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Practice Guidelines

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Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...

Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p93.html

CDC Updates Latent TB Infection Treatment Recommendations

The CDC has updated and expanded its 2011 recommendations for use of once-weekly isoniazid and rifapentine for 12 weeks to treat latent TB infection.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180706mmwrltbi.html

Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide ...

Jul 1, 2018 - This Expert Consensus Decision Pathway from the American College of Cardiology (ACC) aims to provide physicians with decision-making assistance for managing bleeding events in patients taking anticoagulants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0701/p57.html

Acute Appendicitis: Efficient Diagnosis and Management - American Family Physician

Jul 1, 2018 - Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. It is the most common nonobstetric surgical emergency during pregnancy. Findings from the history, physical examination, and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p25.html

Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common ...

Jul 1, 2018 - A short course of oral corticosteroids is appropriate for many patients with specific conditions. However, widespread use of corticosteroids in patients with non-pneumonia lower respiratory tract infection, nonsevere sore throat, or low back pain is inappropriate and not worth the risk ...

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0701/p12.html

AHRQ: National Guideline Clearinghouse to Shut Down July 16

The Agency for Healthcare Research and Quality has announced that, because of federal budget cuts, its National Guideline Clearinghouse website will no longer be updated with new content as of July 2, 2018, and will not be available at all after July 16.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180627guidelineclearinghouse.html

Five steps for standing orders -- FPM

Whether you are writing a standing order from scratch or evaluating an existing one for use in your practice, be sure to address these issues.

Family Practice Management : Quick Tips : FPM Home

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

United States Medical Eligibility Criteria for Contraceptive Use - Clinical Practice ...

Access the clinical practice guideline on United States Medical Eligibility Criteria for Contraceptive Use, categorized by the AAFP with Affirmation of Value.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/contraceptive-use.html

Cerumen Impaction

Access the AAFP-endorsed clinical recommendation on cerumen impaction.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/earwax.html

Corticosteroids for Sore Throat: BMJ Rapid Recommendation - Practice Guidelines - ...

Jun 15, 2018 - The BMJ Rapid Recommendations team, a collaboration between BMJ and the MAGIC group, issued a weak recommendation to give a single dose of oral corticosteroids to most patients with acute sore throat.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0615/p821.html

Treatment of Seasonal Allergic Rhinitis: A Guideline from the AAAAI/ACAAI Joint Task ...

Jun 1, 2018 - To outline quality improvement opportunities for the treatment of seasonal allergic rhinitis, the Joint Task Force on Practice Parameters, consisting of experts from the American Academy of Allergy, Asthma, and Immunology (AAAAI) and the American College of Allergy, Asthma, and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0601/p756.html

Developing Standing Orders to Help Your Team Work to the Highest Level -- FPM

Jun 1, 2018 - Use this seven-step plan to create protocols that improve efficiency and reduce physician workloads.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0500/p13.html

Tobacco Use in Children and Adolescents - Clinical Preventive Service Recommendation

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on this topic tobacco use in children and adolescents.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/tobacco-use-children.html

Infectious Diarrhea: IDSA Updates Guidelines for Diagnosis and Management - Practice ...

May 15, 2018 - The Infectious Diseases Society of America (IDSA) has updated its 2001 guidelines for the management of children and adults with suspected or confirmed infectious diarrhea. Infectious diarrhea is usually self-limited, but diagnostic testing and treatment are indicated in some cases.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0515/p676.html

Colorectal Cancer Screening and Prevention - American Family Physician

May 15, 2018 - Colorectal cancer is a common cause of morbidity and mortality in the United States. Most colorectal cancers arise from preexisting adenomatous or serrated polyps. The incidence and mortality of colorectal cancer can be reduced with screening of average-risk adults 50 to 75 years of ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0515/p658.html

General Parenting Strategies: Practical Suggestions for Common Child Behavior Issues - ...

May 15, 2018 - Parents often seek guidance from physicians on child behavior problems. Questions may range from general parenting strategies to managing specific child behaviors. Physicians and their staff can identify problematic parent-child interactions or behaviors within the office setting and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0515/p642.html

Delegates Focus on Sexual Education, Preventing STIs

During the 2018 National Conference of Constituency Leaders, AAFP members acted on resolutions considered by the Reference Committee on Health of the Public and Science, including some that focused on sexual education and the prevention and treatment of sexually transmitted infections.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20180502nccl-hops.html

Gender-Dysphoric/Gender-Incongruent Persons: Treatment Recommendations from the ...

May 1, 2018 - Gender-dysphoric/gender-incongruent persons require a safe and effective hormone regimen. These recommendations are an update to the clinical practice guideline on endocrine treatment of transsexual persons published in 2009 by the Endocrine Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0501/p608.html

Top 20 Research Studies of 2017 for Primary Care Physicians - American Family Physician

May 1, 2018 - Based on systematic surveillance of more than 110 medical journals, 247 studies met criteria as POEMs (patient-oriented evidence that matters) in 2017. Members of the Canadian Medical Association identified 20 of these POEMs as most relevant to practice. This article reviews the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0501/p581.html

The AFP Podcast: 1 Million Downloads and Counting

The American Family Physician podcast has become one of the most important programs of its kind, bringing information to family physicians, residents and medical students with an average of 41,000 downloads each month.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20180426afppodcast.html

Antibiotics for Sinusitis

View the AAFP Choosing Wisely recommendation on prescribing antibiotics to treat sinusitis.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-sinusitis.html

Gestational Diabetes - Clinical Preventive Service Recommendation

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on gestational diabetes.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/diabetes.html

Perinatal Depression - Clinical Preventive Service Recommendation

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on prevention Perinatal Depression.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/perinatal-depression.html

Tuberculosis Infection, Asymptomatic Adults - Clinical Preventive Service Recommendations

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on tuberculosis in asymptomatic adults.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/tuberculosis.html

Imaging for Low Back Pain

View the AAFP Choosing Wisely recommendation on imaging for lower back pain.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-back-pain.html

Abnormal Blood Glucose and Type 2 Diabetes Mellitus, Adults - Clinical Preventive ...

Access the AAFP preventive service recommendations on screening for abnormal blood glucose and type 2 diabetes mellitus in adults.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/diabetes-screening.html

Screening and Management of High BP in Children and Adolescents: An Updated Guideline ...

Apr 15, 2018 - The American Academy of Pediatrics (AAP) previously published guidance on screening for and managing high blood pressure (BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0415/p543.html

AAP Hypertension Guideline Garners AAFP Affirmation of Value

The AAFP recently gave its affirmation of value designation to the American Academy of Pediatrics' guideline on screening for and managing high blood pressure in children and adolescents.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180404aaphtnguideaffirm.html

Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS - Practice ...

Apr 1, 2018 - The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0401/p478.html

High Blood Pressure in Children and Adolescents - Clinical Practice Guideline

Access the American Academy of Family Physician's endorsement of guidelines for high blood pressure in children and adolescents.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/hbp-child.html

AAFP, Missouri Chapter Warn State About Opioids Overreach

The AAFP recently gave the Department of Veterans Affairs feedback on a proposed rule that could affect physician payment, prior authorization and scope of practice.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20180315missouriopioids.html

High Blood Pressure: ACC/AHA Releases Updated Guideline - Practice Guidelines - ...

Mar 15, 2018 - The American College of Cardiology (ACC) and American Heart Association (AHA) recently updated their guideline on the prevention, detection, evaluation, and treatment of high BP in adults. The ACC/AHA recommendations were based on a systematic review that addressed four questions ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0315/p413.html

Stable Coronary Artery Disease: Treatment - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Editorials

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

AAO-HNS Dysphonia Guideline Earns AAFP Affirmation of Value

The American Academy of Otolaryngology-Head and Neck Surgery recently published an updated clinical practice guideline on dysphonia; the AAFP has given the guideline its affirmation of value designation.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180313aao-hnsdysphonia.html

ACP Calls for Moderate Glycemic Control in Type 2 Diabetes

On March 6, the American College of Physicians published new evidence-based guidance statements in Annals of Internal Medicine that focused on loosening glycemic control targets.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180309acpdiabetes.html

Draft Recommendation Sparks Discussion on Overweight, Obesity

In the wake of the U.S. Preventive Services Task Force's recent release of draft recommendations regarding obesity, Jennifer Frost, M.D., details the AAFP's position.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20180306guestedobesity.html

Treatment of Low BMD and Osteoporosis to Prevent Fractures: Updated Guideline from the ...

Mar 1, 2018 - Osteoporosis, which most commonly occurs in the hip, spine, and wrist, puts persons at increased risk of fragility and fracture. The American College of Physicians (ACP) has updated its 2008 guideline to include new evidence regarding fracture prevention in adults with low bone mineral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0301/p352.html

ACIP Releases 2018 Adult Immunization Recommendations - Practice Guidelines - American ...

Feb 15, 2018 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) reviews and updates the adult immunization schedule annually, incorporating any previously published updates or corrections from the previous year.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0215/p279.html

ACIP Releases 2018 Childhood Immunization Recommendations - Practice Guidelines - ...

Feb 15, 2018 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) reviews and updates the immunization schedule for children and adolescents 18 years or younger incorporating any previously published updates or corrections from the previous ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0215/p278.html

Testicular Cancer: Diagnosis and Treatment - American Family Physician

Feb 15, 2018 - Testicular cancer is the most common solid tumor among males 15 to 34 years of age, with an estimated 8,850 new cases and 410 deaths during 2017 in the United States. With effective treatment, the overall five-year survival rate is 97%. Risk factors for testicular cancer include ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0215/p261.html

Cancer Screening Recommendations from the ACS: A Summary of the 2017 Guidelines - ...

Feb 1, 2018 - Each year, the American Cancer Society (ACS) releases guidelines for health care professionals and patients on current cancer screening recommendations. The annual report updates previous recommendations, provides data on cancer screening rates, and discusses issues relating to early ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0201/p208.html

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

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

American Family Physician : Implementing AHRQ Effective Health Care Reviews

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

Evidence Poses a Challenge to Imaging Standards in the Diagnosis of Pneumonia - Letters...

Feb 1, 2018 - ...CL, Shah SS, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011;53(7):e25–e76. Read...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0201/p158.html

Introducing AFP's Next Editor-in-Chief - Editorials - American Family Physician

Feb 1, 2018 - Meet Dr. Sumi Makkar Sexton, AFP's new Editor-in-Chief.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0201/p154.html

AFP: What's Ahead - Editorials - American Family Physician

Feb 1, 2018 - Learn about AFP's new Editor-in-Chief's vision and plans for AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0201/p155.html

H. pylori Infection: ACG Updates Treatment Recommendations - Practice Guidelines - ...

Jan 15, 2018 - Helicobacter pylori infection is one of the most common chronic bacterial infections. The American College of Gastroenterology (ACG) has updated its clinical guidelines in response to significant scientific advances in the management of this disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0115/p135.html

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

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

American Family Physician : Article

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

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

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

American Family Physician : Editorials

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

AAFP Delivers Useful Clinical Resources for 2018

The AAFP offered a wide range of clinical recommendations and resources throughout 2017 -- including practice guidelines, immunization guidance and preventive services recommendations -- that members can use in 2018 and beyond.

AAFP News : Member Resources and Tools for 2018

https://www.aafp.org/news/resources-tools-2018/20180103yir-clinical.html

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