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Practice Guidelines

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About Choosing Wisely

About Choosing Wisely

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/cpg-manual/about.html

CPS - Promo Box

View the criteria for AAFP clinical preventive services recommendations and grading.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/internal/clinical-recommendations.html

More From Choosing Wisely -- Related Links

Choosing Wisely

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/cpg-manual/choosingly-wisely.html

Low Back Pain

Access the clinical practice guideline endorsed by the AAFP on the Diagnosis and Treatment of Low Back Pain.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/back-pain.html

Iron Deficiency Anemia - Clinical Preventive Service Recommendation

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendations on iron deficiency anemia.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/iron-deficiency-anemia.html

Osteoporosis Screening to Prevent Fractures

The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on osteoporosis screening to prevent fractures.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/osteoporosis.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

Influenza: Diagnosis and Treatment - American Family Physician

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.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

Clinical Practice Guidelines Policy

Read the AAFP's policy on the development of patient-center clinical practice guidelines regardless of physician specialty.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/clinical-practice-guidelines-policy.html

Obstetric Ultrasound Examination (Position Paper)

Read AAFP's policy on Obstetric Ultrasound Examination (Position Paper)

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/obstetric-ultrasound.html

Preconception Care (Position Paper)

Read the AAFP's position paper on preconception care. Preconception care is defined as individualized care for men and women that is focused on reducing maternal and fetal morbidity and mortality.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/preconception-care.html

Radiology (Position Paper)

Read the AAFP's position paper on radiology practice in reference to family physicians.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/radiology-position-paper.html

Cesarean Delivery in Family Medicine (Position Paper)

Read the AAFP's position on the role of family physicians in delivering maternity care including cesarean delivery.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/cesarean-delivery-family-medicine.html

Chronic Pain Management and Opioid Misuse: A Public Health Concern (Position Paper)

Read AAFP's position on opioids and pain management.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/chronic-pain-management-opiod-misuse.html

Tobacco: Preventing and Treating Nicotine Dependence and Tobacco Use (Position Paper)

Read the AAFP's position paper on the preventing and treating nicotine and tobacco use.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/tobacco-preventingtreating.html

Clinical Recommendations

Browse through AAFP's clinical recommendations.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/clinical-recommendations.html

View Only AAFP Clinical Policies

View AAFP clinical policies.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/viewonly-clinicalpolicies.html

Breastfeeding, Family Physicians Supporting (Position Paper)

Read the AAFP's position paper on support for breastfeeding.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/breastfeeding-position-paper.html

EGD, Training and Credentialing of Family Physicians In (Position Paper)

Read AAFP's position paper on training and credentialing of family physicians in esophagogastroduodenoscopy (EGD).

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/egd-training-credentialing.html

Immunizations and Vaccines

The AAFP offers all the immunization resources family physicians need to care for patients birth to advanced age. These include immunization schedules, clinical recommendations, and information on vaccine-preventable diseases.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines.html

Pain Management and Opioid Use

Chronic pain management is a public health concern with significant increases in the use of opioids for pain relief. There is a corresponding growth in the number of opioids prescribed in the U.S. and overdose from those drugs.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/care-resources/pain-management.html

Patient Care

The AAFP's Patient Care section provides the evidence-based information you need at the point of care. You'll find clinical guidance on common conditions, which includes resources to support diagnosis, treatment and conversations with your patients.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care.html

Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ...

Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1201/p716.html

Acute Kidney Injury: Diagnosis and Management - American Family Physician

Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p687.html

Hypertension in Adults Over 60

Access the AAFP clinical practice guideline on treatment of hypertension in adults over age 60.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/hypertension-over-60.html

Clinical Recommendations

The AAFP offers members formal evidence-based clinical recommendations for diagnosing or managing specific conditions, and evidence-based clinical practice guidelines developed by external organizations.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations.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

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Taking Hypertension Medication at Bedtime Improves CVD Risk

The Hygia Chronotherapy Trial found that bedtime hypertension therapy better reduced the risk of cardiovascular disease than taking blood pressure medication on awakening, as previous studies have suggested.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191106bedtimehbpmeds.html

Pilonidal Disease Management: Guidelines from the ASCRS - Practice Guidelines - ...

Nov 1, 2019 - The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1101/p582.html

Care of the Military Veteran: Selected Health Issues - American Family Physician

Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p544.html

Past Issues

Past AAFP Journal Issues

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/issues.html

Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...

Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1015/p505.html

Pharmacologic Treatment for Older Children with ADHD - Letters to the Editor - American...

Oct 15, 2019 - ...al.; Subcommitee on Attention-Deficit/Hyperactivity Disorder; Steering Committee on Quality Improvement and Management. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics....

American Family Physician : Letter

https://www.aafp.org/afp/2019/1015/p455.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Perinatal Depression: AAP Policy Statement on Recognition and Management - Practice ...

Oct 1, 2019 - The American Academy of Pediatrics has released a policy statement regarding the integration of perinatal depression recognition and management into well-child visits.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1001/p443.html

Anticoagulation: Updated Guidelines for Outpatient Management - American Family Physician

Oct 1, 2019 - Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p426.html

Opioid Use Disorder: Medical Treatment Options - American Family Physician

Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p416.html

Corrections - Oct 1, 2019 - American Family Physician

Oct 1, 2019 - ...Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline, at https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines/gender-dysphoria-gender-incongruence.66 Reference 66 was also replaced with the...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/1001/p393.html

AAFP Tools Offer Pointers on Assessing Patients for STIs

Family physicians are ideally positioned to educate patients about the dangers of sexually transmitted infections, screen for these infections and provide appropriate care. New AAFP resources on STIs aim to help them do just that.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20190918stismanual.html

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Otitis Media: Rapid Evidence Review - American Family Physician

Sep 15, 2019 - Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p350.html

Tonsillectomy in Children: AAO-HNS Updates Guideline - Practice Guidelines - American ...

Sep 1, 2019 - The American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) has updated its 2011 guideline on tonsillectomy indications and perioperative care in children one to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0901/p316.html

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

Venous Ulcers: Diagnosis and Treatment - American Family Physician

Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p298.html

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

Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...

Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0815/p251.html

Infantile Hemangioma: AAP Releases Guideline for Management - Practice Guidelines - ...

Aug 1, 2019 - Infantile hemangiomas are the most common benign tumors of childhood, occurring in up to approximately 5% of infants. These benign vascular tumors are small, self-resolving, and do not require treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0801/p186.html

Hirsutism in Women - American Family Physician

Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p168.html

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