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Now showing items 61-80 of 1707
What is the best treatment for nocturnal enuresis in children?
(Family Physicians Inquiries Network, 2005)
For children with primary nocturnal enuresis,
treatment with enuresis alarms reduced the
number of wet nights by almost 4 per week, with almost half of patients remaining dry for 3 months after treatment (strength of recommendation [SOR]: A, based...
What are the relative risks and benefits of progestin-only contraceptives?
(Family Physicians Inquiries Network, 2005)
Little evidence describes the risks and benefits of progestin-only contraceptives therapy. No good-quality evidence exists to determine the risk of cancer associated with progestin-only contraceptives. Data are insufficient to discern their effect...
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
Q. Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception? Evidence-based answer: probably, although studies that looked directly at this outcome are limited. A systematic review showed that women who received a...
What's the best test for underlying osteomyelitis in patients with diabetic foot ulcers?
(Family Physicians Inquiries Network, 2015)
, evidence-based guidelines)....
How often is coughing the presenting complaint in patients with gastroesophageal reflux disease?
(Family Physicians Inquiries Network, 2002)
patients with complaints of chronic cough, GERD may be the underlying cause in 40%. (Grade of recommendation: C, based on extrapolation from cohort studies.) However, no studies directly address prevalence of coughing as a presenting complaint in patients...
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
(Family Physicians Inquiries Network, 2005)
In the initial management of dyspepsia for patients without "alarm" symptoms (weight loss, recurrent vomiting, dysphagia, anemia, evidence of bleeding, onset of dyspepsia after age 45 years), therapy based on the results of early endoscopy...
What is the best treatment for plantar fasciitis?
(Family Physicians Inquiries Network, 2003)
Mechanical therapies -- such as taping, tension night splinting, and rigid arch support -- are the most effective treatment for plantar fasciitis (strength of recommendation: A, based on randomized controlled trials). If limited or no improvement...
Colicky baby? Here's a surprising remedy
(Family Physicians Inquiries Network, 2011)
This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Stength of recommendation: A: A good-quality ...
Do beta-blockers worsen respiratory status for patients with COPD?
(Family Physicians Inquiries Network, 2005)
(strength of recommendation: A, based on a high-quality meta-analysis of controlled trials). Limited evidence suggests that most patients with congestive heart failure and COPD without reversible airflow obstruction tolerate carvedilol, which causes both...
What clinical clues differentiate migraine from sinus headaches?
(Family Physicians Inquiries Network, 2013)
Evidence-based answer: Patients with sinus headaches have thick nasal discharge, fever, chills, sweats, or abnormally malodorous breath (SOR: B, cross-sectional study). The 5 symptoms that are most predictive of migraine are: pulsatile quality...
What is the best way to diagnose polycystic ovarian syndrome?
(Family Physicians Inquiries Network, 2006)
Polycystic ovarian syndrome (PCOS) is diagnosed for women of childbearing age presenting with 2 of the following: 1)oligo- or anovulatory menstrual irregularities, 2) evidence of hyperandrogenism in the absence of secondary cause; 3) enlarged...
What is the best approach to goiter in euthyroid patients?
(Family Physicians Inquiries Network, 2014)
In the absence of outcome studies, experts recommend ultrasound evaluation of nontoxic multinodular goiters (MNG) followed by fine-needle aspiration (FNA) of suspicious nodules (strength of recommendation [SOR]: C, consensus-based guidelines...
Does chocolate have cardiovascular benefits?
(Family Physicians Inquiries Network, 2010)
Eating chocolate reduces blood pressure in the short term (strength of recommendation [SOR]: B, a meta-analysis and individual randomized controlled trials [RCTs]). No studies, however, have evaluated the long-term ...
Are inhalers with spacers better than nebulizers for children with asthma?
(Family Physicians Inquiries Network, 2004)
Metered-dose inhalers with a spacer (MDI/S) are as good as, or better than, nebulizers for children with asthma. This is based on numerous randomized controlled trials that compared outcomes such as hospital admission rates, asthma severity scores...
What is the best duration of steroid therapy for contact dermatitis (rhus)?
(Family Physicians Inquiries Network, 2006)
Scant evidence exists for the best duration of steroid therapy for contact dermatitis due to plants (rhus). Review articles recommend 10 to 21 days of treatment with topical or oral corticosteroids for moderate to severe contact dermatitis due...
How best to manage the patient in term labor whose group B strep status is unknown?
(Family Physicians Inquiries Network, 2009)
Monitor the patient and treat her with intrapartum chemoprophylaxis based on identified risk factors, unless a rapid, highly sensitive (greater than or equal to 85%) polymerase chain reaction (PCR) test is immediately available to evaluate for group...
What's the best way to relieve mastitis in breastfeeding mothers?
(Family Physicians Inquiries Network, 2011)
Frequent breast emptying helps both infectious and noninfectious mastitis (strength of recommendation [SOR]: A, 1 randomized controlled trial [RCT]). Antibiotics may be useful for women with positive milk cultures (SOR: ...
Which postmenopausal women should be offered combined HRT?
(Family Physicians Inquiries Network, 2003)
for vascular disease and breast cancer, should be informed of the potential risks. There is inadequate evidence to determine the extent of these risks in women who have had a hysterectomy and are taking unopposed estrogen (strength of recommendation: A, based...
Can mobile technology improve weight loss in overweight and obese patients?
(Family Physicians Inquiries Network, 2017)
Q: Can mobile technology improve weight loss in overweight and obese patients? Evidence-based answer: Yes, this technology can help in the short term. Mobile technology compared with minimal or no intervention increases short-term (<6 months) weight...
Does a low-fat diet help prevent breast cancer?
(Family Physicians Inquiries Network, 2007)
No. Studies show no evidence that reducing dietary fat decreases a woman's risk of developing postmenopausal breast cancer within the subsequent 14 years (strength of recommendation [SOR]: B, based on large heterogeneous prospective cohort studies...