American Family Physician

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Cochrane for Clinicians

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Cochrane for Clinicians: Optimal Duration of Treatment Regimens for H. pylori ...

Dec 1, 2014 - When using proton pump inhibitor (PPI) triple therapy, increasing the duration of treatment from seven to 10 days or from 10 to 14 days significantly increases the eradication of H. pylori. When using other treatment regimens, it is unclear whether increasing duration of treatment ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/1201/p766.html

Cochrane for Clinicians: Dietary Fat Modification and the Risk of Future ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/0501/p609.html

Cochrane for Clinicians: Collaborative Care for Depression and Anxiety - American ...

Apr 1, 2014 - The collaborative care model is effective for treating adults with depression and/or anxiety using a multiprofessional approach to patient care, a structured management plan, scheduled patient follow-ups, and enhanced interprofessional communication.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0401/p524.html

Cochrane for Clinicians: Are Cranberry Products Effective for the Prevention of ...

Dec 1, 2013 - Cranberry products are not effective and should not be recommended for the prevention of UTIs.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/1201/p745.html

Cochrane for Clinicians: Corticosteroids for the Treatment of Sore Throat - American...

Jan 1, 2014 - In adults with suspected bacterial pharyngitis who require antibiotic therapy, adding a corticosteroid may increase the likelihood of complete pain resolution at 24 hours. Further study is needed to assess the safety of corticosteroids and whether they can be recommended for presumed ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0101/p14.html

Cochrane for Clinicians: Gabapentin for the Prophylaxis of Episodic Migraine in ...

May 1, 2014 - Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0501/p714.html

Cochrane for Clinicians: Prophylactic Antibiotics for the Prevention of COPD ...

Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0601/p870.html

Cochrane for Clinicians: Misoprostol for Incomplete First Trimester Miscarriage - ...

Apr 1, 2014 - Misoprostol, administered by various routes, is as effective as expectant management and nearly as effective as uterine aspiration. All three options have high success rates for completing miscarriage. Women treated with misoprostol had higher rates of nausea, prolonged bleeding, and ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0401/p523.html

Cochrane for Clinicians: Topiramate for the Prophylaxis of Episodic Migraine in ...

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0701/p24.html

Cochrane for Clinicians: Oral Contraceptives Are Not an Effective Treatment for ...

Nov 1, 2014 - Oral contraceptives are not an effective treatment for ovarian cysts, whether the cysts are spontaneous or associated with medically induced ovulation. Most cysts resolve without intervention within two to three months. Those that do not resolve in this time frame are more likely to be ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/1101/p623.html

Cochrane for Clinicians: Aspirin With or Without Antiemetic for Acute Migraine ...

Feb 1, 2014 - Aspirin, with or without an antiemetic, is an effective treatment for acute migraine headache. Adding the antiemetic metoclopramide (Reglan) significantly reduces migraine-related nausea and vomiting compared with aspirin alone.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0201/p176.html

Cochrane for Clinicians: Progestin-Only Contraceptives: Effects on Weight - American...

May 1, 2014 - There is little evidence that progestin-only contraceptives cause weight gain; in this review, mean weight gain was less than 2 kg (4.4 lb) for most studies up to 12 months.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0501/p715.html

Cochrane for Clinicians: Optimal Antibiotic Regimen for Treating Lower UTI in ...

Nov 1, 2013 - For the afebrile child with a UTI, a short course (three to seven days) of antibiotics is as effective at preventing the recurrence of symptomatic UTI as a long course (seven to 10 days). There is no clear evidence of superiority for any one antibiotic regimen.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/1101/p577.html

Cochrane for Clinicians: Pharmacotherapy for Mild Hypertension - American Family ...

Jul 1, 2013 - Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/0701/p21.html

Cochrane for Clinicians: First-Line Treatment for Hypertension - American Family ...

Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2010/0601/p1333.html

Cochrane for Clinicians: Ultrasound-Guided Steroid Injections for Shoulder Pain - ...

Oct 1, 2013 - Ultrasound-guided glucocorticoid injection for shoulder pain provides no advantage over landmark-guided or intramuscular injection in terms of pain, function, range of motion, or safety when measured within a six-week follow-up period. However, the small sample size of this review means...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/1001/p433.html

Cochrane for Clinicians: Role of Breathing Exercises in the Treatment of COPD - ...

Jan 1, 2014 - Patients with COPD who are treated with breathing exercises vs. standard care showed an improvement in exercise capacity, with inconsistent changes in dyspnea and health-related quality of life. Adding breathing exercises to a pulmonary rehabilitation program did not show any increased ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0101/p15.html

Cochrane for Clinicians: General Health Checks for Reducing Morbidity and Mortality ...

Oct 1, 2013 - Although general health checks increase the number of new diagnoses, they do not decrease total, cardiovascular-related, or cancer-related morbidity or mortality. The studies in this Cochrane review have limited applicability to the current recommended practice of providing selective, ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/1001/p432.html

Cochrane for Clinicians: Bronchodilators for Bronchiolitis - American Family Physician

Nov 1, 2014 - Albuterol does not improve any clinical outcomes in the outpatient or inpatient setting and should not be used in the treatment of bronchiolitis in a child 24 months or younger.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/1101/p622.html

Cochrane for Clinicians: Antiretroviral Preexposure Prophylaxis for Preventing HIV ...

Aug 1, 2013 - For some groups of patients at greater risk of HIV infection (e.g., serodiscordant partners, men who have sex with men and engage in high-risk behaviors, persons with multiple concurrent sex partners, persons who exchange sex for money), preexposure prophylaxis decreased the risk of ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/0801/p172.html

Cochrane for Clinicians: Physical Training for Patients with Asthma - American ...

Mar 1, 2013 - Physical training lasting for at least 20 to 30 minutes, two to three times a week for at least six weeks, improves physical fitness in patients with asthma. Physical training is not associated with worsening of asthma symptoms, and it improves health-related quality of life.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2013/0301/p313.html

Cochrane for Clinicians: Antibiotics for Sore Throat - American Family Physician

Jul 1, 2014 - Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0701/p23.html

Cochrane for Clinicians: Intranasal Corticosteroids for Acute Bacterial Sinusitis - ...

Sep 1, 2014 - Compared with patients not treated with intranasal corticosteroids, those who receive them have greater improvement or resolution of symptoms at two to three weeks, regardless of whether antibiotics are used. In a single head-to-head study, patients taking intranasal corticosteroids ...

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0901/p286.html

Cochrane for Clinicians: Exercise Programs for Older Patients with Dementia - ...

Sep 1, 2014 - There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/0901/p287.html

Cochrane for Clinicians: Safety of Long-Acting Beta Agonists in Adults with Asthma -...

Oct 1, 2014 - LABAs appear to be safe when used with inhaled corticosteroids. LABA monotherapy is associated with an increase in asthma-related mortality and nonfatal serious adverse events, but not in all-cause mortality.

American Family Physician : Cochrane for Clinicians

http://www.aafp.org/afp/2014/1001/p453.html

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