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

  • Should you reassess your patient’s asthma diagnosis? 

    Stevermer, James J.; Hayes, Alisa (Family Physicians Inquiries Network, 2018-11)
    Should you reassess your patient's asthma diagnosis? Asthma may not be a permanent diagnosis in adults. A study finds that up to one-third of adults with physician-diagnosed asthma no longer had it after 5 years. ...
  • Time to stop glucosamine and chondroitin for knee OA? 

    Lyon, Corey; Mullen, Rebecca; Ashby, Drew (Family Physicians Inquiries Network, 2018-09)
    Time to stop glucosamine and chondroitin for knee OA? Prior studies provided conflicting results regarding the efficacy of these medications. This study offers evidence for discontinuing them. Practice changer: Tell patients ...
  • Time to switch to nonsterile gloves for these procedures? 

    Castelli, Gregory; Friedlander, Mary Pat (Family Physicians Inquiries Network, 2018-08)
    Time to switch to nonsterile gloves for these procedures? Are sterile gloves worth the extra cost for common cutaneous surgeries? This systematic review and meta-analysis provides answers. Practice changer: Using nonsterile ...
  • First-time, mild diverticulitis: Antibiotics or watchful waiting? 

    Marshall, Bob; Prasad, Shailendra; Noel, Mary Alice; Burket, Jeffrey; Arnold, Michael; Arthur, Benjamin; Bennett, Nick; Smith, Ashley (Family Physicians Inquiries Network, 2018-07)
    First-time, mild diverticulitis: antibiotics or watchful waiting? Dn't jump to antibiotic Tx for mild, uncomplicated diverticulitis, a recent RCT says. Observation may be just as effective. Practice changer: For mild, ...
  • Let low-risk moms eat during labor? 

    Phelps, Karen; Davers, Justin; Seehusen, Dean A.; Stevermer, James J. (Family Physicians Inquiries Network, 2018-06)
    Let low-risk moms eat during labor? Allowing low-risk pregnant women to eat less restrictive diets during labor may not only make them happier, but may shorten labor, too. Practice changer: Allowing low-risk patients ...
  • What medical therapies work for gastroparesis? 

    Wells, Orion; Warcola, Ashley; Neher, Jon; Safranek, Sarah (2018-11)
    Q: What medical therapies work for gastroparesis? Evidence-based answer: It’s unclear if there are any highly effective medications for gastroparesis (TABLE1-10). Metoclopramide improves the sense of fullness by about 40% ...
  • What’s the best VTE treatment for patients with cancer? 

    Pham, Thuy; Sundquist, Hannah; Kelsberg, Gary; Safranek, Sarah (2018-10)
    Q: What’s the best VTE treatment for patients with cancer? Evidence-based answer: No. Head-to-head studies directly compare all the main treatments for venous thromboembolism (VTE) in cancer patients. Long-term treatment ...
  • How effectively do ACE inhibitors and ARBs prevent migraines? 

    Morris, Brendan; Neher, Jon; Safranek, Sarah (2018-10)
    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 ...
  • Do statins alter the risk or progression of dementia? 

    Tang, Tess; Clifton, Jospeh; Neher, Jon; Safranek, Sarah (2018-09)
    Q: Do statins alter the risk or progression of dementia? Evidence-based answer: No. Moderate-intensity statin therapy (with pravastatin or simvastatin) doesn’t prevent progression to dementia in patients at increased risk. ...
  • How often does long-term PPI therapy cause clinically significant hypomagnesemia? 

    Plaut, Timothy; Graeme, Katelyn; Stigleman, Sue; Hulkower, Stephen; Woodall, Tasha (2018-09)
    Q: How often does long-term PPI therapy cause clinically significant hypomagnesemia? EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory values to ...
  • What’s the best secondary treatment for patients who fail initial triple therapy for H pylori? 

    Jones, Leanne; Ta, Julien; Kelsberg, Gary (2018-08)
    Q: What’s the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple ...
  • Can CBT effectively treat adult insomnia disorder? 

    Fox, Steven; Nashelsky, Joan; Jack, Michael (2018-07)
    Q: Can CBT effectively treat adult insomnia disorder? Evidence-based answer: Yes. Cognitive behavioral therapy (CBT) administered individually, in a group setting, or on the internet is effective for treating insomnia in ...
  • What are the benefits/risks of giving betamethasone to women at risk of late preterm labor? 

    Dresang, Lee; Hooper-Lane, Christopher (2018-07)
    Q: What are the benefits/risks of giving betamethasone to women at risk of late preterm labor? Evidence-based answer: Giving betamethasone to women at risk for delivery between 34 weeks 0 days and 36 weeks 6 days can lower ...
  • Does prophylactic azithromycin reduce the number of COPD exacerbations or hospitalizations? 

    Lyon, Corey; Radi, Roxanne; Staff, Thomas; Nashelsky, Joan (2018-06)
    Q Does prophylactic azithromycin reduce the number of COPD exacerbations or hospitalizations? EVIDENCE-BASED ANSWER: Yes for exacerbations, no for hospitalizations. Prophylactic azithromycin reduces the number of exacerbations ...
  • How effective and safe is fecal microbial transplant in preventing C difficile recurrence? 

    Meyers, Shawn; Shin, Jessica; Neher, Jon O.; Safranek, Sarah (2018-06)
    Q: How effective and safe is fecal microbial transplant in preventing C difficile recurrence? Evidence-based answer: fecal microbial transplant (fmt) is reasonably safe and effective. In patients who have had multiple ...
  • How effective and safe is fecal microbial transplant in preventing C difficile recurrence? 

    Meyers, Shawn; Meyers, Shawn; Shih, Jessica; Neher, Jon O. (2018-06)
    Q. How effective and safe is fecal microbial transplant in preventing C difficile recurrence? Evidence-based answer: fecal microbial transplant (fmt) is reasonably safe and effective. In patients who have had multiple ...
  • Does niacin decrease cardiovascular morbidity and mortality in CVD patients? 

    Lazzopina, Peter; Mounsey, Anne; Handler, Lara (Family Physicians Inquiries Network, 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 (Family Physicians Inquiries Network, 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 (Family Physicians Inquiries Network, 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 ...

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