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Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Learning Disorders, Perinatal Depression, Infants with GERD, Kidney Injury, Amblyopia -... Restricted content. Login required.

Oct 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/2020/1015/p463.html

Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p253.html

Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ... Restricted content. Login required.

May 15, 2020 - A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0515/p621.html

Practice Pearls - Sep-Oct 2020 -- FPM Restricted content. Login required.

Oct 1, 2020 - Provide patient letters describing the diagnosis rather than the need for accommodation |Reduce pain of deltoid injection | Test your staff's phone etiquette by calling your own office |Prevent staff burnout due to COVID-19

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0900/p43.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Interventions for Reducing Childhood Obesity - Cochrane for Clinicians - American ...

Apr 1, 2020 - Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p394.html

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p326a.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

The Promise and Challenge of Home Health Services During the COVID-19 Pandemic - ...

Jul 1, 2020 - The COVID-19 pandemic presents family physicians with unique opportunities to work with home health providers to combat the pandemic, provide quality care, and ease the burden of fear among patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0701/p8.html

Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM

Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0500/p4.html

Tuberculosis Screening, Testing, and Treatment in U.S. Health Care Professionals: CDC ...

Mar 1, 2020 - According to 1995–2007 surveillance data reported to the Centers for Disease Control and Prevention and National Tuberculosis Controllers Association work group, tuberculosis incidence rates in health care professionals were similar to those in the general population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0301/p312.html

Coding & Documentation - Jan-Feb 2020 -- FPM

Feb 1, 2020 - Vaping-related illness | Billing Qualified Medicare Beneficiaries | Electrocardiogram recorded by a Holter monitor | Lung function tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0100/p33.html

Understanding Value-Based Payment: A Primer for Family Physicians -- FPM Restricted content. Login required.

Aug 1, 2020 - Public and private payers are transitioning away from fee-for-service and emphasizing value-based payment models. This supplement from the American Academy of Family Physicians describes what you need to know about the transition and how it may affect you and your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p25.html

Benefits of Teaching Medical Students: Perspectives from a Community Physician ...

Aug 1, 2020 - There is a need for more enthusiastic community family physician mentors to improve the shortage of medical students going into primary care and to reach the goal of 25% of students choosing family medicine by 2030.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0801/p140.html

Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ...

Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0401/od1.html

Case Report: Wernicke Encephalopathy Following Roux-en-Y Gastric Bypass - Letters to ...

Aug 15, 2020 - Letters to the Editor from AFP reader regarding Wernicke encephalopathy following Roux-en-Y gastric bypass.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0815/p197.html

Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...

Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0915/p330.html

Persistent Asymptomatic Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 15, 2020 - A soldier deployed to Afghanistan presented with an asymptomatic ulcerated lesion on the arm.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0915/p369.html

VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus ... Restricted content. Login required.

Sep 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/2020/0915/p332.html

Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0715/p113.html

Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American... Restricted content. Login required.

Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p17.html

Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude -- FPM Restricted content. Login required.

Aug 1, 2020 - Most teams try to avoid conflict, yet can’t stop focusing on the negative. Healthy teams do the opposite.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p11.html

Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -... Restricted content. Login required.

Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0901/p312.html

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...

Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.

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

https://www.aafp.org/afp/2020/0715/p105.html

2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...

Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p202.html

Operationalizing Virtual Visits During a Public Health Emergency -- FPM Restricted content. Login required.

Jun 1, 2020 - Providing options for remote access to care can keep your practice running and your patients healthy when an infectious disease outbreak prevents you from seeing them in person.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p5.html

Frostbite: Recommendations for Prevention and Treatment from the Wilderness Medical ...

Apr 1, 2020 - Recommendations for prevention and treatment of frostbite from the Wilderness Medical Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0401/p440.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Otitis Media, COVID-19 and Hydroxychloroquine, Postoperative Pulmonary Risk, ... Restricted content. Login required.

Sep 1, 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/2020/0901/p266.html

Transitioning to Direct Primary Care -- FPM Restricted content. Login required.

Aug 1, 2020 - Imagine practicing medicine without all the administrative burdens related to billing insurance. Here’s how one physician made the switch.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p29.html

Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ... Restricted content. Login required.

Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117a.html

Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ... Restricted content. Login required.

Aug 1, 2020 - Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p148.html

We’re Listening and Taking Action on Racism and Health Inequities - Letters to the ...

Sep 1, 2020 - Letter to the Editor from the AFP Editor about taking action on racism and health inequities.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0901/p261.html

Case Report: Flavored Vaping–Associated Hypokalemia - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP reader regarding flavored vaping–associated hypokalemia.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p74a.html

Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...

Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0201/p134.html

Sarecycline (Seysara) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0815/p245.html

Acupuncture for Knee Osteoarthritis - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Aug 1, 2020 - Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0801/p184.html

A Primary Care Approach to Adverse Childhood Experiences - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2020 - A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0701/p55.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0901/p269.html

Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ... Restricted content. Login required.

Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248.html

Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD - Cochrane for ... Restricted content. Login required.

Jul 1, 2020 - Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p16.html

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM Restricted content. Login required.

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

Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis - Photo... Restricted content. Login required.

Jun 1, 2020 - A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0601/p689.html

Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ...

Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0301/od2.html

Knee Bruising and Swelling in a Teenager - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2020 - A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0701/p49.html

Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer ... Restricted content. Login required.

Jul 15, 2020 - Mailed outreach significantly increases rates of colorectal cancer screening, with four tests needing to be mailed to screen one person.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117.html

Facial Rash with Oral Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0815/p243.html

Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p528.html

Differential Diagnosis of Muscle Weakness in Adults - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p73.html

Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0701/p51.html

Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...

Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0715/p78.html

Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ... Restricted content. Login required.

Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p247.html

Developing Your Professional Career Plan -- FPM Restricted content. Login required.

Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p21.html

Rates of Adverse Effects of Treatment for Otitis Media Vary by Antibiotic and Dose - ... Restricted content. Login required.

Aug 1, 2020 - The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose amoxicillin, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0801/p186.html

Postpartum Care, COVID-19, Augmentation Therapy, Vitamin D Supplementation - AFP ... Restricted content. Login required.

Aug 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/2020/0815/p209.html

Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ... Restricted content. Login required.

Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0801/p145.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.html

Inflamed, Purulent Axillary Nodules - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 15, 2020 - A man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0715/p111.html

Oseltamivir of Uncertain Benefit in Patients with Flulike Symptoms - POEMs - American ... Restricted content. Login required.

Aug 15, 2020 - Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248a.html

Severely Callused Hands and Feet - Photo Quiz - American Family Physician Restricted content. Login required.

May 15, 2020 - A man presented with a long history of an uncontrollable, proliferating skin callus formation on both hands and feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0515/p623.html

Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician Restricted content. Login required.

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

IBSchek for Irritable Bowel Syndrome - Diagnostic Tests: What Physicians Need to Know -... Restricted content. Login required.

May 1, 2020 - IBSchek is a blood test marketed to assist in the diagnosis of irritable bowel syndrome with predominant diarrhea (IBS-D) or with mixed bowel habits (IBS-M) in adults.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0501/p564.html

IDx-DR for Diabetic Retinopathy Screening - Diagnostic Tests: What Physicians Need to ...

Mar 1, 2020 - IDx-DR is a reliable screening tool used to diagnose diabetic retinopathy in the primary care office and may reduce barriers to screening and improve gaps in eye care for those with diabetes.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0301/p307.html

The COVID-19 Pandemic Is a Battle Against Disease, Fear, and Misinformation - Letters ...

Jul 1, 2020 - Letters to the Editor from AFP reader regarding COVID-19.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0701/p5.html

Advance Care Planning: How to Have the Conversation You Want With Your Patients -- FPM

Dec 1, 2019 - More patients are receiving intensive care in their last days of life, even though studies show that most don’t want it. Family physicians are uniquely positioned to make sure patients’ wishes are recorded and respected.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p18.html

Pelvic Floor Muscle Training vs. Control for Urinary Incontinence in Women - Cochrane ...

Apr 1, 2020 - Use of pelvic floor muscle training to treat women with all subtypes of urinary incontinence results in improvement or cure vs. no treatment (number needed to treat [NNT] = 2.5; 95% CI, 1.4 to 5.4). Treatment with pelvic floor muscle training also results in one fewer episode of leakage...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p393.html

PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know... Restricted content. Login required.

Jul 1, 2020 - Because of insufficient evidence of benefit, no recommendations can be made regarding PAULA's test. Prospective cohort studies of a screening population and randomized controlled trials comparing cancer mortality outcomes using PAULA's test vs. low-dose CT and no screening are needed ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0701/p53.html

Maintaining Patient Relationships in the Age of Hospitalists, Urgent Care, and a ...

Aug 1, 2020 - It was already difficult to get enough face-to-face time with patients before COVID-19 hit. Bonding with them now takes even more effort.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0700/p4.html

Ten Tips for Cultivating Patience During Uncertain Times -- FPM Restricted content. Login required.

Aug 1, 2020 - It’s easy to feel impatient with ourselves and others these days. But research suggests impatience can be bad for our health. Here’s a better way to respond.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0700/p43.html

COVID-19, Acne Treatment, Threatened Miscarriage, Pilonidal Disease - AFP Clinical ... Restricted content. Login required.

Aug 1, 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/2020/0801/p142.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs... Restricted content. Login required.

Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p698.html

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth - Cochrane for ... Restricted content. Login required.

Jun 1, 2020 - Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p652.html

Hirsutism, Amphetamines, COVID-19 Viral Shedding, Hand-Foot-and-Mouth Disease - AFP ... Restricted content. Login required.

May 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/2020/0515/p589.html

Family Physicians Play Key Role in Bridging the Gap in Access to Opioid Use Disorder ...

Jul 1, 2020 - Buprenorphine prescribing in primary care is a key bottleneck in the access to medications for opioid use disorder (OUD). In a Medicare claims study including family medicine, internal medicine, general practice, and psychiatry, the largest share of buprenorphine prescribers were family...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0701/p10.html

Ozenoxacin (Xepi) for the Treatment of Impetigo - STEPS - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Ozenoxacin is an effective and safe topical quinolone treatment for bullous and nonbullous impetigo in patients as young as two months. However, it is expensive and some patients may have limited access because it is only available through a physician or hospital.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0615/p760.html

PLAC Test for Lp-PLA2 Activity to Predict Coronary Heart Disease - Diagnostic Tests: ...

Jan 1, 2020 - The PLAC test is a blood test used to measure serum activity of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme that breaks down oxidized low-density lipoprotein in the vascular wall.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0101/p44.html

No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies - POEMs ... Restricted content. Login required.

Jul 15, 2020 - In infants at increased risk of atopy, restricting cow's milk supplementation for the first three days of life is associated with a significantly lower risk of developing a cow's milk allergy or food allergies by 24 months of age.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p118.html

Increasing Pneumococcal Immunization Rates -- FPM Restricted content. Login required.

Aug 1, 2020 - This supplement from the American Academy of Family Physicians shares learnings from state chapter quality improvement initiatives designed to increase adult pneumococcal vaccination rates. The project was supported by a grant from Pfizer Independent Grants for Learning and Change.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p17.html

Practice Pearls - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Use EHR sticky notes to connect with patients personally | Talking your team through a crisis | Get credit for pre- and post-exam work

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0700/p38.html

Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ...

Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0301/p302.html

Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician Restricted content. Login required.

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

Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain - ... Restricted content. Login required.

Jul 15, 2020 - Using mindfulness, meditation, hypnosis, therapeutic suggestion, and cognitive behavior therapy, in addition to opioid treatment of acute or chronic pain, provides an additional benefit to patients by reducing pain scores.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p119.html

Importance of Appropriate Diagnosis Before Prescribing Corticosteroids - Letters to the...

Jul 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p76.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

Case Report: Flavored Vaping–Associated Hypokalemia - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP reader regarding flavored vaping–associated hypokalemia.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p74.html

Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ...

Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0201/p182.html

Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ... Restricted content. Login required.

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

Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth - AFP Clinical Answers - ... Restricted content. Login required.

Jul 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/2020/0715/p83.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

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ... Restricted content. Login required.

Jun 1, 2020 - Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0601/od1.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695a.html

Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ... Restricted content. Login required.

May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0501/od2.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

Persistent Infraorbital Plaque - Photo Quiz - American Family Physician

Apr 1, 2020 - A woman presents with a pruritic mass under one eye that had been growing slowly for three years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0401/p429.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

Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ... Restricted content. Login required.

Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0415/p495.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2020/0115/p112.html

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ... Restricted content. Login required.

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

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