Now showing items 1-20 of 34

  • Antibiotics and COPD : time to order a C-reactive protein test? 

    Piggott, Cleveland; Lyon, Corey (Family Physicians Inquiries Network, 2021-06)
    This RCT provided valuable insights as to whether CRP-guided prescribing could safely reduce antibiotic use during acute COPD exacerbations.
  • Are inhaled steroids effective for a postviral cough? 

    Insel, Kimberly; Lyon, Corey (Family Physicians Inquiries Network, 2015)
    Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don't improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents ...
  • Are inhaled steroids effective for a postviral cough? 

    Insel, Kimberly; Lyon, Corey (Family Physicians Inquiries Network, 2015)
    Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don't improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents ...
  • Aspirin, yes, for at-risk elderly : but what about the healthy elderly? 

    Piggott, Cleveland; Lyon, Corey (Family Physicians Inquiries Network, 2020)
    Aspirin, yes, for at-risk elderly -- but what about the healthy elderly? This study paints a decidedly different picture as to what role -- if any -- aspirin can play in the primary prevention of CVD for older adults. ...
  • Consider melatonin for migraine prevention 

    Lyon, Corey; Langner, Shannon; Stevermer, James J. (Family Physicians Inquiries Network, 2017)
    An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers.
  • Direct oral anticoagulants or warfarin for A fib? 

    Lyon, Corey; Reed, Alex; Prasad, Shailendra (Family Physicians Inquiries Network, 2017)
    A recent study evaluated the effectiveness of 3 direct oral anticoagulants and warfarin in patients with atrial fibrillation. So which agents came out on top? PRACTICE CHANGER: Use direct oral anticoagulants instead of ...
  • Do behavioral interventions improve nighttime sleep in children < 1 year old? 

    Hungenberg, Morgan; Houss, BreAnna; Narayan, Madhav; Lyon, Corey; DeSanto, Kristen (Family Physicians Inquiries Network, 2022-07)
    Q: Do behavioral interventions improve nighttime sleep in children < 1 year old? Evidence-based answer: YES. Infants respond to behavioral interventions, although objective data are limited. Behavioral interventions include ...
  • Do corticosteroid injections improve carpal tunnel syndrome symptoms? 

    Lyon, Corey; Syfert, Jonathan; Nashelsky, Joan (Family Physicians Inquiries Network, 2016)
    Q: Do corticosteroid injections improve carpal tunnel syndrome symptoms? Evidence-based answer: Yes. injected corticosteroids reduce symptoms of carpal tunnel syndrome (CTS) more effectively than placebo or systemic steroids, ...
  • Do probiotics reduce C diff risk in hospitalized patients? 

    Simpson, Matthew; Lyon, Corey (Family Physicians Inquiries Network, 2019)
    Do probiotics reduce C diff risk in hospitalized patients? A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. Practice changer: Start ...
  • Do-it-yourself cervical cancer screening? 

    Hoss, Molly; Lyon, Corey (Family Physicians Inquiries Network, 2020)
    Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PRACTICE CHANGER: Have ...
  • Does exercise relieve vasomotor menopausal symptoms? 

    Lyon, Corey; Mullen, Rebecca; Deffenbacher, Brandy; Reed, Alex; Nashelsky, Joan (Family Physicians Inquiries Network, 2018)
    Q: Does exercise relieve vasomotor menopausal symptoms? A: NO. Exercise doesn't decrease the frequency or severity of vasomotor menopausal symptoms (VMS) in perimenopausal and postmenopausal women (strength of recommendation: ...
  • Does hormone replacement therapy prevent cognitive decline in postmenopausal women? 

    Gates, Madeline; Beagle, Melissa; Bull, Lauren; Radi, Roxanne; Lyon, Corey; DeSanto, Kristen; Guthmann, Rick (Family Physicians Inquiries Network, 2023-05)
    Q: Evidence-based answer: NO. Hormone replacement therapy (HRT) does not prevent cognitive decline in postmenopausal women—and in fact, it may slightly increase risk (strength of recommendation, A; systematic review, ...
  • Does prophylactic azithromycin reduce the number of COPD exacerbations or hospitalizations? 

    Lyon, Corey; Radi, Roxanne; Staff, Thomas; Nashelsky, Joan (Family Physicians Inquiries Network, 2018)
    Q Does prophylactic azithromycin reduce the number of COPD exacerbations or hospitalizations? EVIDENCE-BASED ANSWER: Yes for exacerbations, no for hospitalizations. Prophylactic azithromycin reduces the number of exacerbations ...
  • Effectiveness of dermoscopy in skin cancer diagnosis 

    Davis, Sydney; Piggot, Cleveland; Lyon, Corey; DeSanto, Kristen (Family Physicians Inquiries Network, 2020)
    Clinical Inquiries question: Does dermoscopy improve the effectiveness of skin cancer diagnosis when used for skin cancer screening? Evidence-based answer: Dermoscopy added to visual inspection is more accurate than visual ...
  • How do hyaluronic acid and corticosteroid injections compare for knee OA relief? 

    Lyon, Corey; Spencer, Emily; Spittler, Jack; Desanto, Kristen (Family Physicians Inquiries Network, 2017)
    Q How do hyaluronic acid and corticosteroid injections compare for knee OA relief? A: Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally ...
  • How do oral NSAIDs compare to other oral analgesics right after an acute musculoskeletal injury? 

    Lyon, Corey; Piggott, Susan; Langner, Shannon; Desanto, Kristen (Family Physicians Inquiries Network, 2018)
    Q: How do oral NSAIDs compare to other oral analgesics right after an acute musculoskeletal injury? A: nonsteroidal anti-inflammatory drugs(NSAIDs) are at least as effective as other oral analgesics (opioids, acetaminophen) ...
  • How effective is spironolactone for treating resistant hypertension? 

    Lyon, Corey; Utter, Brigitte; DeSanto, Kristen (Family Physicians Inquiries Network, 2019)
    Q: How effective is spironolactone for treating resistant hypertension? EVIDENCE-BASED ANSWER: VERY EFFECTIVE. Spironolactone reduces systolic blood pressure (SPB) by 11 to 17 mm Hg and diastolic blood pressure (DPB) by ...
  • Immediate or delayed pushing in the second stage of labor? 

    Devitt, Jessica; Lyon, Corey (Family Physicians Inquiries Network, 2020)
    Immediate or delayed pushing in the second stage of labor? Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia? PRACTICE CHANGER: Recommend immediate, ...
  • Is low-dose naltrexone effective in chronic pain management? 

    Radi, Roxanne; Huang, Harriet; Rivera, Jason; Lyon, Corey; DeSanto, Kristen; Guthmann, Rick (Family Physicians Inquiries Network, 2023-09)
    Q: Is low-dose naltrexone effective in chronic pain management? Evidence-based answer: YES. Low-dose naltrexone is as effective as amitriptyline in the treatment of painful diabetic neuropathy and has a superior safety ...
  • Less is more when it comes to ketorolac for pain 

    Lyon, Corey; Claus, Liza W. (Family Physicians Inquiries Network, 2019)
    Less is more when it comes to ketorolac for pain. It's time to review our dosing with ketorolac for acute pain management. PRACTICE CHANGER: Using a low dose (10 mg) of intravenous ketorolac for moderate to severe acute ...