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Evaluation of asymptomatic atrial fibrillation
(Family Physicians Inquiries Network, 2012)
In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone. (Strength of Recommendation: A, based on multiple cohort studies.) As many as 75 percent...
Advantages of the no-scalpel vasectomy technique
(Family Physicians Inquiries Network, 2012)
The no-scalpel vasectomy (NSV) technique should be used instead of the standard incisional method. (Strength of Recommendation: A, based on systematic reviews, mixed-quality randomized controlled trials [RCTs], cohort studies, and case...
Would this long-acting bronchodilator be better for your patient?
(Family Physicians Inquiries Network, 2012)
of recommendation: A: Based on one well-designed randomized controlled trial....
What are the benfits and risks of IUDs in adolescents?
(Family Physicians Inquiries Network, 2012)
Little available evidence specifically addresses the benefits and risks of intrauterine devices (IUDs) in adolescents. Most studies have evaluated IUD use in nulliparous adults. Levonorgestrel IUDs cause less menstrual bleeding than oral...
Medications for weight loss in patients with Type 2 diabetes mellitus
(Family Physicians Inquiries Network, 2012)
Fluoxetine (Prozac) and orlistat (Xenical) produce modest short-term weight loss, but their long-term benefits are unclear and their safety is uncertain. (Strength of Recommendation [SOR]: B, based on a meta-analysis of randomized controlled trials...
Screening Mammography for Reducing Breast Cancer Mortality
(Family Physicians Inquiries Network, 2012)
Screening mammography reduces breast cancer mortality in women 40 to 49 years of age who have an average risk of breast cancer. (Strength of Recommendation: A, based on eight randomized controlled trials [RCTs].) The relative risk reduction...
Visual impairment in the elderly
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of visual impairment in the elderly.
Tension headache
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of tension headaches.
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 controlled trial....
Does ultrasound screening for abdominal aortic aneurysm reduce mortality?
(Family Physicians Inquiries Network, 2012)
population-based randomized controlled trials [RCTs]). Evidence is inadequate to demonstrate benefits of screening in women....
Intranasal steroids vs antihistamines: which is better for seasonal allergies and conjunctivitis?
(Family Physicians Inquiries Network, 2012)
Intranasal steroids provide better relief for adult sufferers, according to nonstandardized, nonclinically validated scales. Steroids reduce subjective total nasal symptom scores (TNSS)--representing sneezing, itching, ...
Cholestasis of pregnancy
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of cholestasis of pregnancy.
Do antibiotics shorten symptoms in patients with purulent nasal discharge?
(Family Physicians Inquiries Network, 2012)
For most patients with purulent nasal discharge, antibiotics don't decrease symptom duration; they do increase adverse events (strength of recommendation [SOR]: A, 3 meta-analyses and 2 randomized controlled trials [RCTs]). ...
A safer way to prevent VTE recurrence
(Family Physicians Inquiries Network, 2012)
After patients with unprovoked venous thromboembolism (VTE) complete a 6- to 18-month course of oral anticoagulation therapy, consider a switch to aspirin. Stength of recommendation: A: Based on one well-designed, randomized controlled trial (RCT)....
Should breastfeeding babies be given pacifiers?
(Family Physicians Inquiries Network, 2012)
Do not discourage the use of pacifiers by healthy infants who are breastfeeding. Stength of recommendation: A: Based on a good-quality meta-analysis...
Systemic lupus erythematosis
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of systemic lupus erythematosis.
Cardiovascular risks of combined oral contraceptive use
(Family Physicians Inquiries Network, 2012)
Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia. (Strength of Recommendation: B, based...
Do any topical agents help prevent or reduce stretch marks?
(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 ...
Alopecia areata
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of alopecia areata.
Evaluation of newborns with preauricular skin lesions
(Family Physicians Inquiries Network, 2012)
All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment. (Strength of Recommendation [SOR]: C, based on small observational...