• Add a fibrate to a statin? 

    Lounsbery, Jody; 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.
  • 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 controlled ...
  • 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).