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A1C Testing in the Diagnosis of Diabetes Mellitus
(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, ...
Hormone Therapy for Postmenopausal Women with Urinary Incontinence
(Family Physicians Inquiries Network, 2011)
Postmenopausal women should not receive oral hormone therapy for treatment of urinary incontinence. Hormone therapy is associated with worsening urinary incontinence in postmenopausal women who are incontinent at baseline ...
Risks and Benefits of Combination Contraceptives
(Family Physicians Inquiries Network, 2006)
The risks of using oral combination contraceptives include: a three- to sixfold increase in the incidence of venous thromboembolism (VTE) apparent by the fourth month of use and highest between six and 12 months of use; a ...
When are antibiotics indicated for acute COPD exacerbations?
(Family Physicians Inquiries Network, 2006)
Antibiotics (including those given orally) reduce mortality and treatment failures for hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) (strength of recommendation [SOR]: A, ...
What is the best treatment for infants with colic?
(Family Physicians Inquiries Network, 2006)
Infantile colic, defined as excessive crying in an otherwise healthy baby, is a distressing phenomenon, but there is little evidence to support the many treatments offered. Several small studies report some benefit from ...
Sterile or non-sterile gloves for minor skin excisions?
(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 ...
Experiences influencing physician rural practice and retention : a phenomenological study
(University of Missouri--Columbia, 2009)
that influenced physicians' choices. Family, partners, and loan forgiveness were experiences that influenced practice type and location. Professional support and integration into the community were experiences influencing retention....
How should we manage a patient with a positive PPD and prior BCG vaccination?
(Family Physicians Inquiries Network, 2006)
Prior bacille Calmette-Guérin (BCG) vaccination increases the likelihood of a positive tuberculosis (TB) 5TU purified protein derivative (PPD) skin test. The PPD response following BCG vaccine varies with age at vaccination, ...
Rethinking antibiotics for sinusitis-again
(Family Physicians Inquiries Network, 2012)
Stop prescribing amoxicillin for acute rhinosinusitis. It's unlikely to provide a speedier recovery than over-the-counter (OTC) remedies alone. Stength of recommendation: B: Based on a single high-quality randomized ...
Does screening by primary care providers effectively detect melanoma and other skin cancers?
(Family Physicians Inquiries Network, 2020)
group comprised largely of primary care physicians to perform skin cancer screening was associated with a 41% increase in skin cancer diagnoses but no change in melanoma mortality. Visual screening for melanoma by primary care physicians is 40% sensitive...
Elder mistreatment : a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Elder mistreatment may become increasingly apparent as the elderly population continues to grow. Due to their knowledge and skills, physicians have a unique role in the multidisciplinary teams that care for such patients. This case report examines...
Patient and Physician Discordance in Reporting Symptoms of Angina: Insights From the Angina Prevalence and Provider Evaluation of Angina Relief (APPEAR) Study
(2016)
A principal goal of treating patients with coronary artery disease (CAD) is to minimize
their angina and optimize their quality of life. In order to accomplish this, physicians must
accurately assess the presence and ...
Does group prenatal care improve pregnancy outcomes?
(Family Physicians Inquiries Network, 2009)
It may decrease preterm births, especially among higher-risk women--minority women, women of low socioeconomic status, and adolescents (strength of recommendation [SOR]: B, 1 randomized, controlled trial [RCT] and 1 matched ...
Mizzou weekly, volume 27, number 32 (June 29, 2006)
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2006)
Analysis of the information needs of primary care physicians in an electronic health record (EHR)
(University of Missouri--Columbia, 2012)
. An interdisciplinary team conceptualized nine interview questions over weekly group sessions and fictitious but typical acute and chronic physician's documentation (progress notes) was created by two family medicine physicians (JLB and RJK). An analysis of hour long...
Pain scales for assessing pain intensity in the elderly
(Family Physicians Inquiries Network, 2010)
This issue of eMedRef provides information to clinicians on using pain scales to assess pain in the elderly.
Should you test or treat partners of patients with gonorrhea, chlamydia, or trichomoniasis?
(Family Physicians Inquiries Network, 2010)
Empiric treatment of partners of female or heterosexual male patients diagnosed with gonorrhea or chlamydia using expedited partner therapy (having the index patient deliver therapy to the partner) decreases the risk of ...
What's the best test for renal artery stenosis in patients with refractory hypertension?
(Family Physicians Inquiries Network, 2009)
Magnetic resonance angiography (MRA) and computed tomography angiography (CTA) are the most consistently accurate, noninvasive screening methods. MRA is likely the preferred option because of its lack of radiation and ...
Do OTC remedies relieve cough in acute URIs?
(Family Physicians Inquiries Network, 2009)
Dextromethorphan (DM) for adults and honey for children provide some relief. DM may modestly decrease cough in adults compared with placebo (strength of recommendation [SOR]: B, systematic review of inconsistent or limited ...
A quantitative performace measurement framework for health care systems
(University of Missouri--Columbia, 2006)
of changing ten percent of the physician and nursing manpower, the clinic's expenses, patients' turnout to the operating margin of the clinic. The major accomplishments of this work included the incorporation of a system engineering tool to health care system...