Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms ...
Aug 15, 2016 - In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p319.html
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...
Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0815/p276.html
AAP Updates Recommendations for Routine Preventive Pediatric Health Care - Practice ...
Aug 15, 2016 - The American Academy of Pediatrics (AAP) has updated recommendations for preventive pediatric health care services, including evidence-based screenings and assessments that should be addressed at well-child visits. The recommendations are organized by age: infancy, early childhood, ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2016/0815/p324.html
Alirocumab (Praluent) for Treatment of Hyperlipidemia - STEPS - American Family Physician
Aug 15, 2016 - Alirocumab is a novel lipid-lowering therapy that is highly effective at lowering LDL cholesterol when used in addition to statin therapy and diet. Its use should be limited to patients with either heterozygous familial hypercholesterolemia or clinical atherosclerotic cardiovascular ...
American Family Physician : STEPS
https://www.aafp.org/afp/2016/0815/p310.html
Stop Using Antipsychotics to Treat or Prevent Delirium—They Are No Better Than Placebo ...
Aug 15, 2016 - The available data indicate that antipsychotic medications are ineffective in preventing or treating delirium in hospitalized patients. Because there are concerns about falls and extrapyramidal effects with antipsychotics (not reported in this study), we should stop using them.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p318.html
Treating Painful Diabetic Peripheral Neuropathy: An Update - American Family Physician
Aug 1, 2016 - Painful diabetic peripheral neuropathy occurs in approximately 25% of patients with diabetes mellitus who are treated in the office setting and significantly affects quality of life. It typically causes burning pain, paresthesias, and numbness in a stocking-glove pattern that progresses...
American Family Physician : Article
https://www.aafp.org/afp/2016/0801/p227.html
Exercise to Improve Functioning in Patients with Dementia - FPIN's Help Desk Answers - ...
Aug 1, 2016 - Exercise programs lasting at least two months moderately increase the ability of patients with dementia to perform ADLs.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2016/0801/p242.html
Trigeminal Neuralgia - Clinical Evidence Handbook - American Family Physician
Jul 15, 2016 - What are the effects of ongoing treatments in persons with trigeminal neuralgia?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2016/0715/p133.html
Blood Pressure Goal of 140 to 150 mm Hg Is Best for Patients with Diabetes - POEMs - ...
Jul 1, 2016 - Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0701/p59a.html
Stranded Patients, Lost Meds Are Just the Beginning of Flood Disaster
Stranded Patients, Lost Meds Are Just the Beginning of Flood Disaster
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/stranded_patients_lost_meds_are.html
Meta-Analysis: Intensive BP Control Decreases Major CV Events and Stroke, but Not MI, ...
Jun 15, 2016 - Patients with hypertension who are treated intensively are less likely to have major cardiovascular events, stroke, or progression of albuminuria or retinopathy than those treated less intensively, but intensive lowering had no meaningful effect on myocardial infarctions, heart failure,...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0615/p1036.html
Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - POEMs - American ...
Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0615/p1032.html
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
Improving Blood Pressure Control With Strategic Workflows -- FPM
Jun 1, 2016 - Setting a goal, identifying the right patients, and implementing team care can help bring hypertension under control.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0500/p23.html
Does High Patient Satisfaction Mean High Quality of Care ? -- FPM
Jun 1, 2016 - Are they even related?
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2016/0500/p4.html
MACRA Is Coming; the AAFP Has Resources to Help
The AAFP recently launched a campaign to help family physicians prepare for the Medicare Access and Chip Reauthorization Act (MACRA). AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin highlights some key resources that will help you start the process ...
AAFP News : In the Trenches : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/macra_is_coming_the_aafp.html
FPs Can Be Trusted Guides When the Dying Don't Specify Wishes
FPs Can Be Trusted Guides When the Dying Don't Specify Wishes
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/fps_can_be_trusted_guides.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
FMX On Demand
Maximize your time at the 2018 AAFP Family Medicine Experience (FMX). FMX On Demand is your online library of the 25 most popular FMX sessions. Earn a year's worth of credit!
Events : Family Medicine Experience (FMX) Virtual
https://www.aafp.org/events/fmx/cme/opportunities/on-demand.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
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
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
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
Doctor or Patient? Who Owns Medical Records?
Doctor or Patient? Who Owns Medical Records?
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/doctor_or_patient_who_owns.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