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Annual zoledronic acid infusion lowers risk of fracture, death
(Family Physicians Inquiries Network, 2007)
Patients with a prior hip fracture have 2.5 times the risk of a new fracture compared to age-matched persons without a previous hip fracture. For patients with a recent hip fracture, intravenous zoledronic acid annually ...
Vertebroplasty for osteoporotic fracture? Think twice
(Family Physicians Inquiries Network, 2009)
Think twice before recommending vertebroplasty (VP) for symptomatic osteoporotic compression fractures. New studies suggest that it has little benefit; thus, VP should be considered only after other, more conservative ...
Glucose control: How low should you go with the critically ill?
(Family Physicians Inquiries Network, 2009)
For hyperglycemic patients admitted to an intensive care unit (ICU), the target blood glucose level should be [less than or equal to] 180 mg/dL, not 81 to 108 mg/dL. More aggressive glucose lowering is associated with a ...
Ovary-sparing hysterectomy: Is it right for your patient?
(Family Physicians Inquiries Network, 2009)
Advise patients undergoing hysterectomy for benign conditions that there are benefits to conserving their ovaries. The risk of coronary heart disease (CHD) and death is lower in women whose ovaries are conserved, compared ...
Bisphosphonate therapy: When not to monitor BMD
(Family Physicians Inquiries Network, 2009)
After starting patients on bisphosphonates for osteoporosis, wait at least 3 years before ordering a repeat dual-energy x-ray absorptiometry (DXA) scan. Stength of recommendation: C: Based on a secondary analysis of a large ...
This antiemetic may help kids skip that trip to the hospital
(Family Physicians Inquiries Network, 2009)
Give oral ondansetron to children with acute gastroenteritis and moderate dehydration who are unable to tolerate oral rehydration to reduce the vomiting and avoid the need for intravenous (IV) hydration or hospitalization. ...
Monitoring home BP readings just got easier
(Family Physicians Inquiries Network, 2016)
Monitoring home BP readings just got easier. This novel method of identifying patients with uncontrolled hypertension correlates well with ambulatory BP monitoring. Practice changer: Use this easy "3 out of 10 rule" to ...
When can exercise supplant surgery for degenerative meniscal tears?
(Family Physicians Inquiries Network, 2017)
When can exercise supplant surgery for degenerative meniscal tears? PRACTICE CHANGER: Recommend supervised exercise therapy to your patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis ...
NPH insulin : It remains a good option
(Family Physicians Inquiries Network, 2005)
NPH insulin: It remains a good option. NPH insulin holds its own against basal insulin analogs - and it's cheaper. PRACTICE CHANGER: Consider NPH insulin for patients who require initiation of long-acting insulin therapy ...
A better approach to preventing active TB?
(Family Physicians Inquiries Network, 2020)
A better approach to preventing active TB? Nine months of isoniazid prevents active TB in those with latent disease. But is there a shorter, less toxic option? PRACTICE CHANGER: Use 4 months of rifampin instead of 9 months ...
Do probiotics reduce C diff risk in hospitalized patients?
(Family Physicians Inquiries Network, 2019)
Do probiotics reduce C diff risk in hospitalized patients? A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. Practice changer: Start ...
How old is too old for statins?
(Family Physicians Inquiries Network, 2020)
How old is too old for statins? When to start, continue, or stop statins in those ages [greater than or equal to] 75 years has been a quandary. Here 's why 2 studies have to say. PRACTICE CHANGER: Do you start a statin in ...
Ruling out PE in pregnancy
(Family Physicians Inquiries Network, 2020)
Can clinical probability and a high-sensitivity D-dimer test reliably and safely rule out pulmonary embolism during pregnancy? PRACTICE CHANGER: Use a clinical probability score to identify patients at low or intermediate ...
How do these 3 diabetes agents compare in reducing mortality?
(Family Physicians Inquiries Network, 2019)
How do these 3 diabetes agents compare in reducing mortality? A meta-analysis reveals that there may be advantages associated with SGLT-2 inhibitors and GLP-1 agonists that are not associated with DPP-4 inhibitors. PRACTICE ...
Can sleep apnea be accurately diagnosed at home?
(Family Physicians Inquiries Network, 2019)
Can sleep apnea be accurately diagnosed at home? A recent study says Yes, and that it offers advantages: it can be scheduled faster, is less expensive, and is more acceptable to many patients than lab testing. PRACTICE ...
Early pregnancy loss : pretreat with mifepristone?
(Family Physicians Inquiries Network, 2019)
Early pregnancy loss : pretreat with mifepristone? Yes. While medical management of early pregnancy loss with misoprostol frequently results in treatment failure, pretreating with mifepristone can increase efficacy. PRACTICE ...
Can drinking more water prevent urinary tract infections?
(Family Physicians Inquiries Network, 2020)
Can drinking more water prevent urinary tract infections? A high-quality randomized controlled trial says 'Yes'. PRACTICE CHANGER: Advise premenopausal women with recurrent urinary tract infections (UTIs) and low-volume ...
Can vitamin D prevent acute respiratory infections?
(Family Physicians Inquiries Network, 2019)
Can vitamin D prevent acute respiratory infections? A systematic review and meta-analysis says Yes, but the dosages used may not be what you'd expect. PRACTICE CHANGER: Reduce acute respiratory tract infections in those ...
Supplemental oxygen : more isn't always better
(Family Physicians Inquiries Network, 2019)
Supplemental oxygen: more isn't always better. A recent study says that in certain populations supplemental oxygen above certain levels can increase mortality. PRACTICE CHANGER Do not use liberal oxygen therapy (SpO2> 96%) ...
Yeast infection in pregnancy? Think twice about fluconazole
(Family Physicians Inquiries Network, 2016)
Yeast infection in pregnancy? Think twice about fluconazole. This study's findings regarding the risk of miscarriage may mean it's time to forego fluconazole in favor of topical azoles as first-line treatment. Practice ...