Search
Now showing items 61-80 of 11294
What is the prognosis for acute low back pain?
(Family Physicians Inquiries Network, 2002)
The proportion of patients who are pain free or completely recovered after an acute episode of low back pain within 2 weeks to 6 months ranges from 21% to 90%, depending on the population studied and the method of measuring ...
Antidepressant Use During Pregnancy
(Family Physicians Inquiries Network, 2011)
the risk of congenital malformations or miscarriage. (Strength of Recommendation [SOR]: B, based on limited-quality, patient-oriented evidence.) The use of SSRIs or TCAs during pregnancy may increase the risk of preterm birth, low birth weight, respiratory...
What is the best treatment for chronic constipation in the elderly?
(Family Physicians Inquiries Network, 2007)
There is no one best evidence-based treatment for chronic constipation in the elderly. While the most common first-line treatments are dietary fiber and exercise, the evidence is insufficient to support this approach in the geriatric population...
What environmental modifications improve pediatric asthma?
(Family Physicians Inquiries Network, 2002)
Reducing environmental tobacco smoke exposure decreases health care utilization among poor asthmatic children. Dust mite reduction by chemical measures is potentially harmful. (Grade of recommendations: B, based on single randomized controlled trial...
What is the best test to diagnose urinary tract stones?
(Family Physicians Inquiries Network, 2001)
. (Grade of recommendation: A, based on independent blind comparison of an appropriate spectrum of patients.)...
Is sputum evaluation useful for patients with community-acquired pneumonia?
(Family Physicians Inquiries Network, 2005)
No high-quality studies specifically address the utility of sputum Gram stain or culture in the assessment or treatment of community-acquired pneumonia (CAP) or nursing home- acquired pneumonia (NHAP). The available evidence suggests that analysis...
Is DEET safe for children?
(Family Physicians Inquiries Network, 2005)
Reported evidence suggests that DEET use is safe for children older than 2 months, with only very rare incidence of major adverse effects (strength of recommendation [SOR]: C). Typically, a topical concentration between 10% and 30% should be used...
Does tight control of blood glucose in pregnant women with diabetes improve neonatal outcomes?
(Family Physicians Inquiries Network, 2004)
or medical treatment). Prolonged preconception control of blood sugar to near normal levels reduces the rate of major congenital anomalies close to those seen in women without diabetes (strength of recommendation [SOR]: A, based on prospective cohort studies...
How accurate is stress radionuclide imaging for diagnosis of CAD?
(Family Physicians Inquiries Network, 2004)
computed tomography [SPECT]) and stress (exercise or pharmacologic) do not significantly alter the accuracy of this test, although there is some evidence for decreased accuracy in women (strength of recommendation [SOR]: A, based on multiple meta...
Should we screen adults for asymptomatic microhematuria?
(Family Physicians Inquiries Network, 2004)
Screening patients for asymptomatic microhematuria does not appear to improve outcomes, since screening does not identify a population with increased prevalence of urologic malignancy (strength of recommendation [SOR]: A, based on prospective cohort...
Do routine eye exams reduce occurrence of blindness from type 2 diabetes?
(Family Physicians Inquiries Network, 2004)
to 12 and 4 months, respectively (strength of recommendation [SOR]: B, based on 1 prospective cohort study). A reliably sensitive screening exam requires mydriatic retinal photography augmented by ophthalmoscopy when photographs are inconclusive (SOR: A...
Is an outpatient workup safe for patients with a transient ischemic attack?
(Family Physicians Inquiries Network, 2004)
There is no compelling evidence that outpatient diagnostic workup of patients with transient ischemic attack (TIA) is less safe than inpatient workup, or that hospitalization prevents stroke or improves stroke outcomes after TIA (strength...
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...
Accelerating development of simulation-based medical skill training programs : a comparative evaluation research study
(University of Missouri--Columbia, 2013)
physiologic feedback to treatment interventions and practice in 'real-world', high-stakes continual patient assessment and decision making. Simulation-based training offers opportunities for deliberate practice and skill mastery without the sense of urgency...
What is the most effective treatment for external genital warts?
(Family Physicians Inquiries Network, 2002)
Podofilox (Condylox), imiquimod (Aldara), cryotherapy, and surgical options all seem reasonable alternatives that are superior to podophyllin. (Grade of recommendation: B, based on systematic review.) No studies of surgical options versus home use...
How effectively do ACE inhibitors and ARBs prevent migraines?
(Family Physicians Inquiries Network, 2018)
Q: How effectively do ACE inhibitors and ARBs prevent migraines? Evidence-based answer: The angiotensin-converting enzyme (ACE) inhibitor lisinopril reduces the number of migraines by about 1.5 per month in patients experiencing 2 to 6 migraines...
What are the most effective treatments for bacterial vaginosis in nonpregnant women?
(Family Physicians Inquiries Network, 2001)
Either oral or vaginal metronidazole or vaginal clindamycin provides equivalent treatment for bacterial vaginosis in nonpregnant women. Oral clindamycin 300 mg twice daily for 7 days is an effective alternative. There is conflicting evidence...
Postcholecystectomy diarrhea: What relieves it?
(Family Physicians Inquiries Network, 2011)
A trial of a bile acid binder such as cholestyramine or colestipol may benefit patients with postcholecystectomy diarrhea (strength of recommendation [SOR]: C, case series). Although postcholecystectomy diarrhea is uncommon ...
Is screening for lead poisoning justified?
(Family Physicians Inquiries Network, 2003)
Evidence is insufficient to recommend for or against universal screening of young children for lead poisoning in high- prevalence communities (strength of recommendation [SOR]: C). In low-prevalence communities, evidence is insufficient to recommend...
What is the evaluation and treatment strategy for Raynaud's phenomenon?
(Family Physicians Inquiries Network, 2005)
Raynaud's phenomenon is diagnosed by history,
which also plays a key role in distinguishing
primary from secondary Raynaud's phenomenon
(strength of recommendation [SOR]: C, based
on expert opinion). The initial treatment includes conservative...