• Acute gout: Oral steroids work as well as NSAIDs 

    Prasad, Shailendra; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2008-10)
    Use a short course of oral steroids (prednisone 30-40mg/d for 5 days) for treatment of acute gout when nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated. Steroids are also a reasonable choice as first-line ...
  • An alternative to oral NSAIDs for acute musculoskeletal injuries 

    Rogers, Nina Vergari; Rowland, Kate; Hickner, John (Family Physicians Inquiries Network, 2011-03)
    For patients with acute musculoskeletal injuries, topical NSAIDs are an effective alternative for pain relief. Strength of recommendation: A: Based on a meta-analysis of 47 high-quality randomized clinical trials.
  • Annual zoledronic acid infusion lowers risk of fracture, death 

    Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2007-12)
    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 ...
  • Antidepressants causing sexual problems? Give her Viagra 

    Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2008-12)
    Tell women for whom you prescribe selective and nonselective serotonin reuptake inhibitors (SRIs) to let you know if they develop sexual dysfunction. Offer sildenafi (50 mg with the option to increase to 100 mg) to ...
  • Arthroscopic surgery for knee osteoarthritis? Just say no 

    Mounsey, Anne L.; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2009-03)
    Do not recommend arthroscopic surgery to adults with osteoarthritis of the knee. Treat knee pain with medical and physical therapy instead. Strength of recommendation A: Based on 2 high-quality randomized controlled trials.
  • Bisphosphonate therapy: When not to monitor BMD 

    Sharma, Umang; Stevermer, James J.; Hickner, John (Family Physicians Inquiries Network, 2009-11)
    After starting patients on bisphosphonates for osteoporosis, wait at least 3 years before ordering a repeat dual-energy x-ray absorptiometry (DXA) scan. Strength of Recommendation: C: Based on a secondary analysis of a ...
  • Can metformin undo weight gain induced by antipsychotics? 

    Schumann, Sarah-Anne; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2008-08)
    Recommend metformin 250mg 3 times a day, along with lifestyle modifications, to promote weight loss and decrease insulin resistance in patients who gain more than 10% of their pretreatment body weigh on antipsychotic ...
  • Drugs help pass more ureteral stones 

    Stevermer, James J.; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2008-04)
    Prescribe tamsulosin (typically 0.4 mg daily) or nifedipine (typically 30 mg daily) for patients with lower ureteral calculi, to speed stone passage and to avoid surgical intervention. Strength of recommendation A: ...
  • Dust mite control measures don't help asthma patients 

    Schumann, Sarah-Anne; Hickner, John; Ewigman, Bernard (Family Physicians Inquiries Network, 2008-12)
    Stop recommending dust mite control measures to your asthma patients. Neither chemical nor physical reduction measures are effective in improving peak flow, symptoms of asthma, or medication usage. Strength of recommendation ...
  • Glucose control: How low should you go with the critically ill? 

    Zolotor, Adam J.; Schumann, Sarah-Anne; Vargish, Lisa; Hickner, John (Family Physicians Inquiries Network, 2009-08)
    For hyperglycemic patients admitted to an intensive care unit (ICU), the target blood glucose level should be ≤180 mg/dL, not 81 to 108 mg/dL. More aggressive glucose lowering is associated with a higher mortality rate. ...
  • Glucose self-monitoring: Think twice for type 2 patients 

    Mendoza, Michael D.; Hickner, John; Ewigman, Bernard (Family Physicians Inquiries Network, 2008-11)
    Stop routinely recommending blood glucose self-monitoring for patients with newly diagnosed type 2 diabetes. Self-monitoring does not improve glycemic control for patients who are not taking insulin, and it increases the ...
  • Have pedometer, will travel 

    Rowland, Kathleen; Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2008-02)
    Advise your patients to use a pedometer, set a step goal, and keep a step diary. This simple intervention takes only a few moments and is effective in increasing patients' physical activity and decreasing both body mass ...
  • Help patients prevent repeat ankle injury 

    Hayman, Jacob; Prasad, Shailendra; Stulberg, Debra; Hickner, John (Family Physicians Inquiries Network, 2010-01)
    Advise patients being treated for ankle sprain that reinjury -- which is especially common during the first year -- can result in chronic pain or disability, and that a home-based proprioceptive training program has been ...
  • Help smokers quit: Tell them their “lung age” 

    Deane, Kristen; Stevermer, James J.; Hickner, John (Family Physicians Inquiries Network, 2008-09)
    Perform spirometry on patients who smoke -- even if they're asymptomatic -- and show them their lung age that is, the average age of a nonsmoker with a forced expiratory volume at 1 second (FEV1) equal to theirs. Doing ...
  • Initiating antidepressant therapy? Try these 2 drugs first 

    Patrick, Gail; Combs, Gene; Gavagan, Thomas; Hickner, John (Family Physicians Inquiries Network, 2009-07)
    When you initiate antidepressant therapy for patients who have not been treated for depression previously, select either sertraline or escitalopram. A large meta- analysis found these medications to be superior to other ...
  • Let them eat nuts—this snack is safe for diverticulosis patients 

    Prasad, Shailendra; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2009-02)
    Tell patients with diverticular disease that they can eat nuts, corn, and popcorn without fear. There is no truth to the long-held belief that these foods increase the risk of complications. Strength of recommendation B: ...
  • Ovary-sparing hysterectomy: Is it right for your patient? 

    Sharma, Umang; Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2009-09)
    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 ...
  • Palliative care: earlier is better 

    Rowland, Kate; Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2010-12)
    Recommend a palliative care consultation at the time of diagnosis. Early palliative care can improve quality of life, decrease depressive symptoms, and prolong life in patients with metastatic cancer. Strength of ...
  • Patients insist on antibiotics for sinusitis? Here is a good reason to say “no” 

    Schumann, Sarah-Anne; Hickner, John; Ewigman, Bernard (Family Physicians Inquiries Network, 2008-07)
    Stop prescribing antibiotics for adults with a clinical diagnosis of acute sinusitis, unless the patient has severe symptoms Antibiotics have little if any positive effects on the severity and duration of symptoms, and ...
  • Saline irrigation spells relief for sinusitis sufferers 

    Egan, Mari E.; Hickner, John; Ewigman, Bernard (Family Physicians Inquiries Network, 2009-01)
    Recommend nasal irrigation to patients with chronic rhinosinusitis. Large-volume, low- pressure saline irrigation decreases the severity and frequency of symptoms. Strength of recommendation B: Single well-done randomized ...