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Are overweight children more likely to be overweight adults?
(Family Physicians Inquiries Network, 2009)
Overweight at any age in childhood increases the risk for overweight in adulthood. The relative risk (RR) ranges from 1.9 to 10.1 and increases as children get older. Not all overweight children become overweight adults, however (strength...
What are appropriate screening tests for infants and children?
(Family Physicians Inquiries Network, 2006)
There is adequate evidence for screening neonates for hemoglobinopathies, congenital hypothyroidism, phenylketonuria (strength of recommendation [SOR]: A), and cystic fibrosis (SOR: B). Vision screening should be done for those younger than age 5...
SSRIs for depression/heart failure patients? Not so fast
(Family Physicians Inquiries Network, 2017)
This study should put to rest the practice of starting SSRIs in depressed patients with heart failure in an attempt to affect CVD outcomes. PRACTICE CHANGER: Do not prescribe selective serotonin reuptake inhibitors to improve depression and reduce...
Does tranexamic acid reduce mortality in women with postpartum hemorrhage?
(Family Physicians Inquiries Network, 2019)
Q: Does tranexamic acid reduce mortality in women with postpartum hemorrhage? EVIDENCE-BASED ANSWER: Yes. When used in conjunction with the standard of care, 1 g intravenous (IV) tranexamic acid given 1 to 3 hours after delivery is associated with a...
How can you help prevent a recurrence of diverticulitis?
(Family Physicians Inquiries Network, 2009)
A high-fiber diet is often prescribed after recovery from acute diverticulitis, based on extrapolation from epidemiologic data showing an association between low-fiber diets and diverticulosis (strength of recommendation [SOR]: C, expert opinion...
What is the most effective treatment for scabies?
(Family Physicians Inquiries Network, 2017)
Q: What is the most effective treatment for scabies? Evidence-based answer: Topical permethrin is the most effective treatment for classic scabies (strength of recommendation [SOR]: A, meta-analyses with consistent results). Topical lindane...
Management of Subclinical Hypothyroidism
(Family Physicians Inquiries Network, 2005)
function should be monitored at six- to 12-month intervals. [Strength of recommendation: C, based on expert opinion and systematic reviews with troublesome heterogeneity of disease-oriented evidence]...
Screening Mammography in Women 40 to 49 Years of Age
(Family Physicians Inquiries Network, 2004)
While there is strong agreement among experts and evidence in the literature to recommend that women 50 to 69 years of age undergo screening with mammography for breast cancer, the question of screening women 40 to 49 years of age is controversial...
Does evidence support the use of supplements to aid in BP control?
(Family Physicians Inquiries Network, 2020)
Q: Does evidence support the use of supplements to aid in BP control? Evidence-based answer: Yes. A number of well-tolerated natural therapies have been shown to reduce systolic and diastolic blood pressure (BP). (See TABLE1-8 for summary.) However...
Does brief physician counseling promote weight loss?
(Family Physicians Inquiries Network, 2011)
While physician counseling alone isn't more effective for weight loss than usual care (strength of recommendation [SOR]: A, larger randomized controlled trials [RCTs]), counseling (adults) as part of a multidisciplinary ...
Evidence based resources for young adults at risk for depression in Boone County, MO
(University of Missouri--Columbia., 2017)
"To identify the preventable risk factors leading to depression through a literature review. To recognize the behavioral changes, and the cost-effective therapeutic tools that young adults can use to improve the prevention ...
What risk factors contribute to C difficile diarrhea?
(Family Physicians Inquiries Network, 2011)
Certain antibiotics and using 3 or more antibiotics at one time are associated with Clostridium difficile-associated diarrhea (CDAD) (strength of recommendation [SOR]: B, 1 heterogeneous systematic review and several ...
Does pneumococcal conjugate vaccine prevent otitis media?
(Family Physicians Inquiries Network, 2011)
Yes, if the pneumococcal conjugate vaccine (PCV) series is given before 12 months of age. Vaccination before 12 months is associated with a statistically significant reduction in the incidence of both acute (AOM) and ...
Heat or ice for acute ankle sprain?
(Family Physicians Inquiries Network, 2003)
For grade 3 and 4 ankle sprains, ice works better than heat to speed recovery (return to play) (strength of recommendation [SOR]: B, based on a single retrospective cohort study). No studies support faster return to play with the application of heat...
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...
What is the best management for patients with evidence of asymptomatic ischemia on exercise stress testing?
(Family Physicians Inquiries Network, 2007)
-EST Heart Rate Recovery. For patients who have a low-risk DTS, the 4-year mortality is less than 1% to 2%; therefore, risk-factor reduction without further investigation is appropriate (strength of recommendation: B, based on cohort studies and consensus...
Does exercise alleviate symptoms of depression?
(Family Physicians Inquiries Network, 2010)
Exercise reduces patient-perceived symptoms of depression when used as monotherapy (strength of recommendation [SOR]: B, meta-analysis of randomized controlled trials [RCTs] with significant heterogeneity). It relieves ...
Effects of high fat loading on substrate utilization and performance during intermittent exercise in trained athletes
(University of Missouri--Columbia, 2008)
on a 40 min intermittent bout of treadmill running at work/recovery ratios of 6:9 s and 24:36 s at speeds that produced an RER between 0.95 and 0.99 while gas was collected, then in elliptical locomotion in which distance traveled (Km) and power output...
Is there a well-tested tool to detect drug-seeking behaviors in chronic pain patients?
(Family Physicians Inquiries Network, 2008)
There is no well-tested, easily administered screening tool to detect drug-seeking behaviors in primary care patients taking long-term opioids or being considered for such therapy (strength of recommendation [SOR]: C, ...
Should we change formula for a formula-fed infant with persistent spitting up, but with adequate weight gain?
(Family Physicians Inquiries Network, 2001)
of recommendation: D, based on a synthesis of information from controlled trials performed in other patient populations, retrospective surveys, physiologic evidence, and consensus expert opinion.)...