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.
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Recent Submissions
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What effects -- if any -- does marijuana use during pregnancy have on the fetus or child?
(Family Physicians Inquiries Network (FPIN), 2017)What effects -- if any -- does marijuana use during pregnancy have on the fetus or child? Evidence-based answer: The effects are unclear. Marijuana use during pregnancy is associated with clinically unimportant lower birth ... -
Do oral decongestants have a clinically significant effect on BP in patients with hypertension?
(Family Physicians Inquiries Network (FPIN), 2017)Do oral decongestants have a clinically significant effect on BP in patients with hypertension? Evidence-based answer: It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) ... -
Which combined OC to prescribe with CV safety in mind?
(Family Physicians Inquiries Network, 2017)When prescribing combined oral contraceptives, choose one containing levonorgestrel and low-dose estrogen (20 mcg) to minimize the risks of pulmonary embolism, ischemic stroke, and myocardial infarction. -
Oral agent offers relief from generalized hyperhidrosis
(Family Physicians Inquiries Network, 2017)Hyperhidrosis is a common, self-limiting problem affecting 2% to 3% of the population in the United States. Patients may complain of localized sweating of the hands, feet, face, or underarms or more systemic, generalized ... -
Consider melatonin for migraine prevention
(Family Physicians Inquiries Network, 2017)An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers. -
What is the role of helminth therapy for inflammatory bowel disease?
(2017-05)What is the role of helminth therapy for inflammatory bowel disease? Evidence-based answer: Evidence is insufficient to recommend helminth therapy for inflammatory bowel disease (IBD) (SOR: B, systematic review of 2 small ... -
What are the benefits and harms of testosterone replacement therapy (TRT) in men with low testosterone?
(2017-05)What are the benefits and harms of testosterone replacement therapy (TRT) in men with low testosterone? Evidence-based answer: In men with low testosterone and type 2 diabetes mellitus (DM2) or metabolic syndrome, TRT ... -
Does early detection of renovascular hypertension improve outcomes?
(2017-05)Does early detection of renovascular hypertension improve outcomes? Evidence-based answer: Probably not. Finding atherosclerotic renal artery stenosis (ARAS) and treating with revascularization has shown no clinically ... -
Do anabolic steroids help improve recovery from hip fractures in the elderly?
(2017-05)Do anabolic steroids help improve recovery from hip fractures in the elderly? Evidence-based answer: The anabolic steroid, nandrolone, alone or in combination with a protein supplement, improves speed of gait and quality ... -
Does intra-articular steroid injection in combination with physical therapy improve outcomes for patients with adhesive capsulitis?
(2017-05)Does intra-articular steroid injection in combination with physical therapy improve outcomes for patients with adhesive capsulitis? Evidence-based answer: Patients with adhesive capsulitis (frozen shoulder) treated with ... -
What is the best treatment for adult somatization disorder?
(2017-05)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 ... -
How accurate are physical examination findings for diagnosing disc herniation?
(2017-05)How accurate are physical examination findings for diagnosing disc herniation? Evidence-based answer: In patients with back pain and sciatica, the straight leg test has the best sensitivity (92%) for diagnosing disk ... -
Which treatment is best for hepatic encephalopathy due to end-stage liver disease?
(2017-05)Which treatment is best for hepatic encephalopathy due to end-stage liver disease? Evidence-based answer: Rifaximin is as effective as other antibiotics or oral disaccharides for improving hepatic encephalopathy with a ... -
What are the best treatments for actinic keratosis?
(2017-05)What are the best treatments for actinic keratosis? Evidence-based answer: For complete clearance of lesions, 5-fluorouracil, diclofenac, imiquimod, and ingenol mebutate are more effective than placebo. Of these agents, ... -
Is behavioral activation an effective treatment for depression?
(2017-05)Is behavioral activation an effective treatment for depression? Evidence-based answer: Behavioral activation is moderately better than no treatment or usual care and at least as effective as antidepressant medication and ... -
Is acupuncture effective for treatment of knee pain due to osteoarthritis?
(2017-05)Is acupuncture effective for treatment of knee pain due to osteoarthritis? Evidence-based answer: Acupuncture is slightly better than sham acupuncture in decreasing knee pain due to osteoarthritis (OA), but has a much ... -
Statins for primary prevention of cardiovascular (CV) events
(2017-05)Bottom line: This study supports the growing body of evidence for statins in primary prevention of CV events in white men, but provides insufficient evidence for whether this benefit extends to women or ethnically diverse ... -
Vitamin D supplementation and breastfeeding
(2017-05)Bottom line: High-dose maternal vitamin D supplementation in a breastfeeding woman can transfer enough vitamin D to the infant to sustain optimal infant vitamin D levels. Despite demonstrating a potential alternative to a ... -
Are opioid analgesics taken for more than 90 days effective for patients with chronic low back pain (CLBP)?
(2017-05)Are opioid analgesics taken for more than 90 days effective for patients with chronic low back pain (CLBP)? Bottom line: Opioid analgesics reduce pain more than placebo in patients with CLBP; however, few trials used opioids ... -
How safe and effective are aclidinium inhalers for patients with chronic obstructive pulmonary disease (COPD)?
(2017-05)How safe and effective are aclidinium inhalers for patients with chronic obstructive pulmonary disease (COPD)? Evidence-based answer: In moderate-to-severe COPD, aclidinium modestly improves quality of life and decreases ...