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Practice Guidelines

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Diagnosis and Management of Osteoporosis - American Family Physician

Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0815/p261.html

Prevention of Recurrent Nephrolithiasis: Dietary and Pharmacologic Options Recommended ...

Aug 15, 2015 - Nephrolithiasis occurs in 13% of men and 7% of women; if not managed appropriately, it will typically recur within five years in 35% to 50% of patients. The American College of Physicians (ACP) has provided recommendations regarding management of recurrent nephrolithiasis using diet and...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0815/p311.html

Management of ACL Injuries: Clinical Practice Guideline from the AAOS - Practice ...

Aug 1, 2015 - Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0801/p232.html

The Epley Maneuver for Treatment of Benign Paroxysmal Positional Vertigo - Cochrane for...

Aug 1, 2015 - Treatment with the Epley maneuver resolves benign paroxysmal positional vertigo better than sham therapy or control. Minor adverse effects are uncommon.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0801/p184.html

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

Rosacea - American Family Physician

Aug 1, 2015 - ...Previous: Management of ACL Injuries: Clinical Practice Guideline from the AAOS Next: Tap Water vs. Sterile Saline for Wound Irrigation View the full table of contents >> Home / Journals / afp / Vol. 92/No. 3(August 1, 2015) / Rosacea...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0801/p187-s1.html

Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ...

Jul 15, 2015 - Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0715/p151.html

Care of a Transgender Adolescent - Curbside Consultation - American Family Physician

Jul 15, 2015 - Although the actual number may be higher, research estimates that approximately 700,000 Americans are transgender. Many in this population have inadequate insurance to cover appropriate health care. Primary care clinicians treat transgender patients in their practices, and although not ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0715/p142.html

AAO-HNSF Releases Guideline on Managing Tinnitus - Practice Guidelines - American ...

Jul 1, 2015 - Tinnitus, the perception of sound without an external source, can be caused by a variety of conditions. Prevalence in the United States is approximately 10% to 15%. It can be categorized as primary (idiopathic and accompanied by or not by sensorineural hearing loss) and secondary ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0701/p65.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

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

Diagnosis and Nonsurgical Treatment of DDH in Infants Up to Six Months of Age: ...

Jun 15, 2015 - The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0615/p882.html

ACP Provides Guidance on Nonsurgical Treatment of Urinary Incontinence in Women - ...

Jun 1, 2015 - The American College of Physicians (ACP) has provided recommendations for nonsurgical treatment of UI in women. Treatment of UI is aimed at achieving, or at least improving, symptoms. It is deemed effective if it reduces the number of episodes by at least one-half.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0601/p801.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

ACP Provides Guidance on Screening Pelvic Examination in Women - Practice Guidelines - ...

May 15, 2015 - This guideline from the American College of Physicians (ACP) provides evidence on the use of pelvic examination to screen for pathology in average-risk, non-pregnant women. This guideline concentrates on screening in women without symptoms; a pelvic examination with bimanual examination...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0515/p732.html

Common Questions About Chronic Low Back Pain - American Family Physician

May 15, 2015 - More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, defined as persistent symptoms for longer than three months. Low back...

American Family Physician : Article

https://www.aafp.org/afp/2015/0515/p708.html

AAP Releases Policy Statement on Screening for Nonviral Sexually Transmitted Infections...

May 1, 2015 - This policy statement from the American Academy of Pediatrics (AAP) provides recommendations on routine screening for nonviral STIs in adolescents and young adults (25 years and younger).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0501/p652.html

AAP Releases Practice Guideline on Diagnosis, Management, and Prevention of ...

Apr 15, 2015 - This guideline on the diagnosis, management, and prevention of bronchiolitis in children one to 23 months of age from the American Academy of Pediatrics (AAP) updates a previous guideline published in 2006.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0415/p578.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

Stroke: How to Recognize It and What to Do About It - American Family Physician

Apr 15, 2015 - ...Previous: AAP Releases Practice Guideline on Diagnosis, Management, and Prevention of Bronchiolitis Next: Options for Unintended Pregnancy View the full table of contents >> Home / Journals / afp / Vol. 91/No. 8(April 15, 2015) / Stroke: How to Recognize It and What to Do...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0415/p528-s1.html

HIV Prevention: Recommendations from the International Antiviral Society—USA Panel - ...

Apr 1, 2015 - With the introduction of combination antiretroviral therapy (ART), human immunodeficiency virus (HIV) has become a chronic disease that can be managed, rather than a deadly infection. The International Antiviral Society—USA Panel has provided recommendations regarding these approaches ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0401/p495.html

Diagnosis and Management of Kawasaki Disease - American Family Physician

Mar 15, 2015 - Kawasaki disease is an acute, systemic vasculitis that predominantly affects patients younger than five years. It represents the most prominent cause of acquired coronary artery disease in childhood. In the United States, 19 per 100,000 children younger than five years are hospitalized ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0315/p365.html

ART for HIV: Recommendations from the International Antiviral Society—USA Panel - ...

Mar 15, 2015 - The International Antiviral Society—USA Panel has provided recommendations for management of HIV infection with antiretroviral therapy (ART). Evidence has shown that ART for treatment of human immunodeficiency virus (HIV) infection is effective in preventing transmission among couples. ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0315/p396.html

What to Do at Well-Child Visits: The AAFP’s Perspective - Editorials - American Family ...

Mar 15, 2015 - Well-child visits provide the best opportunities to deliver evidence-based preventive services. Family physicians have limited time at these visits and therefore should prioritize preventive services that have strong evidence of net benefit.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0315/p362.html

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.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

Diagnosis and Treatment of Peptic Ulcer Disease and H. pylori Infection - American ...

Feb 15, 2015 - The most common causes of peptic ulcer disease (PUD) are Helicobacter pylori infection and use of nonsteroidal anti-inflammatory drugs (NSAIDs). The test-and-treat strategy for detecting H. pylori is appropriate in situations where the risk of gastric cancer is low based on age younger ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0215/p236.html

ACIP Releases 2015 Adult Immunization Schedule - Practice Guidelines - American Family ...

Feb 15, 2015 - The 2015 adult immunization schedule from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has a few changes that are particularly relevant to family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0215/p264.html

ACIP Releases 2015 Childhood Immunization Schedules - Practice Guidelines - American ...

Feb 15, 2015 - The 2015 immunization schedule for children and the catch-up schedule from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) have a few changes that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0215/p265.html

Lung Cancer: Diagnosis, Treatment Principles, and Screening - American Family Physician

Feb 15, 2015 - Lung cancer is classified histologically into small cell and non–small cell lung cancers. The most common symptoms of lung cancer are cough, dyspnea, hemoptysis, and systemic symptoms such as weight loss and anorexia. High-risk patients who present with symptoms should undergo chest ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0215/p250.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

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

Planning for Labor and Vaginal Birth After Cesarean Delivery: Guidelines from the AAFP ...

Feb 1, 2015 - This guideline from the American Academy of Family Physicians (AAFP), which provides information on health outcomes associated with labor after cesarean delivery/vaginal birth after cesarean delivery (LAC/VBAC), replaces the 2005 guideline on trial of labor after cesarean delivery. Its ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0201/p197.html

Common Questions About the Initial Management of Hypertension - American Family Physician

Feb 1, 2015 - Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p172.html

Cesarean Delivery: Counseling Issues and Complication Management - American Family ...

Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p178.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

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

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke ...

Jan 15, 2015 - The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0115/p136.html

AAFP Releases Position Paper on Breastfeeding - Practice Guidelines - American Family ...

Jan 1, 2015 - Family physicians can have an important role in promoting breastfeeding, and are well positioned to provide support in the context of family-centered care. The position paper from the American Academy of Family Physicians (AAFP) provides key recommendations to assist family physicians ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0101/p56.html

AAP Issues Updated Guidance on Palivizumab Prophylaxis for RSV Infection - Practice ...

Dec 15, 2014 - The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has updated its guidance on the use of palivizumab (Synagis) prophylaxis in infants and children at increased risk of respiratory syncytial virus (RSV) infection. Because the palivizumab package labeling does not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1215/p867.html

Common Questions About Developmental Dysplasia of the Hip - American Family Physician

Dec 15, 2014 - Developmental dysplasia of the hip is a common musculoskeletal condition in newborns. Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. Evidence to support universal screening by ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p843.html

Management of Atopic Dermatitis: Guideline from the American Academy of Dermatology - ...

Dec 1, 2014 - Atopic dermatitis, a common and chronic skin condition, affects persons of all ages. Topical therapy is the mainstay of treatment, and in severe cases, it is often combined with systemic therapy. This guideline from the American Academy of Dermatology provides information about the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1201/p798.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

AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa - Practice ...

Nov 15, 2014 - A diagnosis of acute otitis externa (AOE) requires sudden onset (e.g., within 48 hours) within the past three weeks of symptoms (e.g., otalgia, itching, fullness, hearing loss, jaw pain) and signs (e.g., tenderness of the tragus or pinna) indicating inflammation of the ear canal. ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1115/p731.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

Car Safety During Pregnancy - American Family Physician

Nov 15, 2014 - ...Previous: AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa Next: AAFP Should Support HIV Screening for All 15- to 17-Year-Olds View the full table of contents >> Home / Journals / afp / Vol. 90/No. 10(November 15, 2014) / Car Safety During Pregnancy...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2014/1115/p717-s1.html

IDSA Releases Recommendations on Vaccinations in Immunocompromised Patients - Practice ...

Nov 1, 2014 - Recommended vaccination schedules for immunocompetent children and adults are published annually by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention. Vaccination of immunocompromised patients is important because impaired host ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1101/p664.html

Multiple Sclerosis: A Primary Care Perspective - American Family Physician

Nov 1, 2014 - Multiple sclerosis (MS) is the most common permanently disabling disorder of the central nervous system in young adults. Relapsing remitting MS is the most common type, and typical symptoms include sensory disturbances, Lhermitte sign, motor weakness, optic neuritis, impaired ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1101/p644.html

ACIP Releases Updated Recommendations on Influenza Vaccination to Include the 2014-2015...

Oct 15, 2014 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its yearly recommendations for routine influenza vaccination in the 2014–2015 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1015/p584.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

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