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Roles of Librarians in Advancing Evidence-Based Veterinary Medicine [poster]
(2008)
Veterinary medical librarians and the EBVMA Librarians Committee are involved in supporting and advancing evidence-based veterinary medicine in clinical care, education, and research. In addition to the important traditional roles of selecting...
Angiotensin blockade for diabetes: Monitor microalbuminuria?
(Family Physicians Inquiries Network, 2007)
No studies address whether continued screening for microalbuminuria once a patient is taking an angiotensin-converting enzyme (ACE) inhibitor or angiotensin-2 receptor blocker (ARB) improves outcomes. Indirect evidence and expert opinion suggest...
Which detoxification regimens are effective for alcohol withdrawal syndrome?
(Family Physicians Inquiries Network, 2021)
Q: Which detoxification regimens are effective for alcohol withdrawal syndrom? Evidence based answer: Benzodiazepines remain the first-line regimen for alcohol withdrawal syndrome (AWS) and are the only class more effective than placebo for reducing...
What is the best treatment for impacted cerumen?
(Family Physicians Inquiries Network, 2002)
Docusate sodium given 15 minutes before irrigation is most effective for facilitating cerumen removal during a single office visit. (Grade of recommendation: B, based on head-to-head trials that lacked irrigationonly arms.) Treatment with 5% urea...
Q Is exercise therapy effective treatment for low back pain?
(Family Physicians Inquiries Network, 2021-11)
Evidence-based answer: Yes, it is somewhat effective. Exercise therapy—including general exercise, yoga, Pilates, and motor control exercise—has been shown to modestly decrease pain in chronic low back pain (LBP); levels of benefit in short...
Initial specimen diversion technique to reduce blood culture contamination
(2023)
"Problem: Burdens on healthcare systems including unnecessary antibiotic administration, longer length of stay, and greater cost. Typically caused by improper technique when drawing, but can also be from skin bacteria. In ...
Does regular walking improve lipid levels in adults?
(Family Physicians Inquiries Network, 2023-01)
Q: Evidence-based answer: Minimally. Regular moderateintensity walking for a period of 4 or more weeks minimally decreased total cholesterol (TC) and low-density lipoprotein (LDL) levels by about 7 mg/dL in women with overweight or obesity (strength...
How does gender-affirming hormone therapy affect QOL in transgender patients?
(Family Physicians Inquiries Network, 2022-12)
Q: How does gender-affirming hormone therapy affect QOL in transgender patients? Evidence-based answer: There are modest effects on depression but not anxiety. Gender-affirming hormone therapy (GAHT) is associated with modest improvements...
Q: Is event-driven PrEP dosing for HIV as effective as daily dosing?
(Family Physicians Inquiries Network, 2021-06)
Evidence based answer: PROBABLY, although there are no head-to-head trials comparing the 2 dosing regimens. Event-driven pre-exposure prophylaxis (PrEP) dosing reduces HIV conversion by 86% compared to placebo (strength of recommendation [SOR]: B...
How accurate is transcutaneous bilirubin testing in newborns with darker skin tones?
(Family Physicians Inquiries Network, 2022-11)
Q: How accurate is transcutaneous bilirubin testing in newborns with darker skin tones? Evidence-based answer: Fairly accurate. Photometric transcutaneous bilirubin (TcB) testing may overestimate total serum bilirubin (TSB) in neonates with darker...
Are antibiotics helpful for acute maxillary sinusitis?
(Family Physicians Inquiries Network, 2003)
with placebo, and, regardless of treatment, at least two thirds of patients are improved in 14 days (SOR: A, based on multiple systematic reviews). No evidence suggests that antibiotics decrease complication rates. Newer broad-spectrum antibiotics are no better...
What is a reasonable initial approach to the patient with fatigue?
(Family Physicians Inquiries Network, 2001)
with sedimentation rate, blood count, and glycohemoglobin and thyroid stimulating hormone (TSH) levels, particularly in older patients. Grade of Recommendation: C, based on case series and expert opinion...
What is the prognosis of postherpetic neuralgia?
(Family Physicians Inquiries Network, 2003)
, based on a well-done prospective cohort study)....
Chronic gastritis
(Family Physicians Inquiries Network, 2010)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of chronic gastritis.
Q: Can family physicians accurately screen for AAA with point-of-care ultrasound?
(Family Physicians Inquiries Network, 7/8/2021)
Evidence-based answer: LIKELY YES. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists (strength...
Should RAAS blockade therapy be continued in patients with advanced renal disease?
(Family Physicians Inquiries Network, 2023-04)
Q: Should RAAS blockade therapy be continued in patients with advanced renal disease? Evidence-based answer: PROBABLY. Renin-angiotensinaldosterone system (RAAS) blockade therapy should be continued in most patients with advanced renal disease...
When is neuroimaging warranted for headache?
(Family Physicians Inquiries Network, 2005)
of recommendation [SOR]: B, based on a validating cohort study), decreased level of
consciousness (SOR: B, based on a retrospective, nonconsecutive case study), occipitonuchal location, multiple associated symptoms, and age older than 55 years (SOR: B, based on a...
Should antenatal testing be performed in patients with a pre-pregnancy BMI ≥ 35?
(Family Physicians Inquiries Network, 2023-03)
Q: Should antenatal testing be performed in patients with a pre-pregnancy BMI ≥ 35? Evidence-based answer:Possibly. Elevated BMI is associated with an increased risk for stillbirth (strength of recommendation [SOR], B; cohort studies and meta...
Does an early COPD diagnosis improve long-term outcomes?
(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 not change the course...
Is metformin effective for reducing weight in obese or overweight adolescents?
(Family Physicians Inquiries Network, 2021)
Q: Is metformin effective for reducing weight in obese or overweight adolescents? Evidence based answer: Yes, to some degree—but it is of uncertain clinical significance. Over a period of 6 months, metformin modestly reduced weight (–2.1 kg...