Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician
Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1215/p721.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
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
An Unhappily Married Patient - Curbside Consultation - American Family Physician
Jun 1, 2019 - Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in a bad ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0601/p708.html
Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ...
May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p527.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
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
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
Depression After ACS Events: AAFP Releases Updated Guidelines - Practice Guidelines - ...
Jun 15, 2019 - The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational studies and...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0615/p785.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
e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...
Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1001/p442.html
Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ...
Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2021/0101/p53.html
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
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
Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician
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
Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...
Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0315/p392.html
Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ...
Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2021/0101/p16.html
No Benefit to Routine Antipsychotic Use for Treatment or Prevention of Delirium in ...
Apr 1, 2020 - Evidence does not support the routine use of haloperidol or second-generation antipsychotics for the treatment or prevention of delirium in hospitalized patients. Although second-generation antipsychotics may reduce the incidence of delirium in the postoperative setting, more research ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p435a.html
No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...
Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p460.html
Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ...
May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p631a.html
Opioid Use Disorder: Medical Treatment Options - American Family Physician
Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1001/p416.html
Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician
Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0401/p456.html
Pharmacologic Treatment of Borderline Personality Disorder - FPIN's Help Desk Answers -...
Mar 1, 2019 - There is no pharmacotherapy regimen that improves the overall symptoms of borderline personality disorder. When used for six months or less, antipsychotics can improve paranoia, dissociation, mood lability, anger, and global functioning.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0301/od2.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
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
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...
Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0615/od1.html
Sleep Disorders in Adults - American Family Physician
Oct 1, 2020 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on sleep disorders in adults and related issues, including continuous positive airway pressure...
- Overview
- Screening, Diagnosis, and Prevention
- Treatment
- Complications and Special Situations
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83
Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ...
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
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
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
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
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
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