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.

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Recent Submissions

  • Does niacin decrease cardiovascular morbidity and mortality in CVD patients? 

    Lazzopina, Peter; Mounsey, Anne; Handler, Lara (2018-05)
    Q: Does niacin decrease cardiovascular morbidity and mortality in CVD patients? A: No. Niacin doesn’t reduce cardio- vascular disease (CVD) morbidity or mortality in patients with established disease (strength of ...
  • A new protocol for RhD-negative pregnant women? 

    Lyon, Corey; English, Almee (Family Physicians Inquiries Network, 2018-05)
    Can cell-free DNA testing reduce unnecessary use of anti-D immunoglobulin in RhD-negative women and still prevent harm to their RhD-positive infants? PRACTICE CHANGER: Employ cell-free DNA testing at 27 weeks’ gestation ...
  • What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events? 

    Mutter, Justin; Grandy, Rebecca; Hulkower, Stephen; Stigleman, Sue (2018-04)
    Q: What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events? A: One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years ...
  • How well do POLST forms assure that patients get the end-of-life care they requested? 

    Collier, Jordan; Kelsberg, Gary; Safranek, Sarah (2018-04)
    Q: How well do POLST forms assure that patients get the end-of-life care they requested? A: quite well, for cardiopulmonary resuscitation (CPR). Most patients (91%-100%) who select “do not resuscitate” (DNR) on their ...
  • Treating migraines : it's different for kids 

    Hawks, Matthew; Mounsey, Anne (Family Physicians Inquiries Network, 2018-04)
    Treating migraines: It’s different for kids Certain medications used for migraine prevention in adults do not perform the same way in children and adolescents and can actually cause harm. PRACTICE CHANGER: Do not prescribe ...
  • An easy approach to obtaining clean-catch urine from infants 

    Morris, Laura (Family Physicians Inquiries Network, 2018-03)
    An easy approach to obtaining clean-catch urine from infants Current collection methods leave much to be desired. But a new method may provide a quick alternative. Apply gauze soaked in cold sterile saline to the suprapubic ...
  • Does exercise relieve vasomotor menopausal symptoms? 

    Lyon, Corey; Mullen, Rebecca; Deffenbacher, Brandy; Reed, Alex; Nashelsky, Joan (2018-03)
    Q: Does exercise relieve vasomotor menopausal symptoms? A: NO. Exercise doesn’t decrease the frequency or severity of vasomotor menopausal symptoms (VMS) in perimenopausal and postmenopausal women (strength of recommendation: ...
  • How do oral NSAIDs compare to other oral analgesics right after an acute musculoskeletal injury? 

    Lyon, Corey; Piggott, Susan; Langner, Shannon; Desanto, Kristen (2018-02)
    Q: How do oral NSAIDs compare to other oral analgesics right after an acute musculoskeletal injury? A: nonsteroidal anti-inflammatory drugs(NSAIDs) are at least as effective as other oral analgesics (opioids, acetaminophen) ...
  • Is megestrol acetate safe and effective for malnourished nursing home residents? 

    Wen, Frances K.; Millar, James; Oberst-Walsh, Linda; Nashelsky, Joan (2018-02)
    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 ...
  • How do hyaluronic acid and corticosteroid injections compare for knee OA relief? 

    Lyon, Corey; Spencer, Emily; Spittler, Jack; Desanto, Kristen (2017-01)
    Q How do hyaluronic acid and corticosteroid injections compare for knee OA relief? A: Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally ...
  • Which interventions are effective in managing parental vaccine refusal? 

    Brelsford, Dan; Knutzen, Elise; Neher, Jon O.; Safranek, Sarah (2017-12)
    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 ...
  • What is the optimal frequency for dental checkups for children and adults? 

    Hahn, Thomas W.; Kraus, Connie; Hooper-Lane, Christopher (2017-11)
    Q: What is the optimal frequency for dental checkups for children and adults? A: It is unclear, but studies suggest that it should be based largely on individual risk. The American Academy of Pediatric Dentistry recommends ...
  • Are oral emergency contraceptives a safe & effective form of long-term birth control? 

    Kraus, Connie; Hooper-Lane, Christopher (2017-10)
    Q: Are oral emergency contraceptives a safe & effective form of long-term birth control? A: Yes, but not as effective as some other methods. Annual pregnancy rates in women using pericoital levonor- gestrel ...
  • Does fish oil during pregnancy help prevent asthma in kids? 

    Neutze, Dana; Evans, Kelly Lacy; Koenig, Marianne; Castelli, Gregory; Mounsey, Anne (Family Physicians Inquiries Network, 2018-02)
    Does fish oil during pregnancy help prevent asthma in kids? The evidence on fish oil has been mixed, but this study affirms its benefits—in certain women. PRACTICE CHANGER: Fish oil supplementation taken by women in the ...
  • Tamsulosin for patients with ureteral stones? 

    Hughes, Pamela; Lyon, Corey (Family Physicians Inquiries Network, 2018-01)
    Tamsulosin for patients with ureteral stones? Yes, but only for some. Find out which of your patients can benefit. PRACTICE CHANGER: Prescribe tamsulosin for stone expulsion in patients with distal ureteral stones 5 to 10 ...
  • Does azithromycin have a role in cesarean sections? 

    Castelli, Gregory; Flaherty, Allison; Jarrett, Jennie B. (Family Physicians Inquiries Network, 2017-12)
    Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: ...
  • The benefits—and limits— of PPIs with warfarin regimens 

    Ludden-Schlatter, Alicia; Stevermer, James J. (Family Physicians Inquiries Network, 2017-11)
    Patients on warfarin + antiplatelet/NSAID regimens are likely to benefit from the gastroprotective effect of PPIs. For patients taking warfarin alone, it’s a different story. PRACTICE CHANGER: Prescribe a proton pump ...
  • When to "CAP" off treatment for pneumonia 

    Castelli, Gregory; Jarrett, Jennie B. (Family Physicians Inquiries Network, 2017-10)
    Is 5 days of antibiotic therapy really sufficient for adults hospitalized with community-acquired pneumonia? PRACTICE CHANGER: Prescribe 5 days of antibiotic treatment for inpatients with community-acquired pneumonia ...
  • What is the most effective treatment for scabies? 

    Campbell, Jonathon J.; Paulson, Christopher P.; Nashelsky, Joan; Guthmann, Rick (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 

    Ricco, Jason; Benson, Janice; Prasad, Shailendra (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 ...

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