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What is the prognosis of postherpetic neuralgia?
(Family Physicians Inquiries Network, 2003)
Postherpetic neuralgia occurs rarely among patients aged <50 years with herpes zoster. The incidence, duration, and severity of post-herpetic neuralgia increases with age, but older patients usually have only mild pain. ...
Are antibiotics helpful for acute maxillary sinusitis?
(Family Physicians Inquiries Network, 2003)
). However, this benefit does not persist in trials that better reflect general practice by using clinical diagnostic criteria (SOR: C, inconsistent studies). In trials showing improvement with antibiotics, symptoms decrease, at best, 2 to 3 days sooner than...
What is the most effective nicotine replacement therapy?
(Family Physicians Inquiries Network, 2003)
No single nicotine replacement therapy is most effective for all smokers. All forms of nicotine replacement therapy (gum, transdermal patch, spray, inhaler, and lozenge) are equally effective, increasing smoking cessation ...
Does daily monitoring of blood glucose predict hemoglobin A1c levels?
(Family Physicians Inquiries Network, 2003)
Hemoglobin A1c (HbA1c) levels correlate closely, though not perfectly, with blood glucose levels in patients with diabetes (strength of recommendation [SOR]: A, based on systematic reviews). Correlation is higher for blood ...
What is the best treatment for plant-induced contact dermatitis?
(Family Physicians Inquiries Network, 2013)
It's unclear which treatment is best, because there have been no head-to-head comparisons of treatments for Rhus (plant-induced) contact dermatitis. That said, topical high-potency steroids slightly improve pruritus and ...
Does birth weight predict childhood obesity?
(Family Physicians Inquiries Network, 2008)
A birth weight greater than 4,000 g is associated with an increased risk of obesity in both childhood and adolescence (strength of recommendation [SOR]: B, systematic review and multiple cohort studies).
How effective is desmopressin for primary nocturnal enuresis?
(Family Physicians Inquiries Network, 2003)
Desmopressin reduces the number of nights of primary noctural enuresis by at least 1 per week, and increases the likelihood of "cure" (defined as 14 consecutive dry nights) while treatment is continued (number needed to ...
Treating pulmonary embolism at home?
(Family Physicians Inquiries Network, 2012)
Treat low-risk patients with pulmonary embolism (PE) with low-molecular-weight heparin (LMWH) in an outpatient setting. Stength of recommendation: B: Based on one good quality randomized controlled trial (RCT).
What behavioral interventions are safe and effective for treating obesity?
(Family Physicians Inquiries Network, 2006)
Interventions that include a combination of behavioral and lifestyle modification -- including decreased caloric intake, specific aids to changing diet, increased physical activity, and treatment of binge eating disorders ...
More isn't better with acute low back pain treatment
(Family Physicians Inquiries Network, 2016)
More isn't better with acute low back pain treatment Adding cyclobenzaprine or oxycodone/acetaminophen to naproxen for the treatment of acute low back pain does nothing more than increase adverse effects. Practice changer: Consider treating patients...
Use anesthetic drops to relieve acute otitis media pain
(Family Physicians Inquiries Network, 2008)
Use 3 drops of topical 2% lidocaine drops or benzocaine to provide rapid pain relief for children with acute otitis media. Stength of recommendation: B: 2 good-quality, randomized controlled trials.
Oral agent offers relief from generalized hyperhidrosis
(Family Physicians Inquiries Network, 2017)
Hyperhidrosis is a common, self-limiting problem affecting 2% to 3% of the population in the United States. Patients may complain of localized sweating of the hands, feet, face, or underarms or more systemic, generalized ...
Do patients at high risk of Alzheimer's disease benefit from early treatment?
(Family Physicians Inquiries Network, 2009)
Treating patients with early-stage Alzheimer's disease yields statistically significant, though perhaps not clinically significant, improvement in cognition and global function (strength of recommendation [SOR]: A, consistent ...
What hormonal contraception is most effective for obese women?
(Family Physicians Inquiries Network, 2007)
Depot medroxyprogesterone acetate (DMPA; Depo-Provera) and the combination contraceptive vaginal ring (NuvaRing) are most effective for obese women because they don't appear to be affected by body weight (strength of ...
Does lowering a fever >101F in children improve clinical outcomes?
(Family Physicians Inquiries Network, 2010)
Treating fever significantly increases comfort, activity, feeding, and fluid intake and decreases the patient's temperature compared with placebo (strength of recommendation (SOR): A, multiple randomized controlled trials ...
Which imaging modality is best for suspected stroke?
(Family Physicians Inquiries Network, 2005)
Patients exhibiting stroke symptoms should have brain imaging immediately within 3 hours of symptom onset (strength of recommendation [SOR]: A, based on systematic review). In the first 3 hours after a suspected cerebrovascular ...
What treatments are safe and effective for mild to moderate hypertension in pregnancy?
(Family Physicians Inquiries Network, 2004)
There is considerable debate concerning the treatment of mild to moderate essential hypertension during pregnancy. Evidence suggests that because of the potential risk of fetal intrauterine growth restriction, treatment ...
What is the best way to identify patients with white-coat hypertension?
(Family Physicians Inquiries Network, 2005)
Ambulatory blood pressure monitoring is currently the gold standard for detecting patients with white-coat hypertension. Women and all patients with lower office systolic blood pressures, stage I hypertension, and no target ...
Does injection of steroids and lidocaine in the shoulder relieve bursitis?
(Family Physicians Inquiries Network, 2004)
Subacromial steroid injection may provide a small, short-term benefit compared with placebo. The short-term effectiveness of steroid injection compared with nonsteroidal anti-inflammatory agents (NSAIDs) remains unclear. ...
Do-it-yourself cervical cancer screening?
(Family Physicians Inquiries Network, 2020)
Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PRACTICE CHANGER: Have patients who decline a pelvic...