Browsing by Author/Contributor "Safranek, Sarah"

Now showing items 1-20 of 110

  • A1C Testing in the Diagnosis of Diabetes Mellitus 

    Lee, Tae Joon; Safranek, Sarah (Family Physicians Inquiries Network, 2006)
    A1C testing is highly specific compared with a two-hour oral glucose tolerance test (OGTT) or a fasting plasma glucose test. However, because A1C testing is not sensitive enough to rule out diabetes if levels are normal, ...

  • Angiotensin Blockade in Patients with Diabetic Nephropathy 

    Jimenez, Julio; Safranek, Sarah (Family Physicians Inquiries Network, 2007)
    When used to delay the progression of early nephropathy in patients with type 2 diabetes mellitus, angiotensin receptor blockers (ARBs) are not superior to angiotensin-converting enzyme (ACE) inhibitors. (Strength of ...

  • Antibiotics for Viral Upper Respiratory Tract Infections in Children 

    Lindell, Anita; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2011)
    Antibiotic therapy does not benefit children with bronchiolitis, the common cold, or nonstreptococcal pharyngitis. If purulent rhinitis is present for more than 10 days, antibiotics shorten the duration of runny nose ...

  • Can probiotics safely prevent recurrent vaginitis? 

    Jurden, Lucinda; Buchanan, Megan; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2011)
    Using vaginal suppositories or eating yogurt with Lactobacillus may reduce recurrences of bacterial vaginosis (BV) (strength of recommendation [SOR]: B, randomized controlled trials [RCTs] with conflicting results). Neither ...

  • Dipstick urinalysis for the diagnosis of acute UTI 

    Simati, Beth; Kriegsman, William; Safranek, Sarah (Family Physicians Inquiries Network, 2013)
    Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding ...

  • Do antipyretics prolong febrile illness? 

    Hudgings, Laura; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2004)
    Antipyretics appear to have minor and variable effects on the course of febrile illness. Aspirin and acetaminophen do not prolong the course of rhinovirus illness, although they may prolong the period of viral shedding and ...

  • Do any folk remedies or herbals help induce labor? 

    Murray, Tracy; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2008)
    Breast stimulation and electroacupuncture help, while other common remedies that have been studied are ineffective, possibly unsafe, or both. Unilateral breast stimulation shortens the time until the onset of labor in women ...

  • Do any topical agents help prevent or reduce stretch marks? 

    Moore, Jeanne; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2012)
    No topical agent has been proven to prevent or reduce stretch marks. Randomized controlled trials (RCTs) show that cocoa butter doesn't prevent stretch marks (strength of recommendation [SOR]: A, 2 RCTs); neither does olive ...

  • Do electronic reminder systems help patients with T2DM to lose weight? 

    Kwan, William; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2020)
    Q: Do electronic reminder systems help patients with T2DM to lose weight? Evidence-based answer: PROBABLY NOT--but they may augment self-management. Four-component telehealth systems--including electronic reminders, measuring ...

  • Do endovascular filters prevent PE as effectively as anticoagulants in patients with DVT? 

    Flaim, Allison; Brennan, Michal; Safranek, Sarah (Family Physicians Inquiries Network, 2010)
    Although inferior vena cava filters (IVCFs) reduced the incidence of PE in a randomized controlled trial (RCT), patients treated with IVCFs and anticoagulation with unfractionated heparin or low-molecular- weight heparin ...

  • Do group visits improve HbA1c more than individual visits in patients with T2DM? 

    Berbert, Amanda; Neher, Jon; Safranek, Sarah (Family Physicians Inquiries Network, 2005)
    Do group visits improve HbA1c more than individual visits in patients with T2DM? Evidence-based answer: Yes. In patients with type 2 diabetes mellitus (T2DM), group visits led by health professionals or teams improved ...

  • Do hyaluronic acid injections relieve OA knee pain? 

    Das, Anirban; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2009)
    Hyaluronic acid (HA) injections relieve pain more than placebo. The effect is small but similar to results from oral nonsteroidal anti-inflammatory drugs (NSAIDs) or steroid injection (strength of recommendation ([SOR]: ...

  • Do oral contraceptives put women with a family history of breast cancer at increased risk? 

    Freund, Rachel; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2014)
    Q. Do oral contraceptives put women with a family history of breast cancer at increased risk? Evidence-based answer: No. Modern combined oral contraceptive pills (OCPs) don't increase breast cancer risk in women with a ...

  • Do pedometers increase activity and improve health outcomes? 

    Schock, Devin; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2017)
    Q: Do pedometers increase activity and improve health outcomes? Evidence-based answer: yes. In overweight and obese patients, exercise interventions using a pedometer increase steps by about a mile per day over the same ...

  • Do prophylactic antipyretics reduce vaccination-associated symptoms in children? 

    Chau-Glendinning, Hang; Baber, Blair; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2020)
    Q: Do prophylactic antipyretics reduce vaccination-associated symptoms in children? Yes for acetaminophen, not so much for ibuprofen. Prophylactic acetaminophen reduces the odds of febrile reactions in the first 48 hours ...

  • Do statins alter the risk or progression of dementia? 

    Tang, Tess; Clifton, Jospeh; Neher, Jon; Safranek, Sarah (Family Physicians Inquiries Network, 2018)
    Q: Do statins alter the risk or progression of dementia? Evidence-based answer: No. Moderate-intensity statin therapy (with pravastatin or simvastatin) doesn't prevent progression to dementia in patients at increased risk. ...

  • Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction? 

    Dubay, Rachel; Rentschler, Nicola; Jolly, Dara; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2022-03)
    Q: Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction? Evidence-based answer: YES. Compared to the use of a transcervical balloon alone, combined cervical ripening with a balloon ...

  • Does amniotomy shorten spontaneous labor or improve outcomes? 

    Worthley, Megan; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2018)
    Q: Does amniotomy shorten spontaneous labor or improve outcomes? Evidence-based answer: No. Amniotomy neither shortens spontaneous labor nor improves any of the following outcomes: length of first stage of labor, cesarean ...

  • Does an early COPD diagnosis improve long-term outcomes? 

    Bernet, Dan; Randolph, Charles; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2022-10)
    Q Does an early COPD diagnosis improve long-term outcomes? Evidence-based answer: It depends. A diagnosis of chronic obstructive pulmonary disease (COPD) made using screening spirometry in patients without symptoms does ...

  • Does anal cancer screening reduce morbidity and mortality in men who have sex with men? 

    Eaman, Elizabeth; Ludwig, Mary Jo; Safranek, Sarah (Family Physicians Inquiries Network, 2012)
    It's unclear whether anal cancer screening benefits men who have sex with men because high-quality studies on this subject are lacking. In the absence of high-quality data, anal pap smears aren't recommended for routine ...