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Medicine by the numbers

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Finding the Bright Spots in Value-Based Care -- FPM

Oct 1, 2017 - Taking one small step at a time, primary care practices can lead the way as the health care system begins to reward value.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p21.html

Technology Tools and Trends for Better Patient Care: Beyond the EHR -- FPM

Oct 1, 2017 - From remote monitoring of chronic diseases to virtual assistants in the exam room, technology will improve practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p28.html

How to Talk to Reluctant Patients About the Flu Shot -- FPM

Oct 1, 2017 - This three-step framework can help you address patients' concerns about influenza immunization.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p6.html

Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...

Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/1001/p465.html

Reducing Frustration and Increasing Fulfillment: Reframing -- FPM

Oct 1, 2017 - To better handle challenging patients or situations, try modifying the way you view them.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p12.html

Evaluating Physician Employment Contracts: How Do Your Benefits Measure Up? -- FPM

Oct 1, 2017 - From signing bonuses to relocation and continuing education allowances, your employment contract needs to provide more than a competitive salary.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p9.html

Treatments for Nocturnal Leg Cramps - FPIN's Help Desk Answers - American Family Physician

Oct 1, 2017 - Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1001/od3.html

Up in Smoke: Western Fires Pose Public Health Hazard

Melissa Hemphill, M.D., writes that the wildfires scorching the Pacific Northwest are a public health hazard, and the threat is getting worse each year.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170929fp-fires.html

Here We Go Again: GOP Attempting ACA Repeal

The Patient Protection and Affordable Care Act survived four Senate votes regarding repeal and replacement in July, but Senate Republicans are set to try again this week. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin examines what's at stake.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/ITT_20170926.html

How a Bill Becomes a Wall

Through words and drawings, Anita Ravi, M.D., illustrates how the Graham-Cassidy bill currently under consideration in the Senate could make health care worse.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170925fp-grahamcassidy.html

Rural Practice Stretches Our Skills, Supports Our Families

Only 3 percent of final-year residents are interested in practicing in small towns. AAFP President-elect John Cullen, M.D., of Valdez, Alaska, makes the case for why they should.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170925lv-ruralmedicine.html

Hair Loss: Common Causes and Treatment - American Family Physician

Sep 15, 2017 - Hair loss is often distressing and can have a significant effect on the patient’s quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0915/p371.html

Vitamin B12 Deficiency: Recognition and Management - American Family Physician

Sep 15, 2017 - Vitamin B12 deficiency is a common cause of megaloblastic anemia, various neuropsychiatric symptoms, and other clinical manifestations. Screening average-risk adults for vitamin B12 deficiency is not recommended. Screening may be warranted in patients with one or more risk factors, such...

American Family Physician : Article

https://www.aafp.org/afp/2017/0915/p384.html

How Family Physicians Can Combat the Opioid Epidemic - Editorials - American Family ...

Sep 15, 2017 - Family physicians must commit to responsible prescribing of opioid medications. The decision to initiate opioid therapy should be a careful and deliberate one, especially in patients who are at risk of addiction.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0915/p357.html

Screening for Syphilis Infection in Nonpregnant Adults and Adolescents - Putting ...

Sep 15, 2017 - R.J. is a 27-year-old man who presents for a well-patient visit. He always keeps his appointments and likes to make sure he is healthy. R.J. has started a new relationship and asks if he should be screened for syphilis.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0915/p393.html

Glycopyrrolate (Seebri Neohaler) for Maintenance Therapy in Patients with COPD - STEPS ...

Sep 15, 2017 - Glycopyrrolate is a safe option for maintenance treatment to prevent moderate to severe exacerbations in patients with moderate to severe COPD, with only mild and rare adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0915/p395.html

AAFP News - Sep 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0915/p356.html

What Should We Tell Parents About Concussions, Contact Sports?

Despite an abundance of research regarding head injuries, counseling parents and young athletes about the risks of contact sports is complicated.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170913fp-concussions.html

Varenicline for Smoking Cessation - Medicine by the Numbers - American Family Physician

Sep 1, 2017 - Do the benefits outweigh the harms of using varenicline (Chantix) for smoking cessation? Read more to find out.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0901/od1.html

Aseptic and Bacterial Meningitis: Evaluation, Treatment, and Prevention - American ...

Sep 1, 2017 - The etiologies of meningitis range in severity from benign and self-limited to life-threatening with potentially severe morbidity. Bacterial meningitis is a medical emergency that requires prompt recognition and treatment. Mortality remains high despite the introduction of vaccinations ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0901/p314.html

Vitamin D for the Management of Asthma - Cochrane for Clinicians - American Family ...

Sep 1, 2017 - Despite the authors' caution that further data are needed to clarify the role of vitamin D in care, this Cochrane review found that its use reduces the average number of asthma exacerbations requiring corticosteroid treatment from 0.44 to 0.28 per person per year.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0901/p290.html

Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS ...

Sep 1, 2017 - The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency for ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0901/p284.html

AAFP News - Sep 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0901/p282.html

Congress Faces Tight Deadlines on Critical Issues

A handful of critical health care programs will run out of funding if Congress fails to act by the end of September.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170829itt-deadlines.html

Protecting Yourself From Threat of Malpractice Suits

Now that the Senate appears unlikely to take up a tort reform bill passed by the House, Javette Orgain, M.D., M.P.H., highlights information physicians should know to reduce their risks.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170818lv-liability.html

Top POEMs of 2016 Consistent with the Principles of the Choosing Wisely Campaign - ...

Aug 15, 2017 - A challenge in the Choosing Wisely campaign is to identify low-value clinical actions supported by high-quality evidence. We applied a method based on crowdsourcing the Daily POEM (patient-oriented evidence that matters) to identify low-value clinical actions from research studies ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0815/p234.html

Preventing Falls in Older Persons - American Family Physician

Aug 15, 2017 - The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0815/p240.html

The CDC’s STEADI Initiative: Promoting Older Adult Health and Independence Through Fall...

Aug 15, 2017 - ...influenza season, there were an estimated 8.3 million cases of influenza among persons 65 years and older,2 which is about one-fourth of the number of falls that occurred in the older population in 2014. When not fatal, falls often result in brain injury, hip fracture, and loss of...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0815/p220.html

The ACA Survived. Now What?

The Patient Protection and Affordable Care Act recently survived four Senate votes regarding repeal and replacement of the health care law. In the latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin reflects on how we ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170815itt-aca.html

Drop in Number of FPs Who Deliver Babies May Create Rural Crisis

A projected shortage of obstetricians and a declining percentage of family physicians who provide maternity care could create a crisis for women in underserved areas.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170815lv-ruralob.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

Health Care Is a Right That Must Extend to Everyone

Gary LeRoy, M.D., writes that health care must be seen as a basic human right that is necessary for the preservation of dignity, social worth, health and even life.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170808lv-healthcareright.html

Probiotics for Gastrointestinal Conditions: A Summary of the Evidence - American Family...

Aug 1, 2017 - Probiotics contain microorganisms, most of which are bacteria similar to the beneficial bacteria that occur naturally in the human gut. Probiotics have been widely studied in a variety of gastrointestinal diseases. The most-studied species include Lactobacillus, Bifidobacterium, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0801/p170.html

Antipsychotics for Fibromyalgia in Adults - Medicine by the Numbers - American Family ...

Aug 1, 2017 - Quetiapine may be considered for a limited period (less than 12 weeks) to improve pain, sleep, and depression in fibromyalgia, while considering the potential for weight gain.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0801/od1.html

Pelvic Organ Prolapse - American Family Physician

Aug 1, 2017 - Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0801/p179.html

Which Quality Measures Should You Report? -- FPM

Aug 1, 2017 - Here’s how to select the measures that will maximize your success under Medicare’s new Quality Payment Program.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0700/p5.html

Which Probiotics Should I Take? A Practical Guide for Family Physicians - Editorials - ...

Aug 1, 2017 - Find out what requirements should be met to know that you are offering your patients the highest quality probiotics to help prevent and treat disease.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0801/p156.html

Building Capacity to Care for Refugees -- FPM

Aug 1, 2017 - So you want to incorporate refugee health into your practice. Now what?

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0700/p21.html

AAFP Member Survey Provides Valuable Perspective

The AAFP's annual Practice Profile Survey provides tremendous insight that drives improvements in the Academy's advocacy, education and member services.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20170801ITT_Survey.html

What are Probiotics? - American Family Physician

Aug 1, 2017 - ...in our gastrointestinal (GI) tract eat too. Sometimes, the numbers of good organisms can get low (for example, if you have diarrhea or if you take antibiotics). When this happens, taking probiotics may help increase the number of good organisms in your GI tract. Which GI conditions...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0801/p170-s1.html

AAFP News - Aug 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0801/p154.html

Bipartisan Teaching Health Center Bill Is Vital to Workforce

Without congressional action, the Teaching Health Center Graduate Medical Education program will expire Sept. 30. A newly introduced bill to extend funding has support from both sides of the aisle.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20170725thcgmebill.html

I Bounced Back From Burnout by Setting Boundaries, Priorities

Late last year, Kimberly Becher, M.D., reached a point where she thought the only thing in life she was doing well was patient care. She had to make changes at work and home to fight off burnout.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20170724fpbounceback.html

Primary Care for Refugees: Challenges and Opportunities - American Family Physician

Jul 15, 2017 - Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p112.html

Epilepsy: Treatment Options - American Family Physician

Jul 15, 2017 - The occurrence of a single seizure does not always require initiation of antiepileptic drugs. Risk of recurrent seizures should guide their use. In adults, key risk factors for recurrence are two unprovoked seizures occurring more than 24 hours apart, epileptiform abnormalities on ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p87.html

Refugee Mental Health: A Primary Care Approach - Editorials - American Family Physician

Jul 15, 2017 - A review of the refugee resettlement process and the clinical aspects of caring for patients who have experienced war, conflict, violence, and threats.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0715/p81.html

Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or Low HDL ...

Jul 15, 2017 - We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0715/p129.html

Screening for Obstructive Sleep Apnea in Adults - Putting Prevention into Practice - ...

Jul 15, 2017 - R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0715/p123.html

AAFP News - Jul 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0715/p80.html

Patients Trust Social Media, so Be Their Trusted Source

With more than 3 million followers and counting, Mikhail Varshavski, D.O., makes the case for using social media to reach patients with health messages.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/patients_trust_social_media_so.html

What You Need to Know About the 2018 QPP Proposed Rule

CMS has released the 2018 Medicare Quality Payment Program (QPP) Proposed Rule, which recommends several changes to the Merit-based Incentive Payment System and Advanced Alternative Payment Model. You could read that 1,058-page document, or you could check out 10 bullet points in this ...

AAFP News : In the Trenches : Blogs

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

Tenofovir for Prevention of HIV Infection - Medicine by the Numbers - American Family ...

Jul 1, 2017 - The benefits are greater than the harm in using tenofovir for HIV prevention, but cost-effectiveness and personal preferences are critical.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0701/od1.html

Insomnia: Pharmacologic Therapy - American Family Physician

Jul 1, 2017 - Insomnia accounts for more than 5.5 million visits to family physicians each year. Although behavioral interventions are the mainstay of treatment, pharmacologic therapy may be necessary for some patients. Understanding the risks and benefits of insomnia medications is critical. ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p29.html

Developmental Delay: When and How to Screen - American Family Physician

Jul 1, 2017 - An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p36.html

Acupuncture for Migraine Prevention - Cochrane for Clinicians - American Family Physician

Jul 1, 2017 - There is moderate-quality evidence that whole-body acupuncture is effective for migraine prevention. Compared with usual care, acupuncture is more effective at reducing headache frequency by at least 50% (number needed to treat [NNT] = 4).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0701/p23.html

AAFP News - Jul 1, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0701/p14.html

Primary Care Needs -- and Deserves -- More Research Dollars

More research is needed in primary care, but proposed federal budget cuts threaten to make evidence-based resources and guidelines even harder to come by.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/primary_care_needs_and_deserves.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Jun 15, 2017 - Vaccines are one of the most successful medical advances in modern times. Most vaccine-preventable illnesses are unfamiliar to modern parents. Because of this, parents are increasingly questioning the necessity of immunizing their children, especially because no vaccine is completely ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0615/p786.html

Corrections - Jun 15, 2017 - American Family Physician

Jun 15, 2017 - ...Incorrect Number. The Medicine by the Numbers, Valproate for Adult Migraine Prophylaxis (November 1, 2016, online only) incorrectly defined the Study Population inclusion criteria as Patients 16 years or older with episodes of migraine headache on at least 15 days of every month...

American Family Physician : Corrections

https://www.aafp.org/afp/2017/0615/p758b.html

Global Health Summit Scholarship -- AAFP Global Health Summit

global Health Workshop Scholarship

Events : Global Health Summit

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

AAFP News - Jun 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0615/p760.html

Global Health Summit Scholarship -- AAFP Global Health Summit

global Health Workshop Scholarship

Events : Global Health Summit

https://www.aafp.org/events/global-health/about/ghw-scholarship.html

Sorry, You're Not Sick Enough: Approach to Hep C Defies Logic

Adequate screening and earlier treatment of hepatitis C infection would curb the spread of disease, ease suffering and reduce long-term health care costs.

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

https://www.aafp.org/news/blogs/leadervoices/entry/sorry_you_re_not_sick.html

Crackdown on Undocumented Immigrants Poses Broad Health Risks

Increased enforcement of immigration laws is affecting the health of undocumented immigrants and may have unintended consequences for others, too.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/crackdown_on_undocumented_immigrants_poses.html

Things Are Heating Up Outside and On Capitol Hill

As the weather warms up, so could debate about health policy. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers updates on three important issues the Academy will be working on this summer.

AAFP News : In the Trenches : Blogs

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

Acute and Chronic Urticaria: Evaluation and Treatment - American Family Physician

Jun 1, 2017 - Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. It has a lifetime prevalence of about 20%. Although often self-limited and benign, it can cause significant discomfort, continue for months to years, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p717.html

Expanded Newborn Screening: Information and Resources for the Family Physician - ...

Jun 1, 2017 - Each year, 4 to 5 million newborns receive state-mandated screening. Although the Advisory Committee on Heritable Disorders in Newborns and Children has identified 34 core conditions that should be incorporated into screening programs, each state manages, funds, and maintains its own ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p703.html

Efficacy of Direct-Acting Antivirals Compared with Older Agents for Hepatitis C - ...

Jun 1, 2017 - Although they help patients achieve sustained viralogic response, expensive direct-acting antivirals have yet to show that they can succeed in meeting top-priority treatment goals.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0601/od1.html

Lessons From the Road to EHR Usability -- FPM

Jun 1, 2017 - You may be able to get more out of your electronic health record by discovering the system's hidden tools.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p21.html

Self-Monitoring and Self-Management of Oral Anticoagulation - Cochrane for Clinicians -...

Jun 1, 2017 - In patients taking warfarin (Coumadin) for anticoagulation, there is moderate-quality evidence that both self-monitoring (number needed to treat [NNT] = 100) and self-management (NNT = 53) reduce thromboembolic events, and that self-management reduces all-cause mortality (NNT = 67).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p700.html

Using Alcohol Screening and Brief Intervention to Address Patients' Risky Drinking -- FPM

Jun 1, 2017 - Asking patients about their drinking habits is a straightforward way to boost health and revenue.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p12.html

Preparing for Value-Based Payment: Five Essential Skills for Success -- FPM

Jun 1, 2017 - As physician payment increasingly becomes tied to value, these five habits can help you succeed.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0500/p25.html

It's Complicated: What We Wish Legislators Knew About Health Care

Health care truly is complicated. We asked our new physician bloggers what policymakers need to understand if they're going to help create a better system.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/it_s_complicated_what_we.html

Laceration Repair: A Practical Approach - American Family Physician

May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p628.html

Refractive Eye Surgery: Helping Patients Make Informed Decisions About LASIK - American...

May 15, 2017 - A variety of refractive surgery techniques, which reshape the corneal stroma using laser energy, have been marketed as simple and safe alternatives to glasses or contact lenses. Laser-assisted in-situ keratomileusis (LASIK) is the most common of these procedures. Although there are few ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p637.html

Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...

May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p645.html

Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...

May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p618.html

AAFP News - May 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0515/p614.html

Patients on High-deductible Plans Need Primary Care Coverage

Patients with high-deductible health plans often avoid preventive care, leading to higher health care costs down the road. Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin outlines an AAFP policy proposal that would provide such patients with access to ...

AAFP News : In the Trenches : Blogs

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

Oral NSAIDs for Perineal Pain in the Early Postpartum Period - Medicine by the Numbers ...

May 1, 2017 - Oral nonsteroidal anti-inflammatory drugs were able to adequately relieve perineal pain for many postpartum women at four hours and longer.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0501/od1.html

Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician

May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p572.html

Recreational Waterborne Illnesses: Recognition, Treatment, and Prevention - American ...

May 1, 2017 - Illness after recreational water activities can be caused by a variety of agents, including bacteria, viruses, parasites, algae, and even chlorine gas. These illnesses are more common in summer. Waterborne illnesses are underreported because most recreational activity occurs in ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p554.html

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...

May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0501/p551.html

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...

May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0501/p547.html

Finding Purple: Creating Nonpartisan Paths to Advance Primary Care

Lynne Lillie, M.D., writes that family physicians are uniquely positioned to find a path through polarized politics that can lead to a solution to our health care crisis.

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

https://www.aafp.org/news/blogs/leadervoices/entry/finding_purple_creating_nonpartisan_paths.html

Twins Multiply Challenges -- and Rewards -- of Breastfeeding

Beth Oller, M.D., shares her insights from one of the hardest things she's ever done: breastfeeding twins.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/twins_multiply_challenges_and_rewards.html

Peritonsillar Abscess - American Family Physician

Apr 15, 2017 - Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a hot ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0415/p501.html

AAFP News - Apr 15, 2017 - American Family Physician

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

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2017/0415/p478.html

Sorry, I'm Too Busy for Your Busy Work

Kimberly Becher, M.D., writes that physicians are spending too much time defending their inboxes against busy work from payers and pharmacies.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/sorry_i_m_too_busy.html

Vitamin E in Pregnancy - Medicine by the Numbers - American Family Physician

Apr 1, 2017 - Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0401/od1.html

Postpartum Hemorrhage: Prevention and Treatment - American Family Physician

Apr 1, 2017 - Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0401/p442.html

Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP - Practice...

Apr 1, 2017 - Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0401/p458.html

Medicare Annual Wellness Visits: How to Get Patients and Physicians on Board -- FPM

Apr 1, 2017 - Patients are more likely to schedule a wellness visit if their physician recommends it, but that won't happen without staff support.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p12.html

Managing Behavioral Health Issues in Primary Care: Six Five-Minute Tools -- FPM

Apr 1, 2017 - These practical strategies can help family physicians support patients with depression, anxiety, and other behavioral health issues.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p30.html

What Can a PA or NP Do for Your Practice? -- FPM

Apr 1, 2017 - If your workload is no longer sustainable, it may be time to consider adding a certified physician assistant or nurse practitioner to your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0300/p19.html

Improving Daily Practice With Four Medical Apps -- FPM

Apr 1, 2017 - These mobile apps can help physicians and patients with treatment recommendations, treatment adherence, and smoking cessation.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2017/0300/p27.html

Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...

Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p423.html

Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - POEMs - American ...

Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0401/p456.html

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