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Practice Guidelines

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Walking Program Effective for Chronic Low Back Pain - POEMs - American Family Physician

Aug 1, 2015 - Giving patients a pedometer, a walking diary, and instructions to walk at least four days per week, then gradually increase the walk's duration and intensity (see synopsis) results in improvement in pain and disability similar to usual physical therapy or a group exercise program.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0801/p230.html

Counseling Patients with Unintended Pregnancy - Curbside Consultation - American Family...

Apr 15, 2015 - Nearly one-half of all pregnancies in the United States are unintended. Risk factors for unintended pregnancy include limited access to contraception, less than a college education, poor social support, age between 20 and 24 years, and black race. Family physicians are often the initial...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0415/p574.html

The Recertification Exam: Then and Now -- FPM

Aug 1, 2015 - Since 1970, when the author sat for the first family medicine certification exam, a lot has changed - but not everything.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2015/0700/p44.html

Chronic Kidney Disease: Prevention and Treatment of Common Complications - American ...

Nov 15, 2004 - Chronic kidney disease is a progressive condition that results in significant morbidity and mortality. Because of the important role the kidneys play in maintaining homeostasis, chronic kidney disease can affect almost every body system. Early recognition and intervention are essential ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1921.html

Type 2 Diabetes: Updated Evidence Requires Updated Decision Making - Editorials - ...

Jul 1, 2015 - Clinicians need to consider the best available research findings, their own experience, and their patients' needs and values.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0701/p22.html

Caring for LGBTQ+ Patients | AAFP Audiobook

AAFP's Audiobook on Caring for LGBTQ+ Patients provides guidance on caring for and connecting with LGBTQ+ patients. Earn 6 CME credits.

CME : All CME Products

https://www.aafp.org/cme/all/audio/caring-for-lgbtq-plus-patients.html

Physician Health and Well-being Conference | AAFP

Feel revitalized and discover solutions for improved professional satisfaction and patient care. Attend March 30 - April 2, 2022, CME conference in Naples, FL.

CME : All CME Products

https://www.aafp.org/cme/all/physician-well-being/physician-health-and-well-being-conference.html

Correction - Corrections - American Family Physician

Jul 1, 2015 - ...Clarification on administration of live vaccines. The Practice Guideline IDSA Releases Recommendations on Vaccinations in Immunocompromised Patients, (November 1, 2014, page 664) contained incomplete information about the administration of live vaccines to household members of...

American Family Physician : Corrections

https://www.aafp.org/afp/2015/0701/p8a.html

Individualizing Target Goals and Treatment in Patients with Type 2 Diabetes - POEMs - ...

Jun 1, 2015 - This statement from American and European diabetes societies suggests that tighter control of hyperglycemia be attempted only in patients with a recent diagnosis and a low risk of hypoglycemia; who have a long life expectancy with few or no comorbidities, including cardiovascular ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0601/p788.html

Buprenorphine Maintenance vs. Methadone Maintenance or Placebo for Opioid Use Disorder ...

Feb 1, 2015 - At dosages greater than 2 mg per day, buprenorphine maintains treatment retention better than placebo. When flexible dosing (doses adjusted based on patient symptoms) is used, the effectiveness of buprenorphine is comparable to that of methadone in suppressing opioid use.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0201/p165.html

Should Family Physicians Screen for Testosterone Deficiency in Men? Yes: Screening for ...

Feb 15, 2015 - With the possible exception of patients with cardiovascular disease, testosterone replacement therapy remains a potentially beneficial option in improving health-related quality of life in men.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p220.html

Improving Quality by Doing Less: Overtreatment - Editorials - American Family Physician

Mar 1, 2015 - The third in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overtreatment is an important harm that commonly follows overscreening and overdiagnosis.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0301/p289.html

AFP Documents with Keyword: Kidney Stones - American Family Physician

...Oct 1, 2016 Issue ACR Appropriateness Criteria for Acute Onset of Flank Pain with Suspicion of Stone Disease [Practice Guidelines] The American College of Radiology (ACR) has established appropriateness criteria to assist in the selection process. Procedures with a rating of 9...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2378

AFP Documents with Keyword: Kidney Stones - American Family Physician

...Oct 1, 2016 Issue ACR Appropriateness Criteria for Acute Onset of Flank Pain with Suspicion of Stone Disease [Practice Guidelines] The American College of Radiology (ACR) has established appropriateness criteria to assist in the selection process. Procedures with a rating of 9...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2378&page=0

Outpatient Treatment of Systolic Heart Failure - American Family Physician

Dec 1, 2004 - Optimal outpatient treatment of systolic heart failure has three goals that should be pursued simultaneously: (1) control of risk factors for the development and progression of heart failure, (2) treatment of heart failure, and (3) education of patients. Control of risk factors includes...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2157.html

Diagnosing and Managing Acute Heart Failure Guidelines: NICE - POEMs - American Family ...

Feb 15, 2015 - There is not much new in these guidelines except some caveats on what not to do. Diagnose new acute heart failure with a natriuretic peptide measurement and, if the level is high, follow with transthoracic echocardiography. Do not routinely treat with opiates, nitrates, inotropes, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p260.html

Improving Quality by Doing Less: Overdiagnosis - Editorials - American Family Physician

Feb 1, 2015 - The second in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overdiagnosis occurs when a disease is diagnosed and treated, even though that disease never would have harmed the patient if left untreated.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0201/p162.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

Self-Administered GBS Testing in Pregnant Women - FPIN's Clinical Inquiries - American ...

Nov 15, 2014 - There is no difference in the sensitivity of swabs for detecting GBS when collected by patients vs. physicians; therefore, either method can be used. Patients do not express a consistent preference for self-collection of samples vs. collection by a physician.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/1115/p729.html

Intranasal Corticosteroids for Acute Bacterial Sinusitis - Cochrane for Clinicians - ...

Sep 1, 2014 - Compared with patients not treated with intranasal corticosteroids, those who receive them have greater improvement or resolution of symptoms at two to three weeks, regardless of whether antibiotics are used. In a single head-to-head study, patients taking intranasal corticosteroids ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0901/p286.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

Safety of Long-Acting Beta Agonists in Adults with Asthma - Cochrane for Clinicians - ...

Oct 1, 2014 - LABAs appear to be safe when used with inhaled corticosteroids. LABA monotherapy is associated with an increase in asthma-related mortality and nonfatal serious adverse events, but not in all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1001/p453.html

USPSTF Recommendations for Hepatitis B Screening - POEMs - American Family Physician

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends hepatitis B virus screening for human immunodeficiency virus–positive persons, users of illicit injection drugs, men who have sex with men, household contacts or sex partners of infected persons, and persons born in countries ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p795.html

Effectiveness of Calcium Channel Blockers for Raynaud Phenomenon - Cochrane for ...

Aug 1, 2014 - CCBs are modestly effective at reducing the frequency of attacks of primary Raynaud phenomenon. There is no evidence that attack severity or physiologic measurements are reduced by CCBs. Treatment is associated with adverse effects such as headache, flushing, and edema.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0801/p143.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Yes: ...

Aug 15, 2014 - The recommendations appropriately focus treatment on those most likely to benefit.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p212.html

Management of Influenza in the 2014-2015 Season: Recommendations and Limitations - ...

Oct 15, 2014 - This editorial summarizes the extent of benefits expected from immunization, testing, and antiviral treatment of influenza for the 2014–2015 season.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/1015/p535.html

Antibiotics for Sore Throat - Cochrane for Clinicians - American Family Physician

Jul 1, 2014 - Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p23.html

How to Write an Evidence-Based Clinical Review Article - American Family Physician

Jan 15, 2002 - Traditional clinical review articles, also known as updates, differ from systematic reviews and meta-analyses. Updates selectively review the medical literature while discussing a topic broadly. Non-quantitative systematic reviews comprehensively examine the medical literature, seeking ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p251.html

September 2021 - American Family Physician

...Practice Guidelines: Cervical Cancer Screening: Updated Guidelines from the American Cancer Society Priscilla Auguste Practice Guidelines: Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD Brian Ford; Michael Dore; Ethan Harris Available Online...

American Family Physician

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

Diethylstilbestrol Exposure - American Family Physician

May 15, 2004 - Diethylstilbestrol is a synthetic nonsteroidal estrogen that was used to prevent miscarriage and other pregnancy complications between 1938 and 1971 in the United States. In 1971, the U.S. Food and Drug Administration issued a warning about the use of diethylstilbestrol during pregnancy...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2395.html

Management of Normal Pressure Hydrocephalus - American Family Physician

Sep 15, 2004 - Gait instability, urinary incontinence, and dementia are the signs and symptoms typically found in patients who have normal pressure hydrocephalus. Estimated to cause no more than 5 percent of cases of dementia, normal pressure hydrocephalus often is treatable, and accurate recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1071.html

Topiramate for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p24.html

2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for Statin ...

Aug 15, 2014 - The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of age. The ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od6.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Not ...

Aug 15, 2014 - The recommendations should have paid more attention to the inherent uncertainties in risk estimates and the importance of individual patient circumstances and preferences.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p223.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

Guideline for Management of Heart Failure Caused by Systolic Dysfunction: Part II. ...

Sep 15, 2001 - Several large clinical trials conducted over the past decade have shown that pharmacologic interventions can dramatically reduce the morbidity and mortality associated with heart failure. These trials have modified and enhanced the therapeutic paradigm for heart failure and extended ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p1045.html

Urticaria and Angioedema: A Practical Approach - American Family Physician

Mar 1, 2004 - Urticaria (i.e., pruritic, raised wheals) and angioedema (i.e., deep mucocutaneous swelling) occur in up to 25 percent of the U.S. population. Vasoactive mediators released from mast cells and basophils produce the classic wheal and flare reaction. Diagnosis can be challenging, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1123.html

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

Surgery for Chronic Aortic Regurgitation: When Should It Be Considered? - American ...

Nov 15, 2001 - Deciding when to operate on a patient with chronic aortic regurgitation may be extremely difficult. The timing of surgery requires consideration of the etiology and pathophysiology of the aortic regurgitation, because aortic valve replacement carries morbidity and mortality that must be...

American Family Physician : Article

https://www.aafp.org/afp/2001/1115/p1709.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

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.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

Patient Care

AAFP News' Patient Care section features stories on preventive care services, community and public health, patient care protocols and more.

AAFP News : Patient Care

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

ACIP Recommends Hep A Vaccine for Homeless Patients

During the Oct. 24-25 meeting of the CDC's Advisory Committee on Immunization Practices, the group discussed topics including recommending the hepatitis A vaccine for people who are homeless.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181031acipmeeting.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Update on Oral Contraceptive Pills - American Family Physician

Nov 1, 1999 - Oral contraceptive pills are widely used and are generally safe and effective for many women. The World Health Organization has developed a risk classification system to help physicians advise patients about the safety of oral contraceptive pills. The choice of pill formulation is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2073.html

Thyroid Nodules - American Family Physician

Feb 1, 2003 - Palpable thyroid nodules occur in 4 to 7 percent of the population, but nodules found incidentally on ultrasonography suggest a prevalence of 19 to 67 percent. The majority of thyroid nodules are asymptomatic. Because about 5 percent of all palpable nodules are found to be malignant, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p559.html

Evidence Lacking on HBP Screening in Children, Adolescents

The U.S. Preventive Services Task Force last week issued a draft recommendation statement and draft evidence review on screening for high blood pressure in children and adolescents.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200428uspstfhbp.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

Efficient Identification of Adults with Depression and Dementia - American Family ...

Sep 15, 2004 - Family physicians must decide how to screen for depression or dementia and which patients to screen. Mental health questionnaires can be helpful. In practice-based screening, questionnaires are administered to all patients, regardless of risk status. In case-finding screening, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1101.html

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