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Practice Guidelines

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Beyond Analgesia in Palliative Care and End-of-Life Interventions - Editorials - ...

Jul 1, 2014 - Family physicians need a basic skill set that includes facilitating discussions on advance planning and goals, identifying and treating depression and anxiety, and managing pain and symptoms at the end of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0701/p20.html

ACOG Releases Guidelines on Management of Abnormal Uterine Bleeding Associated with ...

Jun 15, 2014 - Abnormal uterine bleeding related to ovulatory dysfunction (i.e., oligo-ovulation and anovulation) is a range of disorders often associated with heavy, irregular bleeding. The American College of Obstetricians and Gynecologists (ACOG) treatment recommendations are based on the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0615/p987.html

Topical Preparations for Wound Healing - FPIN's Clinical Inquiries - American Family ...

Jun 15, 2014 - Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or vascular ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0615/p978.html

Treatment of Knee Osteoarthritis: A Clinical Practice Guideline from the AAOS - ...

Jun 1, 2014 - This clinical guideline from the American Academy of Orthopaedic Surgeons (AAOS) updates the one previously published in 2008 and addresses treatment of symptomatic knee osteoarthritis in adults 19 years and older.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0601/p918.html

High-Potency Topical Corticosteroids Effective for Alopecia Areata in Children - POEMs ...

Jun 1, 2014 - Clobetasol propionate, 0.05%, applied in a thin layer for six weeks on, six weeks off, is a highly effective and safe treatment for alopecia areata in children; hydrocortisone, 1%, is not.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0601/p913.html

Corrections - Jun 1, 2014 - American Family Physician

Jun 1, 2014 - ...Incorrect statement regarding etidronate's effect on hip fractures. In the Practice Guideline ACP Releases Guideline on Treatment of Low Bone Mineral Density or Osteoporosis to Prevent Fractures (May 1, 2009, p. 808), the first sentence of the second paragraph (p. 808), which...

American Family Physician : Corrections

https://www.aafp.org/afp/2014/0601/p853a.html

Latent Tuberculosis - American Family Physician

Jun 1, 2014 - ...Previous: Treatment of Knee Osteoarthritis: A Clinical Practice Guideline from the AAOS Next: Letters on Preconception Counseling and Care View the full table of contents >> Home / Journals / afp / Vol. 89/No. 11(June 1, 2014) / Latent Tuberculosis...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2014/0601/p889-s1.html

AAP Releases Report on the Evaluation of Children When Sexual Abuse Is Suspected - ...

May 15, 2014 - Childhood sexual abuse is common and can lead to lifelong physical and psychological problems. The American Academy of Pediatrics (AAP) has released a report to assist physicians in evaluating children who may have been sexually abused, determining when to report the case, and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0515/p830.html

AAO-HNSF Releases Guideline on Tympanostomy Tubes in Children - Practice Guidelines - ...

May 1, 2014 - The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) has released a guideline on the indications for tube placement in children, as well as perioperative counseling.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0501/p754.html

Acute Migraine Treatment in Emergency Settings - Implementing AHRQ Effective Health ...

May 1, 2014 - What are the comparative benefits and adverse effects of parenteral treatments for adults who present to the emergency department with migraine headaches?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/0501/p742.html

AAP Releases Guideline on Diagnosis and Management of Acute Bacterial Sinusitis in ...

Apr 15, 2014 - Approximately 6% to 7% of children presenting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0415/p676.html

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

Diagnosis and Management of Pancreatic Cancer - American Family Physician

Apr 15, 2014 - Pancreatic cancer remains the fourth leading cause of cancer-related deaths in the United States. Risk factors include family history, smoking, chronic pancreatitis, obesity, diabetes mellitus, heavy alcohol use, and possible dietary factors. Because more than two-thirds of ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p626.html

Evaluation and Management of Concussion in Athletes: Recommendations from the AAN - ...

Apr 1, 2014 - The American Academy of Neurology (AAN) studied the incidence of concussion in high school and college athletes to address related clinical questions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0401/p585.html

JNC 8 Report on Prevention, Evaluation, and Treatment of Hypertension - POEMs - ...

Apr 1, 2014 - See the Synopsis section for a summary of the updated hypertension treatment recommendations from the Eighth Joint National Committee (JNC 8).

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0401/p574a.html

No Benefit to Addition of Stenting for Treatment of Atherosclerotic Renal Artery ...

Apr 1, 2014 - In patients with severe atherosclerotic renal artery stenosis and hypertension or chronic kidney disease, renal artery stenting does not provide an additional benefit when added to comprehensive medical therapy that includes blood pressure and diabetes mellitus management, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0401/p576.html

ACG Releases Guideline on Diagnosis and Management of Celiac Disease - Practice ...

Mar 15, 2014 - There has been a substantial increase in the prevalence of celiac disease over the past 50 years, and in the rate of diagnosis over the past decade. Despite this, it remains underdiagnosed in the United States. The American College of Gastroenterology (ACG) has released clinical ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0315/p485.html

Intrauterine Devices: An Update - American Family Physician

Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0315/p445.html

AAP Releases Guideline for the Management of Gastroesophageal Reflux in Children - ...

Mar 1, 2014 - The American Academy of Pediatrics (AAP) has published a guideline on the management of gastroesophageal reflux (GER) in children based on recommendations from the North American and European Societies for Pediatric Gastroenterology, Hepatology, and Nutrition. It is important to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0301/p395.html

Evaluation and Management of Neck Masses in Children - American Family Physician

Mar 1, 2014 - Neck masses in children usually fall into one of three categories: developmental, inflammatory/reactive, or neoplastic. Common congenital developmental masses in the neck include thyroglossal duct cysts, branchial cleft cysts, dermoid cysts, vascular malformations, and hemangiomas. ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0301/p353.html

ACIP Releases 2014 Adult Immunization Schedule - Practice Guidelines - American Family ...

Feb 15, 2014 - The 2014 immunization schedule for adults from the Advisory Committee on Immunization Practices (ACIP) has a few changes that are particularly relevant to family physicians. The schedule is available at http://www.aafp.org/patient-care/immunizations/schedules.html.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0215/p302.html

Thyroid Disease in Pregnancy - American Family Physician

Feb 15, 2014 - Thyroid disease is the second most common endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Current guidelines recommend ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0215/p273.html

ACIP Releases 2014 Child and Adolescent Immunization Schedules - Practice Guidelines - ...

Feb 1, 2014 - There are a few changes to the 2014 immunization schedule for children and adolescents, as well as the catch-up schedule, from the Advisory Committee on Immunization Practices (ACIP) that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0201/p229.html

What's New in Childhood Vaccines - Editorials - American Family Physician

Feb 1, 2014 - Recommending and providing childhood vaccines is a vital part of a family physician's role in delivering health care to our youth. This editorial reviews several changes in childhood vaccines in the past two years.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0201/p153.html

AUA Releases Guideline on Early Detection of Prostate Cancer - Practice Guidelines - ...

Jan 15, 2014 - In April 2013, the American Urological Association (AUA) released a guideline on early detection of prostate cancer, namely to reduce prostate cancer mortality.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0115/p137.html

ACS Releases Guideline on Screening for Lung Cancer with Low-Dose Computed Tomography -...

Jan 1, 2014 - In late 2010, results from the National Lung Screening Trial showed that lung cancer mortality was significantly reduced in high-risk adults who received annual screenings using low-dose computed tomography (CT). After these results were announced, the American Cancer Society (ACS) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0101/p56.html

Corticosteroids for the Treatment of Sore Throat - Cochrane for Clinicians - American ...

Jan 1, 2014 - In adults with suspected bacterial pharyngitis who require antibiotic therapy, adding a corticosteroid may increase the likelihood of complete pain resolution at 24 hours. Further study is needed to assess the safety of corticosteroids and whether they can be recommended for presumed ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0101/p14.html

ACP Publishes Recommendations on Upper Endoscopy for Gastroesophageal Reflux Disease - ...

Dec 15, 2013 - Data suggest that upper endoscopy in patients with symptoms of gastroesophageal reflux disease (GERD) is useful only in certain situations. To help physicians avoid the overuse of interventions that have little effect on health outcomes, the American College of Physicians (ACP) recently...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1215/p865.html

AHA Releases Recommendation on Ankle-Brachial Index Measurement and Interpretation - ...

Dec 15, 2013 - The ankle-brachial index (ABI) is the ratio of the systolic blood pressure at the ankle to the systolic blood pressure at the brachial artery. The American Heart Association (AHA) released a scientific statement on the measurement and interpretation of ABI, including standardization of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1215/p866.html

ACOG Releases Guidelines on Cervical Cancer Screening - Practice Guidelines - American ...

Dec 1, 2013 - The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. Screening technologies and risk-benefit considerations for different age groups continue to evolve. The American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1201/p776.html

Impact of Industry Sponsorship on Research Outcomes - Cochrane for Clinicians - ...

Dec 1, 2013 - Are research studies sponsored by industry more likely to have favorable results and conclusions than studies without industry sponsorship?

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1201/p746.html

AAP Releases Guideline on Managing Type 2 Diabetes Mellitus in Patients 10 to 18 Years ...

Nov 15, 2013 - Childhood type 2 diabetes poses a challenge to many physicians who are not used to treating this disease in such young patients. The American Academy of Pediatrics (AAP) has released a guideline of evidence-based recommendations for treating type 2 diabetes in patients 10 to 18 years of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1115/p710.html

Diagnosis and Management of Physical Abuse in Children - American Family Physician

Nov 15, 2013 - Child abuse is the third leading cause of death in children between one and four years of age, and almost 20% of child homicide victims have contact with a health care professional within a month of their death. Therefore, family physicians are in an ideal position to detect and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p669.html

Management of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...

Nov 1, 2013 - The American College of Physicians (ACP) has developed a guideline on the management of stable ischemic heart disease (IHD). This summary presents recommendations related to risk factor modification (including strategies of unproven benefit), medical therapies to prevent myocardial ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1101/p612.html

Optimal Antibiotic Regimen for Treating Lower UTI in Children - Cochrane for Clinicians...

Nov 1, 2013 - For the afebrile child with a UTI, a short course (three to seven days) of antibiotics is as effective at preventing the recurrence of symptomatic UTI as a long course (seven to 10 days). There is no clear evidence of superiority for any one antibiotic regimen.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1101/p577.html

ACIP Releases Influenza Vaccination Updates for 2013-2014 - Practice Guidelines - ...

Oct 15, 2013 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has updated its annual guidelines for routine influenza vaccination in 2013–2014. Vaccination is recommended for all persons six months or older who do not have contraindications.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1015/p543.html

Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...

Oct 1, 2013 - The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1001/p469.html

Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most...

Oct 1, 2013 - The evidence supports the use of antibiotics only in certain clinical situations and avoidance of antibiotics in certain children with AOM.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1001/od2.html

ACR Publishes Guidelines for Pharmacologic and Nonpharmacologic Treatment of Gout - ...

Sep 15, 2013 - The American College of Rheumatology (ACR) has developed recommendations for the management of gout. The recommendations call for a systematic nonpharmacologic and pharmacologic management approach that is intended to be applicable to all patients with gout.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0915/p408.html

Top 20 Research Studies of 2012 for Primary Care Physicians - American Family Physician

Sep 15, 2013 - This is the second annual summary of top research studies in primary care. In 2012, through regular surveillance of more than 100 English-language clinical research journals, seven clinicians identified 270 studies with the potential to change primary care practice, called POEMs, or ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p380.html

IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis - Practice ...

Sep 1, 2013 - The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0901/p338.html

Pituitary Adenomas: An Overview - American Family Physician

Sep 1, 2013 - Prolactinomas and nonfunctioning adenomas are the most common types of pituitary adenomas. Patients with pituitary adenomas may present initially with symptoms of endocrine dysfunction such as infertility, decreased libido, and galactorrhea, or with neurologic symptoms such as headache ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0901/p319.html

ACOG Releases Practice Bulletin on Osteoporosis - Practice Guidelines - American Family...

Aug 15, 2013 - This practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) reviews diagnosis, evaluation, and treatment options for women with osteoporosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0815/p269.html

Childhood Eye Examination - American Family Physician

Aug 15, 2013 - Vision screening in children is an ongoing process, with components that should occur at each well-child visit. The purpose is to detect risk factors and visual abnormalities that necessitate treatment and to identify those patients who require referral to an ophthalmologist skilled in ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p241.html

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

AACAP Releases Practice Parameter on Sexual Orientation, Gender Nonconformity, and ...

Aug 1, 2013 - Children and adolescents who are gay, lesbian, or bisexual, and those with gender nonconformity or gender discordance may be affected by negative attitudes, putting them at risk of certain mental health conditions. The American Academy of Child and Adolescent Psychiatry (AACAP) has ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0801/p202.html

Diabetic Foot Infections - American Family Physician

Aug 1, 2013 - Diabetic foot infection, defined as soft tissue or bone infection below the malleoli, is the most common complication of diabetes mellitus leading to hospitalization and the most frequent cause of nontraumatic lower extremity amputation. Diabetic foot infections are diagnosed clinically...

American Family Physician : Article

https://www.aafp.org/afp/2013/0801/p177.html

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and ...

Aug 1, 2013 - The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0801/p164.html

Endocrine Society Releases Guidelines on Diagnosis and Management of ...

Jul 15, 2013 - The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes mellitus, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0715/p142.html

CDC Issues Recommendations for Identifying HCV Infection in Persons Born in 1945 ...

Jul 1, 2013 - Identifying HCV infection through testing is important to improve health outcomes in persons born in 1945 through 1965, because of increased risk of liver cirrhosis, hepatocellular carcinoma, and extrahepatic complications. The HCV Birth Cohort Testing Work Group, including experts from...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0701/p62.html

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