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Now showing items 21-40 of 1929
Is lower BP worth it in higher-risk patients with diabetes or coronary disease?
(Family Physicians Inquiries Network, 2016)
Q: Is lower BP worth it in higher-risk patients with diabetes or coronary disease? Evidence-based answer: There is no simple answer; the risk/benefit picture is complicated. Controlling blood pressure to a target of 130/80 ...
Does breastfeeding affect the risk of childhood obesity?
(Family Physicians Inquiries Network, 2016)
breastfeeding rates during the first 3 to 6 months of life don't appear to alter body mass index (BMI) at 11 to 12 years of age (SOR: B, randomized clinical trial [RCT]). Introducing complementary (solid) foods before 3 months is associated with a 30% greater...
Steroids during late preterm labor: better later than never
(Family Physicians Inquiries Network, 2017)
Steroids during late preterm labor: Better later than never. Steroids--even when administered in the last leg of the late preterm period--still reduce the likelihood of respiratory complications in newborns. Practice changer: Use steroids in women...
What are the risks of long-term PPI use for GERD symptoms in patients > 65 years?
(Family Physicians Inquiries Network, 2019)
Q: What are the risks of long-term PPI for GERD symptoms in patients > 65 years? EVIDENCE-BASED ANSWER: THE USE OF PROTON PUMP INHIBITORS (PPIs) to control gastrointestinal esophageal reflux disease (GRED) is significantly associated with increased...
Noncardiac inpatient has acute hypertension: Treat or not?
(Family Physicians Inquiries Network, 2022-09)
A retrospective study found more harm than benefit from treating elevated blood pressure in hospitalized noncardiac patients.
Consider this Rx for patients with high triglycerides?
(Family Physicians Inquiries Network, 2020)
A daily dose of this prescription fish oil may be worth a trial in light of the cardiovascular benefits it affords statin-treated patients with high triglycerides. PRACTICE CHANGER: Consider icosapent ethyl, 2 g twice daily, for secondary prevention...
Tamsulosin for patients with ureteral stones?
(Family Physicians Inquiries Network, 2018)
Tamsulosin for patients with ureteral stones? Yes, but only for some. Find out which of your patients can benefit. PRACTICE CHANGER: Prescribe tamsulosin for stone expulsion in patients with distal ureteral stones 5 to 10 mm in size....
Does screening by primary care providers effectively detect melanoma and other skin cancers?
(Family Physicians Inquiries Network, 2020)
Q: Does screening by primary care providers effectively detect melanoma and other skin cancers? Evidence-based answer: possibly. No trials have directly assessed detection of melanoma and other skin cancers by primary care ...
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...
Debt types and burdens by family structures
(2020)
Purpose: The purpose of this study is to examine family structure differences in debt types and burdens of American families. Design/methodology/approach: Data are obtained from the 2016 Survey of Consumer Finances. Eight types of family structures...
Rethinking daily aspirin for primary prevention
(Family Physicians Inquiries Network, 2020)
An updated meta-analysis of newer RCTs seems to settle the matter as to whether to use aspirin in individuals with no known history of atherosclerotic CVD. PRACTICE CHANGER: Do not routinely use aspirin for primary prevention of cardiovascular...
Is it time to approach spontaneous pneumothorax more conservatively?
(Family Physicians Inquiries Network, 2022)
A recent study provides modest evidence for observational management over interventional treatment, sparing patients from invasive procedures.
Aspirin, yes, for at-risk elderly : but what about the healthy elderly?
(Family Physicians Inquiries Network, 2020)
Aspirin, yes, for at-risk elderly -- but what about the healthy elderly? This study paints a decidedly different picture as to what role -- if any -- aspirin can play in the primary prevention of CVD for older adults. PRACTICE CHANGER: Do...
Confidently rule out CAP in the outpatient setting
(Family Physicians Inquiries Network, 2021)
Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out community-acquired pneumonia (CAP...
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes?
(Family Physicians Inquiries Network, 2021)
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? An RCT demonstrates that dapagliflozin produces better cardiovascular outcomes than placebo for heart failure patients with and without diabetes. PRACTICE CHANGER: Prescribe...
Consider melatonin for migraine prevention
(Family Physicians Inquiries Network, 2017)
An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers.
Bariatric surgery plus medical therapy : effective Tx for T2DM?
(Family Physicians Inquiries Network, 2019)
Bariatric surgery + medical therapy: Effective Tx for T2DM? Short-term studies have indicated "Yes," but does a longterm randomized controlled trial give it a thumbs up? PRACTICE CHANGER: Consider bariatric surgery with medical therapy as a...
Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients?
(Family Physicians Inquiries Network, 2019)
Q: Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients? EVIDENCE-BASED ANSWER: Yes. Left atrial appendage closure (LAAC) with the Watchman device ...
Do probiotics reduce C diff risk in hospitalized patients?
(Family Physicians Inquiries Network, 2019)
Do probiotics reduce C diff risk in hospitalized patients? A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. Practice changer: Start probiotics within 1 to 2 days...
Which anticoagulant is safest for frail elderly patients with nonvalvular A-fib?
(Family Physicians Inquiries Network, 2022-11)
Consider apixaban, which demonstrated a lower adverse event (AE) rate than warfarin regardless of frailty status, for anticoagulation treatment of older patients with nonvalvular atrial fibrillation (AF); by comparison, ...