Now showing items 1-20 of 45

  • Thiazolidinedione Therapy for Managing Metabolic Syndrome 

    Geurin, Michael D.; St. Anna, Leilani (Family Physicians Inquiries Network, 2010)
    There is no patient-oriented evidence supporting the use of TZD therapy in patients in the general population who have metabolic syndrome. Rosiglitazone (Avandia) use decreases cardiovascular morbidity and mortality in ...
  • Sunscreen Use for Skin Cancer Prevention 

    Bouknight, Patricia; Bowling, Andrew; Kovach, Fran E. (Family Physicians Inquiries Network, 2010)
    Daily sunscreen use reduces the incidence of squamous cell carcinoma but not the incidence of basal cell carcinoma. (Strength of Recommendation [SOR]: B, based on a single randomized controlled trial with less than 13 years ...
  • Management of Alcohol Withdrawal Syndrome 

    Ricks, Janet; Replogle, William H.; Cook, Nakia Joyce (Family Physicians Inquiries Network, 2010)
    AWS may be managed with outpatient therapy if the patient has mild to moderate symptoms. (Strength of Recommendation [SOR]: B, based on one randomized, prospective trial). The Clinical Institute Withdrawal Assessment Scale ...
  • Combination Therapy for Postmenopausal Osteoporosis 

    Tagliarino, Heather; Howard, Ellen (Family Physicians Inquiries Network, 2010)
    There is insufficient evidence to recommend combination therapy for the routine management of postmenopausal osteoporosis. (Strength of Recommendation [SOR]: C, based on expert opinion). Combination therapy with parathyroid ...
  • When should you treat tongue-tie in a newborn? 

    Cho, Anthony; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2010)
    Consider treatment when the infant is having difficulty breastfeeding. Infants with mild to moderate tongue-tie, or ankyloglossia, are likely to breastfeed successfully and usually require no treatment (strength of ...
  • How does electronic fetal heart rate monitoring affect labor and delivery outcomes? 

    Barstow, Craig; Gauer, Robert; Jamieson, Barbara (Family Physicians Inquiries Network, 2010)
    Continuous electronic fetal monitoring (EFM) reduces the risk of neonatal seizure by 50% compared with intermittent auscultation (IA) (strength of recommendation [SOR]: A, systematic review of randomized controlled trials ...
  • Which patients benefit from lowering LDL to <100 mg/dL? 

    Evensen, Ann E.; Elliott, Marguerite; Hooper-Lane, Christopher (Family Physicians Inquiries Network, 2010)
    Patients who have coronary heart disease (CHD) or are at high risk for CHD should aim for a low-density lipoprotein (LDL) target of <100 mg/dL. An LDL target of <70 mg/dL is an option for very-high-risk patients (strength ...
  • How should we monitor men receiving testosterone replacement therapy? 

    Alsina, Manuel; St. Anna, Leilani (Family Physicians Inquiries Network, 2010)
    Monitor hematocrit and bone mineral density (BMD) (strength of recommendation [SOR]: B, meta-analysis of non−patient-oriented outcomes). Monitoring prostate-specific antigen (PSA), performing prostate digital rectal ...
  • Do intra-articular steroid injections affect glycemic control in patients with diabetes? 

    Kallock, Erin; Neher, Jon O.; St. Anna, Leilani (Family Physicians Inquiries Network, 2010)
    A single intra-articular steroid injection into the knee produces acute hyperglycemia for 2 or 3 days in patients with diabetes who otherwise have good glucose control (strength of recommendation [SOR]: B, small cohort ...
  • How should you treat the newly diagnosed hypertensive patient? 

    Debrino, Gary; Grover, Michael; Nichols, William (Family Physicians Inquiries Network, 2010)
    All hypertensive patients can potentially benefit from lifestyle interventions, including weight reduction, aerobic physical activity, the dietary approaches to stop hypertension (DASH) diet, and moderation of alcohol use ...
  • Does DTC advertising affect physician prescribing habits? 

    Koch-Laking, Amber; Park, Michael K.; Tweed, Elizabeth M. (Family Physicians Inquiries Network, 2010)
    Direct-to-consumer advertising (DTCA) is associated with both higher fidelity to minimum treatment recommendations for depression and higher prescribing levels of antidepressants for depression and adjustment disorder ...
  • Which drugs are best when aggressive Alzheimer's patients need medication? 

    Mohundro, Brice L.; Pope, Karla; Shaw, Vincent; Hitchcock, Kristin (Family Physicians Inquiries Network, 2010)
    Atypical antipsychotics are an effective short-term (6-12 weeks) treatment for aggressive behavior in patients with Alzheimer's disease because they consistently decrease aggression scores (strength of recommendation [SOR]: ...
  • Does office spirometry improve quit rates in smokers? 

    Spata, Jennifer; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2010)
    Simply performing spirometry and offering cessation advice doesn't improve quit rates in patients who smoke (strength of recommendation [SOR]: A, systematic review of randomized controlled trials [RCTs]). However, when the ...
  • What is the best noninvasive diagnostic test for women with suspected CAD? 

    Starr, Hillary; Powers, Laurel; Safranek, Sarah (Family Physicians Inquiries Network, 2010)
    Multidetector computed tomography (MDCT) may be the most sensitive and specific noninvasive diagnostic test for women with suspected coronary artery disease (CAD) (strength of recommendation [SOR]: A, multiple prospective ...
  • How can we keep impaired glucose tolerance and impaired fasting glucose from progressing to diabetes? 

    Swanson, Ana; Watrin, Kerry; Wilder, Laura (Family Physicians Inquiries Network, 2010)
    Lifestyle interventions aimed at weight loss of 5% to 10% of body weight along with moderate aerobic exercise such as brisk walking for 150 minutes a week are the most effective means to prevent impaired fasting glucose ...
  • Does exercise alleviate symptoms of depression? 

    Gill, Alan; Womack, Rosalind; Safranek, Sarah (Family Physicians Inquiries Network, 2010)
    Exercise reduces patient-perceived symptoms of depression when used as monotherapy (strength of recommendation [SOR]: B, meta-analysis of randomized controlled trials [RCTs] with significant heterogeneity). It relieves ...
  • Which drugs should post-MI patients routinely receive? 

    Lin, Victor; Holman, John R.; Jamieson, Barbara (Family Physicians Inquiries Network, 2010)
    patients should be placed on the following medications: antiplatelet agents (strength of recommendation [SOR]: A, meta-analysis for aspirin; A, multiple randomized controlled trials [RCTs] for aspirin plus clopidogrel) a ...
  • What's the best way to manage upper extremity venous thrombosis? 

    Rabens, Clayton; Goodemote, Patricia; Jamieson, Barbara (Family Physicians Inquiries Network, 2010)
    Standard management is best: Start with unfractionated heparin or low-molecular-weight heparin and follow with long-term therapy with a vitamin K antagonist (strength of recommendation [SOR]: C, expert consensus and case ...
  • Which women should we screen for gestational diabetes mellitus? 

    Namak, Shahla; Lord, Richard W., Jr.; Zolotor, Adam J.; Kramer, Rochelle (Family Physicians Inquiries Network, 2010)
    It's unclear which women we should screen. No randomized controlled trials (RCTs) demonstrate that either universal screening or risk factor screening for gestational diabetes mellitus (GDM) prevents maternal and fetal ...
  • What is the most effective way to relieve symptoms of acute stress disorder? 

    Scott, James M., III; Nipper, Neil; Smith, Rita (Family Physicians Inquiries Network, 2010)
    Cognitive behavioral therapy (CBT) that emphasizes exposure-based treatment is the most effective intervention for adults with acute stress disorder (ASD) (strength of recommendation [SOR]: B, meta-analysis of limited-quality ...