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Complementary and alternative therapies for atopic dermatitis
(Family Physicians Inquiries Network, 2012)
Evening primrose oil may be effective for the treatment of atopic dermatitis. (Strength of Recommendation [SOR]: B, based on one randomized controlled trial [RCT].) Homeopathy may be as good as conventional therapy for eczema. Probiotics (SOR: A...
What's best for IBS?
(Family Physicians Inquiries Network, 2012)
Recommend antispasmodics or antidepressants for patients with irritable bowel syndrome (IBS) and explain that, while fiber may have other benefits, it is unlikely to relieve IBS symptoms. Stength of recommendation: A: Based on a meta-analysis....
Does blood pressure screening benefit children?
(Family Physicians Inquiries Network, 2012)
]: C, expert opinion), scant evidence links earlier detection and treatment of childhood hypertension with improved patient-oriented outcomes. However, detecting childhood hypertension may help identify adults who would benefit from earlier treatment...
Treatment of motion sickness
(Family Physicians Inquiries Network, 2012)
Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting. (Strength of Recommendation [SOR]: A, based on multiple randomized controlled trials [RCTs].) Firstgeneration antihistamines...
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, ...
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...
Evaluation of elevated serum transaminase levels
(Family Physicians Inquiries Network, 2012)
The evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation. (Strength of Recommendation [SOR]: C...
Evaluation of hip pain in older adults
(Family Physicians Inquiries Network, 2012)
The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies. (Strength of Recommendation [SOR]: C, based on expert opinion.) Patients who have hip pain for more...
Multivitamins for healthy children: what are the true benefits?
(Family Physicians Inquiries Network, 2012)
It's doubtful that multivitamin with mineral (MVM) supplementation improves IQ in healthy, low-risk children (strength of recommendation [SOR]: B, conflicting randomized clinical trials [RCTs]). However, MVM supplementation ...
Treatment of HSV infection in late pregnancy
(Family Physicians Inquiries Network, 2012)
, based on one systematic review.) Suppressive therapy at the time of delivery can reduce the rate of recurrence, the risk of asymptomatic viral shedding, and the number of cesarean deliveries because of active HSV infection. Women with active lesions...
How best to diagnose iron-deficiency anemia in patients with inflammatory disease?
(Family Physicians Inquiries Network, 2012)
TfR-ferritin index (ratio of sTfR to log ferritin) are highly sensitive and specific. An sTfR-ferritin index of ≥1.5 is diagnostic of IDA, even in the presence of acute or chronic inflammation (SOR: B, systematic review of prospective validating cohort studies...
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...
Which drugs work best for early Parkinson's disease?
(Family Physicians Inquiries Network, 2012)
Levodopa/carbidopa is the most effective medical therapy for Parkinson's disease, but it's associated with dyskinesia (strength of recommendation [SOR]: A, Cochrane reviews and randomized controlled trials [RCTs]). Treating ...
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 ...
Medication vs. radioablation for Graves' disease: how do they compare?
(Family Physicians Inquiries Network, 2012)
The benefits are similar; the risks vary. Treating Graves' disease initially with medication or radioablation (or surgery) produces comparable resolution of hyperthyroidism at 2 years (strength of recommendation [SOR]: B, ...
Mizzou weekly, volume 33, number 24 (March 15, 2012)
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2012)
Missouri hospitalist, issue 45 (2012 October)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2012-10)
HPV in pregnancy
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, therapeutics and prevention of contracting human papillomavirus during pregnancy.
BP meds: this simple change improves outcomes
(Family Physicians Inquiries Network, 2012)
of recommendation: B: Based on a well-done randomized clinical trial (RCT) and a subgroup analysis....
What's the best secondary treatment for patients who fail initial triple therapy for H pylori?
(Family Physicians Inquiries Network, 2018)
Q: What's the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either...