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Medicine by the numbers

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More Investment in Primary Care Would Help Mothers, Babies

Obstetric care recommendations implemented in 2012 lowered costs and improved outcomes in Washington, but Carl Olden, M.D., asks in this Leader Voices Blog post whether his home state can do better.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180411lv-obcare.html

AAFP Payment Model Clears Another Hurdle

In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the progress of the Academy's Advanced Primary Care Alternative Payment Model, as well as a summary of how provisions of the recently passed federal ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180403ITT_PTAC2.html

How to respond to patients’ misconceptions about antidepressants -- FPM

You can play a vital role in dispelling myths and illuminating your patients’ decision making regarding antidepressant treatment.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/misconceptions_about_antidepressants.html

Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...

Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0401/p463.html

Cervical Cancer: Evaluation and Management - American Family Physician

Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p449.html

Encouraging Health Behavior Change: Eight Evidence-Based Strategies -- FPM

Apr 1, 2018 - Using these brief interventions, you can help your patients make healthy behavior changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p31.html

Practice Pearls - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Be mindful of the joy in medicine | Rule out heart murmurs more effectively in children | Take a lesson from the hospitality industry

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/0300/p42.html

A Team-Based Care Model That Improves Job Satisfaction -- FPM

Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p6.html

Is Your Diagnosis Coding Ready for Risk Adjustment? -- FPM

Apr 1, 2018 - As payment models change, diagnosis coding is more important than ever. Here’s how to be sure your codes capture your patients’ severity of illness.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p21.html

Duration of Bisphosphonate Therapy - FPIN's Help Desk Answers - American Family Physician

Apr 1, 2018 - Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od1.html

Putting Choosing Wisely into Practice - Editorials - American Family Physician

Apr 1, 2018 - It is our responsibility as physicians to help our patients avoid interventions that are not helpful or, worse, potentially harmful.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0401/p432.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

AAFP News - Apr 1, 2018 - American Family Physician

Apr 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0401/p434.html

Health Care Costs Soar, But Does U.S. Get What It Pays For?

At a time when overall health care costs are skyrocketing, U.S. spending on primary care office visits is in decline. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin breaks down the Health Care Cost and Utilization ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180320ITT_costs.html

Evaluation of Suspected Dementia - American Family Physician

Mar 15, 2018 - Dementia is a significant and costly health condition that affects 5 million adults and is the fifth leading cause of death among Americans older than 65 years. The prevalence of dementia will likely increase in the future because the number of Americans older than 65 years is expected ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0315/p398.html

Stable Coronary Artery Disease: Treatment - American Family Physician

Mar 15, 2018 - Stable coronary artery disease refers to a reversible supply/demand mismatch related to ischemia, a history of myocardial infarction, or the presence of plaque documented by catheterization or computed tomography angiography. Patients are considered stable if they are asymptomatic or ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0315/p376.html

ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...

Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0315/p372.html

Dismissing Osteopathic Manipulation Rubs Me the Wrong Way

In this Fresh Perspectives blog post, Margaux Lazarin, D.O., M.P.H., offers a rebuttal to a recent Forbes article that was critical of osteopathic manipulation.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20180313fp-do.html

Independent Research Shows Value of AAFP Advocacy

A Washington research firm evaluated the efficacy and impact of the AAFP's advocacy activities. In this In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares the results.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180306ITT_research.html

Congress Needs to Hear From FPs -- Here's Your Chance

AAFP President-elect John Cullen, M.D., reports from Capitol Hill, where the Academy's Board of Directors recently had dozens of meetings with legislators and congressional staff.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180302lv-hillvisits.html

AAFP Global Health Summit Abstract Submission -- AAFP Global Health Summit

Learn how to submit an abstract for a workshop presentation at the upcoming AAFP Global Health Summit.

Events : Global Health Summit

https://www.aafp.org/events/global-health/abstracts.html

Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with ...

Mar 1, 2018 - We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0301/od1.html

Buprenorphine Therapy for Opioid Use Disorder - American Family Physician

Mar 1, 2018 - Opioid misuse, including the use of heroin and the overprescribing, misuse, and diversion of opioid pain medications, has reached epidemic proportions in the United States. As a result, there has been a dramatic increase in opioid use disorder and associated overdoses and deaths. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0301/p313.html

Written Action Plans for Self-Management of COPD Exacerbations - Cochrane for ...

Mar 1, 2018 - Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0301/p310.html

Medical Aid in Dying - Curbside Consultation - American Family Physician

Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0301/p339.html

Real Action on Administrative Burden Is Long Overdue

The AAFP has been communicating with CMS and the Office of the National Coordinator for Health IT about reducing administrative burden, and this week, leaders will address that critical issue on Capitol Hill.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180227lv-adminburden.html

Burnout Part 2: Adopting a Systems Approach to Prevention

Carl Olden, M.D., examines methods to approach physician burnout and resilience from the perspectives of the small practice, the multispecialty group and hospital medical staff.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180219lv-burnout.html

Acute Migraine Headache: Treatment Strategies - American Family Physician

Feb 15, 2018 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0215/p243.html

Vitamin D Screening and Supplementation in Community-Dwelling Adults: Common Questions ...

Feb 15, 2018 - Measurement of vitamin D levels and supplementation with oral vitamin D have become commonplace, although clinical trials have not demonstrated health benefits. The usefulness of serum 25-hydroxyvitamin D levels to assess adequate exposure to vitamin D is hampered by variations in ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0215/p254.html

Diagnosis of Urinary Tract Infections in Children - Point-of-Care Guides - American ...

Feb 15, 2018 - A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0215/p273.html

Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm - ...

Feb 15, 2018 - Evidence for vitamin D screening and supplementation in adults shows that these commonplace practices have virtually no established health benefits.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0215/p226.html

ACLF Session Descriptions

Get information on sessions for the ACLF track of the AAFP Leadership Conference.

Events : AAFP Leadership Conference

https://www.aafp.org/events/aclf-nccl/aclf/schedule/sessions-aclf.html

Part I: Sharing Our Legislative, Regulatory Priorities for 2018

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines the AAFP's priorities for 2018 regarding payment reform and practice transformation.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180206ITT_Priorities.html

Done Right, Annual Wellness Visit Helps Patient and Practice

Kurt Bravata, M.D., examines the utility of the Medicare annual wellness visit and how to get paid properly for conducting it.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20180205fp-medicareawv.html

With Most New Med Students Women Now, Let's Boost Our Support

For the first time, the new class of U.S. medical students has more women than men. Erica Swegler, M.D., writes that it's been a tough path for women, and obstacles remain.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180202lv-women.html

Hemorrhoids: Diagnosis and Treatment Options - American Family Physician

Feb 1, 2018 - Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e., proximal or distal to the dentate line) determine the extent of pain or discomfort. The history and physical examination must assess for risk factors and clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0201/p172.html

Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...

Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0201/od1.html

OnabotulinumtoxinA Injections for Urge Incontinence - FPIN's Help Desk Answers - ...

Feb 1, 2018 - Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0201/od3.html

Coding Changes for Family Medicine in 2018 -- FPM

Feb 1, 2018 - New codes for cognitive assessment and care planning, team-based care management, prolonged preventive services, and anticoagulation management are among this year’s changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0100/p5.html

Clostridium difficile Infection: Prevention and Treatment - Implementing AHRQ Effective...

Feb 1, 2018 - How effective are interventions to prevent and treat Clostridium difficile infection?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0201/p196.html

Four Mobile Apps to Encourage Healthy Habits -- FPM

Feb 1, 2018 - Recommend these mobile apps to patients as a way to reinforce recommended lifestyle changes.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0100/oa1.html

NCCL Session Descriptions

Get information on sessions for the NCCL track of the AAFP Leadership Conference.

Events : AAFP Leadership Conference

https://www.aafp.org/events/aclf-nccl/nccl/schedule/sessions-nccl.html

AAFP News - Feb 1, 2018 - American Family Physician

Feb 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0201/p152.html

Congress' Inaction Threatens Family Medicine Training

The future of the Teaching Health Center Graduate Medical Education program -- and more than 700 residency slots -- is unclear because Congress has failed to address long-term funding.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180129lv-thcgme.html

New AAFP Resources Aim to Help With Payment, Outcomes

Shawn Martin highlights two new free Academy resources -- one related to payment and one intended to improve patient care -- in the latest In The Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180123ITT_Resources.html

Colorectal Cancer Screening and Surveillance in Individuals at Increased Risk - ...

Jan 15, 2018 - Individuals at increased risk of developing colorectal cancer include those with a personal or family history of advanced adenomas or colorectal cancer, a personal history of inflammatory bowel disease, or genetic polyposis syndromes. In general, these persons should undergo more ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0115/p111.html

Thirty Years of AFP: Having Fun Painting the Fence - Editorials - American Family ...

Jan 15, 2018 - Read Dr. Siwek's summary of his 29 years as Editor of AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0115/p83.html

AAFP News - Jan 15, 2018 - American Family Physician

Jan 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0115/p72.html

Primary Care Needs Congress' Attention Right Now

Representatives from the AAFP and five other organizations recently met with legislators about vital primary care programs jeopardized by lack of stable funding.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180112lv-hillvisits.html

Why Are We Eager to Save One, Reluctant to Help Many?

In Alaska, there is an expectation that motorists will help others during extreme conditions. In this Leader Voices Blog post, John Cullen, M.D., questions why the same expectation to help doesn't always apply in health care.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180109lv-sharedsociety.html

Being a Family Physician Requires 'Courageous' Commitment

Aroha? In this Leader Voices Blog post, Gary LeRoy, M.D., describes the courage and commitment needed to succeed in family medicine.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20180103lv-aroha.html

Type 2 Diabetes Mellitus: Outpatient Insulin Management - American Family Physician

Jan 1, 2018 - In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p29.html

Stents for Stable Coronary Artery Disease - Medicine by the Numbers - American Family ...

Jan 1, 2018 - Most published trials fail to show a benefit from coronary stenting in patients with stable obstructive coronary artery disease. However, stent technology has evolved significantly in recent years, and it is possible that newer-generation drug-eluting stents may offer different results.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0101/od1.html

Pityriasis Rosea: Diagnosis and Treatment - American Family Physician

Jan 1, 2018 - Pityriasis rosea is a common self-limiting rash that usually starts with a herald patch on the trunk and progresses along the Langer lines to a generalized rash over the trunk and limbs. The diagnosis is based on clinical and physical examination findings. The herald patch is an ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p38.html

Effectiveness of Moisturizers in the Treatment of Patients with Eczema - Cochrane for ...

Jan 1, 2018 - Moisturizers decrease the rate of eczema flare-ups by 3.7 times vs. no treatment (number needed to treat [NNT] = 4), as well as the amount of topical corticosteroids used per eczema flare-up (9.3 g less). Adverse effects are minimal.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p18.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician

Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0101/p49.html

Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function - POEMs ...

Jan 1, 2018 - In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0101/p54.html

AAFP News - Jan 1, 2018 - American Family Physician

Jan 1, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/0101/p4.html

Eight Questions for 2018: Yes, Single Payer Is One of Them

Despite opposition to socialized, single-payer health care, nearly 120 million Americans have health care coverage through government-supported programs. With that growing number in mind, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin poses eight ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171219ITT_singlepayer.html

Palpitations: Evaluation in the Primary Care Setting - American Family Physician

Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p784.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p776.html

Pigmentation Disorders: Diagnosis and Management - American Family Physician

Dec 15, 2017 - Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules. These conditions are generally ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p797.html

Acupuncture Is Ineffective for Treatment of Low Back Pain - Letters to the Editor - ...

Dec 15, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol2.html

Effects of Contraceptives on Weight Gain or Loss - Letters to the Editor - American ...

Dec 15, 2017 - ...indications, making generalizations about their effects difficult. Our characterization of these medications was taken from the Obesity Medicine Association's obesity algorithm, which has been updated recently to include potential weight gain with progestins.1 I agree that the cited...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1215/ol1.html

Hypnosis for Surgical Pain - FPIN's Help Desk Answers - American Family Physician

Dec 15, 2017 - Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1215/od2.html

AAFP News - Dec 15, 2017 - American Family Physician

Dec 15, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1215/p760.html

Rural or Urban FP, We Both Handle Gamut of Patient Issues

A rural family physician and her inner-city counterpart find that their scope of practice and the issues their patients face are more similar than they expected.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20171205fp-urbanrural.html

Value-based Payment? Survey Says …

The AAFP partnered with Humana to survey family physicians regarding their engagement with, and attitudes toward, value-based payment models. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin has the details in the latest In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171205ITT_VBP.html

Primary Care Benefit Could Improve Outcomes, Lower Costs

The U.S. health care system focuses too much attention on caring for the sick rather than on preventing illness in the first place. Leonard Reeves, M.D., makes that case in this Leader Voices Blog post.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20171204lv-sickcare.html

Topical Capsaicin for Treatment of Chronic Neuropathic Pain in Adults - Medicine by the...

Dec 1, 2017 - Based on low-quality evidence, high-concentration capsaicin patches reduce neuropathic pain from herpes and human immunodeficiency virus infection by 30% to 50% compared with the low-concentration capsaicin control group.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1201/od1.html

Mildly Elevated Liver Transaminase Levels: Causes and Evaluation - American Family ...

Dec 1, 2017 - Mild, asymptomatic elevations (less than five times the upper limit of normal) of alanine transaminase and aspartate transaminase levels are common in primary care. It is estimated that approximately 10% of the U.S. population has elevated transaminase levels. An approach based on the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p709.html

Hoarseness in Adults - American Family Physician

Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p720.html

Back to Basics: Five Steps to Better Influenza Vaccination Rates -- FPM

Dec 1, 2017 - Getting more patients immunized against the flu does not require complicated strategies.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/1100/p30.html

Potential Benefits of L-Carnitine as Dietary Supplement - Letters to the Editor - ...

Dec 1, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1201/ol1.html

USPSTF Recommendations: New and Updated in 2016 - Editorials - American Family Physician

Dec 1, 2017 - In 2016, the USPSTF updated 14 previous recommendation statements and added a new recommendation on screening for autism spectrum disorder. Several updated recommendations are notable for having significant changes.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1201/p697.html

Opting Out of Medicare: How to Get Out and Stay Out -- FPM

Dec 1, 2017 - Physicians can cut ties with Medicare and privately contract with Medicare beneficiaries, but doing it incorrectly can be costly.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/1100/p17.html

Tax Bills Could Add to Health Care's Ills

Provisions in both the House and Senate tax bills could hold negative consequences for physicians and patients. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin has the details in the latest In the Trenches blog post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20171121ITT_taxes.html

Just the Facts: Can Patient Education Help in Obesity Crisis?

Physicians may feel like they're losing the battle against obesity. Can patient education reduce the problem?

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20171120lv-patiented.html

In Defense of Reproductive Health Care

Starting Jan. 1, employers can refuse to provide insurance coverage for contraception. Natalie Hinchcliffe, D.O., points out that partisan arguments about birth control overlook the fact that women use these medications for many other conditions.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20171117fp-contraception.html

Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...

Nov 15, 2017 - Herpes zoster, or shingles, is caused by reactivation of varicella zoster virus, which causes chickenpox. There are an estimated 1 million cases in the Unites States annually, with an individual lifetime risk of 30%. Patients with conditions that decrease cell-mediated immunity are 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1115/p656.html

Glucose Management in Hospitalized Patients - American Family Physician

Nov 15, 2017 - Glucose management in hospitalized patients poses challenges to physicians, including identifying blood glucose targets, judicious use of oral diabetes mellitus medications, and implementing appropriate insulin regimens. Uncontrolled blood glucose levels can lead to deleterious effects ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1115/p648.html

Statins in Persons at Low Risk of Cardiovascular Disease - Medicine by the Numbers - ...

Nov 1, 2017 - Despite the small reductions in nonfatal heart attacks and strokes, statins were not associated with a reduction in serious illness overall.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1101/od1.html

Heart Failure with Preserved Ejection Fraction: Diagnosis and Management - American ...

Nov 1, 2017 - Heart failure with preserved ejection fraction, also referred to as diastolic heart failure, causes almost one-half of the 5 million cases of heart failure in the United States. It is more common among older patients and women, and results from abnormalities of active ventricular ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p582.html

Selecting POEMs Studies from the Larger Body of Evidence - Letters to the Editor - ...

Nov 1, 2017 - ...applaud the main intent of this article: using current evidence to critically assess testing and treatments for common conditions in family medicine. I am a fan of the daily POEMs (patient-oriented evidence that matters) series, and I regularly distribute them to my residents. I...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1101/p565.html

Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies - FPIN's Help Desk ...

Nov 1, 2017 - Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1101/od3.html

AHRQ's Tools for Better Practice: Helping Family Physicians Manage Today's Challenges -...

Nov 1, 2017 - The AHRQ invests in innovative primary care research to generate new knowledge, synthesize existing evidence that is applicable to the primary care setting, and create tools for improving primary care practice. They would like your feedback on the tools included in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1101/p569.html

AAFP News - Nov 1, 2017 - American Family Physician

Nov 1, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1101/p562.html

Viral Response to #MeToo Shines Light on Need for Change

In light of the #MeToo phenomenon, we asked our new physician bloggers to share their perspectives on the pervasive nature of sexual harassment and assault in our society.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20171019fp-metoo.html

Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders - American Family Physician

Oct 15, 2017 - Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorders (FASD) result from intrauterine exposure to alcohol and are the most common nonheritable causes of intellectual disability. The percentage of women who drink or binge drink during pregnancy has increased since 2012. FAS ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1015/p515.html

Bladder Cancer: Diagnosis and Treatment - American Family Physician

Oct 15, 2017 - Bladder cancer is the sixth most prevalent malignancy in the United States and causes more than 16,000 deaths annually. The most common clinical presentation is asymptomatic hematuria, which should prompt evaluation with cystoscopy, renal function testing, and upper urinary tract ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1015/p507.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.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

AAFP News - Oct 15, 2017 - American Family Physician

Oct 15, 2017 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/1015/p489.html

Reviewing a Strange, Historic Week in Washington

The Patient Protection and Affordable Care Act survived yet another repeal effort, and an HHS secretary was ousted. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines the strange final week of September (and relates how you can help with ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/ITT_20171010.html

Testosterone Therapy: Review of Clinical Applications - American Family Physician

Oct 1, 2017 - Testosterone therapy is increasingly common in the United States, and many of these prescriptions are written by primary care physicians. There is conflicting evidence on the benefit of male testosterone therapy for age-related declines in testosterone. Physicians should not measure ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1001/p441.html

Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events - ...

Oct 1, 2017 - In patients who are stable one year post-MI, prolonged use of dual antiplatelet therapy may be an effective treatment to decrease major cardiac events and cardiovascular mortality.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/1001/od1.html

Recurrent Ischemic Stroke: Strategies for Prevention - American Family Physician

Oct 1, 2017 - Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1001/p436.html

Laxatives for the Management of Childhood Constipation - Cochrane for Clinicians - ...

Oct 1, 2017 - Polyethylene glycol (PEG) is superior to placebo (mean difference [MD] = 2.61 more stools per week; 95% confidence interval [CI], 1.15 to 4.08), lactulose (MD = 0.70; 95% CI, 0.10 to 1.31), and milk of magnesia (MD = 0.69; 95% CI, 0.48 to 0.89) at increasing the number of bowel ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/1001/p433.html

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