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Predicting the Risk of Postoperative Pulmonary Complications - Point-of-Care Guides - ...

Oct 15, 2019 - What is the best approach to evaluate postoperative pulmonary risk?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1015/p499.html

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...

Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od5.html

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...

Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p54.html

A Shrinking Primary Care Workforce in Puerto Rico - Graham Center Policy One-Pagers - ...

Jan 1, 2020 - In 2018, two-thirds of primary care physicians in Puerto Rico were older than 55 years, compared with 43% nationwide. Meanwhile, only four out of every 10 graduates of family medicine residencies from 2011 to 2017 remained on the island in 2018, placing Puerto Rico’s new family ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0101/p13.html

Practice Pearls - Jan-Feb 2020 -- FPM

Feb 1, 2020 - Navigate patients’ anxiety about pelvic exams | Ask older patients these questions to assess dementia risk | Tell patients up front how much time you have

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0100/p34.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ...

Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p676.html

Why Family Physicians Should Not Just Be Family Physicians: Rethinking Roles in ...

Feb 1, 2020 - In some settings, the cause of burnout isn’t having too much work - it’s having the wrong type of work.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2020/0100/p5.html

Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...

Jan 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/2020/0115/p75.html

Thank You, FPM Peer Reviewers (2019) -- FPM

Feb 1, 2020 - We would like to thank the following peer reviewers for their valuable contributions to FPM during 2019.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0100/p4.html

Listening to the Little Voice Inside -- FPM

Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0100/p38.html

Addition of Steroids Improves Outcomes in Children and Adults with CAP - POEMs - ...

Jan 1, 2020 - Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p55.html

Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...

Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.

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

https://www.aafp.org/afp/2019/1215/od1.html

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ...

Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0101/od1.html

Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ...

Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p17.html

Bringing Behavioral Health Into Your Practice Through a Psychiatric Collaborative Care ...

Dec 1, 2019 - Learn how to implement an integrated behavioral health program that will more than pay for itself while increasing patients’ access to care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p11.html

Adding Ultrasonography to Mammography Increases False-Positive Findings Without an ...

Jan 1, 2020 - Adding ultrasonography to screening mammography in women younger than 50 years at low, intermediate, or high breast cancer risk is not associated with an increase in breast cancer detection. It is associated with increased unnecessary biopsy recommendations and results in more frequent ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p53a.html

Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ...

Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1115/p637.html

Breast Implant—Associated Anaplastic Large Cell Lymphoma - Editorials - American Family...

Jan 1, 2020 - In October 2019, the FDA released draft guidance offering numerous recommendations to help ensure women have access to breast implant benefit and risk information, including that manufacturers incorporate a boxed warning and patient decision checklist in the device’s labeling, and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0101/p8.html

Enlarging Nodule on the Tongue - Photo Quiz - American Family Physician

Sep 15, 2019 - A man presented with a nodule on his tongue that had been growing slowly for three years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0915/p367.html

Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ...

Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od3.html

Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians...

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

Warfarin Dosages, PCOS, Varicose Veins, Gastroenteritis in Children, Plantar Fasciitis ...

Jan 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/2020/0101/p10.html

Beyond Burnout: Addressing System-Induced Distress -- FPM

Oct 1, 2019 - To describe the current phenomenon, we need a better term that puts the blame where it belongs and reminds us that the problem is responsive to multiple treatment strategies.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2019/0900/p4.html

Medication Management for Chronic Heart Failure with Preserved Ejection Fraction - ...

Jul 1, 2019 - Mineralocorticoid receptor antagonists reduce hospitalizations for patients with HFpEF. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers have not been shown to change the morbidity or mortality in patients with HFpEF.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0701/p17.html

Screening for Pancreatic Cancer - Putting Prevention into Practice - American Family ...

Dec 15, 2019 - A 71-year-old woman comes to your office for a regularly scheduled visit. She has type 2 diabetes mellitus and a 50-pack-year smoking history, and had non-ulcer dyspepsia two years ago. Her body mass index is 32 kg per m2, and her blood pressure is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1215/p771.html

Practical Ways to Address Physician Burnout and Improve Joy in Practice -- FPM

Dec 1, 2019 - It starts with one simple principle: Get rid of stupid stuff in your practice. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/1100/p7.html

Climate Change Health Impacts: A Role for the Family Physician - Editorials - American ...

Nov 15, 2019 - Why is climate change a matter of such importance to us as health care professionals, and why must we act?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/p602.html

Foot Blisters in a 30-Pack-Year Smoker - Photo Quiz - American Family Physician

Nov 1, 2019 - A woman presented with blisters on the sole of her foot.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/1101/p579.html

Psychological and Pharmacologic Treatments for Adults with PTSD - Implementing AHRQ ...

May 1, 2019 - What are the benefits and harms of psychotherapies and pharmacologic agents for the treatment of adults with posttraumatic stress disorder (PTSD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0501/p577.html

Thickened Feedings for Infants with Gastroesophageal Reflux - FPIN's Help Desk Answers ...

Oct 1, 2019 - Bottle-fed infants with gastroesophageal reflux should be given thickened formula feedings.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/1001/p437.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Oral Antibiotics Are Equal to IV Antibiotics for Serous Bone and Joint Infections - ...

Oct 1, 2019 - Oral antibiotics started within seven days of surgery for patients with a serious bone or joint infection are as safe and effective as six weeks of IV antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p441.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...

Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.

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

https://www.aafp.org/afp/2019/1101/p530.html

Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial...

Dec 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1215/p740.html

Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician

Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1215/p776.html

Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ...

Dec 1, 2019 - Urinary incontinence is common in adult women, leading to health complications such as rash and urinary tract infections. This review discusses pelvic floor muscle training for the treatment of urinary incontinence in women.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1201/od1.html

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ...

Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1101/od2.html

Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...

Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0901/p309.html

Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy - POEMs...

Dec 15, 2019 - In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od2.html

What Family Physicians Can Do to Reduce Maternal Mortality - Editorials - American ...

Oct 15, 2019 - Family physicians can catalyze efforts to ensure the safety of all people who give birth and to support well-being during the postpartum period.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1015/p460.html

A New Approach to New Physician Orientation: Six Key Components -- FPM

Aug 1, 2019 - In an era of patient-centered medical homes and value-based care, the old approach to physician orientation just doesn’t cut it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0700/p24.html

New-Onset Full-Body Rash Following Sore Throat in a Child - Photo Quiz - American ...

May 1, 2019 - A five-year-old presented with numerous small erythematous plaques throughout her body but sparing the palms and soles. Treatment with topical antibiotic cream was unsuccessful.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0501/p575.html

The Feasibility of Screening for Social Determinants of Health: Seven Lessons Learned ...

Oct 1, 2019 - If addressing patients’ social needs sounds overwhelming, the results of this pilot project might surprise you.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p13.html

Climate Change: What the Science Tells Us - Editorials - American Family Physician

Nov 15, 2019 - The sounds of alarm increasingly manifested across multiple sectors around the globe are warranted, and the science shows why.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1115/od3.html

Taking the Fear Out of Error Disclosure -- FPM

Dec 1, 2019 - What if we could talk about medical mistakes without fear of judgment or punishment?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/1100/p36.html

Statin Treatment, Early Pregnancy Loss, Ingrown Toenails, Blood Pressure, ADHD, ...

Dec 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1201/p671.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Prolaris Test for Prostate Cancer Risk Assessment - Diagnostic Tests: What Physicians ...

Sep 1, 2019 - The Prolaris test improves the accuracy of prognosis for patients with prostate cancer, especially those with low- or intermediate-grade disease who may be deciding between interventional and noninterventional treatment approaches.

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

https://www.aafp.org/afp/2019/0901/p311.html

Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...

Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0815/p209.html

Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...

Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/1101/p537.html

Coding & Documentation - Nov-Dec 2019 -- FPM

Dec 1, 2019 - Work relative value units | Vaccination refusal | Marijuana use | Lesion treatment for new patients | Patient discharge without seeing patient

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/1100/p30.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ...

Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1001/od1.html

Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings - ...

Jun 15, 2019 - We have identified the ways in which family physicians can implement the USPSTF screening recommendation for unhealthy alcohol use and then intervene when a patient has a positive screen.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0615/p733.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.

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

https://www.aafp.org/afp/2019/0415/od1.html

Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...

Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p278.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

A Jury of One's Peers -- FPM

Dec 1, 2019 - FPM depends on readers like you to review submitted manuscripts and help us deliver useful, high-quality content.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/1100/p6.html

A Devoted Couple - Close-ups - American Family Physician

Dec 1, 2019 - Life-long devotion and a mind-body mortality link between spouses.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1201/p709.html

Practice Pearls - Nov-Dec 2019 -- FPM

Dec 1, 2019 - Liven up your exam rooms | Be prepared for last-minute gynecologic exams | Use nudges to encourage behavior change

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/1100/p31.html

Secnidazole (Solosec) for Bacterial Vaginosis - STEPS - American Family Physician

Aug 15, 2019 - Secnidazole is much more expensive than generic metronidazole and other available treatments. However, it is a safe option for women who desire a single-dose treatment or for patients in whom treatment compliance is a concern.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0815/p242.html

Child Passenger Safety: AAP Updates Best Practice Recommendations - Practice Guidelines...

Apr 15, 2019 - There has been an increase in scientific evidence supporting the use of child safety and booster seats. The American Academy of Pediatrics (AAP) has updated best practice recommendations on child passenger safety based on this evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0415/p525.html

Aspirin for CVD, Scabies, Intimate Partner Violence, Maternal Vaccines, Caregiver ...

Nov 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1115/p606.html

Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator ...

Nov 15, 2019 - The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p647.html

Cognitive Behavior Therapy for Postpartum Depression - FPIN's Help Desk Answers - ...

Aug 15, 2019 - In women with postpartum depression, the addition of CBT reduces depressive symptoms more effectively than usual care alone (medication and other therapies), with a medium effect size at the end of the intervention and a residual small effect size six months later.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0815/p244.html

Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...

Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0915/p372.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

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

https://www.aafp.org/afp/2019/0615/od1.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...

Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p403.html

Elagolix (Orilissa) for Endometriosis Pain - STEPS - American Family Physician

Oct 15, 2019 - Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1015/p502.html

Erenumab (Aimovig) for Migraine Prophylaxis in Adults - STEPS - American Family Physician

Jun 15, 2019 - Erenumab is a safe option for migraine prophylaxis in adults. However, it is expensive and should be reserved for patients who have experienced intolerable adverse effects while taking oral migraine prophylaxis medication or who have poor adherence to daily preventive treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0615/p781.html

Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for...

Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p541.html

Tonsillectomy in Children: AAO-HNS Updates Guideline - Practice Guidelines - American ...

Sep 1, 2019 - The American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) has updated its 2011 guideline on tonsillectomy indications and perioperative care in children one to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0901/p316.html

Interventions to Prevent Perinatal Depression: Recommendation Statement - U.S. ...

Sep 15, 2019 - The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

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

https://www.aafp.org/afp/2019/0915/od1.html

Military Health History: Resources for Use at the Point of Care - Editorials - American...

Nov 1, 2019 - Many clinicians outside of the VA or military are unaware of the importance of specific aspects of the military health history. The clinical expertise of health care professionals in the VA and military health systems can be leveraged to expand training opportunities.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1101/p523.html

Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ...

Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1101/od1.html

Breast Problems, Pelvic Pain, Allergic Rhinitis, Polypharmacy, Peripheral Artery ...

Nov 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1101/p526.html

Coding & Documentation - Sep-Oct 2019 -- FPM

Oct 1, 2019 - Established vs. new patient codes | Office visits for immunization | Advance care planning and time

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0900/p32.html

Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute ...

Sep 15, 2019 - Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p375.html

Lung Cancer Screening: Pros and Cons - Lown Right Care: Reducing Overuse and Underuse -...

Jun 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/0615/p740.html

Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...

Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1015/p505.html

Common Misperceptions About Buprenorphine Prescribing for Opioid Use Disorder - ...

Oct 1, 2019 - The antidote to the opioid use disorder epidemic is the thoughtful use of evidence-based medicine and an honest understanding of what we know—and what we don't know—about caring for people with substance use disorders.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1001/p396.html

In Support of Buprenorphine Deregulation -- FPM

Aug 1, 2019 - Family physicians should join the fight to remove limits on prescribing buprenorphine for opioid use disorder.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2019/0700/p6.html

Perinatal Depression: AAP Policy Statement on Recognition and Management - Practice ...

Oct 1, 2019 - The American Academy of Pediatrics has released a policy statement regarding the integration of perinatal depression recognition and management into well-child visits.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1001/p443.html

Noninvasive Diagnostic Tests for Helicobacter pylori Infection - Cochrane for ...

Jul 1, 2019 - When compared with serology or stool antigen tests, the urea breath test has the highest diagnostic accuracy to identify H. pylori infection in patients without a history of gastrectomy or recent use of antibiotics or proton pump inhibitors.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0701/p16.html

Interpregnancy Care: Guidelines from ACOG and SMFM - Practice Guidelines - American ...

Jul 15, 2019 - The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0715/p121.html

5% Fluorouracil Is the Preferred Treatment for Actinic Keratoses - POEMs - American ...

Aug 15, 2019 - The use of topical 5% fluorouracil is most likely to result in successful elimination of actinic keratoses in a field on the head or face.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249a.html

Transitional Care Management: Practical Processes for Your Practice -- FPM

Jun 1, 2019 - Helping patients safely bridge the gap from acute care to ambulatory care is good for patients and practices too.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p27.html

Seven Habits for Reducing Work After Clinic -- FPM

Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p10.html

Flu Vaccine, Car Seats, PTSD, Kidney Stones, Bridging Warfarin - AFP Clinical Answers -...

Oct 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1015/p462.html

Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...

May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0501/p584.html

Discussing Life Expectancy with Older Patients: Prediction and Patient Preferences - ...

Sep 1, 2019 - Evidence shows that physicians need more training in discussing life expectancy, and there are resources available to support this process for certain conditions.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0901/p265.html

How to Use Group Visits to Manage Obesity -- FPM

Oct 1, 2019 - Clinic and community resources combine to support patients in this unique group-visit model.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p20.html

A Practical Approach to Reducing Patients' Prescription Costs -- FPM

Jun 1, 2019 - A single screening question and an arsenal of cost-reducing strategies can help you help your patients afford their medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p5.html

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Protecting Patients from Elder Abuse Scams - Close-ups - American Family Physician

Oct 1, 2019 - Protecting patients from elder abuse scams.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1001/p438.html

Interventions to Prevent Perinatal Depression - Putting Prevention into Practice - ...

Sep 15, 2019 - A 25-year-old woman presents to your office after having recently missed her period. A urine pregnancy test confirms that she is pregnant. She takes acyclovir for suppression of genital herpes, which she acquired as a teenager. She reports a history of depression and sexual abuse during...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0915/p365.html

Communication Tips for Caring for Survivors of Sexual Assault -- FPM

Aug 1, 2019 - You can support your patients’ recovery from sexual assault by interacting with them in an empowering, compassionate manner.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0700/p19.html

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