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

  • Monotherapy for nonvalvular A-fib with stable CAD? 

    Garigan, Thomas P.; Earwood, John S.; Poplawski, Michal (Family Physicians Inquiries Network, 2021-10)
    Monotherapy for nonvalvular A-fib with stable CAD? A meta-analysis found oral anticoagulant (OAC) monotherapy provided efficacy comparable to OAC plus single antiplatelet therapy—with lower bleeding risk. PRACTICE CHANGER: ...
  • Skip that repeat DXA scan in these postmenopausal women 

    Zweid, Alexander; Tunink, Carl; Morria, Laura (Family Physicians Inquiries Network, 2021-12)
    Skip that repeat DXA scan in these postmenopausal women. Repeat bone density measurement offers no advantage in predicting fracture risk in postmenopausal women who do not have osteoporosis. PRACTICE CHANGER: Do not routinely ...
  • Validated scoring system identifies low-risk syncope patients 

    Lewton, Amanda Kay; Morris, Laura Elizabeth (Family Physicians Inquiries Network, 2021-11)
    Validated scoring system identifies low-risk syncope patients, This study validated the Canadian Syncope Risk Score for predicting 30-day serious outcomes in patients presenting to the ED within 24 hours of syncope. PRACTICE ...
  • Q Which injections are effective for lateral epicondylitis? 

    Vukelic, Brian; Abbey, Rebecca; Knox, Jordan; Migdalski, Alyssa (2021-11)
    Evidence-based answer: placebo injections actually improve lateral epicondylitis at high rates. No other injections convincingly improve it better than placebo. Corticosteroid injection is not superior to saline or anesthetic ...
  • Q Does inadequate sleep increase obesity risk in children? 

    Herzog, Daniela; Thai, Kristin; Neher, Jon O.; Auten, Beth (2021-12)
    Evidence-based answer: Yes, a link has been established but not a cause-effect relationship. Shorter reported sleep duration in childhood is associated with an increased risk of overweight or obesity years later (strength ...
  • Q Is exercise therapy effective treatment for low back pain? 

    Broszko, Christine; Golden, Krystyna; Holmes, Cody R.; Fulleborn, Stephanie; Biglow, Carolyn (2021-11)
    Evidence-based answer: Yes, it is somewhat effective. Exercise therapy—including general exercise, yoga, Pilates, and motor control exercise—has been shown to modestly decrease pain in chronic low back pain (LBP); levels ...
  • Q Do carotid artery calcifications seen on radiographs predict stenosis in asymptomatic adults? 

    Cowdrey, Diana; Hanh, Thomas; Vellardita, Lia (Family Physicians Inquiries Network, 2021-09)
    Evidence-based answer: not very well. In asymptomatic patients, carotid artery calcification seen on radiograph has a positive predictive value of 70% and a negative predictive value of 75% for carotid artery stenosis ...
  • Updated USPSTF screening guidelines may reduce lung cancer deaths 

    Marshall, Robert C.; Tiglao, Samuel Miguel; Thiel, Derrick (Family Physicians Inquiries Network, 2021-09)
    Updated USPSTF screening guidelines may reduce lung cancer deaths. By nearly doubling the number of patients eligible for screening, as many as 60,000 US lives may be saved—but concerns may limit acceptance. PRACTICE ...
  • Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? 

    Koenigsberger, Debra; Marquez, Alexander; Hughes, Pamela R. (Family Physicians Inquiries Network, 2021-07)
    Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? An RCT demonstrates that dapagliflozin produces better cardiovascular outcomes than placebo for heart failure patients with and without diabetes. ...
  • This is not the time to modify a HTN regimen 

    Grubbs, Calvin; Morris, Laura (Family Physicians Inquiries Network, 2021-07)
    This is not the time to modify a HTN regimen. Intensifying hypertension regimens at discharge increases risk in older patients. PRACTICE CHANGER: Avoid intensifying antihypertensive medication regimens at hospital discharge ...
  • Q: Can family physicians accurately screen for AAA with point-of-care ultrasound? 

    Cade, Nathan; Granath, Brad; Nehr, Jon O.; Sarfranek, Sarah (Family Physicians Inquiries Network, 7/8/2021)
    Evidence-based answer: LIKELY YES. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists ...
  • Q: Is event-driven PrEP dosing for HIV as effective as daily dosing? 

    Olsen, Tory; Lally-Montgomery, Zachary; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2021-06)
    Evidence based answer: PROBABLY, although there are no head-to-head trials comparing the 2 dosing regimens. Event-driven pre-exposure prophylaxis (PrEP) dosing reduces HIV conversion by 86% compared to placebo (strength ...
  • Antibiotics and COPD : time to ordr a C-reactive protein test? 

    Piggott, Cleveland; Lyon, Corey (Family Physicians Inquiries Network, 2021-06)
    Antibiotics and COPD: Time to order a C-reactive protein test? This RCT provided valuable insights as to whether CRP-guided prescribing could safely reduce antibiotic use during acute COPD exacerbations. PRACTICE CHANGER: ...
  • Q: Is NPH associated with fewer adverse events than analog basal insulin for adults with T2D? 

    Lyon, Corey; Iruku, Swetha; Hoss, Molly; DeSanto, Kristen (Family Physicians Inquiries Network, 2021-05)
    Evidence based answer: NO. Insulin glargine may lead to less patient-reported, symptomatic, and nocturnal hypoglycemia, although overall, there may not be a difference in the risk for severe hypoglycemia or hypoglycemia-related ...
  • Q: Is ketamine effective and safe for treatment-resistant depression? 

    Zorn, Amanda; Linn, Sean; Jenkinson, Mat; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2021-04)
    Evidence-based answer: Maybe, but it’s too soon to tell. There is limited evidence that ketamine by itself is effective in the very short term. Single-dose intravenous (IV) ketamine is more likely than placebo (odds ratio ...
  • Confidently rule out CAP in the outpatient setting 

    Mott, Timothy; Echeverri, David; Fondren, Luke; Hunter, Ashley (Family Physicians Inquiries Network, 2021)
    Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out ...
  • Automated office BP measurement : the new standard in HTN screening 

    Tiglao, Samuel Miguel; Meisenheimer, Erica S.; Marshall, Robert C. (Family Physicians Inquiries Network, 2021)
    Automated office BP measurement: The new standard in HTN screening. Obtain greater accuracy in blood pressure measurement with an automated office device. PRACTICE CHANGER: Measure patients' blood pressure (BP) using an ...
  • Which detoxification regimens are effective for alcohol withdrawal syndrome? 

    Caspar, Rachel; Fortenberry, Katherine; Leiser, Jennifer; Ose, Dominik; Nashelsky, Joan (Family Physicians Inquiries Network, 2021)
    Q: Which detoxification regimens are effective for alcohol withdrawal syndrom? Evidence based answer: Benzodiazepines remain the first-line regimen for alcohol withdrawal syndrome (AWS) and are the only class more effective ...
  • Is metformin effective for reducing weight in obese or overweight adolescents? 

    Anderson, Kirsten; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2021)
    Q: Is metformin effective for reducing weight in obese or overweight adolescents? Evidence based answer: Yes, to some degree—but it is of uncertain clinical significance. Over a period of 6 months, metformin modestly reduced ...
  • An alternative regimen to reduce risk of asthma exacerbations 

    Shelesky, Gretchen; Castelli, Gregory (Family Physicians Inquiries Network, 2021)
    An alternative regimen to reduce risk of asthma exacerbations This study supports the use of an ICS/LABA as needed for adults with intermittent, mild persistent, and moderate persistent asthma. Practice changer: PRACTICE ...

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