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
New payment model seeks to reduce cardiovascular disease -- FPM
New payment model seeks to reduce cardiovascular disease
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/new_payment_model_seeks_to.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
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
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
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
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
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
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
House Calls: What to Do When Your Patients Are Snowed In
House Calls: What to Do When Your Patients Are Snowed In
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/house_calls_what_to_do.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
Cardiac Risk Assessment -- FPM
Oct 1, 2014 - The Cardiac Risk Assist app allows health care professionals to calculate 10-year and lifetime risks for atherosclerotic cardiovascular (CV) disease.
Family Practice Management : SPPACES: App Reviews
https://www.aafp.org/fpm/2014/0900/p32.html
Make It Easy: Convenient Communication Can Boost Patient Adherence
Make It Easy: Convenient Communication Can Boost Patient Adherence
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/make_it_easy_convenient_communication.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