• Are oral anti-infective agents effective for pityriasis rosea? 

    Gray-Davis, Yolanda N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-05)
    Are oral anti-infective agents effective for pityriasis rosea? Evidence-Based Answer: High-dose, oral acyclovir (800 mg 5 times daily for 7–10 days) appears effective in clearing the rash of pityriasis rosea (PR) and is ...
  • Arthroscopic surgery for knee osteoarthritis? Just say no 

    Mounsey, Anne L.; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2009-03)
    Do not recommend arthroscopic surgery to adults with osteoarthritis of the knee. Treat knee pain with medical and physical therapy instead. Strength 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, 2014-07)
    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 ...
  • Colicky baby? Here's a surprising remedy 

    Koonce, Thomas; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2011-01)
    This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Strength of recommendation: A: A good-quality ...
  • Consider these medications to help patients stay sober 

    Hendry, Sydney; Mounsey, Anne L. (Family Physicians Inquiries Network, 2015-04)
    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 ...
  • Diving for PURLs (March 2014) 

    Mounsey, Anne L.; Bello, Jennifer K.; Oyola, Sonia; Nguyen, Liz (Family Physicians Inquiries Network, 2014-03)
    You may already be familiar with the Priority Updates from the Research Literature (PURLs) from the Family Physicians Inquiries Network (FPIN). In the PURLs series, we attempt to select and summarize all new research studies ...
  • Elective induction of labor at term compared with expectant management 

    Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-08)
    Secondary data analysis suggests that elective induction of labor relative to expectant management is not associated with an increased rate of cesarean sections. RCTs are needed to identify the best strategy.
  • Finally, a way to relieve cancer-related fatigue 

    Thomas, Gayle B.; Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-05)
    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 ...
  • GLP-1 agonists with basal insulin are a good treatment option in patients with type 2 diabetes 

    Mounsey, Anne L.; Hawes, Emily (Family Physicians Inquiries Network, 2015-07)
    Bottom line: A GLP-1 agonist and basal insulin combination offers a potential treatment option that improves glycemic control and reduces weight with no increased risk of hypoglycemia. The validity of this conclusion is ...
  • Increased duration of labor with epidurals 

    Goldstein, Ami; Mounsey, Anne L. (Family Physicians Inquiries Network, 2015-03)
    This retrospective cohort study of 42,268 women who delivered cephalic singletons vaginally during the years of 1976–2008 compared the duration of the second stage of labor in women with and without epidurals. Women ...
  • Injection may be the best bet for young athletes' knee pain 

    Sakr, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012-08)
    Consider giving dextrose/lidocaine injections to adolescents with Osgood-Schlatter disease (OSD) that persists despite physical therapy. Strength 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, 2013-11)
    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 ...
  • Lower risk of pneumonia in COPD patients with inhaled budesonide 

    Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-10)
    Fluticasone is associated with higher risk of pneumonia in COPD patients than budesonide.
  • Mediterranean diet: Higher fat but lower risk 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-12)
    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, 2011-08)
    Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) ≤30%. Eplerenone has been found to decrease hospitalizations ...
  • Naltrexone and acamprosate can help prevent alcohol relapse 

    Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-12)
    Both acamprosate and oral naltrexone were associated with reduction in risk of return to drinking.
  • No benefit to partial medial meniscectomy in patients without osteoarthritis 

    Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-12)
    This study calls into question the strategy of ordering MRIs on such patients and referring them to surgery.
  • An obesity remedy for diabetes 

    Neutze, Dana; Egan, Mari E.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-01)
    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. Strength of recommendation B: Based ...
  • PEG in place of lactulose for treatment of acute hepatic encephalopathy 

    Mounsey, Anne L. (Family Physicians Inquiries Network, 2015-06)
    Bottom line: In this small study PEG was superior to lactulose at resolving symptoms of acute hepatic encephalopathy. Further studies are needed to confirm the generalizability of this finding and further evaluate the ...
  • Prescribing an antibiotic? Pair it with probiotics 

    Rodgers, Blake; Kirley, Kate; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-03)
    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). Strength of recommendation: A: Based ...