American Family Physician

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POEMs

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POEMs: Post-Myocardial Infarction Beta Blockers Do Not Decrease Mortality - American...

Mar 15, 2015 - Although recommended by guidelines and used as a so-called quality indicator of hospital care, the use of beta blockers following myocardial infarction, when combined with optimal acute and chronic treatment, does not provide a further survival benefit.

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0315/p402a.html

POEMs: Mixed Benefits of Gluten-Free Diet in Asymptomatic Patients with Celiac ...

Mar 15, 2015 - Screening of asymptomatic relatives of patients with known celiac disease identified approximately 5% who were antibody-positive. Compared with their normal diet, a gluten-free diet improved some yet unrecognized symptoms but seemed to interfere with normal social activities in these ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0315/p402.html

POEMs: Clinical Decision Support Linked to EMRs Does Not Decrease Mortality - ...

Mar 15, 2015 - Despite several decades of the use of EMRs and computerized decision support systems, the overall quality of data supporting their use is poor and those data show these systems do not save lives or save money. Whether patient morbidity is improved is even less certain.

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0315/p404.html

POEMs: Lung Cancer Screening Is Cost-Effective, but Only If Done Correctly - ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) gave lung cancer screening a B recommendation on the basis of the reductions in disease-specific mortality and all-cause mortality seen in the National Lung Screening Trial (NLST). The NLST does not consider cost or cost-effectiveness in ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0301/p328.html

POEMs: Diagnosing and Managing Acute Heart Failure Guidelines: NICE - American ...

Feb 15, 2015 - There is not much new in these guidelines except some caveats on what not to do. Diagnose new acute heart failure with a natriuretic peptide measurement and, if the level is high, follow with transthoracic echocardiography. Do not routinely treat with opiates, nitrates, inotropes, ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0215/p260.html

POEMs: Low-Carbohydrate Diet Better Than Low-Fat Diet to Reduce Cardiovascular Risk ...

Feb 15, 2015 - More than 40 years ago, Dr. Robert Atkins wrote his first book advocating for a low-carbohydrate diet to cause and sustain weight loss. This study (of mostly women) found that a low-carbohydrate diet—though not as severe a diet as the Atkins approach—caused an average 3.5 kg (7.7 lb) ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0215/p262.html

POEMs: Injection Equals Physical Therapy for Shoulder Impingement - American Family ...

Feb 15, 2015 - Both physical therapy and corticosteroid injection decrease pain and disability by about 50% within one month of beginning treatment. However, average scores will not improve beyond that over the course of the year, and the average person will have pain, disability, and an altered ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0215/p260a.html

POEMs: Metformin Associated with Less Need for a Second Medicine - American Family ...

Feb 15, 2015 - n this retrospective analysis, which benefits from large numbers of patients but suffers from possible biases, patients who initially took an oral hypoglycemic other than metformin (Glucophage) were significantly more likely to require a second oral agent.

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0215/p261.html

POEMs: Ultrasonography Is Best Initial Imaging for Suspected Kidney Stones - ...

Jan 15, 2015 - Initial point-of-care or radiology department ultrasonography is a safe and accurate approach to the patient with clinically suspected kidney stones, which helps reduce radiation exposure. Although computed tomography (CT) remains the most accurate test overall, a strategy beginning ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0115/p132a.html

POEMs: Evidence Does Not Show Benefit of Treating Mycoplasma Pneumonia in Children -...

Jan 15, 2015 - After all these years of knowing about Mycoplasma pneumoniae as a cause of lower respiratory tract infections and the effectiveness of various antibiotics against it in a Petri dish, we still do not know whether treating mycoplasma pneumonia in children is effective. This study does not...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0115/p132.html

POEMs: Antidepressants and Psychological Therapies Are Effective for IBS - American ...

Jan 15, 2015 - Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous analysis, ...

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0115/p134.html

POEMs: Increasing HDL Level Ineffective at Decreasing Cardiovascular Events - ...

Jan 15, 2015 - Being the good cholesterol is not the same as being the useful cholesterol. Drug therapy aimed at increasing HDL cholesterol levels, when added to statin treatment, does not decrease patients' likelihood of experiencing a cardiovascular event or of dying earlier.

American Family Physician : POEMs

http://www.aafp.org/afp/2015/0115/p133.html

POEMs: Epley Maneuver Effective in the Long Term for Positional Vertigo - American ...

Nov 1, 2014 - How often do patients walk into our offices with a problem and walk out cured? The Epley maneuver, which is not particularly difficult to do, results in the long-term (at least one year) resolution of posterior canal benign paroxysmal positional vertigo. A video of the maneuver can be ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1101/p660.html

POEMs: High-Dose Vaccine Reduces Clinical Influenza in Older Adults Compared with ...

Dec 1, 2014 - High-dose influenza vaccine provided a 25% relative reduction in the likelihood of developing laboratory-confirmed influenza compared with standard-dose vaccine in patients 65 years and older. This corresponds to a number needed to treat of approximately 220 to prevent a ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1201/p796.html

POEMs: Epidural Steroid Injections Ineffective for Lumbar Spinal Stenosis - American...

Dec 1, 2014 - Epidural glucocorticoid injections are ineffective for lumbar spinal stenosis. Whether this will change practice for this lucrative procedure will be an interesting question.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1201/p795a.html

POEMs: USPSTF Recommendations for Hepatitis B Screening - American Family Physician

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends hepatitis B virus screening for human immunodeficiency virus–positive persons, users of illicit injection drugs, men who have sex with men, household contacts or sex partners of infected persons, and persons born in countries ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1201/p795.html

POEMs: Desmopressin Effective for Treating Nocturia in Adults - American Family ...

Dec 1, 2014 - Desmopressin is a safe and effective treatment to offer adults with clinically significant nocturia. The initial starting dose should be 50 to 100 mcg, with lower dosing for the advanced older patient. All patients should be monitored for hyponatremia.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1201/p796a.html

POEMs: 2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for ...

Aug 15, 2014 - The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of age. The ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0815/od6.html

POEMs: Net Benefit with Azithromycin Use in Older Hospitalized Patients with ...

Nov 1, 2014 - For older patients hospitalized with pneumonia, the use of combination antibiotic therapy including azithromycin is associated with decreased mortality but an increased risk of myocardial infarction (MI). You would need to treat 21 patients with azithromycin to prevent one death within ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1101/p661.html

POEMs: Niacin Does Not Improve Clinical Outcomes in Patients with Vascular Disease -...

Nov 1, 2014 - This large, adequately powered trial did not find any clinically meaningful benefit to the use of niacin in patients who are already taking a statin, even with several study design features that should bias the result in favor of niacin. Niacin should not be prescribed to reduce the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1101/p660a.html

POEMs: Physical Therapy No Better Than Sham Therapy for Hip Osteoarthritis - ...

Oct 1, 2014 - In this study, physical therapy was no more effective than sham therapy in reducing pain and improving function in adults with hip osteoarthritis.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1001/p497a.html

POEMs: Omega-3 Fatty Acid Supplementation Does Not Decrease CVD-Related Outcomes - ...

Nov 1, 2014 - Omega-3 fatty acid supplementation does not decrease the risk of cardiovascular outcomes in this older population. Although the numbers are small, supplementation may prevent heart disease in patients already at low risk; that is, patients without a history of cardiovascular disease ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1101/p662.html

POEMs: Bariatric Surgery Plus Intensive Medical Therapy Is Better Than Medical ...

Oct 15, 2014 - Bariatric surgery in conjunction with intensive medical therapy results in significantly enhanced glycemic control at three years compared with medical therapy alone, as well as better weight control, less use of glucose-lowering medications, and improved quality of life.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1015/p579.html

POEMs: No Benefit to Prolonged Dual Antiplatelet Therapy After Drug-Eluting Stent ...

Oct 1, 2014 - Prolonging dual antiplatelet therapy with aspirin plus clopidogrel (Plavix) for more than one year after the placement of a drug-eluting stent confers no clinical benefit.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1001/p502.html

POEMs: Aspirin in Low Doses Decreases Preeclampsia Risk - American Family Physician

Sep 1, 2014 - Low-dose aspirin—ranging from 60 to 100 mg per day—beginning as early as the second trimester decreases the risk of preeclampsia, preterm birth, and intrauterine growth retardation in women who are at high risk of preeclampsia. No harms to the mother or newborn were identified in the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0901/p331.html

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