American Family Physician

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POEMs

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POEMs: Delayed Prescription Strategies Decrease Antibiotic Use - American Family ...

Jul 15, 2014 - A delayed prescription approach in children and adults with acute respiratory tract infections, combined with explicit instructions for symptom control, is effective in decreasing antibiotic use, while not adversely affecting patient satisfaction or symptom duration or severity.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0715/p110.html

POEMs: New Anticoagulants vs. Warfarin in Atrial Fibrillation: No Clear Winner - ...

Jul 15, 2014 - In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are no more effective than warfarin in preventing ischemic strokes, and ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0715/p110a.html

POEMs: Stable TSH Can Be Rechecked in Two Years - American Family Physician

Jul 15, 2014 - Most patients receiving thyroid replacement therapy with less than 125 mcg of levothyroxine per day can wait two years before monitoring thyroid-stimulating hormone (TSH) levels if their results are normal. Fewer than one in 10 patients who take less than 125 mcg of levothyroxine per ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0715/p114.html

POEMs: One in Five Patients Overdiagnosed with Lung Cancer Screening - American ...

Jul 15, 2014 - In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion regarding ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0715/p112.html

POEMs: HPV Screening Every Five Years Equal to Pap Smear Every Three Years - ...

Jun 1, 2014 - A single HPV test provides the same degree of protection over five years as a Papanicolaou (Pap) smear does for three years. We may soon see a recommendation for HPV testing as a stand-alone screen, with cytology reserved for women who have an HPV-positive result. We may also be able to...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0601/p907a.html

POEMs: Testosterone Therapy in Men Associated with an Increase in the Risk of ...

Jun 1, 2014 - Filling a prescription for testosterone therapy is associated with an increased likelihood of experiencing an MI, especially in older men and those with a history of cardiovascular disease.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0601/p907.html

POEMs: JNC 8 Report on Prevention, Evaluation, and Treatment of Hypertension - ...

Apr 1, 2014 - See the Synopsis section for a summary of the updated hypertension treatment recommendations from the Eighth Joint National Committee (JNC 8).

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0401/p574a.html

POEMs: High-Potency Topical Corticosteroids Effective for Alopecia Areata in ...

Jun 1, 2014 - Clobetasol propionate, 0.05%, applied in a thin layer for six weeks on, six weeks off, is a highly effective and safe treatment for alopecia areata in children; hydrocortisone, 1%, is not.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0601/p913.html

POEMs: Varenicline Plus Bupropion SR No Better Than Varenicline Alone for Tobacco ...

Jun 1, 2014 - Combination therapy with varenicline and sustained-release bupropion was associated with a significantly higher prolonged abstinence rate compared with varenicline monotherapy at 12 weeks and 26 weeks in adult smokers attempting to quit. By 52 weeks, however, the difference was no ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0601/p912.html

POEMs: Suppurative Complications of Sore Throat Uncommon and Unpredictable - ...

May 15, 2014 - First, the good news. Complications of acute sore throat—peritonsillar abscess, otitis media, sinusitis, and skin infections—occur in only approximately 1% of adults. However, there is no good predictor of which adults will develop these complications. Decision tools that try to predict...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0515/p824a.html

POEMs: Nontraumatic Supraspinatus Tears: PT Is Equal to PT Plus Surgery at One Year ...

May 15, 2014 - In this study, the long-term outcomes of adults with nontraumatic supraspinatus tears who are treated conservatively are similar to those of patients treated with two different surgical approaches.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0515/p824.html

POEMs: Fewer Major Bleeds with Edoxaban Than with Warfarin, but Treatment Benefit ...

May 15, 2014 - Edoxaban provides similar effectiveness and a somewhat lower rate of major gastrointestinal and intracranial bleeding than warfarin. It is worth reading the supplemental appendices to this report for a look at the subgroups. For almost all subgroups, low-dose edoxaban caused less major ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0515/p827.html

POEMs: Long-Term Results of Drug Treatment for Obesity - American Family Physician

Mar 1, 2014 - This review of commonly used weight-loss medications, including orlistat (Xenical), lorcaserin (Belviq), phentermine/topiramate (Qsymia), bupropion (Wellbutrin), metformin (Glucophage), and zonisamide (Zonegran), reported an average weight loss for participants of 2.5 to 8.0 kg (5.5 to ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0301/p389a.html

POEMs: No Benefit to Addition of Stenting for Treatment of Atherosclerotic Renal ...

Apr 1, 2014 - In patients with severe atherosclerotic renal artery stenosis and hypertension or chronic kidney disease, renal artery stenting does not provide an additional benefit when added to comprehensive medical therapy that includes blood pressure and diabetes mellitus management, and ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0401/p576.html

POEMs: Impact of Bracing in Adolescents with Idiopathic Scoliosis - American Family ...

Mar 15, 2014 - When compared with observation, bracing significantly slows progression of high-risk curves to the surgery threshold (Cobb angle greater than 50 degrees), with a number needed to treat (NNT) of 4 in the randomized portion of the trial. This benefit is greater with more daily hours of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0315/p481.html

POEMs: Low-Dose CT Screening Decreases Mortality in Heavy Smokers - American Family ...

Apr 1, 2014 - In patients with a significant (greater than 50 pack-year) history of smoking, yearly screening for lung cancer using low-dose computed tomography (CT) will extend their lives. A significant proportion of screened patients will have a false-positive finding or a finding not related to ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0401/p574.html

POEMs: Platelet-Rich Plasma May Minimally, If at All, Benefit Patients with Knee ...

Apr 1, 2014 - Compared with normal saline or hyaluronic acid, multiple intra-articular injections of platelet-rich plasma significantly improved knee function but did not reduce perceived pain or improve patient satisfaction in adults with symptomatic knee osteoarthritis.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0401/p578.html

POEMs: Pelvic Floor Muscle Training Does Not Reduce Postpartum Urinary Incontinence ...

Mar 1, 2014 - This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are noteworthy ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0301/p390.html

POEMs: Nut Consumption Associated with Reduced Mortality - American Family Physician

Mar 1, 2014 - In a study of health professionals, nut consumption was associated with reduced all-cause mortality. This was primarily because of a reduction in heart disease associated with any nut consumption and a reduction in cancer associated with tree nut consumption.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0301/p389.html

POEMs: Colchicine Effective for First Episode of Acute Pericarditis - American ...

Feb 1, 2014 - When used in addition to conventional anti-inflammatory therapy, colchicine decreases the rate of incessant or recurrent pericarditis. You would need to treat four patients with colchicine to prevent one such episode.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0201/p226.html

POEMs: Influenza Vaccine Reduces Risk of Adverse Cardiovascular Events in High-Risk ...

Feb 1, 2014 - This meta-analysis found that the influenza vaccine is associated with a significantly lower risk of major adverse cardiovascular events in adults with coronary disease. The benefit of influenza vaccination is strongest in adults with a history of recent acute coronary syndrome within ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0201/p224a.html

POEMs: Clopidogrel Plus 21 Days of Aspirin Is Superior to Aspirin Alone Within First...

Jan 1, 2014 - Patients with minor stroke (National Institutes of Health [NIH] Stroke Scale score ≤ 3) or TIA have a decreased risk of recurrent stroke if given aspirin plus clopidogrel vs. aspirin alone if started within 24 hours of the onset of symptoms. There was no significant increase in the risk...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0101/p55.html

POEMs: Amoxicillin/Clavulanate or Ibuprofen No Better Than Placebo for Acute ...

Feb 1, 2014 - Treating acute bronchitis with amoxicillin/clavulanate or the nonsteroidal anti-inflammatory drug ibuprofen is no more effective than placebo in decreasing symptoms in general or duration of frequent cough. Treatment does, however, produce adverse effects in one in eight patients.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0201/p225.html

POEMs: Screening Echocardiography Not Beneficial - American Family Physician

Feb 1, 2014 - Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0201/p224.html

POEMs: Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide - ...

Jan 15, 2014 - Over five years, treatment with metformin for three years, with other hypoglycemics as needed, reduced the likelihood of death, nonfatal stroke, or the need for vascularization compared with treatment beginning with glipizide (Glucotrol). Cardiovascular events were not individually ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0115/p131.html

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