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Now showing items 61-80 of 7158
What's best for IBS?
(Family Physicians Inquiries Network, 2012)
Recommend antispasmodics or antidepressants for patients with irritable bowel syndrome (IBS) and explain that, while fiber may have other benefits, it is unlikely to relieve IBS symptoms. Stength of recommendation: A: Based on a meta-analysis....
Can metformin undo weight gain induced by antipsychotics?
(Family Physicians Inquiries Network, 2008)
of recommendation: B: Based on a single, well-designed, randomized controlled trial....
What's the best strategy for bipolar disorder during pregnancy?
(Family Physicians Inquiries Network, 2007)
Lithium is the first-line treatment for pregnant patients requiring medication (SOR: C, based on expert opinion). Monotherapy is preferred for women of childbearing age who have bipolar disorder (strength of recommendation [SOR]: C, based on expert...
Treatment of motion sickness
(Family Physicians Inquiries Network, 2012)
Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting. (Strength of Recommendation [SOR]: A, based on multiple randomized controlled trials [RCTs].) Firstgeneration antihistamines...
What screening tests should you use to evaluate a man with low testosterone?
(Family Physicians Inquiries Network, 2008)
Obtain a repeat morning testosterone level, as well as levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin to help understand the cause of low testosterone when there is a lack of adequate empiric evidence to guide...
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...
Evidence based resources for young adults at risk for depression in Boone County, MO
(University of Missouri--Columbia., 2017)
"To identify the preventable risk factors leading to depression through a literature review. To recognize the behavioral changes, and the cost-effective therapeutic tools that young adults can use to improve the prevention ...
Suctioning neonates at birth: time to change our approach
(Family Physicians Inquiries Network, 2014)
There's a better way to clear secretions from a neonate's mouth and nose, and it's less likely to cause adverse effects. Practice Changer: Stop suctioning neonates at birth. There is no benefit to this practice, and it can cause bradycardia...
Which detoxification regimens are effective for alcohol withdrawal syndrome?
(Family Physicians Inquiries Network, 2021)
Q: Which detoxification regimens are effective for alcohol withdrawal syndrom? Evidence based answer: Benzodiazepines remain the first-line regimen for alcohol withdrawal syndrome (AWS) and are the only class more effective than placebo for reducing...
How should we follow athletes after a concussion?
(Family Physicians Inquiries Network, 2005)
[SOR]: B, based on multiple prospective cohort studies). High-risk athletes (eg, those with a history of previous concussion, high- school age or younger, or female) may need to avoid contact even after all these criteria are met (SOR: C, expert opinion)....
What is the best approach for managing recurrent bacterial vaginosis?
(Family Physicians Inquiries Network, 2004)
The best way to prevent recurrent bacterial vaginosis is to treat the initial episode with the most effective regimen. Metronidazole (500 mg orally twice daily for 7 days) has the lowest recurrence rate among antimicrobial ...
What's the best treatment for CIN 2 or 3?
(Family Physicians Inquiries Network, 2007)
disease (strength of recommendation [SOR]: A, based on randomized controlled trials [RCTs])....
Can counseling prevent or treat postpartum depression?
(Family Physicians Inquiries Network, 2009)
suggest a preventive benefit when the intervention is administered postnatally, in the home, and targeted toward individual at-risk women (strength of recommendation [SOR]: A, meta-analysis of 15 randomized, controlled trials [RCTs] and 1 subsequent RCT)....
Do cinnamon supplements improve glycemic control in adults with T2DM?
(Family Physicians Inquiries Network, 2020)
Q: Do cinnamon supplements improve glycemic control in adults with T2DM? Evidence-based answer: the answer isn't clear. Cinnamon supplements for adults with type 2 diabetes haven't been shown to decrease hemoglobin A1C (strength of recommendation...
Is methylphenidate useful for treating adolescents with ADHD?
(Family Physicians Inquiries Network, 2004)
studied of methylphenidate formulations, extended-release methylphenidate (Concerta) has similar benefits, with a dosing regimen that may better suit an adolescent lifestyle (SOR: B, based on extrapolation of 1 randomized controlled trial and expert...
Should you still recommend omega-3 supplements?
(Family Physicians Inquiries Network, 2013)
Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Stength of recommendation: A: Based on a meta...
How effective is gastric bypass for weight loss?
(Family Physicians Inquiries Network, 2004)
Gastric bypass results in weight loss of approximately 33% at 2 years and 25% at 8 years (strength of recommendation [SOR]: B, based on a cohort study). Gastric bypass is one type of bariatric surgery, which also includes gastroplasty and gastric...
Does tranexamic acid reduce mortality in women with postpartum hemorrhage?
(Family Physicians Inquiries Network, 2019)
Q: Does tranexamic acid reduce mortality in women with postpartum hemorrhage? EVIDENCE-BASED ANSWER: Yes. When used in conjunction with the standard of care, 1 g intravenous (IV) tranexamic acid given 1 to 3 hours after delivery is associated with a...
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...
Increased Mortality among Survivors of Myocardial Infarction with Kidney Dysfunction: the Contribution of Gaps in the use of Guideline-Based Therapies
(2009-07-08)
evaluated the association between estimated glomerular filtration rate (GFR) and time to death over two years, adjusting for demographic and clinical variables. The contribution of variation in guideline-based medical therapy to differences in mortality...