Browsing by Author/Contributor "Mounsey, Anne L."

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  • Arthroscopic surgery for knee osteoarthritis? Just say no 

    Mounsey, Anne L.; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2009)
    Do not recommend arthroscopic surgery to adults with osteoarthritis of the knee. Treat knee pain with medical and physical therapy instead. Stength of recommendation: A: Based on 2 high-quality randomized controlled trials.

  • Can yoga reduce symptoms of anxiety and depression? 

    Skowronek, Irene Belle; Mounsey, Anne L.; Handler, Lara (Family Physicians Inquiries Network, 2014)
    Q. Can yoga reduce symptoms of anxiety and depression? A. Yes, yoga can reduce symptoms of anxiety and depression (strength of recommendation [SOR]: B, systematic reviews of randomized controlled trials [RCTs] with significant ...

  • Cardiovascular risks of combined oral contraceptive use 

    Fehr, Adrienne D.; Mounsey, Anne L.; Yates, Jennifer E.; Flake, Donna (Family Physicians Inquiries Network, 2012)
    Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia. (Strength of ...

  • Colicky baby? Here's a surprising remedy 

    Koonce, Thomas; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2011)
    This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Stength of recommendation: A: A good-quality ...

  • Consider these medications to help patients stay sober 

    Hendry, Sydney; Mounsey, Anne L. (Family Physicians Inquiries Network, 2015)
    Naltrexone can help prevent relapse in recently detoxified patients with alcohol use disorder. The evidence for acamprosate is not quite as strong. Practice changer: Consider prescribing oral naltrexone (50 mg/d) for ...

  • Do oral contraceptives carry a significant risk of stroke for women with migranes? 

    McClester, Mallory; Mounsey, Anne L.; Mackler, Leslie (Family Physicians Inquiries Network, 2013)
    Evidence-based answer: Estrogen-containing oral contraceptives may raise the risk of ischemic stroke in women with migraine, particularly migraine with aura (strength of recommendation [SOR]: C, small case-control studies ...

  • Finally, a way to relieve cancer-related fatigue 

    Thomas, Gayle B.; Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014)
    A 4-week course of American ginseng, taken while patients are undergoing radiation or chemotherapy, can reduce cancer-related fatigue. PRACTICE CHANGER: Recommend American ginseng 1000 mg twice daily for 4 weeks to improve ...

  • How should we use the coronary artery calcium score to predict cardiovascular risk? 

    Firnhaber, Jonathon M.; Mounsey, Anne L.; Firnhaber, Gina Cahoon (Family Physicians Inquiries Network, 2011)
    The coronary artery calcium (CAC) score--an independent predictor of cardiovascular events (strength of recommendation [SOR]: C, systematic review of disease-oriented outcomes)--can be used, in addition to traditional risk ...

  • Human parathyroid hormone for treating osteoporosis 

    Lau, Henry K.; Mounsey, Anne L.; Mackler, Leslie (Family Physicians Inquiries Network, 2012)
    Human parathyroid hormone should be used in patients with severe osteoporosis to decrease the rate of vertebral and nonvertebral fractures. (Strength of Recommendation [SOR]: A, based on a systematic review and randomized ...

  • Injection may be the best bet for young athletes' knee pain 

    Sakr, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012)
    Consider giving dextrose/lidocaine injections to adolescents with Osgood-Schlatter disease (OSD) that persists despite physical therapy. Stength of recommendation: A: Based on one well-designed, randomized controlled trial (RCT).

  • Is self-swabbing for STIs a good idea? 

    Page, Cristy; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2013)
    Ask women who are at risk for sexually transmitted infections (STIs) to self-swab for chlamydia and gonorrhea testing; self-collection of vulvovaginal swabs with nucleic acid amplification testing (NAAT) has excellent ...

  • Mediterranean diet: Higher fat but lower risk 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013)
    Counsel patients at high risk for cardiovascular disease and stroke to follow a Mediterranean diet, which is associated with a 30% risk reduction.

  • More help for patients with less severe heart failure 

    Bossenbroek, Kelly; Mounsey, Anne L. (Family Physicians Inquiries Network, 2011)
    Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) [less than or equal to] 30%. Eplerenone has been found to ...

  • An obesity remedy for diabetes 

    Neutze, Dana; Egan, Mari E.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013)
    Consider bariatric surgery for patients with diabetes who are obese; surgery is associated with higher remission rates than medical therapy, regardless of the amount of weight lost. Stength of recommendation: B: Based on ...

  • Pharmacologic therapy for vitamin D deficiency 

    Neutze, Dana; Mounsey, Anne L.; Davidson, Laurie (Family Physicians Inquiries Network, 2013)
    Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures. (Strength of Recommendation [SOR]: B, based on subgroup analysis ...

  • Prescribing an antibiotic? Pair it with probiotics 

    Rodgers, Blake; Kirley, Kate; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013)
    Recommend that patients taking antibiotics also take probiotics, which have been found to be effective both for the prevention and treatment of antibiotic-associated diarrhea (AAD). Stength of recommendation: A: Based on ...

  • PSA testing: When it's useful, when it's not 

    Slatkoff, Susan; Gamboa, Stephen; Zolotor, Adam J.; Mounsey, Anne L.; Jones, Kohar (Family Physicians Inquiries Network, 2011)
    Do not routinely screen all men over the age of 50 for prostate cancer with the prostate-specific antigen (PSA) test. Consider screening men younger than 75 with no cardiovascular or cancer risk factors -- the only patient ...

  • Should you still recommend omega-3 supplements? 

    Monaco, Julie; Mounsey, Anne L.; Kottenstette, Jennifer Bello (Family Physicians Inquiries Network, 2013)
    Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Stength of recommendation: A: ...

  • A spoonful of honey helps a coughing child sleep 

    Ashkin, Evan; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013)
    When a parent brings in a child (ages 1-5 years) with cough, runny nose, and other symptoms of a viral upper respiratory infection (URI), recommend that honey be given at bedtime. Stength of recommendation: A: Based on a ...

  • Steroids for acute COPD - but for how long? 

    Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014)
    Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.