Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American...
May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p630a.html
Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...
Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0315/p330.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: ...
May 15, 2019 - The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0515/od1.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
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
Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...
Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/0801/p180.html
Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ...
Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0315/p373.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
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
HIV Status, Preexposure Prophylaxis, Sexual Health, and the Critical Role of Family ...
Mar 1, 2020 - Family physicians play a key role in expanding HIV testing and treatment, as well as providing sexual health services in areas where specialty sexual health services are not readily available.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0301/p262.html
Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...
Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2019/0801/p134.html
Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ...
Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1201/p716.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
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
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
Alpha Blockers for Nephrolithiasis - FPIN's Clinical Inquiries - American Family Physician
Dec 1, 2019 - The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1201/p710.html
Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ...
Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0101/p42.html
Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...
Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0701/p49.html
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...
Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646.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
Thromboembolism Recurrence Likely; Consider It a Chronic Disease - POEMs - American ...
Mar 1, 2020 - Perhaps it is time to start thinking about VTE as a chronic disease. Approximately one in 10 patients that have a VTE will have a second VTE over the next 12 months and almost four in 10 will have a second VTE over 10 years.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309.html
Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...
Sep 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/2019/0915/p369.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
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html