• Add a fibrate to a statin? 

    Lounsbery, Jody L.; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2010-10)
    Do not routinely add a fibrate to a statin for patients with type 2 diabetes who are at high risk for cardiovascular events. Strength of Recommendation: B: Based on a good-quality randomized controlled trial.
  • 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.
  • Azithromycin for PID beats doxycycline on all counts 

    Rowland, Kate; Ewigman, Bernard (Family Physicians Inquiries Network, 2007-12)
    Outpatient treatment of patients with mild pelvic inflammatory disease, using 1g of azithromycin weekly for 2 weeks, combined with 250mg of ceftriaxone intramuscularly on the first day, is superior to the current recommended ...
  • BP meds: this simple change improves outcomes 

    Kirley, Kate; Sharma, Umang; Rowland, Kate (Family Physicians Inquiries Network, 2012-03)
    Advise patients with uncontrolled hypertension to take at least one of their blood pressure (BP) medications at bedtime instead of in the morning. Nighttime dosing leads to better control and lowers the risk of major ...
  • Colicky baby? Here's a surprising remedy 

    Koonce, Thomas; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2011-01)
    This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Strength of recommendation: A: A good-quality ...
  • Combatting lice in a single treatment 

    Brown, Dionna; Rowland, Kate (Family Physicians Inquiries Network, 2012-01)
    Consider prescribing spinosad—a recently approved topical pediculicide that is more effective than permethrin and eliminates the need for nit combing— for children with head lice.
  • Consider this option for heavy menstrual bleeding 

    Levy, Robert; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2011-07)
    Offer tranexamic acid to patients with heavy menstrual bleeding. The extended-release formulation is effective and well tolerated. Strength of Recommendation A: Based on 1 good-quality randomized controlled trial (RCT).
  • Helmets for positional skull deformities: A good idea, or not? 

    Rowland, Kate; Das, Nil (Family Physicians Inquiries Network, 2015-01)
    Helmets for positional skull deformities: A good idea, or not? Probably not. Helmets appear to be no more effective than waiting for natural skull growth to correct the shape of an infant’s head. Practice Changer: Do not ...
  • Is self-swabbing for STIs a good idea? 

    Page, Cristy; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2013-11)
    Ask women who are at risk for sexually transmitted infections (STIs) to self-swab for chlamydia and gonorrhea testing; self-collection of vulvovaginal swabs with nucleic acid amplification testing (NAAT) has excellent ...
  • Low-dose penicillin for recurrent cellulitis? 

    Nguyen, Liz; Rowland, Kate (Family Physicians Inquiries Network, 2014-01)
    Practice changer: Prescribe low-dose penicillin to patients with recurrent leg cellulitis to decrease the frequency of recurrent episodes.
  • Optimal timing for peripheral IV replacement? 

    Brown, Dionna; Rowland, Kate (Family Physicians Inquiries Network, 2013-04)
    Replace peripheral IV catheters as needed, rather than on a routine basis. Strength of recommendation: A: Based on a randomized equivalence trial.
  • 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 ...
  • PT or cervical collar for cervical radiculopathy? 

    Dmytriv, Marlya; Rowland, Kate; Gavagan, Thomas; Holub, David (Family Physicians Inquiries Network, 2010-05)
    To shorten recovery time for adults with acute cervical radiculopathy, recommend either physical therapy (PT) and a home exercise plan or a cervical collar and rest. Both are more effective than a wait-and-see strategy. ...
  • Rethinking antibiotics for sinusitis-again 

    Boisselle, Christopher; Rowland, Kate (Family Physicians Inquiries Network, 2012-10)
    Stop prescribing amoxicillin for acute rhinosinusitis. It's unlikely to provide a speedier recovery than over-the-counter (OTC) remedies alone. Strength of recommendation B: Based on a single high-quality randomized ...
  • Should you bypass anticoagulant “bridging” before and after surgery? 

    Jarrett, Jennie B; Schaffer, Ted; Rowland, Kate (Family Physicians Inquiries Network, 2015-12)
    Should you bypass anticoagulant "bridging" before and after surgery? Skipping perioperative use of LMWH in low- and moderate-risk patients on warfarin for atrial fibrillation doesn't increase their risk of stroke or bleeding. ...
  • Skip this step when checking lipid levels 

    Wootten, Michael; Stulberg, Debra B.; Prasad, Shailendra; Rowland, Kate (Family Physicians Inquiries Network, 2015-02)
    Skip this step when checking lipid levels. Practice changer: requiring your patients to fast before undergoing lipid testing. Nonfasting total cholesterol (TC), high-density lipoprotein cholesterol (HDL), and low-density ...
  • Time to try this warfarin alternative? 

    Kirley, Kate; Rowland, Kate (Family Physicians Inquiries Network, 2011-04)
    Consider dabigatran, an oral anticoagulant that does not require monitoring, for the prevention of stroke and thromboembolism in patients with atrial fibrillation. Strength of Recommendation B: Based on a single well-done ...
  • Treating pulmonary embolism at home? 

    Egan, Mari E.; Rowland, Kate (Family Physicians Inquiries Network, 2012-06)
    Treat low-risk patients with pulmonary embolism (PE) with low-molecular-weight heparin (LMWH) in an outpatient setting. Strength of recommendation B: Based on one good quality randomized controlled trial (RCT).
  • When to suggest this OC alternative 

    Rowland, Kate; Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2009-04)
    Recommend continuous or extended use of the transvaginal contraceptive ring to women who want fewer days of menstrual bleeding and have trouble remembering to, or prefer not to, take a daily pill. If breakthrough bleeding ...