Search
Now showing items 1-20 of 82
What is the best therapy for superficial thrombophlebitis?
(Family Physicians Inquiries Network, 2004)
For proximal saphenous vein thrombosis, anticoagulation is more effective than venous ligation (with or without stripping) in preventing deep venous thrombosis (DVT) and pulmonary embolus (PE) (strength of recommendation ...
What is the best treatment for diabetic neuropathy?
(Family Physicians Inquiries Network, 2004)
Tricyclic antidepressants, anticonvulsants, and capsaicin reduce the pain of diabetic neuropathy; limited data suggests that lidocaine patches may also be efficacious. Both tricyclic antidepressants and anticonvulsants are ...
Is folate supplementation indicated for patients with CAD?
(Family Physicians Inquiries Network, 2004)
There is insufficient evidence to advocate the routine use of folate supplementation for the treatment of coronary artery disease (CAD). High levels of serum homocysteine have been associated in several studies with an ...
What is the best treatment for Osgood-Schlatter disease?
(Family Physicians Inquiries Network, 2004)
Osgood-Schlatter disease is a common cause of pain and tenderness at the tibial tuberosity in active adolescents. It is typically a self-limited condition that waxes and wanes, but which often takes months to years to ...
What is the best macrolide for atypical pneumonia?
(Family Physicians Inquiries Network, 2004)
Erythromycin, clarithromycin, and azithromycin are equally effective in treating pneumonia caused by Mycoplasma pneumoniae or Chlamydophila (formerly Chlamydia) pneumoniae (strength of recommendation [SOR]: B, small ...
Is exercise treadmill testing useful for detecting heart disease in women?
(Family Physicians Inquiries Network, 2004)
Exercise treadmill testing has a sensitivity of 70% and specificity of 61% for the detection of coronary artery disease (CAD) in women (strength of recommendation [SOR]: A, based on a meta-analysis). It is useful for ...
Is the long-term use of proton pump inhibitors safe?
(Family Physicians Inquiries Network, 2004)
Long-term use of proton pump inhibitors (PPIs) appears safe, resulting in no clinically relevant adverse effects (strength of recommendation: B, based on nonsystematic reviews, cohort studies, or low-quality randomized ...
Screening Mammography in Women 40 to 49 Years of Age
(Family Physicians Inquiries Network, 2004)
While there is strong agreement among experts and evidence in the literature to recommend that women 50 to 69 years of age undergo screening with mammography for breast cancer, the question of screening women 40 to 49 years ...
Does Screening for Tuberculosis in Children Decrease Morbidity or Mortality?
(Family Physicians Inquiries Network, 2004)
Routine screening of low-risk children for tuberculosis infection before entering kindergarten is not necessary. [Strength of recommendation: C] Targeted screening of high-risk children for tuberculosis infection using the ...
Are Selective COX-2 Inhibitors as Effective as NSAIDs in Patients with Rheumatoid Arthritis?
(Family Physicians Inquiries Network, 2004)
The efficacy of COX-2 inhibitors is similar to that of nonselective NSAIDs in reducing the symptoms of rheumatoid arthritis. [Strength of Recommendation: A]
Do vitamin C supplements reduce mortality in patients with cardiovascular disease?
(Family Physicians Inquiries Network, 2004)
Vitamin C, when taken as a dietary supplement, does not appear to reduce mortality in patients with cardiovascular disease. [Strength of recommendation: B, based on reviews of cohort studies and a single randomized controlled ...
Does Lidocaine-Prilocaine Cream (EMLA) Decrease the Pain of Neonatal Circumcision?
(Family Physicians Inquiries Network, 2004)
EMLA cream reduces the pain experienced by newborns during circumcision compared with placebo. [Strength of recommendation: A, based on a systematic review of randomized controlled trials (RCTs)]. However, dorsal penile ...
Does a Low-Sodium Diet Reduce Blood Pressure?
(Family Physicians Inquiries Network, 2004)
Reducing sodium intake does lead to a slightly lower average blood pressure. However, no evidence from controlled trials proves that reducing sodium intake decreases morbidity or mortality, or proves that modest sodium ...
What Is the Best Antiviral Agent for Influenza Infection?
(Family Physicians Inquiries Network, 2004)
Four antiviral agents have been approved by the U.S. Food and Drug Administration for the treatment of influenza infection: amantadine (Symmetrel), oseltamivir (Tamiflu), rimantadine (Flumadine), and zanamivir (Relenza). ...
Antidepressant Medications in Pregnancy
(Family Physicians Inquiries Network, 2004)
Selective serotonin reuptake inhibitors (SSRIs) are considered first-line agents for the treatment of depression in pregnant women. SSRIs and tricyclic antidepressants (TCAs) are considered safe and effective in pregnant ...
Which Patients with Atrial Fibrillation Do Not Need Anticoagulation Therapy with Warfarin?
(Family Physicians Inquiries Network, 2004)
Anticoagulation therapy with warfarin is not indicated for use in patients with non- valvular atrial fibrillation who are at low risk for embolic cerebral vascular events. The classification of "low risk for embolic stroke" ...
What Clinical Findings Can Be Used to Diagnose Deep Venous Thrombosis?
(Family Physicians Inquiries Network, 2004)
No single clinical finding can accurately diagnose DVT. [Strength of recommendation: A, based on a systematic review of homogeneous validating cohort studies with good reference standards.] However, when organized into ...
Which Antidepressant Is Best to Avoid Sexual Dysfunction?
(Family Physicians Inquiries Network, 2004)
Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual ...
Is combining ACE inhibitors and ARBs helpful or harmful?
(Family Physicians Inquiries Network, 2004)
The combination of angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) has been studied for treatment of heart failure, hypertension, and proteinuric renal disease. Combination therapy ...
Is antibiotic prophylaxis effective for recurrent acute otitis media?
(Family Physicians Inquiries Network, 2004)
For children who have recurrent episodes of clinically diagnosed acute otitis media (AOM), antibiotic prophylaxis significantly reduces recurrence, although the effect is not large (strength of recommendation: A-, based ...