Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...
Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0315/p339.html
Music Therapy for Depression - Cochrane for Clinicians - American Family Physician
Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p273.html
Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ...
Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p310.html
Tai Chi for Fibromyalgia - FPIN's Clinical Inquiries - American Family Physician
Mar 1, 2020 - The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0301/od1.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician
Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0215/p244.html
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...
Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p249.html
No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria - POEMs - ...
Feb 15, 2020 - Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Do Not Change Antidepressant Treatment Early Based on a Lack of Response - POEMs - ...
Feb 15, 2020 - Do not be in a hurry to change treatment in patients with severe depression who do not respond to treatment within the first two weeks. Early response to treatment predicts eventual response or remission, but a lack of early response does not predict treatment failure.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p250.html
OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ...
Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0201/p144.html
Adverse Events of Pharmacologic Treatments of Major Depression in Older Adults - ...
Feb 1, 2020 - What are the adverse events of antidepressants prescribed to treat major depressive disorder in adults 65 years and older?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0201/p179.html
Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...
Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0201/od1.html
Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...
Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p89.html
Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ...
Jan 15, 2020 - Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use should be ...
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0115/p121.html
Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ...
Jan 1, 2020 - The 2019 American Geriatrics Society update of the Beers Criteria uses the five criteria outlined in 2015; these include medications that should typically be avoided in most older patients, medications that should be avoided in older patients with certain conditions, medications that ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0101/p56.html
Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician
Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0101/p49.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
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.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
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
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...
Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1215/p782.html
Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Dec 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/2019/1215/p742.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
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