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Which interventions are effective in managing parental vaccine refusal?
(Family Physicians Inquiries Network, 2017)
Q: Which interventions are effective in managing parental vaccine refusal? A: it's unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for ...
Is megestrol acetate safe and effective for malnourished nursing home residents?
(Family Physicians Inquiries Network, 2018)
Q: Is megestrol acetate safe and effective for malnourished nursing home residents? A: no. Megestrol acetate (MA) is neither safe nor effective for stimulating appetite in malnourished nursing home residents. It increases ...
Monitoring home BP readings just got easier
(Family Physicians Inquiries Network, 2016)
Monitoring home BP readings just got easier. This novel method of identifying patients with uncontrolled hypertension correlates well with ambulatory BP monitoring. Practice changer: Use this easy "3 out of 10 rule" to ...
When can exercise supplant surgery for degenerative meniscal tears?
(Family Physicians Inquiries Network, 2017)
When can exercise supplant surgery for degenerative meniscal tears? PRACTICE CHANGER: Recommend supervised exercise therapy to your patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis ...
Do ACE inhibitors or ARBs help prevent kidney disease in patients with diabetes and normal BP?
(Family Physicians Inquiries Network, 2017)
Q: Do ACE inhibitors or ARBs help prevent kidney disease in patients with diabetes and normal BP? Evidence-based answer: Yes for angiotensin-converting enzyme (ACE) inhibitors, no for angiotensin receptor blockers (ARBs). ...
Which patients with metabolic syndrome benefit from metformin?
(Family Physicians Inquiries Network, 2016)
Q Which patients with metabolic syndrome benefit from metformin? Evidence-based answer: Patients at highest risk for progression to diabetes benefit from metformin. In patients with metabolic syndrome who are in the ...
How do clinical prediction rules compare with joint fluid analysis in diagnosing gout?
(Family Physicians Inquiries Network, 2016)
Q: How do clinical prediction rules compare with joint fluid analysis in diagnosing gout? Evidence-based answer: Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of ...
Which SSRIs most effectively treat depression in adolescents?
(Family Physicians Inquiries Network, 2016)
Q: Which SSRIs most effectively treat depression in adolescents? Evidence-based answer: We don' t know which selective serotonin reuptake inhibitors (SSRIs) are the most effective and safe because no studies have compared ...
NPH insulin : It remains a good option
(Family Physicians Inquiries Network, 2005)
NPH insulin: It remains a good option. NPH insulin holds its own against basal insulin analogs - and it's cheaper. PRACTICE CHANGER: Consider NPH insulin for patients who require initiation of long-acting insulin therapy ...
A better approach to preventing active TB?
(Family Physicians Inquiries Network, 2020)
A better approach to preventing active TB? Nine months of isoniazid prevents active TB in those with latent disease. But is there a shorter, less toxic option? PRACTICE CHANGER: Use 4 months of rifampin instead of 9 months ...
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 ...
Does withholding an ACE inhibitor or ARB before surgery improve outcomes?
(Family Physicians Inquiries Network, 2019)
Q: Does withholding an ACE inhibitor or ARB before surgery improve outcomes? EVIDENCE-BASED ANSWER: A GUARDED YES, because the evidence of benefit is from observational studies and applies to noncardiac surgery. Withholding ...
Does vitamin D supplementation reduce asthma exacerbations?
(Family Physicians Inquiries Network, 2020)
Q: Does vitamin D supplementation reduce asthma exacerbations? Evidence-based answer: YES, to some extent it does, and primarily in patients with low vitamin D levels. Supplementation reduces asthma exacerbations requiring ...
Do prophylactic antipyretics reduce vaccination-associated symptoms in children?
(Family Physicians Inquiries Network, 2020)
Q: Do prophylactic antipyretics reduce vaccination-associated symptoms in children? Yes for acetaminophen, not so much for ibuprofen. Prophylactic acetaminophen reduces the odds of febrile reactions in the first 48 hours ...
Time to conception after miscarriage : how long to wait?
(Family Physicians Inquiries Network, 2019)
Q: Time to conception after miscarriage: how long to wait? Evidence-based answer: an interpregnancy interval (IPI) of < 6 months following miscarriage is associated with an increased live birth rate in subsequent pregnancy, ...
How old is too old for statins?
(Family Physicians Inquiries Network, 2020)
How old is too old for statins? When to start, continue, or stop statins in those ages [greater than or equal to] 75 years has been a quandary. Here 's why 2 studies have to say. PRACTICE CHANGER: Do you start a statin in ...
Which medications work best for menorrhagia?
(Family Physicians Inquiries Network, 2020)
Q: Which medications work best for menorrhagia? Evidence-based answer: Four medications have been shown to reduce menstrual blood loss (MBL) significantly in placebo-controlled randomized controlled trials (RCTs): the ...
Ruling out PE in pregnancy
(Family Physicians Inquiries Network, 2020)
Can clinical probability and a high-sensitivity D-dimer test reliably and safely rule out pulmonary embolism during pregnancy? PRACTICE CHANGER: Use a clinical probability score to identify patients at low or intermediate ...
Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy?
(Family Physicians Inquiries Network, 2020)
Q: Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy? Evidence-based answer: Probably not, unless the child has severe eczema or egg allergy. In a general pediatric population, ...
What is the best treatment for wrist ganglion cysts?
(Family Physicians Inquiries Network, 2020)
Q: What is the best treatment for wrist ganglion cysts? Evidence-based answer: Open surgical excision of wrist ganglion cysts is associated with a lower recurrence rate than aspiration with or without corticosteroid injection ...