American Family Physician

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POEMs

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POEMs: Genetic Test Results That Identify Increased Risk Do Not Change Behavior - ...

Jul 15, 2016 - Patients informed via genetic test results that they were at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabetes mellitus or hypertension were no more likely to change their diet or increase their physical activity. ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0715/p168.html

POEMs: No Reduction in Readmissions with Telemonitoring, Coaching for Patients with ...

Jul 15, 2016 - A care transition intervention that incorporates remote monitoring of weight, blood pressure, and heart rate with scheduled telephone coaching did not reduce readmission rates at 30 days or 180 days for patients with heart failure. However, patients in the study were only modestly ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0715/p168a.html

POEMs: Blood Pressure Goal of 140 to 150 mm Hg Is Best for Patients with Diabetes - ...

Jul 1, 2016 - Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0701/p59a.html

POEMs: Mediterranean Diet Produces Moderate Weight Loss - American Family Physician

Jul 1, 2016 - In addition to improving cardiovascular outlook, a Mediterranean diet produced greater sustained weight loss than a low-fat diet and similar weight loss to other diets in patients who were overweight or obese, most of whom had type 2 diabetes mellitus.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0701/p59.html

POEMs: Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - American ...

Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0615/p1032.html

POEMs: Colorectal Cancer Screening Modalities: Variable Uptake, Variable Yield - ...

Jun 15, 2016 - Based on the initial round of screening in this randomized trial, it appears that more patients complete fecal immunochemical testing than colonography or colonoscopy. Using the most conservative estimate, the yields of advanced adenomas and advanced neoplasms are similar.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0615/p1032a.html

POEMs: Behavioral Interventions Reduce Inappropriate Antibiotic Prescribing for Acute ...

Jun 15, 2016 - Requiring clinicians to justify antibiotic prescribing in the permanent electronic health record and to undergo periodic peer comparisons of prescribing rates are effective interventions for reducing inappropriate antibiotic prescribing for acute respiratory tract infections. Helpful ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0615/p1037.html

POEMs: Meta-Analysis: Intensive BP Control Decreases Major CV Events and Stroke, but ...

Jun 15, 2016 - Patients with hypertension who are treated intensively are less likely to have major cardiovascular events, stroke, or progression of albuminuria or retinopathy than those treated less intensively, but intensive lowering had no meaningful effect on myocardial infarctions, heart failure,...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0615/p1036.html

POEMs: Tamsulosin Effective as Expulsion Therapy for 5- to 10-mm Distal Ureteric Stones...

May 1, 2016 - Tamsulosin promotes stone passage of ureteric stones that are 5 to 10 mm. Five patients would need to be treated with tamsulosin to cause the expulsion of one such stone. Stones smaller than 5 mm have a high rate of spontaneous passage without any intervention.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0501/p788a.html

POEMs: Long-Acting Nitrates No Good for Heart Failure with Preserved Ejection Fraction ...

May 1, 2016 - Patients who have heart failure with preserved ejection fraction had decreased levels of activity and more adverse events when they were receiving isosorbide mononitrate than when they were taking a placebo. Moreover, activity levels decreased with increases in the dose of the drug, ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0501/p790.html

POEMs: Gluten Is Not the Culprit in Many Patients’ Symptoms - American Family Physician

May 1, 2016 - Gluten may not be the cause of gastrointestinal symptoms in many patients with nonceliac gluten sensitivity. Only one-third of patients on a gluten-free diet experienced symptoms and correctly identified when they were given gluten-containing flour. Almost one-half (49%) of patients ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0501/p788.html

POEMs: Delayed Prescription for Respiratory Infections Produces Similar Results and ...

May 1, 2016 - In almost 400 Spanish primary care patients with mild to moderate symptoms of respiratory infection of less than one week's duration, both a take-and-hold prescription and a come back and pick up, if necessary prescription produced a similar clinical response—and similar patient ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0501/p789.html

POEMs: Low High-Sensitivity Troponin I Level Accurate in Identifying Patients at Low ...

Apr 15, 2016 - The high-sensitivity troponin I assay used in this study was fairly accurate in identifying patients with chest pain who are at low risk of cardiac events.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0415/p704a.html

POEMs: Hyaluronic Acid Equivalent to Sham Injections in Patients with Knee DJD - ...

Apr 15, 2016 - The highest quality studies, which are now fairly plentiful, show that hyaluronic acid injections are only minimally better than sham injections in improving pain and function in patients with knee DJD.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0415/p704.html

POEMs: Best Approaches to Physical Diagnosis of Acute Red Eye - American Family Physician

Apr 1, 2016 - Eliciting photophobia via pupillary constriction and the presence of anisocoria (greater than 1 mm) in patients with an acute red eye are the best predictors of serious eye disease (e.g., uveitis, keratitis, corneal abrasion, scleritis) requiring prompt referral. Lack of morning eye ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0401/p594.html

POEMs: Useful Signs and Symptoms of Severe Intracranial Injury After Minor Head Trauma ...

Apr 1, 2016 - Specific individual risk factors, clinical signs, and symptoms are useful in identifying adults with minor head trauma who are at risk of severe intracranial injury. The absence of all features of the Canadian CT Head Rule and New Orleans Criteria is also highly accurate for identifying...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0401/p594a.html

POEMs: Preexposure Prophylaxis with Tenofovir/Emtricitabine Prevents HIV Infection in ...

Mar 15, 2016 - Preexposure prophylaxis in high-risk men who have unprotected anal intercourse reduces the likelihood of developing HIV (number needed to treat = 17 per year). Participants averaged 15 pills per month, which costs approximately $700 per month ($8,400 per year). Condoms would be a much ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0315/p520.html

POEMs: Systolic BP of 120 Instead of 140 in High-Risk Older Patients Without Diabetes ...

Mar 15, 2016 - In this group of older patients (mean age = 68 years) who do not have diabetes but are at high risk of cardiovascular disease, a more aggressive systolic BP target of 120 mm Hg instead of 140 mm Hg led to benefits (lower all-cause mortality, lower cardiovascular mortality, less heart ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0315/p520a.html

POEMs: Steroids Beneficial As Adjunctive Treatment for Community-Acquired Pneumonia - ...

Feb 1, 2016 - Moderate-quality to high-quality evidence suggests that steroids, when added to antibiotics and usual care, can improve outcomes in the treatment of CAP. Benefits include reduced hospital length of stay, decreased time to clinical stability, and lower rates of mechanical ventilation and...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0201/p227.html

POEMs: In Patients with Type 2 Diabetes and CV Disease, Empagliflozin Reduces CV and ...

Mar 1, 2016 - In patients with established CV disease and type 2 diabetes, the addition of empagliflozin to standard therapy reduces all-cause mortality and CV mortality. This is notable because empagliflozin is the only drug other than metformin to demonstrate a mortality benefit, albeit for a ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0301/p410.html

POEMs: No Difference Between Oxycodone/Acetaminophen and Hydrocodone/Acetaminophen for ...

Mar 1, 2016 - This study found no significant difference in the management of acute musculoskeletal extremity pain, including fractures, with oxycodone/acetaminophen vs. hydrocodone/acetaminophen. Adverse events, including nausea and dizziness, occurred significantly more often with ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0301/p411.html

POEMs: Treating Low Vitamin D Levels Is Ineffective in Postmenopausal Women - American ...

Feb 15, 2016 - You do not have to treat a low vitamin D level if your patient is a typical community-dwelling postmenopausal woman younger than 75 years. The usual dosage of vitamin D, 800 IU (20 mcg) daily, will not increase levels even after a year of therapy and has little effect on calcium ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0215/p315.html

POEMs: Naproxen Alone May Be Best for Acute Low Back Pain - American Family Physician

Feb 15, 2016 - Naproxen alone is as effective as naproxen plus oxycodone/acetaminophen or naproxen plus cyclobenzaprine (Flexeril) in reducing pain and improving function in adults with acute musculoskeletal LBP without radicular symptoms. Adverse events were significantly more common in patients ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0215/p316.html

POEMs: Epidural Steroid Not Better Than Placebo Injection for Sciatica and Spinal ...

Feb 15, 2016 - It is hard to figure out what to do with these results. On the one hand, steroid injection did not provide a significant benefit compared with placebo injection in patients with radicular pain or spinal stenosis. However, part of the reason for this may be the significant and sustained ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0215/p315a.html

POEMs: Perioperative Bridging Anticoagulation Unhelpful for Invasive Procedures - ...

Jan 15, 2016 - Bridging anticoagulation worsens outcomes for patients with atrial fibrillation who undergo an elective invasive procedure, resulting in more episodes of major bleeding and no difference in the rate of stroke or venous thromboembolism.

American Family Physician : POEMs

http://www.aafp.org/afp/2016/0115/p130.html

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