Now showing items 1-20 of 20

  • Aneuploidy screening: Newer noninvasive test gains traction 

    Nickolich, Sarah; Farahi, Narges; Jones, Kohar; Mounsey, Anne (Family Physicians Inquiries Network, 2016)
    Favorable results from the 2 studies reviewed here have prompted ACOG to recommend that cell-free DNA screening be discussed with all pregnant patients. Practice changer: Discuss cell-free DNA testing when offering fetal ...
  • Best timing for measuring orthostatic vital signs? 

    Phipps, Deborah; Butler, Erik; Mounsey, Anne; Dickman, Michael M.; Bury, David; Smith, Ashley; Bennett, Nick; Arthur, Ben; Marshall, Bob (Family Physicians Inquiries Network, 2019)
    Best timing for measuring orthostatic vital signs? We typically take a blood pressure within 3 minutes of a patient rising from a supine to a standing position. But is that too long? PRACTICE CHANGER: Measure orthostatic ...
  • Can mobile technology improve weight loss in overweight and obese patients? 

    Harris, Lisa M.; Mounsey, Anne; Nashelsky, Joan (Family Physicians Inquiries Network, 2017)
    Q: Can mobile technology improve weight loss in overweight and obese patients? Evidence-based answer: Yes, this technology can help in the short term. Mobile technology compared with minimal or no intervention increases ...
  • "Cold turkey" works best for smoking cessation 

    Smith, Dustin K.; Miller, Deborah E.; Mounsey, Anne (Family Physicians Inquiries Network, 2017)
    "Cold turkey" works best for smoking cessation. PRACTICE CHANGER: Counsel patients who want to quit smoking that abrupt smoking cessation is more effective for long-term abstinence than taking a gradual approach. STRENGTH ...
  • Does fish oil during pregnancy help prevent asthma in kids? 

    Neutze, Dana; Evans, Kelly Lacy; Koenig, Marianne; Castelli, Gregory; Mounsey, Anne (Family Physicians Inquiries Network, 2018)
    Does fish oil during pregnancy help prevent asthma in kids? The evidence on fish oil has been mixed, but this study affirms its benefits--in certain women. PRACTICE CHANGER: Fish oil supplementation taken by women in the ...
  • Does niacin decrease cardiovascular morbidity and mortality in CVD patients? 

    Lazzopina, Peter; Mounsey, Anne; Handler, Lara (Family Physicians Inquiries Network, 2018)
    Q: Does niacin decrease cardiovascular morbidity and mortality in CVD patients? A: No. Niacin doesn't reduce cardio- vascular disease (CVD) morbidity or mortality in patients with established disease (strength of recommendation ...
  • How do clinical prediction rules compare with joint fluid analysis in diagnosing gout? 

    Westerfield, Katie L; Mounsey, Anne; Nashelsky, Joan (Family Physicians Inquiries Network, 2016)
    Q: How do clinical prediction rules compare with joint fluid analysis in diagnosing gout? Evidence-based answer: Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of ...
  • How do these 3 diabetes agents compare in reducing mortality? 

    Martini, Jennifer; Coe, Catherine L.; Mounsey, Anne (Family Physicians Inquiries Network, 2019)
    How do these 3 diabetes agents compare in reducing mortality? A meta-analysis reveals that there may be advantages associated with SGLT-2 inhibitors and GLP-1 agonists that are not associated with DPP-4 inhibitors. PRACTICE ...
  • Is there benefit to adding ezetimibe to a statin for the secondary prevention of CVD? 

    Reddy, Vinay; Allison, James; Mounsey, Anne; Guthmann, Rick (Family Physicians Inquiries Network, 2023-06)
    Q: Is there benefit to adding ezetimibe to a statin for the secondary prevention of CVD? Evidence-based answer: YES. In patients with known cardiovascular disease (CVD), ezetimibe with a statin decreases major adverse ...
  • Light therapy for nonseasonal major depressive disorder? 

    Eniola, Kehinde; Bacigalupo, Angela; Mounsey, Anne (Family Physicians Inquiries Network, 2016)
    Light therapy for nonseasonal major depressive disorder? While bright light therapy already has a place in the treatment of seasonal affective disorder, a recent trial spotlights its utility beyond the winter months. ...
  • Need an add-on to metformin? Consider this 

    Wyncott, David; Lyon, Corey; Mounsey, Anne (Family Physicians Inquiries Network, 2017)
    Need an add-on to metformin? Consider this. Sulfonylureas have been the preferred add-on therapy to metformin for T2DM, but a study finds that DPP-4s have lower risks of death, CV events, and hypoglycemia. Practice changer: ...
  • Oral agent offers relief from generalized hyperhidrosis 

    Jarrett, Jennie B.; Moss, David; Mounsey, Anne (Family Physicians Inquiries Network, 2017)
    Hyperhidrosis is a common, self-limiting problem affecting 2% to 3% of the population in the United States. Patients may complain of localized sweating of the hands, feet, face, or underarms or more systemic, generalized ...
  • Resistant hypertension? Time to consider this fourth-line drug 

    Kaysin, Alexander; Mounsey, Anne (Family Physicians Inquiries Network, 2016)
    Resistant hypertension? Time to consider this fourth-line drug For most adults with resistant hypertension, spironolactone is superior to doxazosin and bisoprolol as an adjunct to triple therapy. Practice changer: When a ...
  • Sterile or non-sterile gloves for minor skin excisions? 

    Rietz, Ashley; Barzin, Amir; Jones, Kohar; Mounsey, Anne (Family Physicians Inquiries Network, 2015)
    Sterile or non-sterile gloves for minor skin excisions? Non-sterile gloves are just as effective as sterile gloves in preventing surgical site infection after minor skin surgeries. PRACTICE CHANGER: Consider using non-sterile ...
  • Time to conception after miscarriage : how long to wait? 

    Farahi, Narges; Mounsey, Anne; Auten, Beth (Family Physicians Inquiries Network, 2019)
    Q: Time to conception after miscarriage: how long to wait? Evidence-based answer: an interpregnancy interval (IPI) of < 6 months following miscarriage is associated with an increased live birth rate in subsequent pregnancy, ...
  • Treating migraines : it's different for kids 

    Hawks, Matthew; Mounsey, Anne (Family Physicians Inquiries Network, 2018)
    Treating migraines: Its different for kids. Certain medications used for migraine prevention in adults do not perform the same way in children and adolescents and can actually cause harm. PRACTICE CHANGER: Do not prescribe ...
  • Which combined OC to prescribe with CV safety in mind? 

    Lam, Yee; Coe, Catherine; Mounsey, Anne; Prasad, Shailendra (Family Physicians Inquiries Network, 2017)
    When prescribing combined oral contraceptives, choose one containing levonorgestrel and low-dose estrogen (20 mcg) to minimize the risks of pulmonary embolism, ischemic stroke, and myocardial infarction.
  • Which prophylactic therapies best prevent gout attacks? 

    White, Sarah; Mounsey, Anne; Tillett, Janine S. (Family Physicians Inquiries Network, 2014)
    Q. Which prophylactic therapies best prevent gout attacks? A. Allopurinol and febuxostat reduce the frequency of gout attacks equally after 8 weeks of treatment (strength of recommendation [SOR]: B, multiple randomized ...
  • Why you shouldn't start beta-blockers before surgery 

    Mounsey, Anne; Roque, Jodi M.; Egan, Mari E. (Family Physicians Inquiries Network, 2014)
    A new meta-analysis finds that initiating beta-blockers before surgery increases patiens' risk of death. Practice changer: Do not routinely initiate beta-blockers in patients undergoing intermediate- or high-risk noncardiac ...
  • Yeast infection in pregnancy? Think twice about fluconazole 

    Barzin, Amir; Mounsey, Anne (Family Physicians Inquiries Network, 2016)
    Yeast infection in pregnancy? Think twice about fluconazole. This study's findings regarding the risk of miscarriage may mean it's time to forego fluconazole in favor of topical azoles as first-line treatment. Practice ...