Search
Now showing items 21-40 of 53
Do glucosamine or chondroitin cause regeneration of cartilage in osteoarthritis?
(Family Physicians Inquiries Network, 2003)
No direct evidence suggests glucosamine or chrondroitin cause regeneration of cartilage in osteoarthritis. Use of glucosamine sulfate in knee osteoarthritis prevents joint space narrowing on radiographs (strength of ...
Does surgery for carpal tunnel syndrome improve outcomes?
(Family Physicians Inquiries Network, 2003)
Good evidence supports the use of surgery for carpal tunnel syndrome over nonsurgical therapies such as wrist splints, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, occupational therapy, local steroid ...
Does a knee brace decrease recurrent ACL injuries?
(Family Physicians Inquiries Network, 2003)
After surgical anterior cruciate ligament (ACL) reconstruction, knee bracing does not significantly protect against injury during recovery or afterwards (strength of recommendation [SOR]: C, based on expert opinion). In ...
Does a high-fiber diet prevent colon cancer in at-risk patients?
(Family Physicians Inquiries Network, 2003)
There is no direct evidence of an effect of dietary fiber on colon cancer incidence. A diet high in fiber has not been shown to be effective in the short-term (2- to 4-year) prevention of recurrent colon polyps (strength ...
Do imaging studies aid diagnosis of acute sinusitis?
(Family Physicians Inquiries Network, 2003)
Accurate diagnosis of acute sinusitis in both children and adults depends on the history and clinical examination of the patient. While the clinical signs and symptoms of acute sinusitis are often difficult to distinguish ...
Do statins cause myopathy?
(Family Physicians Inquiries Network, 2003)
If statins (HMG-CoA reductase inhibitors) cause myopathy, the risk is very low (strength of recommendation [SOR]: A). There is no direct evidence to answer this question. A pooled analysis of randomized controlled trials ...
Do systemic corticosteroids lessen symptoms in acute exacerbations of COPD?
(Family Physicians Inquiries Network, 2003)
Systemic corticosteroids improve measures of dyspnea in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) (strength of recommendation [SOR]: A, meta-analysis of 2 small randomized controlled ...
How effective is desmopressin for primary nocturnal enuresis?
(Family Physicians Inquiries Network, 2003)
Desmopressin reduces the number of nights of primary noctural enuresis by at least 1 per week, and increases the likelihood of "cure" (defined as 14 consecutive dry nights) while treatment is continued (number needed to ...
Heat or ice for acute ankle sprain?
(Family Physicians Inquiries Network, 2003)
For grade 3 and 4 ankle sprains, ice works better than heat to speed recovery (return to play) (strength of recommendation [SOR]: B, based on a single retrospective cohort study). No studies support faster return to play ...
How accurate is the clinical diagnosis of pneumonia?
(Family Physicians Inquiries Network, 2003)
No element or combination of elements from the clinical history and physical examination are sufficiently sensitive or specific to confirm or exclude acute community-acquired pneumonia (CAP). A chest x-ray is recommended ...
Do nasal decongestants relieve symptoms?
(Family Physicians Inquiries Network, 2003)
Oral and topical nasal decongestants result in a statistically significant improvement in subjective symptoms of nasal congestion and objective nasal airway resistance in adults' common colds (strength of recommendation ...
Is screening for lead poisoning justified?
(Family Physicians Inquiries Network, 2003)
Evidence is insufficient to recommend for or against universal screening of young children for lead poisoning in high- prevalence communities (strength of recommendation [SOR]: C). In low-prevalence communities, evidence ...
Should we screen for ovarian cancer?
(Family Physicians Inquiries Network, 2003)
Ovarian cancer screening using pelvic examination, CA-125 serum tumor marker, transvaginal ultrasound (TVU), or any combination of tests is not recommended in average-risk women, or in women with only 1 first-degree relative ...
Should jaundiced infants be breastfed?
(Family Physicians Inquiries Network, 2003)
No studies have demonstrated that cessation of breastfeeding in jaundiced infants improves clinical outcomes, although this has only been studied in term infants. Temporarily disrupting or supplementing breastfeeding in ...
Is pneumococcal vaccine effective in nursing home patients?
(Family Physicians Inquiries Network, 2003)
Evidence from clinical trials supports the use of pneumococcal polysaccharide vaccine for prevention of pneumonia in nursing home patients (strength of recommendation: B, based on randomized, nonblinded clinical trials). ...
Is screening urinalysis in children worthwhile?
(Family Physicians Inquiries Network, 2003)
Screening urinalysis in asymptomatic children has not been shown to be beneficial (strength of recommendation: B; based on extrapolation from 1 meta-analysis). It is unlikely to be cost-effective and should be discontinued. ...
Does daily monitoring of blood glucose predict hemoglobin A1c levels?
(Family Physicians Inquiries Network, 2003)
Hemoglobin A1c (HbA1c) levels correlate closely, though not perfectly, with blood glucose levels in patients with diabetes (strength of recommendation [SOR]: A, based on systematic reviews). Correlation is higher for blood ...
Does glucosamine relieve arthritis joint pain?
(Family Physicians Inquiries Network, 2003)
Glucosamine may provide some pain relief. Studies have shown varied results, ranging from glucosamine being superior or equivalent to other agents, to no difference between glucosamine and placebo. However, most of these ...
Do calcium supplements prevent postmenopausal osteoporotic fractures?
(Family Physicians Inquiries Network, 2003)
Calcium supplementation (1000-1200 mg daily) decreases menopause-related bone loss and reduces the rate of vertebral and non- vertebral fractures. Calcium is more efficacious in conjunction with vitamin D (700-800 IU daily), ...
Does breastfeeding protect against viral GI infections in children <2 years old?
(Family Physicians Inquiries Network, 2003)
While breastfeeding protects against all-cause diarrhea in infants (strength of recommendation [SOR]: B, based on cohort studies and 1 randomized controlled trial), no evidence shows that breastfeeding confers specific ...