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Medicine by the numbers

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Diabetes: Type 2 - American Family Physician

Jan 14, 2022 - This collection features AFP content on type 2 diabetes and related issues, including blood glucose levels, diabetic complications (such as ketoacidosis and neuropathy), glycemic control, insulin management, and gestational diabetes. This collection features AFP content on type 2 ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=7

Hypertension - American Family Physician

Jan 14, 2022 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening. This collection features AFP content on hypertension and related issues, including pharmacologic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12

Headache - American Family Physician

Jan 14, 2022 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Skin Conditions - American Family Physician

Jan 14, 2022 - This collection features AFP content on common skin conditions and related issues, including acne, dermatitis, dermatologic emergencies, generalized rash, lichen planus, nail disorders, newborn skin, office procedures, premalignant lesions, and psoriasis. This collection features AFP ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=21

Stroke and TIA - American Family Physician

Jan 14, 2022 - This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks. This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=24

Substance Abuse - American Family Physician

Jan 14, 2022 - ...03/01/2017 Buprenorphine Maintenance vs. Placebo for Opioid Dependence [Medicine by the Numbers] 01/01/2017 Alpha-adrenergic Agonists for the Management of Opioid Withdrawal [Medicine by the Numbers] 10/01/2016 Rural Opioid Use Disorder Treatment Depends on Family Physicians...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=27

Nutrition - American Family Physician

Jan 14, 2022 - ...01/01/2022 Reduction in Saturated Fat Intake for Cardiovascular Disease [Medicine by the Numbers] new 11/01/2021 Screening for Vitamin D Deficiency in Adults [Putting Prevention into Practice] new 11/01/2021 Coenzyme Q10 for Heart Failure [Cochrane for Clinicians] new...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86

Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Jan 14, 2022 - This collection features AFP content on deep venous thrombosis, pulmonary embolism and related issues, including anticoagulation, heparin therapy, and venous thromboembolism. This collection features AFP content on deep venous thrombosis, pulmonary embolism and related issues, including...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=69

Cluster Headache: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Cluster headache, the most common form of trigeminal autonomic cephalgia, is a rare primary headache disorder that affects less than 1% of the population. The mean age of onset is 30 years, and it is two to three times more common in males. Cluster headache consists of attacks of severe...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p24.html

Adenomyosis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Adenomyosis is a clinical condition where endometrial glands are found in the myometrium of the uterus. One in three patients with adenomyosis is asymptomatic, but the rest may present with heavy menstrual bleeding, pelvic pain, or infertility. Heavy menstrual bleeding is the most ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p33.html

Reduction in Saturated Fat Intake for Cardiovascular Disease - Medicine by the Numbers ... Restricted content. Login required.

Jan 1, 2022 - Learn more about the effects of reducing saturated fat intake on cardiovascular disease risk.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2022/0100/od2.html

Arterial Atherosclerosis: Vascular Surgery Interventions - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Atherosclerotic vascular disease is a leading cause of death worldwide. Atherosclerotic stenosis of the internal carotid or intracranial arteries causes up to 15% of strokes. Peripheral artery disease affects up to one in five people in the United States who are 60 years and older and ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p65.html

Provided Infant Carriers Increase the Rate of Sustained Breastfeeding - POEMs - ... Restricted content. Login required.

Jan 1, 2022 - Giving an infant carrier to mothers before or at delivery increases sustained breastfeeding from three to six months following birth. The authors speculate that this outcome is caused by increased physical contact.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p93a.html

PrecivityAD for Diagnosis of Alzheimer Disease - Diagnostic Tests: What Physicians Need... Restricted content. Login required.

Jan 1, 2022 - The PrecivityAD test is a widely available blood test for older persons with mild cognitive impairment and is marketed to aid in the diagnosis of Alzheimer disease. The APS produced by the test is accurate in predicting the likelihood of positive PET findings, which may reduce the need ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2022/0100/p79.html

Is the Use of Hormonal Contraception Associated With Suicide and Suicide Attempts? - ... Restricted content. Login required.

Jan 1, 2022 - There may be an association between the use of hormonal contraception and suicide. Women using oral contraceptives had an increase in completed suicides and suicidal behaviors (i.e., suicidal thoughts and suicide attempts without success).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0100/p82.html

Family Physicians Should Treat Pregnant Patients With Hypothyroidism - Letters to the ...

Jan 1, 2022 - ...couple or few patients, then feel comfortable assuming full care responsibilities after that. However, we are aware of the reduction in the number of family physicians delivering babies1 and did not want to further dissuade readers who may be more comfortable comanaging...

American Family Physician : Letter

https://www.aafp.org/afp/2022/0100/p7.html

Harm Reduction for Patients With Substance Use Disorders - Curbside Consultation - ... Restricted content. Login required.

Jan 1, 2022 - Patients engaged in high-risk activities are often ambivalent about changing their behavior. Harm reduction is an approach that focuses on limiting harm and improving quality of life for patients who persist with high-risk behaviors; the foundations of harm reduction are pragmatism and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0100/p90.html

Risks of and Indications for Mifepristone for Medication Abortion - Letters to the ...

Jan 1, 2022 - ...and be prepared to manage complications and adverse events that patients experience with mifepristone, especially if there are increasing numbers of medication abortions without an office visit, ultrasonography, and appropriate ancillary studies. Karen Poehailos, MD Charlottesville,...

American Family Physician : Letter

https://www.aafp.org/afp/2022/0100/p5.html

Peanut Allergen Powder (Palforzia) for Peanut Allergy - STEPS - American Family Physician Restricted content. Login required.

Jan 1, 2022 - For individuals with severe peanut allergy, peanut allergen powder may lessen the likelihood of life-threatening consequences of accidental ingestion of small amounts of peanuts. Patients must still adhere to a peanut-avoidant diet, which likely has far bigger preventive impact than ...

American Family Physician : STEPS

https://www.aafp.org/afp/2022/0100/p20.html

Compression Stockings for Preventing Deep Venous Thrombosis in Airline Passengers - ... Restricted content. Login required.

Jan 1, 2022 - Compression stockings are effective at reducing asymptomatic deep venous thrombosis in airline passengers taking flights longer than five hours in both high-risk and low-risk populations.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0100/p23.html

Musculoskeletal Care - American Family Physician

Dec 15, 2021 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Labor, Delivery, and Postpartum Issues - American Family Physician

Dec 15, 2021 - This collection features AFP content on labor, delivery, and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, and vaginal ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=16

Prenatal Care - American Family Physician

Dec 15, 2021 - This collection features AFP content on prenatal care and related issues, including preconception care, folic acid, medication safety, nausea and vomiting, pregnancy complications, and prenatal screening. This collection features AFP content on prenatal care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25

Hepatitis (and Other Liver Diseases) - American Family Physician

Dec 15, 2021 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38

Anxiety Disorders - American Family Physician

Dec 15, 2021 - ...04/01/2020 Benzodiazepines for Panic Disorder in Adults [Medicine by the Numbers] 05/15/2019 Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation 05/01/2019 Psychological and Pharmacologic Treatments for Adults with PTSD [Implementing AHRQ Effective...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85

Pneumonia - American Family Physician

Dec 15, 2021 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

Cannabis Essentials: Tools for Clinical Practice - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Cannabis use in the United States is increasing annually in people of all ages. This increase is fueled by state-level legalization, decreased risk perception, and increased social acceptability. Cannabis and its active components, cannabinoids, have been studied for medical uses and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1200/p598.html

Septic Arthritis: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Septic arthritis must be considered and promptly diagnosed in any patient presenting with acute atraumatic joint pain, swelling, and fever. Risk factors for septic arthritis include age older than 80 years, diabetes mellitus, rheumatoid arthritis, recent joint surgery, hip or knee ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1200/p589.html

Probiotics for Preventing Antibiotic-Associated Diarrhea - Medicine by the Numbers - ... Restricted content. Login required.

Dec 1, 2021 - Learn more about probiotics for preventing antibiotic-associated diarrhea.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1200/od1.html

Family Physicians Continue to Offer the Most Comprehensive Care - Graham Center Policy ...

Dec 1, 2021 - Comprehensiveness of care is one of the cardinal attributes of high-performing primary care. Evidence has shown that more comprehensive care, as measured by the number of services offered, is associated with lower costs and a reduction in hospitalizations. Comprehensiveness of care may ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/1200/p560.html

Dismantling Anti-Black Racism in Medicine - Editorials - American Family Physician

Dec 1, 2021 - The murders of George Floyd and countless other members of the Black community by police prompted family medicine journals and professional societies to publish antiracism statements that provide actions, plans, and accountability structures to eliminate systemic anti-Black racism in ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1200/p555.html

Left Atrial Appendage Occlusion During Cardiac Surgery for Another Reason Reduces the ... Restricted content. Login required.

Dec 1, 2021 - Surgical closure of the left atrial appendage during cardiac surgery for another reason safely reduces the risk of ischemic stroke. Because the risk of stroke in the first 30 days after any cardiac surgery is approximately 2% and the absolute reduction in the risk of stroke with the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od5.html

Neonatal Early-Onset Sepsis Calculator - Point-of-Care Guides - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Can the neonatal early-onset sepsis calculator safely and accurately evaluate the risk of early-onset sepsis in neonates?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/1200/p636.html

Some Nonpharmacologic Treatments May Decrease Migraine Frequency in Children and ... Restricted content. Login required.

Dec 1, 2021 - Active nonpharmacologic treatments such as biofeedback, relaxation techniques, and general or specific psychological support (e.g., cognitive behavior therapy) may be a good place to start when trying to decrease migraine frequency in children and adolescents. The research is positive, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od3.html

Asthma - American Family Physician

Nov 15, 2021 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=3

Heart Failure - American Family Physician

Nov 15, 2021 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26

Cancer - American Family Physician

Nov 15, 2021 - This collection features AFP content on cancer and related issues, including various types (breast, cervical, childhood, colorectal, lung, oral, ovarian, prostate, skin, testicular, and other types of cancer). This collection features AFP content on cancer and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=31

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Nov 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Recent-Onset Altered Mental Status: Evaluation and Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Potential precipitating factors for the recent onset of altered mental status (AMS) include primary central nervous system insults, systemic infections, metabolic disturbances, toxin exposure, medications, chronic systemic diseases, and psychiatric conditions. Delirium is also an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p461.html

End-Stage Renal Disease: Medical Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - End-stage renal disease (ESRD) is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. Primary care clinicians should refer people at risk of ESRD to nephrology to optimize disease management. Kidney transplantation ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p493.html

Vocal Cord Dysfunction: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Vocal cord dysfunction (i.e., vocal cords closing when they should be opening, particularly during inspiration) should be suspected in patients presenting with inspiratory stridor or wheezing; sudden, severe dyspnea (without hypoxia, tachypnea, or increased work of breathing); throat or...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p471.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Nov 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Antibiotic Therapy Does Not Prevent Death or Acute Exacerbations in Adults with ... Restricted content. Login required.

Nov 1, 2021 - The study found an increased number of adverse events without any significant benefit from antimicrobial therapy compared with usual care alone for adults with IPF. The study was terminated earlier than planned because of futility and the possibility of significantly increased harm.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od4.html

Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain ... Restricted content. Login required.

Nov 1, 2021 - Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od6.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Nov 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Oct 15, 2021 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

Hepatitis A - American Family Physician Restricted content. Login required.

Oct 1, 2021 - Hepatitis A is a common viral infection worldwide that is transmitted via the fecal-oral route. The incidence of infection in the United States decreased by more than 90% after an effective vaccine was introduced, but the number of cases has been increasing because of large community ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p368.html

Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters - Medicine by... Restricted content. Login required.

Oct 1, 2021 - Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1000/od2.html

Bioterrorism - American Family Physician Restricted content. Login required.

Oct 1, 2021 - Bioterrorism is the deliberate release of viruses, bacteria, toxins, or fungi with the goal of causing panic, mass casualties, or severe economic disruption. From 1981 to 2018, there were 37 bioterrorist attacks worldwide. The Centers for Disease Control and Prevention (CDC) lists ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p376.html

Onychomycosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Oct 1, 2021 - Onychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p359.html

Diabetes-Related Foot Infections: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Oct 1, 2021 - Diabetes-related foot infections occur in approximately 40% of diabetes-related foot ulcers and cause significant morbidity. Clinicians should consider patient risk factors (e.g., presence of foot ulcers greater than 2 cm, uncontrolled diabetes mellitus, poor vascular perfusion, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p386.html

Neonatal Resuscitation: Updated Guidelines from the American Heart Association - ... Restricted content. Login required.

Oct 1, 2021 - The American Heart Association released minor updates to neonatal resuscitation recommendations with only minor changes to the previous algorithm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p425.html

Depression, Cervical Myelopathy, Diagnostic Imaging, Eating Disorders, Vitamin K ... Restricted content. Login required.

Oct 1, 2021 - 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/2021/1000/p354.html

Management of Syphilis in People with HIV Infection - Letters to the Editor - American ...

Oct 1, 2021 - ...infection. There is a difference in the management of syphilis in people with HIV infection that may be beneficial for readers to note. The number of primary and secondary syphilis cases reported in the United States has been increasing, reaching 35,063 cases (10.8 cases per 100,000...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p335.html

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ... Restricted content. Login required.

Oct 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p356.html

Administering COVID-19 Vaccines During Preparticipation Physical Examinations - Letters...

Oct 1, 2021 - ...including the American Academy of Family Physicians, the American Academy of Pediatrics, and the American Medical Society for Sports Medicine (AMSSM), worked together with the White House COVID-19 Response Team to develop a consensus statement detailing the importance of COVID-19...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p331a.html

Community Vision Screening in Older Adults - FPIN's Help Desk Answers - American Family... Restricted content. Login required.

Oct 1, 2021 - The available evidence does not support screening adults 65 years and older for visual impairment in the primary care setting.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/1000/p419.html

Growing Mass in an Adolescent - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2021 - A patient presented with a polypoid, unpigmented mass on the top of the head that was raised and asymmetrical with slightly irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p413.html

For Patients with Type 2 Diabetes Mellitus Who Are Taking a GLP-1 Receptor Agonist, an ... Restricted content. Login required.

Oct 1, 2021 - This propensity score–matched analysis (not funded by industry) concluded that an SGLT2 inhibitor is preferred over a sulfonylurea for patients with type 2 diabetes who are already taking a GLP-1 receptor agonist, with favorable effects on the likelihood of hospitalization for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p424.html

Screening for Ovarian Cancer with CA 125 and Ultrasound Algorithm Does Not Reduce ... Restricted content. Login required.

Oct 1, 2021 - Like the U.S. Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial, this large and long U.K. study found no reduction in ovarian cancer mortality with screening using ultrasonography or a multimodal CA 125–based screening strategy.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422a.html

Schizophrenia: Use of Antipsychotic Drugs for Maintenance Therapy - Cochrane for ... Restricted content. Login required.

Oct 1, 2021 - Compared with placebo, using antipsychotic drugs for maintenance therapy in patients with schizophrenia is associated with relapse prevention at seven to 12 months.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p355.html

Hyperlipidemia - American Family Physician

Sep 15, 2021 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

Dyspepsia - American Family Physician

Sep 15, 2021 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Sep 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.html

Home Blood Pressure Monitoring - American Family Physician Restricted content. Login required.

Sep 1, 2021 - Home blood pressure monitoring provides important diagnostic information beyond in-office blood pressure readings and offers similar results to ambulatory blood pressure monitoring. Home blood pressure monitoring involves patients independently measuring their blood pressure with an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p237.html

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and ... Restricted content. Login required.

Sep 1, 2021 - Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) are inflammatory conditions that present diagnostic and therapeutic challenges to the physician. Although many of their features overlap, they are two distinct conditions. KD is a febrile illness most ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p244.html

Splenomegaly: Diagnosis and Management in Adults - American Family Physician Restricted content. Login required.

Sep 1, 2021 - Splenomegaly can be due to several mechanisms but is almost always a sign of a systemic condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly and suggest etiology. Symptoms can suggest infectious, malignant, hepatic, or hematologic causes. Physical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p271.html

Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated guidelines for the treatment of headache disorders based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p316.html

Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease - Diagnostic Tests:... Restricted content. Login required.

Sep 1, 2021 - Fecal calprotectin measurement is an accurate, simple, cost-effective test that can aid in selecting which patients presenting with possible IBD can be safely observed in the primary care setting.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0900/p303.html

Hyperpigmentation of the Hands, Feet, and Tongue - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2021 - A patient presented with a painless, non-pruritic rash involving his palms, soles, and tongue after undergoing chemotherapy.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p301.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Sep 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Take-and-Hold Prescriptions for Children with Respiratory Tract Infections Decrease ... Restricted content. Login required.

Sep 1, 2021 - A strategy of providing education about the natural history of respiratory symptoms in children combined with giving a take-and-hold prescription (to be filled only if symptoms persisted) resulted in one in four of those children eventually receiving an antibiotic.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od5.html

Respiratory Tract Infections - American Family Physician

Aug 12, 2021 - ...11/01/2020 Antibiotics for Acute Bronchitis [Medicine by the Numbers] 10/01/2019 Antibiotics for Acute Rhinosinusitis in Adults [Medicine by the Numbers] 09/01/2019 Treatment of the Common Cold 05/15/2019 Chronic Cough After Acute Viral Bronchiolitis: Suggestions from...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=29

Abdominal Pain, Acute - American Family Physician

Aug 12, 2021 - This collection features AFP content on acute abdominal pain and related issues, including acute pelvic pain, appendicitis, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and pancreatitis. This collection features AFP content on acute abdominal pain and related ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=73

Immunizations (excluding Influenza) - American Family Physician

Aug 12, 2021 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Care of the College Student - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p141.html

Accuracy of Ultrasonography for the Diagnosis of Small Bowel Obstruction - Medicine by ... Restricted content. Login required.

Aug 1, 2021 - According to a meta-analysis including prospective observational studies evaluating the accuracy of ultrasonography for the diagnosis of small bowel obstruction, ultrasonography appears to be highly sensitive and specific for this use.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0800/p135.html

Human Papillomavirus: Screening, Testing, and Prevention - American Family Physician Restricted content. Login required.

Aug 1, 2021 - With more than 200 types identified, human papillomavirus (HPV) commonly causes infections of the skin and mucosa. HPV infection is the most common sexually transmitted infection in the United States. Although most HPV infections are transient and subclinical, some lead to clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p152.html

Dysmenorrhea - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Dysmenorrhea is common and usually independent of, rather than secondary to, pelvic pathology. Dysmenorrhea occurs in 50% to 90% of adolescent girls and women of reproductive age and is a leading cause of absenteeism. Secondary dysmenorrhea as a result of endometriosis, pelvic anatomic ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p164.html

Inhaled Budesonide Reduces the Risk of Emergency Department Evaluation or ... Restricted content. Login required.

Aug 1, 2021 - Inhaled budesonide, 800 mcg twice daily, significantly reduces the likelihood that patients with early COVID-19 will require emergency department evaluation or hospitalization (number needed to treat = 7 to 8). This is a widely available, relatively inexpensive drug with the potential ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p207.html

State-Level Variation in Primary Care Physician Density - Graham Center Policy ...

Aug 1, 2021 - Despite representing only one-third of the physician workforce in the United States, primary care physicians (PCPs) are the first contact with the health care system for most patients. A 2010 report by the Council on Graduate Medical Education recommended that 40% of the physician ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/0800/p133.html

Can Pioglitazone Prevent or Delay Type 2 Diabetes in Patients with Prediabetes? - ... Restricted content. Login required.

Aug 1, 2021 - Pioglitazone prevents or delays the incidence of type 2 diabetes in individuals with prediabetes when compared with placebo (absolute risk reduction [ARR] = 11.3%; 95% CI, 0.9% to 15.6%; number needed to treat [NNT] = 9) or no intervention (ARR = 13.3%; 95% CI, 11.6% to 14.9%; NNT = 7)....

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p139.html

Case Report: Consequences of Misdiagnosed Anal Cancer - Letters to the Editor - ...

Aug 1, 2021 - ...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/2021/0800/p119.html

Chronic Obstructive Pulmonary Disease - American Family Physician

Jul 15, 2021 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32

Pain: Chronic - American Family Physician

Jul 15, 2021 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=61

HIV/AIDS - American Family Physician

Jul 15, 2021 - 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 ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11

Levonorgestrel-Releasing Intrauterine System for Regression of Endometrial Hyperplasia ... Restricted content. Login required.

Jul 1, 2021 - A Cochrane review compared the levonorgestrel-releasing intrauterine system with progesterone for the treatment of endometrial hyperplasia.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0700/p26.html

Top 20 Research Studies of 2020 for Primary Care Physicians - American Family Physician Restricted content. Login required.

Jul 1, 2021 - This article summarizes the top 20 research studies of 2020 identified as POEMs (patient-oriented evidence that matters), including the two most highly rated guidelines of the year on gout and chronic obstructive pulmonary disease (COPD). Regarding COVID-19, handwashing and social ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p41.html

Pharmacologic Therapy for Acute Pain - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Pharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p63.html

Costochondritis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Jul 1, 2021 - ...TIMOTHY MOTT, MD; GREGORY JONES, MD; and KIMBERLY ROMAN, MD, South Baldwin Regional Medical Center Family Medicine Residency Program, Foley, Alabama Am Fam Physician. 2021 Jul ;104(1):73-78. Patient information: See related handout on costochondritis. This clinical content conforms...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p73.html

Pharmacologic Management of COPD Exacerbations: A Clinical Practice Guideline from the ...

Jul 1, 2021 - The American Academy of Family Physicians has published guidelines for treating acute exacerbations of COPD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/od1.html

Clascoterone (Winlevi) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Jul 1, 2021 - More comparative data are needed to justify the use of clascoterone over less expensive, currently available therapies for moderate to severe acne. However, systemic absorption of clascoterone is low, and it may serve as a safe alternative for patients 12 years and older who saw ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0700/p93.html

Cryoablation Preferred as Initial Therapy for Paroxysmal Atrial Fibrillation - POEMs - ... Restricted content. Login required.

Jul 1, 2021 - Initial cryoablation for patients with paroxysmal AF is superior to initial antiarrhythmic drug therapy. Another study in the same issue of New England Journal of Medicine compared cryoablation with medical therapy and had similar findings.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p97.html

Additional Differential Diagnosis for Adult Hip Pain - Letters to the Editor - American...

Jul 1, 2021 - ...applaud Dr. Chamberlain for the outstanding review of the evaluation and differential diagnosis of hip pain. We have found that many family medicine residents are uncomfortable with the evaluation and examination of hip pathology. Dr. Chamberlain did an excellent job delineating...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p9.html

Once-Weekly Semaglutide Is an Effective Adjunct for Weight Loss in Adults without ... Restricted content. Login required.

Jul 1, 2021 - Once-weekly subcutaneous semaglutide used as an adjunct to intensive behavioral therapy significantly improves the likelihood that adults without diabetes who are overweight or obese will lose at least 5% of their baseline body weight compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p96.html

Single-Dose Opioid Analgesics Offer No Benefit over Nonopioid Analgesia for ... Restricted content. Login required.

Jul 1, 2021 - A single dose of opioid analgesics provides similar acute pain relief compared with a single dose of a combination of acetaminophen and ibuprofen in patients with acute musculoskeletal pain in the emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95a.html

Low-Carb Diets May Produce Short-Term Diabetes Remission - POEMs - American Family ... Restricted content. Login required.

Jul 1, 2021 - Patients with type 2 diabetes can try cutting out bread and pasta, leaving the skin on chicken, or eating nuts and avocados to lower their blood glucose levels. Six months of a low-carbohydrate diet (less than 26% of calories from carbohydrates) was more likely than other diets or usual...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95.html

Pharmacologic Management of Agitation in Patients with Dementia - FPIN's Clinical ... Restricted content. Login required.

Jul 1, 2021 - Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0700/p91.html

Obstetric Lacerations: Prevention and Repair - American Family Physician Restricted content. Login required.

Jun 15, 2021 - Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p745.html

Tobacco Abuse and Dependence - American Family Physician

Jun 15, 2021 - This collection features AFP content on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle counseling, and smoking cessation. This collection features AFP content on tobacco abuse and dependence and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=28

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