Low-Protein Diets for Adults Without Diabetes Mellitus Who Have CKD - Cochrane for ...
Dec 1, 2020 - In patients without diabetes mellitus who have chronic kidney disease, is a low-protein diet effective at preventing progression to end-stage renal disease or the need for dialysis?
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1201/p665.html
Acute Diverticulitis: Identifying Patients Unlikely to Have Complications - ...
Oct 15, 2020 - Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/1015/p495.html
Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ...
Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/1001/od1.html
U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...
Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0215/p202.html
Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ...
Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/1115/p629.html
Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...
Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1115/p649.html
Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...
Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1201/p672.html
VTE in Patients with Cancer: Guidelines from the American Society of Clinical Oncology ...
Aug 1, 2020 - The American Society of Clinical Oncology has updated recommendations for the prevention and treatment of venous thromboembolism (VTE) in patients with cancer.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0801/p188.html
What Can a Scribe Do for You? -- FPM
Dec 1, 2020 - Evidence suggests that documentation support provided by scribes can help relieve physician burnout and increase practice productivity.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p17.html
Diary of a Family Physician - Dec 15, 2020 - American Family Physician
Dec 15, 2020 - First-person accounts from the front lines of family medicine.
American Family Physician : Diary of a Family Physician
https://www.aafp.org/afp/2020/1215/p758.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ...
Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0215/p230.html
Fecal Occult Blood Testing Is Inaccurate as Part of Diagnostic Workup - POEMs - ...
Dec 1, 2020 - In this well-conducted systematic review, FOBT, although useful in screening for colorectal cancer, is not highly accurate in evaluating patients with clinical indications.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1201/p692.html
Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ...
Sep 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/2020/0915/p335.html
Improving Physician Well-Being Through Organizational Change -- FPM
Dec 1, 2020 - Wellness Wednesdays and yoga breaks aren’t sufficient. Here’s how health care organizations can begin to address physician well-being.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p23.html
Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections - ...
Nov 15, 2020 - A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/1115/p623.html
Attention Deficit/Hyperactivity Disorder: Screening and Evaluation - FPIN's Help Desk ...
Jun 1, 2019 - The Conners Abbreviated Symptom Questionnaire has the best combination of positive and negative likelihood ratios.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0601/p712.html
Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or...
Dec 1, 2020 - Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1201/p694.html
Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ...
Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0915/p375a.html
Treatment of Depression in Children and Adolescents - Implementing AHRQ Effective ...
Nov 1, 2020 - What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/1101/p558.html
Mechanical Methods of Induction of Labor - Cochrane for Clinicians - American Family ...
Nov 1, 2020 - Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1101/p530.html
Formal Training in POCUS Can Positively Impact Family Medicine Practices - Letters to ...
Oct 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/1015/p454.html
Easy Rule Identifies Patients with Low-Risk Penicillin Allergies - POEMs - American ...
Dec 1, 2020 - A label of penicillin allergy clears the shelves of many effective treatments for various infections. A simple rule outlined in the synopsis effectively identifies (without allergy testing) low-risk penicillin allergies in patients with a history of a penicillin allergy event.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1201/p692a.html
Lefamulin (Xenleta) for the Treatment of Community-Acquired Bacterial Pneumonia - STEPS...
Sep 15, 2020 - Lefamulin may be considered for patients hospitalized with community-acquired bacterial pneumonia.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0915/p373.html
Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP - Practice ...
Oct 15, 2020 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has released its recommendations for routine influenza vaccination in the 2020–2021 season.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/1015/p505.html
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...
Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0215/p233.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
Cirrhosis, Ureteral Stones, Depression, Sleep Apnea, Scoliosis - AFP Clinical Answers -...
Dec 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/2020/1201/p664.html
Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ...
Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0900/p20.html
Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia - ...
Nov 1, 2020 - Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/1101/od1.html
Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ...
Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0701/p58.html
Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...
May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od4.html
Evidence to Avoid Overtesting and Overuse in Diabetes Mellitus and Other Diseases - ...
Nov 15, 2020 - What can physicians do to avoid overuse? Start by asking the right questions.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1115/p583.html
Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...
Dec 1, 2020 - Dec 1, 2020 Issue Letters to the Editor Case Reports: Rhabdomyolysis Associated with COVID-19 Am Fam Physician. 2020 Dec 1;102(11):645-648. Published online September 25, 2020. To the Editor: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes...
American Family Physician : Letter
https://www.aafp.org/afp/2020/1201/p645a.html
Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ...
Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1115/od2.html
Accidental Hypothermia: Guidelines from the Wilderness Medical Society - Practice ...
Nov 1, 2020 - The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/1101/p571.html
Progressive Rash Involving the Hands and Feet - Photo Quiz - American Family Physician
Jun 15, 2018 - A man presented in late fall with a progressive rash on his hands, arms, back, chest, and feet after a hiking trip.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0615/p815.html
KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis - Diagnostic Tests: What ...
Nov 1, 2020 - KardiaMobile is a mobile single lead ECG device that is FDA approved for detection of atrial fibrillation, bradycardia, and tachycardia.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/1101/p562.html
Acute Appendicitis: Computed Tomography for Diagnosis in Adults - Cochrane for ...
Oct 1, 2020 - In a nonpregnant adult with clinical signs and symptoms of appendicitis, computed tomography has a sensitivity of 95% and specificity of 94%.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1001/p403.html
Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...
Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0801/p136.html
Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System - POEMs ...
Dec 1, 2020 - Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1201/p693.html
Coding & Documentation - Nov-Dec 2020 -- FPM
Dec 1, 2020 - Suspected exposure to communicable disease | Diabetes type 1.5 | Remote patient monitoring | Tetanus immunization due to injury | Performing venipuncture on a child
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2020/1100/p45.html
Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM
Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0900/p3.html
Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common ...
Jul 1, 2018 - A short course of oral corticosteroids is appropriate for many patients with specific conditions. However, widespread use of corticosteroids in patients with non-pneumonia lower respiratory tract infection, nonsevere sore throat, or low back pain is inappropriate and not worth the risk ...
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0701/p12.html
Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...
Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0715/p119.html
How to Manage a Patient with Weight Regain - Curbside Consultation - American Family ...
Nov 1, 2020 - A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/1101/p567.html
Immunogenicity of Childhood Vaccines after Pediatric Cancer - FPIN's Clinical Inquiries...
Dec 1, 2020 - Children treated for cancer do not retain full immunity from previous vaccinations; therefore, it is likely beneficial for children who survive cancer to be revaccinated six to 12 months after immunosuppressive therapy.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/1201/od1.html
Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, ...
Oct 15, 2020 - M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/1015/p493.html
Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...
Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0415/p458.html
Palmar Rash in a Young Child - Photo Quiz - American Family Physician
Nov 1, 2020 - A child presented with with a pruritic rash when on the palms when they were exposed to water.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/1101/p565.html