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Behavioral Interventions Reduce Inappropriate Antibiotic Prescribing for Acute ...

Jun 15, 2016 - Requiring clinicians to justify antibiotic prescribing in the permanent electronic health record and to undergo periodic peer comparisons of prescribing rates are effective interventions for reducing inappropriate antibiotic prescribing for acute respiratory tract infections. Helpful ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1037.html

Diet and Physical Activity for Cardiovascular Disease Prevention - American Family ...

Jun 1, 2016 - Cardiovascular disease (CVD) is the leading cause of death in the United States. One-third of these deaths may be preventable through healthy lifestyle choices including diet and physical activity. The Mediterranean diet is associated with reduced cardiovascular mortality, whereas the ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0601/p919.html

Top 20 Research Studies of 2015 for Primary Care Physicians - American Family Physician

May 1, 2016 - In 2015, a group of primary care clinicians with expertise in evidence-based practice performed monthly surveillance of more than 110 English-language clinical research journals. They identified 251 studies that addressed a primary care question and had the potential to change practice ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p756.html

Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at...

May 1, 2016 - The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0501/p738.html

Nonpharmaceutical Treatment of Anxiety in Institutionalized Older Adults - FPIN's Help ...

Apr 1, 2016 - Cognitive behavior therapy (CBT) or relaxation training, alone or in combination, can be used to treat anxiety in older adults. Music therapy can also be used to reduce anxiety in older adults. Appropriate training of institutional caregivers is also helpful in reducing anxiety in older...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0401/p592.html

Screening for High Blood Pressure in Adults - Putting Prevention into Practice - ...

Mar 15, 2016 - A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0315/p511.html

Systolic BP of 120 Instead of 140 in High-Risk Older Patients Without Diabetes Leads to...

Mar 15, 2016 - In this group of older patients (mean age = 68 years) who do not have diabetes but are at high risk of cardiovascular disease, a more aggressive systolic BP target of 120 mm Hg instead of 140 mm Hg led to benefits (lower all-cause mortality, lower cardiovascular mortality, less heart ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0315/p520a.html

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Mar 1, 2016 - Aortic stenosis affects 3% of persons older than 65 years. Although survival in asymptomatic patients is comparable to that in age- and sex-matched control patients, it decreases rapidly after symptoms appear. During the asymptomatic latent period, left ventricular hypertrophy and ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0301/p371.html

In Patients with Type 2 Diabetes and CV Disease, Empagliflozin Reduces CV and All-Cause...

Mar 1, 2016 - In patients with established CV disease and type 2 diabetes, the addition of empagliflozin to standard therapy reduces all-cause mortality and CV mortality. This is notable because empagliflozin is the only drug other than metformin to demonstrate a mortality benefit, albeit for a ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0301/p410.html

Influenza Vaccination for the Prevention of Cardiovascular Disease - Cochrane for ...

Mar 1, 2016 - Influenza vaccination may reduce cardiovascular mortality in patients with established cardiovascular disease. The effect of vaccination is unclear among patients in the general population without known cardiovascular disease.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0301/p357.html

Screening for High Blood Pressure in Adults: Recommendation Statement - U.S. Preventive...

Feb 15, 2016 - The USPSTF recommends screening for high blood pressure in adults aged 18 years or older.

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

https://www.aafp.org/afp/2016/0215/p300.html

Conjugated Estrogens/Bazedoxifene (Duavee) for Menopausal Symptoms - STEPS - American ...

Feb 15, 2016 - Conjugated estrogens/bazedoxifene is effective for the treatment of menopausal symptoms and may be better tolerated than conjugated estrogens/medroxyprogesterone. It will maintain bone mineral density in the lumbar spine and hip, but its effect on fractures is not known. Cardiovascular ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0215/p307.html

Diagnostic Tool for Gout Without Need for Joint Fluid Aspiration - Letters to the ...

Feb 15, 2016 - ...following conditions: angina pectoris, cerebrovascular accident, heart failure, myocardial infarction, peripheral vascular disease, transient ischemic attack 1.5 Serum uric acid level > 5.88 mg per dL (350 μmol per L) 3.5 Total ____ (out of 13 possible points) note:...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0215/p256.html

Preventing CVD in Adults with Type 2 Diabetes Mellitus: An Update from the AHA and ADA ...

Feb 1, 2016 - The American Heart Association (AHA) and American Diabetes Association (ADA) joined together to release statements on preventing CVD in persons with diabetes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0201/p232.html

Electronic Cigarettes for Smoking Cessation - Cochrane for Clinicians - American Family...

Feb 1, 2016 - Electronic cigarettes with nicotine increase smoking cessation rates compared with placebo, with effectiveness similar to that of nicotine patches. In addition, more patients using electronic cigarettes with nicotine were able to halve their use of cigarettes than those using placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0201/p178.html

Hypertensive Disorders of Pregnancy - American Family Physician

Jan 15, 2016 - Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks’ gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks’ gestation), preeclampsia, or preeclampsia superimposed on chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p121.html

Perioperative Bridging Anticoagulation Unhelpful for Invasive Procedures - POEMs - ...

Jan 15, 2016 - Bridging anticoagulation worsens outcomes for patients with atrial fibrillation who undergo an elective invasive procedure, resulting in more episodes of major bleeding and no difference in the rate of stroke or venous thromboembolism.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0115/p130.html

Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report - ...

Dec 15, 2015 - Family physicians are the primary and sometimes only health care resource for families affected by sickle cell disease. Recently published guidelines provide important recommendations for health maintenance, acute care, and monitoring of disease-modifying therapy in persons with this ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1215/p1069.html

Some Benefit to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall ...

Dec 1, 2015 - Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall mortality in a small proportion of patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1020.html

Chlorthalidone vs. Hydrochlorothiazide for Treatment of Hypertension - FPIN's Help Desk...

Dec 1, 2015 - Chlorthalidone produces slightly greater reductions in blood pressure compared with hydrochlorothiazide (HCTZ), but it is associated with greater declines in serum potassium levels. Chlorthalidone lowers the risk of cardiovascular events about 18% more than HCTZ at the same achieved ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/1201/p1015.html

Petechiae in a Newborn - Photo Quiz - American Family Physician

Dec 1, 2015 - Five hours after birth, scattered petechiae developed over the trunk and extremities of a newborn.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2015/1201/p1017.html

AHA/ACC/ASH Release Guideline on the Treatment of Hypertension and CAD - Practice ...

Dec 1, 2015 - The American Heart Association (AHA), American College of Cardiology (ACC), and American Society of Hypertension (ASH) have released a guideline on the management of hypertension in patients with coronary artery disease (CAD). It updates a previous AHA guideline to reflect newer data.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1201/p1023.html

Adding Sitagliptin Does Not Reduce or Increase the Risk of Cardiovascular Outcomes - ...

Dec 1, 2015 - The glass half full is that sitagliptin does not increase the risk of cardiovascular events in patients with type 2 diabetes. The glass half empty is that it does not reduce the risk, either. And that is the important message: In patients with a mean glycated hemoglobin level of 7.2%, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1020a.html

Unprovoked First Seizures in Adults: Management Recommendations from the AAN - Practice...

Nov 1, 2015 - This guideline from the Academy of Neurology (AAN) provides information on prognosis and management options for unprovoked first seizures in adults.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1101/p835.html

Pharmacogenetics: Using Genetic Information to Guide Drug Therapy - American Family ...

Oct 1, 2015 - Clinical pharmacogenetics, the use of genetic data to guide drug therapy decisions, is beginning to be used for medications commonly prescribed by family physicians. However, clinicians are largely unfamiliar with principles supporting clinical use of this type of data. For example, ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p588.html

A Family Physician Confronts Parkinson Disease - Close-ups - American Family Physician

Oct 1, 2015 - Education about promising physical therapies and treatments that may be on the horizon can be a source of encouragement for physicians and patients alike when facing a diagnosis of Parkinson disease.

American Family Physician : Close-ups

https://www.aafp.org/afp/2015/1001/p568.html

AAFP News - Oct 1, 2015 - American Family Physician

Oct 1, 2015 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2015/1001/p556.html

Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI ...

Sep 15, 2015 - In this well-designed observational study, older patients given an initial prescription of dabigatran had lower all-cause mortality and fewer ischemic and hemorrhagic strokes, but a higher risk of gastrointestinal (GI) bleeding, than a matched group of patients given warfarin.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0915/p529.html

ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP - Practice ...

Sep 15, 2015 - In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0915/p531.html

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...

Sep 15, 2015 - J.W., a 34-year-old man who smokes, presents for his annual checkup for hypertension. Hisblood pressure is elevated (142/95 mm Hg), and he has gained 10 lb (4.5 kg) since his lastvisit. J.W. is now considered overweight, with a body mass index (BMI) of 27 kg per m2. He reports no other ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0915/p509.html

Spinal Stenosis: Physical Therapy Before Surgery - POEMs - American Family Physician

Sep 15, 2015 - Assigning patients to six weeks of physical therapy is as effective as initially sending them for decompression surgery, with fewer complications, even in patients who have a strong preference for surgery. A trial of six weeks of physical therapy makes sense for many patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0915/p528.html

Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician

Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...

American Family Physician : Article

https://www.aafp.org/afp/2015/0901/p377.html

Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More ...

Sep 1, 2015 - This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0901/p398.html

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

Vorapaxar (Zontivity) for the Prevention of Thrombotic Cardiovascular Events - STEPS - ...

Aug 15, 2015 - Vorapaxar should be limited to select patients with a history of MI or peripheral arterial disease who desire additional treatment for the prevention of MI.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0815/p304.html

AAFP News - Aug 15, 2015 - American Family Physician

Aug 15, 2015 - ...labels to clearly indicate that these medications increase the risk of cardiovascular thrombotic events, including myocardial infarction and stroke. All prescription NSAIDs currently include information about a potential increased risk of such events. The new warning strengthens the...

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2015/0815/p250.html

Differential Diagnosis of Polyarticular Arthritis - American Family Physician

Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p35.html

CEA vs. Stenting: Mixed Results, Mostly Bad - POEMs - American Family Physician

Jul 1, 2015 - These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal and disabling...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0701/p52.html

Nicotine Replacement Therapy for Smoking Cessation - Medicine by the Numbers - American...

Jul 1, 2015 - Studies show that 1 in 15 patients successfully quit smoking and 1 in 94 patients experienced chest pain or palpitations. Want to know more?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0701/od1.html

Patients with Initial Unprovoked DVT or PE Benefit from Long-Term Low-Dose Aspirin - ...

Jun 15, 2015 - Aspirin improves long-term cardiovascular and thrombotic outcomes in patients who have had an initial unprovoked episode of VTE. The risk of bleeding was no higher in the aspirin group, perhaps because those at risk of bleeding were uncovered during the initial period of anticoagulation.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0615/p872.html

Nonpharmacologic Management of Hypertension: What Works? - American Family Physician

Jun 1, 2015 - Hypertension is one of the most common conditions encountered in primary care. Nonpharmacologic strategies have been shown to help lower blood pressure. Lifestyle modifications are recommended for all patients with hypertension. The American Heart Association/American College of ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0601/p772.html

Tight Glycemic Control for Type 2 Diabetes Mellitus (Over Five Years) - Medicine by the...

Jun 1, 2015 - Studies show that none were helped and 1 in 6 patients were harmed. See why.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0601/od2.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

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2015 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

https://www.aafp.org/afp/2015/0515/od1.html

Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...

May 15, 2015 - N.C. is a 65-year-old woman who presents for her yearly checkup. She walks one to two miles daily, is in generally good health, has no significant cardiovascular history, and has no health concerns at today's visit.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0515/p717.html

Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...

May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p617.html

Provision of Contraception: Key Recommendations from the CDC - American Family Physician

May 1, 2015 - The Centers for Disease Control and Prevention has released comprehensive recommendations for provision of family planning services. Contraceptive services may be addressed in five steps, and counseling may be provided in a tiered approach, whereby the most effective options are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p625.html

Increased GI Bleeding After Switch from Warfarin to Dabigatran - POEMs - American ...

May 1, 2015 - The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal (GI) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0501/p648.html

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...

May 1, 2015 - The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

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

https://www.aafp.org/afp/2015/0501/od1.html

Birth Control: What You Should Know - American Family Physician

May 1, 2015 - ...if you smoke, talk with your doctor about birth control that has estrogen in it. These conditions may increase your risk of blood clots and stroke. Condoms are the only birth control method that decreases your risk of getting a sexually transmitted infection. Condoms can be used...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0501/p625-s1.html

Diagnosis of Acute Stroke - American Family Physician

Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...

American Family Physician : Article

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

Abdominal Aortic Aneurysm - American Family Physician

Apr 15, 2015 - Abdominal aortic aneurysm refers to abdominal aortic dilation of 3.0 cm or greater. The main risk factors are age older than 65 years, male sex, and smoking history. Other risk factors include a family history of abdominal aortic aneurysm, coronary artery disease, hypertension, ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p538.html

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0415/p554.html

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

Apr 15, 2015 - ...Stroke: How to Recognize It and What to Do About It Am Fam Physician. 2015 Apr 15;91(8):online. See related article on acute stroke What is a stroke? A stroke is like a brain attack. In a heart attack, not enough blood gets to the heart muscle. In a stroke, not enough blood...

American Family Physician : Patient Handout

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

Cultural Competence Education for Health Care Professionals - Cochrane for Clinicians -...

Apr 15, 2015 - Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to be ineffective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0415/p523.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

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0415/p518.html

No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes - POEMs -...

Apr 15, 2015 - Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0415/p566.html

Options for Unintended Pregnancy - American Family Physician

Apr 15, 2015 - ...Previous: Stroke: How to Recognize It and What to Do About It Next: Screening for Abdominal Aortic Aneurysm: Recommendation Statement View the full table of contents >> Home / Journals / afp / Vol. 91/No. 8(April 15, 2015) / Options for Unintended Pregnancy...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0415/p544-s1.html

Introducing Medicine by the Numbers: A Collaboration of The NNT Group and AFP - ...

Apr 1, 2015 - The NNT is a useful concept that helps convey the importance of an intervention in various populations. The NNT assigns a bottom-line number to the relative strength of an intervention, and helps put it in perspective. Toward that end, we are happy to announce a partnership with ...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0401/p434.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

Lung Cancer Screening Is Cost-Effective, but Only If Done Correctly - POEMs - American ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) gave lung cancer screening a B recommendation on the basis of the reductions in disease-specific mortality and all-cause mortality seen in the National Lung Screening Trial (NLST). The NLST does not consider cost or cost-effectiveness in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0301/p328.html

Infertility: What Women Should Know - American Family Physician

Mar 1, 2015 - ...Previous: AHA/ASA Release Guideline on Stroke Prevention in Women Next: Cancer Risk Should Prompt Hepatitis B Surveillance for Patients View the full table of contents >> Home / Journals / afp / Vol. 91/No. 5(March 1, 2015) / Infertility: What Women Should Know...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0301/p308-s1.html

Should Family Physicians Screen for Testosterone Deficiency in Men? No: Screening May ...

Feb 15, 2015 - Testosterone testing leads to testosterone treatment, which is inappropriate for the vast majority of patients. Testosterone treatment should be reserved for patients who are truly hypogonadal.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p226.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

Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin Receptor Blockers - FPIN's ...

Feb 1, 2015 - ACE inhibitors should be used in patients with hypertension because they reduce all-cause mortality, whereas ARBs do not.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0201/p193.html

Benzodiazepines and Alzheimer Disease - AFP Journal Club - American Family Physician

Feb 1, 2015 - Benzodiazepine exposure over the preceding five years seems to be associated with an increased likelihood of an Alzheimer disease diagnosis. A dose-response gradient also seems to exist.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2015/0201/p191.html

Treating Newly Diagnosed High Blood Pressure - American Family Physician

Feb 1, 2015 - ...Treatment is important because having high blood pressure increases your risk of heart attack, stroke, and heart failure. How is it detected? Your doctor can measure your blood pressure with a blood pressure cuff that goes around your arm. What causes it? No one knows for sure....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0201/p172-s1.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

Antidepressants and Psychological Therapies Are Effective for IBS - POEMs - American ...

Jan 15, 2015 - Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous analysis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p134.html

Increasing HDL Level Ineffective at Decreasing Cardiovascular Events - POEMs - American...

Jan 15, 2015 - Being the good cholesterol is not the same as being the useful cholesterol. Drug therapy aimed at increasing HDL cholesterol levels, when added to statin treatment, does not decrease patients' likelihood of experiencing a cardiovascular event or of dying earlier.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p133.html

Colon Cancer Screening: What You Should Know - American Family Physician

Jan 15, 2015 - ...Previous: AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke or TIA Next: Wound Care View the full table of contents >> Home / Journals / afp / Vol. 91/No. 2(January 15, 2015) / Colon Cancer Screening: What You Should Know...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0115/p93-s1.html

Schizophrenia - American Family Physician

Dec 1, 2014 - Schizophrenia is the most common psychotic disease, with a global prevalence of less than 1%. It affects all ethnicities and is slightly more common in men. Patients with schizophrenia commonly experience debilitating social and occupational impairments, but some are able to function ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1201/p775.html

Medications for Risk Reduction of Primary Breast Cancer in Women: Recommendation ...

Nov 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians engage in shared, informed decision making with women who are at increased risk of breast cancer about medications to reduce their risk. For women who are at increased risk of breast cancer and at low risk of ...

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

https://www.aafp.org/afp/2014/1101/od1.html

Niacin Does Not Improve Clinical Outcomes in Patients with Vascular Disease - POEMs - ...

Nov 1, 2014 - This large, adequately powered trial did not find any clinically meaningful benefit to the use of niacin in patients who are already taking a statin, even with several study design features that should bias the result in favor of niacin. Niacin should not be prescribed to reduce the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p660a.html

Bariatric Surgery Plus Intensive Medical Therapy Is Better Than Medical Therapy Alone ...

Oct 15, 2014 - Bariatric surgery in conjunction with intensive medical therapy results in significantly enhanced glycemic control at three years compared with medical therapy alone, as well as better weight control, less use of glucose-lowering medications, and improved quality of life.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1015/p579.html

JNC8 Guidelines for the Management of Hypertension in Adults - Practice Guidelines - ...

Oct 1, 2014 - Hypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. The Eighth Joint National Committee (JNC 8) recently ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1001/p503.html

JNC 8: Relaxing the Standards - Editorials - American Family Physician

Oct 1, 2014 - The Eighth Joint National Committee (JNC 8) recently issued the most anticipated hypertension guideline in some time. The most significant change in the JNC 8 guideline is relaxation of the systolic and diastolic blood pressure goals for adults 60 years and older. As a result of the new...

American Family Physician : Editorials

https://www.aafp.org/afp/2014/1001/p449.html

No Benefit to Prolonged Dual Antiplatelet Therapy After Drug-Eluting Stent Placement - ...

Oct 1, 2014 - Prolonging dual antiplatelet therapy with aspirin plus clopidogrel (Plavix) for more than one year after the placement of a drug-eluting stent confers no clinical benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1001/p502.html

Top 20 Research Studies of 2013 for Primary Care Physicians - American Family Physician

Sep 15, 2014 - In 2013, we performed monthly surveillance of more than 110 English-language clinical research journals, and identified approximately 250 studies that had the potential to change the practice of family physicians. Each study was critically appraised and summarized by a group of primary ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0915/p397.html

Autosomal Dominant Polycystic Kidney Disease - American Family Physician

Sep 1, 2014 - Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease. Enlarging cysts within the kidneys are the clinical hallmark of the disease. Renal manifestations include varying degrees of kidney injury, urinary tract infections, kidney stones,...

American Family Physician : Article

https://www.aafp.org/afp/2014/0901/p303.html

ACE Inhibitors Decrease Cardiovascular Events in Patients with Diabetes, ARBs Do Not - ...

Sep 1, 2014 - In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that directly ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p326.html

Cardiovascular Effects of NSAIDs - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2014 - Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0815/od2.html

ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD...

Aug 15, 2014 - The Blood Cholesterol Expert Panel from the American College of Cardiology (ACC) and the American Heart Association (AHA) issued an updated evidence-based guideline in 2013 that addresses the use of fixed doses of cholesterol-lowering drugs (statins) to reduce the risk of ASCVD in ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0815/p260.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Yes: ...

Aug 15, 2014 - The recommendations appropriately focus treatment on those most likely to benefit.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p212.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Not ...

Aug 15, 2014 - The recommendations should have paid more attention to the inherent uncertainties in risk estimates and the importance of individual patient circumstances and preferences.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p223.html

2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for Statin ...

Aug 15, 2014 - The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of age. The ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od6.html

Delirium in Older Persons: Evaluation and Management - American Family Physician

Aug 1, 2014 - Delirium is defined as an acute, fluctuating syndrome of altered attention, awareness, and cognition. It is common in older persons in the hospital and long-term care facilities and may indicate a life-threatening condition. Assessment for and prevention of delirium should occur at ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0801/p150.html

New Anticoagulants vs. Warfarin in Atrial Fibrillation: No Clear Winner - POEMs - ...

Jul 15, 2014 - In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are no more effective than warfarin in preventing ischemic strokes, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0715/p110a.html

ACP Releases Guideline on Screening, Monitoring, and Treatment of Stage 1 to 3 Chronic ...

Jul 15, 2014 - Based on a systematic evidence review, this guideline from the American College of Physicians (ACP) presents recommendations on screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease in adults.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0715/p121.html

AAFP News - Jun 15, 2014 - American Family Physician

Jun 15, 2014 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2014/0615/p936.html

Neglected Parasitic Infections: What Every Family Physician Needs to Know - American ...

May 15, 2014 - Neglected parasitic infections, including Chagas disease, toxocariasis, cysticercosis, and toxoplasmosis, affect millions of persons in the United States. Relatively few resources have been devoted to surveillance, prevention, and treatment of these diseases. Chagas disease primarily ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0515/p803.html

Fewer Major Bleeds with Edoxaban Than with Warfarin, but Treatment Benefit Unclear - ...

May 15, 2014 - Edoxaban provides similar effectiveness and a somewhat lower rate of major gastrointestinal and intracranial bleeding than warfarin. It is worth reading the supplemental appendices to this report for a look at the subgroups. For almost all subgroups, low-dose edoxaban caused less major ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0515/p827.html

Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...

Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0415/p672.html

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

AAP Releases Guideline on Diagnosis and Management of Acute Bacterial Sinusitis in ...

Apr 15, 2014 - Approximately 6% to 7% of children presenting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0415/p676.html

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

Screening for HIV - Putting Prevention into Practice - American Family Physician

Apr 15, 2014 - A 19-year-old woman presents to the university health clinic for a well-woman examination. She reports no problems and mentions that she is sexually active with one male partner, who usually uses condoms. She has never been screened for a sexually transmitted infection.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0415/p665.html

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