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Medicine by the numbers

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Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...

May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p618.html

Should We Offer Routine Breast Cancer Screening with Mammography? - Cochrane for ...

Jul 15, 2003 - While there is good evidence that mammography starting at age 50 reduces breast cancer mortality, this meta-analysis does not provide evidence of a mortality benefit for mammography screening in women aged 40 to 49. Controversy exists over whether to include in the analysis trials with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0715/p260.html

Should We Recommend Nicotine Replacement Therapy? - Cochrane for Clinicians - American ...

Jun 1, 2001 - Yes. The patient is highly nicotine-dependent, and for smokers with moderate to severe nicotine dependence, nicotine replacement therapy with or without bupropion should be offered as part of an intensive program of physician advice, counseling and follow-up. This answer is based on an ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2001/0601/p2245.html

Should We Use Multiple Risk Factor Interventions for the Primary Prevention of Coronary...

Jul 15, 2002 - In hypertensive patients at high risk for coronary artery disease, multiple risk factor reduction interventions reduce risk factors and mortality. In other patients, multiple risk factor reduction interventions reduce total cholesterol levels, blood pressure (systolic and diastolic) ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0715/p245.html

SIDS: Counseling Parents to Reduce the Risk - American Family Physician

Apr 1, 1998 - Although the cause or causes of sudden infant death syndrome (SIDS) remain unknown, the incidence of SIDS is on the decline in the United States and other countries. This decline has been accomplished largely through public education campaigns informing parents about several important ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1566.html

Smoking Cessation: Still Looking for a Miracle - Editorials - American Family Physician

Feb 15, 2001 - ...hundreds of millions of dollars have been spent and thousands of articles have been written on these topics, yet in our lifetime, all medicine's efforts have at best made a minimal impact on global tobacco consumption. I would not want to be misunderstood; the one-on-one encounter...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0215/p626.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0115/od1.html

Statins Ineffective for Primary Prevention of Cardiovascular Disease in Patients 75 ...

Apr 1, 2019 - In this retrospective study, statin treatment in patients 75 years or older without preexisting CVD did not change the likelihood of developing CVD or reduce any-cause mortality. However, patients 75 to 84 years of age with diabetes mellitus benefitted from treatment. These results ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p461.html

Stimulant and Designer Drug Use: Primary Care Management - American Family Physician

Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p85.html

Successful Management of the Obese Patient - American Family Physician

Jun 15, 2000 - Obesity is a chronic disease that affects a substantial number of Americans. Obesity significantly increases a person's risk of cardiovascular diseases and morbidity. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3615.html

Sudden Death in Young Athletes: Screening for the Needle in a Haystack - American ...

Jun 1, 1998 - Nontraumatic sudden death in young athletes is always disturbing, as apparently invincible athletes, become, without warning, victims of silent heart disease. Despite public perception to the contrary, sudden death in young athletes is exceedingly rare. It most commonly occurs in male ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2763.html

Sunscreen Use for Skin Cancer Prevention - FPIN's Clinical Inquiries - American Family ...

Oct 15, 2010 - Daily sunscreen use reduces the incidence of squamous cell carcinoma but not the incidence of basal cell carcinoma.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/1015/p989.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

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

Taking a Nutrition History: A Practical Approach for Family Physicians - American ...

Mar 15, 1999 - The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1521.html

Tenofovir for Prevention of HIV Infection - Medicine by the Numbers - American Family ...

Jul 1, 2017 - The benefits are greater than the harm in using tenofovir for HIV prevention, but cost-effectiveness and personal preferences are critical.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0701/od1.html

Tetravalent Meningococcal Conjugate Vaccine (Menactra) for the Prevention of ...

Nov 15, 2006 - MCV4 is as effective and as safe as the older MPSV4. It is recommended by the ACIP for children 11 to 12 years of age, college freshmen living in dormitories, and other high-risk populations. MCV4 should provide effective and longer-lasting immunity, but at significant expense to ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1115/p1771.html

The 2000 Harmonized Immunization Schedule - Practice Guidelines - American Family ...

Jan 1, 2000 - The collaboration of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP) continues with the 2000 harmonized immunization schedule

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0101/p232.html

The 2001 Bethesda System Terminology - American Family Physician

Nov 15, 2003 - The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses is an incremental change in the uniform terminology introduced in 1988 and revised in 1991. The 2001 Bethesda System includes specific statements about specimen adequacy, general categorization, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1992.html

The 2001 Recommended Childhood Immunization Schedule - Practice Guidelines - American ...

Jan 1, 2001 - The collaboration of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP) continues with the 2001 Recommended Childhood Immunization Schedule.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0101/p151.html

The 2004 Recommended Adult Immunization Schedule - Practice Guidelines - American ...

Dec 15, 2003 - The Recommended Adult Immunization Schedule, United States, 2003–2004 is now available, as cooperation continues between the American Academy of Family Physicians (AAFP), the Advisory Committee on Immunization Practices (ACIP), and the American College of Obstetricians and Gynecologists...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/1215/p2453.html

The 2005 Recommended Adult Immunization Schedule, United States, September 2004-October...

Dec 15, 2004 - The 2005 Recommended Adult Immunization Schedule by Age Group, Medical, and other Conditions, United States, October 2004–September 2005 is now available, as cooperation continues between the American Academy of Family Physicians (AAFP), the Advisory Committee on Immunization Practices ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1215/p2372.html

The Adult Well Male Examination - American Family Physician

May 15, 2012 - The adult well male examination should incorporate evidence-based guidance toward the promotion of optimal health and well-being, including screening tests shown to improve health outcomes. Nearly one-third of men report not having a primary care physician. The medical history should ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0515/p964.html

The Adult Well-Male Examination - American Family Physician

Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p729.html

The Annual Pelvic Examination: Preventive Time Not Well Spent - Editorials - American ...

Jan 1, 2013 - Given the lack of evidence to support annual pelvic examinations, it would be better for patients if we spend that time addressing screening, counseling, and other preventive services for which strong evidence exists.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0101/p8.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

The Case Against Routine Aspirin Use for Primary Prevention in Low-Risk Adults - ...

Jun 15, 2011 - A policy of generalized aspirin use in adults for the primary prevention of CVD is probably not warranted. Instead, the benefits and risks of aspirin therapy for primary prevention need to be considered on an individual basis, and should be reserved for persons at highest long-term risk...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1387.html

The CDC and USPSTF Recommendations for HIV Testing - Editorials - American Family ...

Nov 15, 2007 - ...JONATHAN E. RODNICK, MD, University of California, San Francisco, School of Medicine San Francisco, California Am Fam Physician. 2007 Nov 15;76(10):1456-1459. The Centers for Disease Control and Prevention (CDC) released new recommendations in 2006 for human immunodeficiency virus...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1115/p1456.html

The CDC’s STEADI Initiative: Promoting Older Adult Health and Independence Through Fall...

Aug 15, 2017 - ...influenza season, there were an estimated 8.3 million cases of influenza among persons 65 years and older,2 which is about one-fourth of the number of falls that occurred in the older population in 2014. When not fatal, falls often result in brain injury, hip fracture, and loss of...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0815/p220.html

The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...

Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p975.html

The Family Physician and International Adoption - Editorials - American Family Physician

Dec 1, 1998 - ...Few experiences in medicine can be more professionally and personally rewarding than a child's first visit to your office. For some parents, however, the route to your practice may not be a traditional or typical one. Last year, over 13,000 children1 arrived in their physician's...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1201/p1958.html

The Heart of Women's Health - Editorials - American Family Physician

Oct 15, 2006 - ...DEBORAH S. PLATE, D.O. and SUZANNE HUGHES, M.S.N., R.N., Akron General Center for Family Medicine, Akron, Ohio Am Fam Physician. 2006 Oct 15;74(8):1285-1286. Related Article Cardiovascular disease (CVD) is the leading cause of death among women and has claimed the lives of more...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1015/p1285.html

The Mammography Debate - Editorials - American Family Physician

Dec 15, 2002 - ...This translates into 333 women who need to be screened to prevent one death; the number of women older than age 40 who need to be screened is more than 1,000. This is not much different than the number needed to screen for cervical or colorectal cancer, but it highlights the need to...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/1215/p2211.html

The New U.S. Preventive Services Task Force - Editorials - American Family Physician

Dec 15, 2001 - ...the EPCs conduct a comprehensive analysis of the research literature using state-of-the-art standards of evidence, and solicit input from a number of federal and private reviewers. The USPSTF uses the reviews and comments, but guards its independence by separating the evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/1215/p1945.html

The Older Adult Driver - American Family Physician

Jan 1, 2000 - More adults aged 65 and older will be driving in the next few decades. Many older drivers are safe behind the wheel and do not need intensive testing for license renewal. Others, however, have physiologic or cognitive impairments that can affect their mobility and driving safety. When ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p141.html

The Physician's Role in the Assessment of Older Drivers - Editorials - American Family ...

Jan 1, 2000 - ...As the number of older drivers in the United States increases, concern about the potential implications for safety and mobility is growing. The roles and responsibilities of the driver, the family, the licensing agency and the physician in the process of determining who should or...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0101/p39.html

The Preparticipation Physical Evaluation - American Family Physician Restricted content. Login required.

May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p539.html

The Preparticipation Sports Evaluation - American Family Physician

Sep 1, 2015 - The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize the health of athletes and their safe participation in sports. Although studies have not found that the preparticipation ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0901/p371.html

The Pretravel Consultation - American Family Physician

Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p620.html

The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...

Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0715/p117.html

The Science and Politics of Cancer Screening - Editorials - American Family Physician

Feb 1, 2001 - ...large reduction in cervical cancer mortality attributable to the use of Papanicolaou smears. However, it is sobering to consider the large number of patients that must be screened for 10 years to prevent just one death (1,140 patients in the case of Pap smears, according to Gates1)....

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0201/p441.html

Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI...

Oct 15, 2016 - Although there is risk with any current oral contraceptive combination, those that contain lower doses of estrogen, and levonorgestrel instead of desogestrel or gestodene, are associated with the least risk of ischemic stroke, myocardial infarction (MI), or pulmonary embolism (PE). ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663.html

Time of Hope for the Eventual Elimination of Meningococcal Strains A, C, Y, and W-135 ...

Nov 15, 2005 - ...University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Am Fam Physician. 2005 Nov 15;72(10):1978-1980. Related Article In this issue of American Family Physician, Dr. Kimmel expertly reviews meningococcal disease and meningococcal vaccines.1 Meningococcal disease is...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/1115/p1978.html

Travel Immunizations - American Family Physician

Jul 1, 2004 - Advising travelers on vaccine-preventable illnesses is increasingly becoming the responsibility of primary care physicians. The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before trip ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p89.html

Travel Medicine: Helping Patients Prepare for Trips Abroad - American Family Physician

Aug 1, 1998 - One third of persons who travel abroad experience a travel-related illness, usually diarrhea or an upper respiratory infection. The risk of travelers' diarrhea can be reduced by eating only freshly prepared, hot foods. Combination therapy with a single dose of ofloxacin plus loperamide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p383.html

Treating Low Vitamin D Levels Is Ineffective in Postmenopausal Women - POEMs - American...

Feb 15, 2016 - You do not have to treat a low vitamin D level if your patient is a typical community-dwelling postmenopausal woman younger than 75 years. The usual dosage of vitamin D, 800 IU (20 mcg) daily, will not increase levels even after a year of therapy and has little effect on calcium ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0215/p315.html

Ultrasonography in Assessment of Developmental Dysplasia of the Hip - Editorials - ...

Oct 15, 2006 - ...In specialty settings, hip ultrasonography decreased the number of children treated for DDH and decreased the number of hip-related hospitalizations and subspecialist office visits. However, it had no impact on the number of infants who eventually underwent hip surgery for DDH. This...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1015/p1284.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.html

Update on Immunizations in Children and Adolescents - American Family Physician

Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1561.html

Update on Routine Childhood and Adolescent Immunizations - American Family Physician

Sep 15, 2015 - Recommendations for routine vaccinations in children and adolescents have changed multiple times in recent years, based on findings in clinical trials, licensure of new vaccines, and evidence of waning immunity. Despite the overwhelming success of vaccinations, vaccine delay and refusal...

American Family Physician : Article

https://www.aafp.org/afp/2015/0915/p460.html

Update on the Prevention and Treatment of Sexually Transmitted Diseases - American ...

May 1, 2003 - The Centers for Disease Control and Prevention (CDC) recently published updated guidelines that provide new strategies for the prevention and treatment of sexually transmitted diseases (STDs). Patient education is the first important step in reducing the number of persons who engage in ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1915.html

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