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Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...

Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0901/p309.html

Vision Loss in Older Persons - American Family Physician

Jun 1, 2009 - Family physicians have an essential role in assessing, identifying, treating, and preventing or delaying vision loss in the aging population. Approximately one in 28 U.S. adults older than 40 years is visually impaired. Vision loss is associated with depression, social isolation, falls,...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p963.html

Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...

Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p278.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Aromatase Inhibitors Such as Letrozole (Femara) vs. Clomiphene (Clomid) for Subfertile ...

May 1, 2019 - When treated with letrozole, subfertile women with PCOS who are trying to conceive have increased chances of pregnancy (number needed to treat [NNT] = 11) and live birth (NNT = 10) compared with those treated with clomiphene.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0501/p545.html

Stand Together to Achieve the AAFP’s Top Advocacy Goals

Congress needs to feel the strength of our numbers. Here’s how you can help make that happen.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/trenches-2022-advocacy-summit.html

Coding Changes for Family Medicine in 2018 -- FPM

Feb 1, 2018 - New codes for cognitive assessment and care planning, team-based care management, prolonged preventive services, and anticoagulation management are among this year’s changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0100/p5.html

Hemolytic Uremic Syndrome: An Emerging Health Risk - American Family Physician

Sep 15, 2006 - Hemolytic uremic syndrome is caused primarily by Shiga toxin-producing Escherichia coli O157:H7. The most common cause of acute renal failure in children, hemolytic uremic syndrome also can occur in adults. Characteristic features of the syndrome are microangiopathic anemia, thrombotic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p991.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician

Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p273.html

Empagliflozin Reduces Hospitalization for Heart Failure With Preserved Ejection ... Restricted content. Login required.

Apr 1, 2022 - In patients who have heart failure with preserved ejection fraction, empagliflozin, 10 mg once daily, reduces the likelihood of hospitalization for heart failure. There is no effect on cardiovascular or all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0400/od5.html

Panel: Buprenorphine 'Can Give Patients Their Lives Back'

During a Family Medicine Experience main-stage presentation on opioids, an HHS representative said family physicians can help curb the crisis by prescribing buprenorphine. A panel of family physicians agreed.

AAFP News : News From 2018 COD and FMX

https://www.aafp.org/news/2018-congress-fmx/20181016fmx-opioids.html

Evaluating the Child with Purpura - American Family Physician

Aug 1, 2001 - Purpura is the result of hemorrhage into the skin or mucosal membrane. It may represent a relatively benign condition or herald the presence of a serious underlying disorder. Purpura may be secondary to thrombocytopenia, platelet dysfunction, coagulation factor deficiency or vascular ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p419.html

Guidance Steers 2021 Match Around COVID-19 Obstacles

New recommendations aim to ensure a successful 2021 family medicine residency match process that overcomes hurdles thrown up by the pandemic.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20200604covidmatch.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Ivabradine (Corlanor) for Heart Failure - STEPS - American Family Physician

Apr 15, 2016 - In patients with stable systolic heart failure already on maximal medication therapy, adding ivabradine may reduce the number of hospitalizations related to heart failure (NNT for two years = 20), but it does not reduce cardiovascular mortality. In addition, many patients will not ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0415/p682.html

Primary Brain Tumors in Adults - American Family Physician

May 15, 2008 - Primary malignant brain tumors account for 2 percent of all cancers in U.S. adults. The most common malignant brain tumor is glioblastoma multiforme, and patients with this type of tumor have a poor prognosis. Previous exposure to high-dose ionizing radiation is the only proven ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1423.html

Management of Pregnancy Beyond 40 Weeks' Gestation - American Family Physician

May 15, 2005 - A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1935.html

Prevention of Falls in Older Patients - American Family Physician

Jul 1, 2005 - Falls are one of the most common geriatric syndromes threatening the independence of older persons. Between 30 and 40 percent of community-dwelling adults older than 65 years fall each year, and the rates are higher for nursing home residents. Falls are associated with increased ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p81.html

AFP 2019: New Fellow, New Features, Top 20 Articles of 2018, and AFP Statistics - ...

May 1, 2019 - An overview of the past year and announcement of new features.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0501/p538.html

Chronic Plaque Psoriasis - American Family Physician

Feb 15, 2006 - Chronic plaque psoriasis, the most common form of psoriasis, is a papulosquamous disease defined by erythematous plaques with a silvery scale. The diagnosis usually is clinical, but occasionally a biopsy is necessary. Psoriasis affects 0.6 to 4.8 percent of the U.S. population, and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p636.html

Implementing Continuous Glucose Monitoring in Clinical Practice -- FPM

Apr 1, 2021 - Finger-stick blood glucose measurements provide a snapshot in time. Continuous glucose monitoring gives patients with diabetes a bigger picture.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0300/p7.html

The Role of Nonstatin Therapy in Managing Hyperlipidemia - Editorials: Controversies in...

Nov 1, 2010 - When treating hyperlipidemia, physicians often face the question of the clinical value of nonstatin drugs, including bile acid sequestrants, fibrates (fibric acid derivatives), niacin, and cholesterol-absorption inhibitors. This editorial highlights the most prominent trial data and ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1056.html

Burning Mouth Syndrome - American Family Physician

Feb 15, 2002 - Burning mouth syndrome is characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p615.html

Should We Screen Patients for Barrett's Esophagus? No: The Case Against Screening - ...

May 15, 2011 - Although there is enthusiasm in some groups for screening patients for Barrett's esophagus, with the goal of reducing death from esophageal adenocarcinoma, review of the evidence does not show sufficient benefit to recommend such a program.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1148.html

Choosing Wisely: Don’t transfuse more than the minimum number of red blood cell (RBC) ...

Don’t transfuse more than the minimum number of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable, noncardiac inpatients).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=168

Cognitive Therapy for Depression - American Family Physician

Jan 1, 2006 - Cognitive therapy is a treatment process that enables patients to correct false self-beliefs that can lead to negative moods and behaviors. The fundamental assumption is that a thought precedes a mood; therefore, learning to substitute healthy thoughts for negative thoughts will improve...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p83.html

Vorapaxar (Zontivity) for the Prevention of Thrombotic Cardiovascular Events - STEPS - ...

Aug 15, 2015 - Vorapaxar should be limited to select patients with a history of MI or peripheral arterial disease who desire additional treatment for the prevention of MI.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0815/p304.html

Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...

Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p249.html

Keeping It Fresh -- FPM

Oct 1, 2019 - Variety in our daily work may be a way to improve care and satisfaction with practicing medicine.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0900/p3.html

Emergency Contraception - American Family Physician

Aug 15, 2004 - Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p707.html

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

Jun 15, 2005 - Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening constellation of symptoms in which the child exhibits some combination of apnea, change in color, change in muscle tone, coughing, or gagging. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2301.html

Incivility in Health Care: Strategies for De-escalating Troubling Encounters -- FPM

Oct 1, 2019 - With rudeness, discrimination, and violence on the rise, how do we take care of our patients while protecting ourselves?

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p8.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Cardiac Rehabilitation - American Family Physician

Nov 1, 2009 - An estimated 80 million (nearly one in three) Americans have cardiovascular disease, which is the leading cause of morbidity and mortality worldwide. In the United States alone, more than 850,000 deaths are attributed annually to cardiovascular disease, and more than 8 million Americans...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p955.html

A Practical Guide to Anaphylaxis - American Family Physician

Oct 1, 2003 - Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor. It causes approximately 1,500 deaths in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1325.html

The Home Visit - American Family Physician

Oct 1, 1999 - With the advent of effective home health programs, an increasing proportion of medical care is being delivered in patients' homes. Since the time before World War II, direct physician involvement in home health care has been minimal. However, patient preferences and key changes in the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1481.html

Evaluation of Poststreptococcal Illness - American Family Physician

May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1949.html

The Continued Importance of Small Practices in the Primary Care Landscape - Graham ...

Aug 15, 2014 - In 2010, as many as 45% of active primary care physicians (PCPs) were practicing at sites with five or fewer physicians. This large cohort of practices faces unique challenges in meeting the increasing demands of practice transformation, payer reporting requirements, and integrated ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0815/od3.html

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

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

American Family Physician : Cochrane for Clinicians

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

Cold Symptoms Unaffected by Regular Analgesic Dosing or Use of Steam - POEMs - American...

Sep 1, 2014 - Advice regarding the use of steam inhalation, ibuprofen alone or with acetaminophen, acetaminophen alone, and regular vs. as-needed use of analgesics did not show any improved effectiveness in treating symptoms of acute respiratory tract infections. Ibuprofen may be beneficial in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p335.html

Management of Active Tuberculosis - American Family Physician

Dec 1, 2005 - Although the overall incidence of tuberculosis has been declining in the United States, it remains an important public health concern, particularly among immigrants, homeless persons, and persons infected with human immunodeficiency virus. Patients who present with symptoms of active ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2225.html

Management of Histologic Abnormalities of the Cervix - American Family Physician

Jan 1, 2006 - The American Society for Colposcopy and Cervical Pathology sponsored a consensus conference in 2001 to develop evidence-based guidelines for women with histologic abnormalities of the cervix. The options for management of cervical intraepithelial neoplasia 1, 2, and 3 are ranked ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p105.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

Conduct Disorder: Diagnosis and Treatment In Primary Care - American Family Physician

Apr 15, 2001 - Conduct disorder is a common childhood psychiatric problem that has an increased incidence in adolescence. The primary diagnostic features of conduct disorder include aggression, theft, vandalism, violations of rules and/or lying. For a diagnosis, these behaviors must occur for at least...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1579.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Spinal ...

Apr 15, 2012 - Yes: Spinal Manipulation Is a Useful Adjunct Therapy. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have research studies evaluated the benefits of spinal ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p760.html

Peritonsillar Abscess - American Family Physician

Jan 15, 2008 - Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p199.html

Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...

Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0415/p672.html

Lung Cancer: Diagnosis and Management - American Family Physician

Jan 1, 2007 - Lung cancer is the leading cause of cancer-related death in the United States, with an average five-year survival rate of 15 percent. Smoking remains the predominant risk factor for lung cancer. Lung cancers are categorized as small cell carcinoma or non-small cell carcinoma (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0101/p56.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Dystocia in Nulliparous Women - American Family Physician

Jun 1, 2007 - Dystocia is common in nulliparous women and is responsible for more than 50 percent of primary cesarean deliveries. Because cesarean delivery rates continue to rise, physicians providing maternity care should be skilled in the diagnosis, management, and prevention of dystocia. If labor ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1671.html

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