Heart Failure - American Family Physician
Jul 15, 2020 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- 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=26
Asymptomatic Bacteriuria - American Family Physician
Jul 15, 2020 - Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. There are few indications to treat asymptomatic bacteriuria, and ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0715/p99.html
Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ...
Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0715/p115.html
Unemployment During Pandemic Amounts to a One-Two Punch
Kyle Leggott, M.D., writes in the Fresh Perspectives blog that the pandemic -- and the higher unemployment rates it has caused -- has exposed the precarious nature of employer-sponsored health insurance.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200708fp-esi.html
Chronic Obstructive Pulmonary Disease - American Family Physician
Jul 1, 2020 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...
- Overview
- Screening and Prevention
- Diagnosis
- Treatment
- Point-of-Care Guides
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32
Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ...
Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0701/p30.html
Gastroenteritis and Diarrhea in Children - American Family Physician
Jul 1, 2020 - This collection features AFP content on gastroenteritis and diarrhea in children and related issues, including dehydration, foodborne illnesses, probiotics, and rotavirus vaccination. This collection features AFP content on gastroenteritis and diarrhea in children and related issues, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- 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=9
Back Pain - American Family Physician
Jul 1, 2020 - This collection features content from AFP on back pain and related issues, including chronic and acute low back pain, lumbar spinal stenosis, sciatica, and vertebral compression fractures. This collection features content from AFP on back pain and related issues, including chronic and ...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=109
Nutrition - American Family Physician
Jul 1, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- General
- Specific Vitamins and Nutrients
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86
Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ...
Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0701/p58.html
Beware Consequences of Delaying Primary Care in Pandemic
Although it may make sense to delay elective procedures during a pandemic, Natasha Bhuyan, M.D., writes in the Fresh Perspectives blog that primary care is essential.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200625fp-coviddelay.html
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
Procedures - American Family Physician
Jun 15, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- Aesthetic and Cosmetic
- Anesthesia, Local Nerve Blocks
- Anesthesia, Peripheral Nerve Blocks
- Bartholin's Cyst Management
- Breast Cyst Aspiration
- Cardiac Exercise Treadmill Stress Tests
- Circumcision, Newborn
- Colposcopy
- Cryosurgery
- Endometrial Biopsy
- Epistaxis Nasal Packing
- Foreign Body Removal, Skin
- Fracture Management
- Ingrown Toenail Removal
- IUD Insertion and Removal
- Joint Injections
- Lumbar Puncture
- Point-of-Care Ultrasonography (POCUS)
- Skin Procedures
- Spirometry/Pulmonary Function Tests
- Thrombosed Hemorrhoid Excision
- Vasectomy
- Improving Practice
- Patient Education, Self-Care
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=87
Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...
Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0615/od1.html
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0615/p748.html
Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ...
Jun 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0615/p718.html
Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician
Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0615/p755.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
Practice Pearls - May-Jun 2020 -- FPM
Jun 1, 2020 - Check for COVID-19 updates on home isolation and work notes | Ask patients to submit vitals before telehealth | Adapt your documentation setup for telehealth
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0500/p32.html
How to collect patient vitals for telehealth visits, including AWVs -- FPM
The Centers for Medicare and Medicaid Services recently clarified how physicians can collect biometric data for Medicare annual wellness visits from patients who are in their homes.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/telehealth_visit_vitals.html
How Do We Talk About the Worst-case Scenario?
Against the backdrop of a pandemic, Allison Edwards, M.D., ponders the best way to broach the subject of end-of-life care with a relatively young patient panel in the Fresh Perspectives blog.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200520fp-endoflife.html
Five steps to set up ambulatory blood pressure monitoring in your practice -- FPM
Ambulatory blood pressure monitoring (ABPM) provides more accurate data than in-office blood pressure checks, which is useful for identifying issues that might otherwise stay hidden and ruling out white coat hypertension.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/ambulatory_bp_monitoring.html
Family Planning and Contraception - American Family Physician
May 15, 2020 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...
- Preconception Care
- Infertility
- Contraception - Non-hormonal
- Contraception - Hormonal
- Contraception - Emergency
- Complications and Special Situations
- 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=71
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
Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...
May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0515/od1.html
Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ...
May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0515/p618.html
Encounter Forms -- FPM Toolbox
May 4, 2020 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.
Family Practice Management : FPM Toolbox : Encounter Forms
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12
Endometrial Biopsy: Tips and Pitfalls - American Family Physician
May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p551.html
Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician
May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p542.html
Tickborne Diseases: Diagnosis and Management - American Family Physician
May 1, 2020 - Tickborne diseases that affect patients in the United States include Lyme disease, Rocky Mountain spotted fever (RMSF), ehrlichiosis, anaplasmosis, babesiosis, tularemia, Colorado tick fever, and tickborne relapsing fever. Tickborne diseases are increasing in incidence and should be ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p530.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
Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician
May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0501/p567.html
Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants - ...
Apr 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0415/p460.html
Outpatient Burn Care: Prevention and Treatment - American Family Physician
Apr 15, 2020 - Most patients with burn injuries are treated as outpatients. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. All burn injuries are considered trauma, prompting immediate evaluation for concomitant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0415/p463.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
Genetics - American Family Physician
Apr 15, 2020 - This collection features AFP content on genetics and related issues, including family medical history, genetic testing, and specific syndromes (fetal alcohol spectrum disorders, fragile X syndrome, Down Syndrome, Klinefelter syndrome, Prader-Willi syndrome, Turner syndrome). This ...
- Counseling, Testing, and Risk Assessment
- Family History
- Pharmacogenetics
- Specific Syndromes
- 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=56
Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...
Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0415/p458.html
Pandemic Highlights the Need for Full-scope FPs
In this Fresh Perspectives blog post, family physician MaryAnn Dakkak, M.D., M.S.P.H., describes a day on the front lines of the COVID-19 pandemic in a safety-net hospital.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200406fp-covidhospital.html
Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM
Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p23.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
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
Anxiety Disorders - American Family Physician
Apr 1, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- 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
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
Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ...
Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434.html
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis - FPIN's ...
Apr 1, 2020 - Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0401/p432.html
Looking Beyond Diagnostic Criteria -- FPM
Apr 1, 2020 - The power of family medicine is seeing patients as more than just signs and symptoms.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0300/p36.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
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
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
Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0315/p370.html
Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ...
Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0315/p378.html
Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...
Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0315/p339.html
HIV/AIDS - American Family Physician
Mar 1, 2020 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11
Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ...
Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p272.html
Tense Bullae and Pruritus - Photo Quiz - American Family Physician
Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0301/p305.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...
Feb 15, 2020 - ...conditions, immunocompromised state, and concurrent use of nonsteroidal anti-inflammatory drugs. Hyperglycemia, fluid retention, hypertension, delirium, psychosis, insomnia, osteonecrosis, and gastrointestinal bleeding may consequently be underestimated. The potential harmful...
American Family Physician : Letter
https://www.aafp.org/afp/2020/0215/p197.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
A three-step guide to coding for multiple skin procedures in a single visit -- FPM
Follow these three steps to bill correctly, avoid denials, and make sure you’re not leaving revenue on the table when you perform skin biopsies and lesion removals.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/skin_procedure_coding.html
Chronic Wounds: Evaluation and Management - American Family Physician
Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p159.html
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Menopause - American Family Physician
Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59
Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...
Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p89.html
Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ...
Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0115/p123.html
Lymphoma: Diagnosis and Treatment - American Family Physician
Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0101/p34.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician
Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0101/p49.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.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
Cirrhosis: Diagnosis and Management - American Family Physician
Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p759.html
Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2019/1215/p742.html
Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides...
Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/1215/p778.html
Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...
Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od4.html
Four ways to target blood pressure control -- FPM
Four steps to get your patients on the path to better blood pressure.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/blood_pressure_control.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
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
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...
Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646.html
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...
Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p648.html
Depression in Children and Teens - American Family Physician
Nov 15, 2019 - ...Previous: Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG Next: Spinosad: A Low-Risk, Effective Treatment for Lice View the full table of contents >> Home / Journals / afp / Vol. 100/No. 10(November 15, 2019) / Depression in Children and Teens...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2019/1115/p609-s1.html
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.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
The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...
Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/1101/p575.html
Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for...
Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p541.html
Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...
Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/1101/p537.html
Postpartum Care: An Approach to the Fourth Trimester - American Family Physician
Oct 15, 2019 - The postpartum period, defined as the 12 weeks after delivery, is an important time for a new mother and her family and can be considered a fourth trimester. Outpatient postpartum care should be initiated within three weeks after delivery in person or by phone, and may require multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p485.html
Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...
Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1015/od1.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
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
Lifestyle Medicine Is My Prescription for Better Health
Alex Mroszczyk-McDonald, M.D., is determined to convince his patients that a healthy diet, exercise and adequate rest are better than any medication he can prescribe.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20191014fp-lifestylemed.html
Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...
Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p403.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
Common Misperceptions About Buprenorphine Prescribing for Opioid Use Disorder - ...
Oct 1, 2019 - The antidote to the opioid use disorder epidemic is the thoughtful use of evidence-based medicine and an honest understanding of what we know—and what we don't know—about caring for people with substance use disorders.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1001/p396.html
How to Use Group Visits to Manage Obesity -- FPM
Oct 1, 2019 - Clinic and community resources combine to support patients in this unique group-visit model.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p20.html
Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...
Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p405.html
Protecting Patients from Elder Abuse Scams - Close-ups - American Family Physician
Oct 1, 2019 - Protecting patients from elder abuse scams.
American Family Physician : Close-ups
https://www.aafp.org/afp/2019/1001/p438.html
Uterine Fibroids, Traumatic Brain Injury, Treating Obesity, Breast Cancer Survivors - ...
Oct 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2019/1001/p400.html
Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...
Sep 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2019/0915/p369.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
Top POEMs of 2018 Consistent with the Principles of the Choosing Wisely Campaign - ...
Sep 1, 2019 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2018 judged to be most consistent with the principles of the Choosing Wisely campaign. We selected these POEMs through a crowdsourcing strategy of the daily POEMs information service for Canadian Medical ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p290.html