lammens C, et al. Use of...
American Family Physician : Letter
https://www.aafp.org/afp/2020/0101/p5.html
Nodules on the Knuckles - Photo Quiz - American Family Physician
Jan 1, 2020 - ...MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with nonpainful, red masses on his knuckles that had been recurring for years. The lesions...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0101/p47.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.html
Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ...
Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0101/p42.html
Influenza: Diagnosis and Treatment - American Family Physician
Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p751.html
Cirrhosis: Diagnosis and Management - American Family Physician
Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p759.html
The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...
Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1215/p734.html
One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...
Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od5.html
Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...
Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od4.html
Reflections on a Decade of Change
Positive and sometimes negative, the 2010s saw massive shifts in health policy. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin looks back at the issues he thinks made the biggest impact.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20191210itt-lookback.html
Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ...
Dec 1, 2019 - Urinary incontinence is common in adult women, leading to health complications such as rash and urinary tract infections. This review discusses pelvic floor muscle training for the treatment of urinary incontinence in women.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1201/od1.html
Acute Kidney Injury: Diagnosis and Management - American Family Physician
Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p687.html
Nonspecific Low Back Pain and Return To Work - American Family Physician
Dec 1, 2019 - Nonspecific low back pain refers to a condition without a distinct etiology to explain its associated symptoms. This pain may become chronic and is a major cause of work loss around the world. Without a specific explanation for a patient’s symptoms, the family physician is charged with ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p697.html
The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ...
Dec 1, 2019 - Do you have the right number of patients on your panel? Here’s a process and a spreadsheet for calculating and adjusting your panel based on actual patient behavior.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p23.html
Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...
Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1201/p672.html
Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians...
Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1201/p677.html
You Earned That Raise; Here's How to Keep It
Subspecialists are fighting a CMS final rule that would boost Medicare primary care payment by 12%. In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin asks family physicians to join the Academy in protecting the win.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20191126itt-payincrease.html
Specific Learning Disabilities: The Family Physician's Role - American Family Physician
Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1115/p628.html
Depression in Children and Adolescents: Evaluation and Treatment - American Family ...
Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1115/p609.html
Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...
Nov 15, 2019 - ...women for other conditions, such as migraines and mood disorders. I expect that the absolute number of patients who are taking these drugs while taking OCPs is probably a lot less than the number who might be prescribed an antibiotic while taking warfarin (Coumadin), for example....
American Family Physician : Letter
https://www.aafp.org/afp/2019/1115/p599.html
Let People Taste Family Medicine and They'll See Our Value
AAFP President Gary LeRoy, M.D., writes in this Leader Voices Blog post that family medicine has been undervalued too long, a perception that the Academy is taking big steps to change.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20191115lv-lobster.html
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...
Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p648.html
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...
Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646a.html
Share the Art of Medicine by Embracing the Role of Mentor
As the breadth of medical education expands, Alan Schwartzstein, M.D., writes in this Leader Voices Blog post that physicians should make time to teach students the basic skill of building relationships with patients.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20191107lv-precepting.html
Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ...
Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1101/od1.html
Care of the Military Veteran: Selected Health Issues - American Family Physician
Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...
American Family Physician : Article
https://www.aafp.org/afp/2019/1101/p544.html
Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician
Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1101/p562.html
The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...
Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/1101/p575.html
Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...
Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/1101/p530.html
Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ...
Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1101/od2.html
Let's Fix Rural Americans' Inadequate Access to Care
It's no surprise that rural communities are suffering from health disparities, Kyle Leggott, M.D., writes in this Fresh Perspectives blog post. Although 20% of Americans live in rural areas, only 12% of primary care physicians practice there.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20191030fp-ruraltraining.html
Speak Out for Teaching Health Centers Today
Funding for the Teaching Health Center Graduate Medical Education program runs out Nov. 21. In this Leader Voices Blog post, John Cullen, M.D., asks AAFP members to join efforts to reauthorize funding and expand the program.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20191029lv-thcgme.html
Closing Down Tobacco Road
In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the Academy's advocacy efforts related to tobacco and nicotine regulation and tells family physicians how to learn more about a new payment model.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20191029itt-tobacco.html
STI Screening Is Critical as Number of Cases Skyrockets
As the number of reported cases of sexually transmitted infections continues to climb, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., addresses the need to screen for STIs and not shy away from difficult conversations. Read more in this Leader Voices Blog post.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20191023lv-stiscreening.html
Acne Vulgaris: Diagnosis and Treatment - American Family Physician
Oct 15, 2019 - Acne vulgaris is the most prevalent chronic skin disease in the United States, affecting nearly 50 million people per year, mostly adolescents and young adults. Potential sequelae of acne, such as scarring, dyspigmentation, and low self-esteem, may result in significant morbidity. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p475.html
Elagolix (Orilissa) for Endometriosis Pain - STEPS - American Family Physician
Oct 15, 2019 - Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/1015/p502.html
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...
Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1015/p463.html
Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ...
Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1001/od1.html
The Feasibility of Screening for Social Determinants of Health: Seven Lessons Learned ...
Oct 1, 2019 - If addressing patients’ social needs sounds overwhelming, the results of this pilot project might surprise you.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p13.html
Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...
Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p403.html
Scope of Practice: Reclaiming Young Patient Care -- FPM
Oct 1, 2019 - Caring for the whole family is a defining aspect of family medicine, yet many physicians have stopped seeing young patients. Here’s why and how to welcome them back.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p26.html
Keeping It Fresh -- FPM
Oct 1, 2019 - Variety in our daily work may be a way to improve care and satisfaction with practicing medicine.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2019/0900/p3.html
Incivility in Health Care: Strategies for De-escalating Troubling Encounters -- FPM
Oct 1, 2019 - With rudeness, discrimination, and violence on the rise, how do we take care of our patients while protecting ourselves?
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p8.html
e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...
Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1001/p442.html
How to get more young patients into your practice -- FPM
Try these six steps to get more young people in your patient panel.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/young_patients.html
Steering Family Medicine Through Storm Toward Sunlight
In this Leader Voices Blog post, AAFP President John Cullen, M.D., recaps his year as president and the work the Academy is doing on issues of importance to family physicians.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20190924lv-cullenyear.html
Invest in FPs and Maybe Insurance Won't Cost as Much as a Car
In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin makes the case that the most prudent place to invest any single health care dollar is in family medicine.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20190917itt-investfm.html
Urinary Incontinence in Women: Evaluation and Management - American Family Physician
Sep 15, 2019 - Urinary incontinence is a common problem among women worldwide, resulting in a substantial economic burden and decreased quality of life. The Women’s Preventive Services Initiative is the only major organization that recommends annual screening for urinary incontinence in all women ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0915/p339.html
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention - American Family ...
Sep 15, 2019 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis–associated, and respiratory ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0915/p357.html
Otitis Media: Rapid Evidence Review - American Family Physician
Sep 15, 2019 - Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0915/p350.html
Can We Prevent Perinatal Depression in the Primary Care Office? - Editorials - American...
Sep 15, 2019 - Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0915/p327.html
Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...
Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0915/p372.html
Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer - ...
Sep 15, 2019 - Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0915/p374.html
For New Intern, the Future Is Challenging -- and Bright
In this Leader Voices Blog post, recent medical school graduate Chandler Stisher, M.D., shares the challenges of transitioning from student to intern as well as his excitement for what lies ahead.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20190904lv-newintern.html
Social Media Influencers or FPs: Who Do Patients Trust?
Michael Richardson, M.D., writes in this Fresh Perspectives blog post that physicians can overcome the spate of false and misleading health reports that consumers find on social media by emphasizing the doctor-patient relationship.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20190903fp-socialmedia.html
Not All Clinicians Are Trained Equally
In this In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin explains why family physicians and nurse practitioners are not interchangeable.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20190903itt-differences.html
Treatment of the Common Cold - American Family Physician
Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p281.html
Venous Ulcers: Diagnosis and Treatment - American Family Physician
Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p298.html
Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...
Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p279.html
Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...
Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p278.html
Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...
Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0901/p309.html
Moving Practice Has Been Good for Me, Staff, Patients
What's a family doc to do when rents skyrocket in a tight real estate market? Erica Swegler, M.D., writes that she turned her problem into an opportunity to improve her practice.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20190826lv-moving.html
2020 Medicare Physician Fee Schedule: What You Need to Know
The proposed 2020 Medicare physician fee schedule is 1,704 pages long. In a much shorter In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights the key points family physicians should know.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20190820itt-2020mpfs.html