Recent Submissions

  • What’s the best way to predict the success of a trial of labor after a previous C-section? 

    Warren, Johanna B.; Hamilton, Andrew (Family Physicians Inquiries Network, 2015-12)
    Q: What's the best way to predict the success of a trial of labor after a previous C-section? Evidence-based answer: while 8 scoring tools predict success rates for a trial of labor after previous cesarean section (TOLAC), ...
  • Is arthroscopic subacromial decompression effective for shoulder impingement? 

    Ashbaugh, Andrew; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2015-11)
    Q: Is arthroscopic subacromial decompression effective for shoulder impingement? Evidence-based answer: It's impossible to say for certain in the absence of randomized controlled trials. However, in patients whose impingement ...
  • Does high dietary soy intake affect a woman’s risk of primary or recurrent breast cancer? 

    Eakin, Angie; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2015-10)
    Q. Does high dietary soy intake affect a woman's risk of primary or recurrent breast cancer? Evidence-based answer: No, it doesn't affect the risk of primary breast cancer, but it does (favorably) affect the risk of cancer ...
  • How effective are opioids for chronic low back pain? 

    Freund, Jeffrey; Kraus, Connie; Hopper-Lane, Christopher (Family Physicians Inquiries Network, 2015-09)
    Q: How effective are opioids for chronic low back pain? Evidence-based answer: Short-term (<4 months) treatment with opioids provides modest relief of chronic low back pain, but only minimal improvement in function compared ...
  • Does qHPV vaccine prevent anal intraepithelial neoplasia and condylomata in men? 

    shum, Johnny; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2015-09)
    Q: Does qHPV vaccine prevent anal intraepithelial neoplasia and condylomata in men? Evidence-based answer: Yes. Quadrivalent human papillomavirus (qHPV) vaccine reduces rates of anal intraepithelial neoplasia (AIN) by 50% ...
  • Which interventions can increase breastfeeding duration? 

    Mott, Timothy; Wirtz, Mark; Nashelsky, Joan (Family Physicians Inquiries Network, 2015-09)
    Q: Which interventions can increase breastfeeding duration? Evidence-based answer: Breastfeeding support, beyond standard care, from lay people or professionals increases both short- and long-term breastfeeding duration ...
  • What’s the best test for underlying osteomyelitis in patients with diabetic foot ulcers? 

    Khodaee, Morteza; Lombardo, Daniel; Montgomery, Linda C.; Lyon, Corey; Montoya, Cathy C. (Family Physicians Inquiries Network, 2015-05)
    A: What’s the best test for underlying osteomyelitis in patients with diabetic foot ulcers? A: Magnetic resonance imaging (MRI) has a higher sensitivity and specificity (90% and 79%) than plain radiography (54% and 68%) ...
  • Do statins increase the risk of developing diabetes? 

    Parker, Kristin; Dohr, Karen; Neher, Jon O.; Kelsberg, Gary; St. Anna, Leilani (Family Physicians Inquiries Network, 2015-04)
    Q: Do statins increase the risk of developing diabetes? A: Yes. Statin therapy produces a small increase in the incidence of diabetes: one additional case per 255 patients taking statins over 4 years (strength of recommendation ...
  • What therapies alleviate symptoms of polycystic ovary syndrome? 

    Moreno, Laura; Bonnell, Ashley; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2015-04)
    Q: What therapies alleviate symptoms of polycystic ovary syndrome? A: Treatment of polycystic ovary syndrome (PCOS) in women not actively seeking to become pregnant is symptom-specific. Lifestyle modification (LSM) reduces ...
  • Does primary nocturnal enuresis affect childrens’ self-esteem? 

    Phung, Phuc; Kelsberg, Gary (Family Physicians Inquiries Network, 2015-04)
    Q: Does primary nocturnal enuresis affect childrens’ self-esteem? A: Yes. Children with primary nocturnal enuresis often, but not always, score about 10% lower on standardized rating scales for self esteem, or scores for ...
  • Are inhaled steroids effective for a postviral cough? 

    Insel, Kimberly; Lyon, Corey (Family Physicians Inquiries Network, 2015-03)
    Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don’t improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents ...
  • What is the best beta-blocker for systolic heart failure? 

    Hulkower, Stephen D.; Aiken, Benjamin A. (Family Physicians Inquiries Network, 2015-02)
    Q: What is the best beta-blocker for systolic heart failure? Evidence-based answer: Three beta-blockers—carvedilol, metoprolol succinate, and bisoprolol—reduce mortality equally (by about 30% over one year) in patients ...
  • Does topical diclofenac relieve osteoarthritis pain? 

    Hodge, Bryan; Skolnik, Deborah C. (Family Physicians Inquiries Network, 2015-02)
    Q: Does topical diclofenac relieve osteoarthritis pain? Evidence-based answer: Yes, at least in the short term. Topical diclofenac, with and without dimethyl sulfoxide (DMSO), modestly improves pain and function scores (by ...
  • Are inhaled steroids effective for a postviral cough? 

    Insel, Kimberly; Lyon, Corey (Family Physicians Inquiries Network, 2015-03)
    Q: Are inhaled steroids effective for a postviral cough? Evidence-based answer: No. Inhaled corticosteroids (ICS) don’t improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks) cough, adolescents ...
  • How well do antivirals shorten genital herpes pain duration? 

    Yip, Stephen T.; Liu, Robyn; Warrington, Thomas; Webb, Charles W. (Family Physicians Inquiries Network, 2015-03)
    Q: How well do antivirals shorten genital herpes pain duration? Evidence-based answer: Oral and intravenous (IV) acyclovir each shorten the duration of pain for a first primary outbreak of herpes by about 50%; topical ...
  • Does the presence of a trained support person during labor decrease C-section rates? 

    Baum, Alison; Crawford, Paul; Humphrey-Shelton, Maureen (Family Physicians Inquiries Network, 2015-03)
    Q: Does the presence of a trained support person during labor decrease C-section rates? Evidence-based answer: sometimes. The continuous presence of a support person during labor slightly decreases (by about 2%) the ...
  • Is red-yeast rice a safe and effective alternative to statins? 

    Chen, Hsiang-Hwa; Safranek, Sarah (Family Physicians Inquiries Network, 2015-02)
    Q: Is red-yeast rice a safe and effective alternative to statins? Evidence-based answer: Yes, but perhaps not the redyeast rice extracts available in the United States. In patients with known coronary artery disease and ...
  • Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties? 

    Cawse-Lucas, Jeanne; Waterman, Shannon; St. Anna, Leilani (Family Physicians Inquiries Network, 2015-02)
    Q: Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties? Evidence-based answer: Probably not. No evidence exists for improved latching after frenotomy, and evidence concerning improvements in ...
  • Do annual pelvic exams benefit asymptomatic women who receive regular Pap smears? 

    Gold, Erin; Guthmann, Richard A.; Plonka, Catherine (Family Physicians Inquiries Network, 2015-01)
    Q: Do annual pelvic exams benefit asymptomatic women who receive regular Pap smears? Evidence-based answer: No evidence exists to support a clinical benefit from annual pelvic examinations for asymptomatic women who receive ...