No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ...
Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p695.html
A Physician’s Guide to Navigating a Bureaucracy -- FPM
Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p26.html
Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM
Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p19.html
Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ...
Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p695a.html
For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs...
Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p698.html
Lend Your Voice to Academy's Week of Action
Due to the pandemic, the Academy is taking its annual advocacy event online. John Cullen, M.D., urges family physicians to make their voices heard June 1-5 to help stabilize, strengthen and sustain primary care.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200529lv-weekofaction.html
Navigating Paper Walls, Digital Windows in Pandemic
Kurt Bravata, M.D., writes in this FPs on the Front Lines blog post that masks and other COVID-19 precautions have changed the way he communicates with patients in his rural practice.
AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200527fl-ruralcovid.html
Atopic Dermatitis: Diagnosis and Treatment - American Family Physician
May 15, 2020 - Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p590.html
Ectopic Pregnancy: Diagnosis and Management - American Family Physician
May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p599.html
Top 20 Research Studies of 2019 for Primary Care Physicians - American Family Physician
May 15, 2020 - In 2019, regular surveillance of 110 English-language research journals identified 254 studies that met the criteria to become POEMs (patient-oriented evidence that matters). Physician members of the Canadian Medical Association rated these POEMs for their relevance to patients in their...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p608.html
The Older Driver - Curbside Consultation - American Family Physician
May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0515/p625.html
Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American...
May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p630a.html
Let's Learn From Pandemic so All May 'Live Long and Prosper'
Gary LeRoy, M.D., examines parallels between the current health crisis and the 1918 flu pandemic and writes in this Leader Voices Blog post that we must learn from history this time.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200506lv-covidhistory.html
Holding People Sacred in Time of Loss
MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives blog post that she is praying for dying patients and crying with her nurses in the midst of the COVID-19 pandemic.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200504fp-covidsacred.html
Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ...
May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0501/od2.html
Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician
May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p528.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ...
May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p527.html
COVID-19: Lessons Learned So Far
In his latest In the Trenches blog post, AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin offers three key observations on family medicine and the pandemic.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200428itt-covidlessons.html
COVID-19 Shows What Is Truly Valuable in Health Care
The financial burden that the COVID-19 pandemic has put on family physicians must be addressed as a threat to the very foundation of the U.S. health care system, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200423lv-familymedicinevalue.html
The Immeasurable, Cascading Effects of Primary Care
Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that family physicians in outpatient settings are playing a vital role during the pandemic by keeping patients out of hospitals.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200422fp-covidprimarycare.html
When Quarantining at Home Puts Families at Risk
MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives post that quarantining at home is not a safe option for patients with COVID-19 who live in close quarters, and the approach is putting minority communities at risk.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200420fp-coviddisparities.html
Seizure Disorders - American Family Physician
Apr 15, 2020 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...
- Overview
- Screening and Diagnosis
- Treatment
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80
Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...
Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0415/p505.html
Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ...
Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0415/p502.html
Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ...
Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2020/0415/p495.html
Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ...
Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0415/p493.html
Unease During Pandemic Offers a Lesson in Understanding
Stewart Decker, M.D., writes in this Fresh Perspectives blog post that when physicians treat patients with anxiety after the COVID-19 crisis is over, they should remember how they felt during the pandemic.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200415fp-covidanxiety.html
Carpe Diem: It's Time to Fix Our Broken Health Care System
AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin writes in this In the Trenches blog post that the current health crisis presents an opportunity to drastically improve the U.S. health care system.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200414itt-fixsystem.html
Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ...
Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0401/od1.html
Frequent Headaches: Evaluation and Management - American Family Physician
Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p419.html
Sepsis: Diagnosis and Management - American Family Physician
Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p409.html
Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician
Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p399.html
Anxiety Disorders - American Family Physician
Apr 1, 2020 - ...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...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85
Panel Size Is Just a Number: A Rubric for Opening and Closing Panels -- FPM
Apr 1, 2020 - Deciding whether primary care doctors have the capacity to take on more patients requires accounting for things like productivity, as well as panel size.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p7.html
Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM
Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p17.html
Is This Some Kind of Joke? Understanding and Using Humor in the Clinical Setting -- FPM
Apr 1, 2020 - The wrong joke at the wrong time can shatter the doctor-patient relationship, but humor used wisely has health benefits and strengthens bonds in stressful situations.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p11.html
Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ...
Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434a.html
Telehealth Deserves Payment; the AAFP Is Helping Secure It
In this In the Trenches blog post, AAFP Senior Vice President Shawn Martin offers an update on the Academy's efforts to help family physicians during the pandemic, including securing payment for telephone-based services.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200331itt-telehealth.html
Private Practice in a Time of Pandemic
In this Leader Voices Blog post, Andrew Carroll, M.D., details how he changed processes and procedures in his practice -- including expanding telehealth -- after COVID-19 spread into his state.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200324lv-pandemic.html
COVID-19: FP Searches for Supplies, Information and Lessons
As COVID-19 spreads across the country, Allison Edwards, M.D., describes the difficulty and frustration of preparing for the pandemic in this Fresh Perspectives blog post.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200320fp-ppesearch.html
COVID-19: The AAFP Is Working to Keep You Informed, Prepared
As COVID-19 spreads, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the resources the Academy is making available and the steps it is taking to help family physicians prepare for the pandemic.
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200317itt-covidefforts.html
Managing Hypertension Using Combination Therapy - American Family Physician
Mar 15, 2020 - More than 70% of adults treated for primary hypertension will eventually require at least two antihypertensive agents, either initially as combination therapy or as add-on therapy if monotherapy and lifestyle modifications do not achieve adequate blood pressure control. Four main ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p341.html
Office Spirometry: Indications and Interpretation - American Family Physician
Mar 15, 2020 - High-quality, office-based spirometry provides diagnostic information as useful and reliable as testing performed in a pulmonary function laboratory. Spirometry may be used to monitor progression of lung disease and response to therapy. A stepwise approach to spirometry allows for ease ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p362.html
Genital Ulcers: Differential Diagnosis and Management - American Family Physician
Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p355.html
Hypertension - American Family Physician
Mar 15, 2020 - 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 ...
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12
Acupuncture Not Supported By Strong Scientific Evidence - Letters to the Editor - ...
Mar 15, 2020 - ...Original Article: Acupuncture for Pain; and Integrating Medical Acupuncture into Family Medicine Practice [Editorial] Issue Date: July 15, 2019 See additional reader comments at: https://www.aafp.org/afp/2019/0715/p89.html; and https://www.aafp.org/afp/2019/0715/p76.html To the...
American Family Physician : Letter
https://www.aafp.org/afp/2020/0315/p326.html
Here's Why LGBTQ Physicians Should Self-Identify
The medical community advocates for a diverse workforce that reflects the diverse communities it serves, but Kyle Leggott, M.D., writes in the Fresh Perspectives blog that the dearth of information regarding LGBTQ physicians makes it difficult to know how well this community is ...
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200303fp-lgbtqphysicians.html
Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ...
Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0301/od2.html
Point-of-Care Ultrasonography - American Family Physician
Mar 1, 2020 - Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0301/p275.html