RSS 1.0Family Physicians Inquiries Network (MU)
The Family Physicians Inquiries Network is a community of inclusion that is committed to engaging every organization and individual who wishes to join us in revolutionizing primary care practice. The primary focus of the network is developing valuable benefits for family medicine departments, family practice residency programs and medical librarians/health sciences libraries.
Items in MOspace are protected by copyright, with all rights reserved, unless otherwise indicated.
Sub-communities within this community
Recent Submissions
-
What is the most effective treatment for scabies?
(Family Physicians Inquiries Network (FPIN), 2017-08)Q: What is the most effective treatment for scabies? Evidence-based answer: Topical permethrin is the most effective treatment for classic scabies (strength of recommendation [SOR]: A, meta-analyses with consistent results). ... -
SSRIs for depression/heart failure patients? Not so fast
(Family Physicians Inquiries Network, 2017-09)This study should put to rest the practice of starting SSRIs in depressed patients with heart failure in an attempt to affect CVD outcomes. PRACTICE CHANGER: Do not prescribe selective serotonin reuptake inhibitors to ... -
Direct oral anticoagulants or warfarin for A fib?
(Family Physicians Inquiries Network, 2017-08)A recent study evaluated the effectiveness of 3 direct oral anticoagulants and warfarin in patients with atrial fibrillation. So which agents came out on top? PRACTICE CHANGER: Use direct oral anticoagulants instead of ... -
Which infants need lumbar puncture (LP) for suspected serious bacterial infection?
(Family Physicians Inquiries Network, 2017-07)Which infants need lumbar puncture (LP) for suspected serious bacterial infection? Evidence-based answer: The evidence is unclear. Comparison of the Boston, Philadelphia, Milwaukee, and Rochester protocols for serious ... -
Low-dose vitamin K reduces INR excursions, but may not improve outcomes
(Family Physicians Inquiries Network, 2017-07)Bottom line: Low-dose vitamin K reduces INR excursions, but does not improve time in therapeutic range. This study did not have an adequate sample size to establish whether clinically meaningful outcomes would be affected, ... -
Depressed patients with heart failure may not improve with escitalopram
(Family Physicians Inquiries Network, 2017-07)Bottom line: Escitalopram does not decrease mortality, rehospitalization rates, or depression symptoms among depressed patients with heart failure. This conclusion may not apply to all depressed patients and the study ... -
In adults with patent foramen ovale (PFO) who have had a stroke, is transcatheter closure of the PFO better than medical therapy for secondary stroke prevention?
(Family Physicians Inquiries Network, 2017-07)In adults with patent foramen ovale (PFO) who have had a stroke, is transcatheter closure of the PFO better than medical therapy for secondary stroke prevention? Evidence-based answer: Transcatheter device closure (TDC) ... -
What is the best treatment for adult somatization disorder?
(Family Physicians Inquiries Network, 2017-07)What is the best treatment for adult somatization disorder? Evidence-based answer: Psychological therapies, cognitive behavioral therapy (CBT), and enhanced care by the primary care physician (PCP) all have small positive ... -
Is vitamin D effective in preventing stress fractures?
(Family Physicians Inquiries Network, 2017-07)Is vitamin D effective in preventing stress fractures? Evidence-based answer: Vitamin D supplementation with calcium likely reduces the risk of stress fractures by 20% in female military recruits (SOR: B, single RCT). There ... -
In pediatric patients on antibiotic therapy, do probiotics prevent antibiotic-associated diarrhea?
(Family Physicians Inquiries Network, 2017-07)In pediatric patients on antibiotic therapy, do probiotics prevent antibiotic-associated diarrhea? Evidence-based answer: Yes, co-administering probiotics at high doses with antibiotics in children younger than 18 years ... -
Is the Edinburgh Postnatal Depression Scale an effective way to screen for postpartum depression?
(Family Physicians Inquiries Network, 2017-07)Is the Edinburgh Postnatal Depression Scale an effective way to screen for postpartum depression? Evidence-based answer: In some settings. The Edinburgh Postnatal Depression Scale (EPDS) screens for postpartum depression ... -
Do you need to monitor liver function tests in patients taking statins for hypercholesterolemia?
(Family Physicians Inquiries Network, 2017-07)Do you need to monitor liver function tests in patients taking statins for hypercholesterolemia? Evidence-based answer: No, at least not in patients with a baseline aspartate aminotransferase (AST) and alanine aminotransferase ... -
What is the risk of esophageal adenocarcinoma in patients with Barrett's esophagus?
(Family Physicians Inquiries Network, 2017-07)What is the risk of esophageal adenocarcinoma in patients with Barrett's esophagus? Evidence-based answer: The risk of esophageal adenocarcinoma (EAC) in patients with Barrett's esophagus (BE) is estimated to be 0.12% to ... -
In a patient with postdates gestation, when should fetal surveillance be initiated?
(Family Physicians Inquiries Network, 2017-07)In a patient with postdates gestation, when should fetal surveillance be initiated? Evidence-based answer: Oligohydramnios in uncomplicated pregnancies after 39 plus 6 weeks' gestation predicts an increased risk of adverse ... -
Is high-dose influenza vaccine more effective than standard-dose influenza vaccine in elderly patients?
(Family Physicians Inquiries Network, 2017-07)Is high-dose influenza vaccine more effective than standard-dose influenza vaccine in elderly patients? Evidence-based answer: Yes. High-dose influenza vaccine reduces laboratoryconfirmed influenza by 24% more than ... -
In patients with irritable bowel syndrome, does a diet low in FODMAPs reduce gastrointestinal symptoms?
(Family Physicians Inquiries Network, 2017-07)In patients with irritable bowel syndrome, does a diet low in FODMAPs reduce gastrointestinal symptoms? Evidence-based answer: A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) ... -
For women of average risk, what are the best tests to screen for Down syndrome in the first trimester?
(Family Physicians Inquiries Network, 2017-07)For women of average risk, what are the best tests to screen for Down syndrome in the first trimester? Evidence-based answer: In average-risk women, the most accurate combination of traditional tests for first-trimester ... -
What is the most appropriate treatment for asymptomatic bacteriuria in pregnancy?
(Family Physicians Inquiries Network, 2017-07)What is the most appropriate treatment for asymptomatic bacteriuria in pregnancy? Bottom line: The answer is unclear. Seven days of nitrofurantoin was better than a single day of nitrofurantoin, but no difference was found ... -
What is the best imaging test for patients with suspected scaphoid fractures and normal plain radiographs?
(Family Physicians Inquiries Network, 2017-07)What is the best imaging test for patients with suspected scaphoid fractures and normal plain radiographs? Evidence-based answer: For a patient with a suspected scaphoid fracture but normal plain radiographs, computed ... -
What is the best management of ovarian failure in women with Turner syndrome?
(Family Physicians Inquiries Network, 2017-07)What is the best management of ovarian failure in women with Turner syndrome? Evidence-based answer: Parenteral estrogen starting at age 12 is associated with about 6 cm more growth than oral estrogen (SOR: B, cohort study). ...