• 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 ...
  • 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 ...
  • Double-dose vitamin D lowers cancer risk in women over 55 

    Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2007-11)
    Increasing the dose of vitamin D3 from the current standard of 400-600 IU per day to 1000 IU per day lowers future risk of cancer in women older than age 55 who do not get adequate vitamin D from sun exposure or diet. ...
  • 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 ...
  • For Bell's palsy, start steroids early; no need for an antiviral 

    Vargish, Lisa; Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2008-01)
    A 10-day course of corticosteroids (prednisolone 25 mg twice daily) started within 72 hours significantly improves the chances of complete recovery. There is no added benefit from acyclovir. Strength of recommendation A: ...
  • 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. ...
  • 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 ...
  • Is it DVT? Wells score and D-dimer may avert costly workup 

    Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2007-12)
    Use a combination of Wells score and D-dimer test to exclude deep vein thrombosis in low- to intermediate-risk outpatients with suggestive symptoms. Strength of recommendation (SOR) A: B ased on one good meta-analysis.
  • 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 ...
  • Stroke prevention: Age alone does not rule out warfarin 

    Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2007-11)
    Warfarin is as safe as aspirin and more effective for stroke prevention in elders with atrial fibrillation. Strength of recommendation (SOR) A: Well-designed randomized controlled trial of elderly patients in the primary ...
  • Suspect an eating disorder? Suggest CBT 

    Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2009-05)
    Refer patients with eating disorder not otherwise specified (NOS) for cognitive behavioral therapy. CBT, which has proven to be the most useful behavioral treatmen t for bulimia, has now been shown to be effective for ...
  • This antiemetic may help kids skip that trip to the hospital 

    Gavagan, Thomas; Schumann, Sarah-Anne; Ewigman, Bernard (Family Physicians Inquiries Network, 2009-02)
    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. ...
  • When not to use beta-blockers in seniors with hypertension 

    Schumann, Sarah-Anne; Hickner, John (Family Physicians Inquiries Network, 2008-01)
    Beta-blockers should not be used to treat hypertension in patients older than age 60 unless they have another compelling indication to use these agents, such as heart failure or ischemic heart disease. Strength of ...
  • 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 ...