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Now showing items 61-80 of 953
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
larger number of pills at one time were more likely to continue using combined hormonal contraception 7 to 15 months later (strength of recommendation [SOR]: A, consistent evidence from 2 cohort studies and 1 randomized, controlled trial), which might...
Is intra-articular platelet-rich plasma injection an effective treatment for knee OA?
(Family Physicians Inquiries Network, 2019)
Q: Is intra-articular platelet-rich plasma injection an effective treatment for knee OA? EVIDENCE-BASED ANSWER: PROBABLY NOT, based on the balance of evidence. While low-quality evidence may suggest potential benefit, the ...
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 ...
Which interventions are effective in managing parental vaccine refusal?
(Family Physicians Inquiries Network, 2017)
about the vaccine, but may decrease intention to vaccinate in parents who already have strong concerns about safety (SOR: C, low-quality RCT). Discussions about vaccines that are more paternalistic (presumptive rather than participatory) are associated...
Q Which injections are effective for lateral epicondylitis?
(Family Physicians Inquiries Network, 2021-11)
). Hyaluronic acid injection, compared to saline injection, resulted in a statistically significant pain reduction (6%) but did not achieve the minimum clinically important difference (SOR B, single RCT). Autologous blood injection, compared to saline injection...
Pediatric Behavioral Health Screening in the Primary Care Practice
(University of Missouri -- Kansas City, 2022)
Behavioral health issues affect between 15% to 20% of children, and if left untreated, these
issues can lead to long-term mental and physical health issues in children and adolescents. The
purpose of this quasi-experimental, ...
Effect of an APRN Fellowship Program on Job Satisfaction and Retention
(University of Missouri -- Kansas City, 2020)
Transition from the role of registered nurse to APRN can be stressful and frustrating as the
novice navigates the first year of being a provider. Role confusion, uncertainty, lack of support,
and self-doubt are a few ...
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 ...
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. ...
How effective is spironolactone for treating resistant hypertension?
(Family Physicians Inquiries Network, 2019)
with resistant hypertension taking 3 or more medications (strength of recommendation [SOR]: C, meta-analysis of randomized controlled trials [RCTs] of disease-oriented evidence)....
The Effects of Risk Stratifying Patients with the Screener and Opioid Assessment for Patients with Pain (SOAPP-R) on Aberrant Drug-Taking Behavior in the Primary Care Population
(University of Missouri -- Kansas City, 2021)
As the opioid epidemic continues to negatively affect morbidity and mortality in the United
States, providers must implement risk reduction strategies when prescribing opioids. Evidence
suggests that risk screening ...
What is the optimal frequency for dental checkups for children and adults?
(Family Physicians Inquiries Network, 2017)
for preventive dental visits (strength of recommendation [SOR]: C, expert opinion), but a 24-month interval does not result in an increased incidence of dental caries in healthy children and young adults or increased incidence of gingivitis in healthy adults (SOR...
Pre-Diabetes Lifestyle Prevention Program to Decrease Development of Diabetes in Adults
(University of Missouri--Kansas City, 2018)
This pilot quality improvement project for prediabetes adult patients in the family practice
setting investigated if a lifestyle change intervention compared to no lifestyle intervention
decreased hemoglobin A1C and ...
Are SERMs safe and effective for the treatment of hypogonadism in men?
(Family Physicians Inquiries Network, 2022-01)
), such as clomiphene citrate (CC) and enclomiphene citrate (EC), appear to be effective and safe for improving serum
testosterone levels (strength of recommendation [SOR]: C, disease-oriented outcomes from randomized controlled trials [RCTs] and cohort studies...
Improving Adolescent Asthma Management Using a Smart Phone Application
(University of Missouri -- Kansas City, 2020)
Asthma is a common condition in adolescence and finding a way to optimize asthma care
management is a priority in primary care. The purpose of this project was to introduce an
electronic asthma action plan using a ...
Does vitamin D supplementation reduce asthma exacerbations?
(Family Physicians Inquiries Network, 2020)
[RCTs]). In children, vitamin D supplementation may also reduce exacerbations and improve symptom scores (SOR: C, lowquality RCTs). Vitamin D doesn't improve forced expiratory volume in 1 second (FEV1) or standardized asthma control test scores. Also...
Does vitamin D supplementation reduce asthma exacerbations?
(Family Physicians Inquiries Network, 2020)
[RCTs]). In children, vitamin D supplementation may also reduce exacerbations and improve symptom scores (SOR: C, low-quality RCTs). Vitamin D doesn't improve forced expiratory volume in 1 second (FEV1) or standardized asthma control test scores. Also...
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.
Increasing Identification of Risk for Obstructive Sleep Apnea in Adults with Obesity by Utilizing the STOP-Bang Questionnaire in Primary Care
(University of Missouri -- Kansas City, 2021)
Obstructive sleep apnea (OSA) is a chronic medical disorder underrecognized, underreported,
underdiagnosed, and undertreated. Untreated OSA is associated with numerous physical and
mental conditions, reduced quality ...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...