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POEMs

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POEMs: High False-Positive Rate with Lung Cancer Screening - American Family Physician

Jul 15, 2017 - If you are thinking about adding lung cancer screening to your delivery of preventive care, be sure to prepare patients. They are likely to receive a positive result, most of the positive results will not be lung cancer, and one in four patients will require additional tracking (i.e., ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p128a.html

POEMs: Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or ...

Jul 15, 2017 - We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p129.html

POEMs: Greater Benefit with Rivaroxaban Than Aspirin for Extended Treatment of VTE - ...

Jul 15, 2017 - Compared with aspirin, the use of rivaroxaban (Xarelto) to extend anticoagulation beyond the initial six to 12 months to treat provoked or unprovoked VTE reduces the risk of recurrent symptomatic VTE without increasing the risk of bleeding. You would need to treat approximately 30 to 33...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p128.html

POEMs: Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management - ...

Jul 1, 2017 - The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps insurance ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0701/p55.html

POEMs: Antibiotics May Equal Surgery for Children with Appendicitis - American Family ...

Jun 1, 2017 - Antibiotic treatment appears to be effective for children with uncomplicated appendicitis without evidence of perforation or rupture, with 97% of children discharged without surgery. Approximately one in seven children will eventually have recurrence and require surgery. A couple of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p737.html

POEMs: Bariatric Surgery Improves Quality of Life and Results in More Weight Loss Than ...

Jun 15, 2017 - Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and approximately ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0615/p805.html

POEMs: Bare Arm Best for Blood Pressure Measurement - American Family Physician

Jun 1, 2017 - To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p733.html

POEMs: Testosterone Does Not Improve Cognition in Memory-Impaired Older Men with Low ...

Jun 1, 2017 - Testosterone supplementation for men 65 years or older with age-associated memory impairment and a low baseline testosterone level was not associated with significant improvements in memory or other cognitive functions.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p733a.html

POEMs: Topiramate and Amitriptyline Not Effective for Migraine in Children - American ...

May 15, 2017 - Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od2.html

POEMs: More Accurate Prediction of the Pretest Probability of Cardiovascular Disease ...

May 15, 2017 - The European approach to determining the pretest likelihood of coronary artery disease (CAD) in patients with chest pain is superior to that of the Diamond-Forrester approach recommended by U.S. guidelines, and will result in less need for immediate invasive treatment.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od1.html

POEMs: One-Third of Adults with Diagnosed Asthma Can Be Weaned Off All Asthma ...

May 1, 2017 - This study found that current asthma was ruled out after repeated testing in one-third of adults with physician-diagnosed asthma. Patients ruled out for current asthma were less likely to be using asthma medications or daily controlling medications and less likely to have undergone ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0501/p586.html

POEMs: Pelvic Floor Exercises Modestly Improve Pelvic Floor Prolapse Symptoms - ...

May 15, 2017 - In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od3.html

POEMs: Repeat Cytology Within Six Months Equals Colposcopy for Younger Women with ASCUS...

Apr 1, 2017 - Among women 22 to 27 years of age with an index cervical cytology showing abnormal squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), the incidence of invasive cervical cancer did not differ between repeat cytology within six months ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p455.html

POEMs: Single-Dose Dexamethasone an Option for Acute Adult Asthma - American Family ...

Mar 15, 2017 - A single dose of 12-mg dexamethasone, which has a longer duration of action than prednisone, is almost as effective as five days of 60-mg prednisone for the prevention of relapse in adults with acute asthma treated in an emergency department.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od1.html

POEMs: If You Give Amoxicillin/Clavulanate to Six- to 23-Month-Olds with AOM, 10 Days ...

Apr 1, 2017 - These authors begin with the assumption that we should treat children who have AOM with amoxicillin/clavulanate. The greatest benefit was in children one to two years of age who had more severe pain and fever. In children with less severe symptoms, observation should still be the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p457.html

POEMs: Antipsychotics Worsen Symptoms in Patients with Delirium Who Receive Palliative ...

Mar 15, 2017 - For hospitalized patients with acute delirium and symptoms of distress who are receiving palliative care, the use of risperidone (Risperdal) or haloperidol at conservative oral doses worsens symptoms and may shorten overall survival.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od3.html

POEMs: Semaglutide Reduces CV Events in High-Risk Patients with Type 2 Diabetes ...

Mar 15, 2017 - Semaglutide significantly reduced the composite outcome of CV death, nonfatal myocardial infarction, and nonfatal stroke (number needed to treat [NNT] = 43 over 2.1 years). It was generally well tolerated, and it reduced body weight by approximately 6.4 to 9.5 lb (2.9 to 4.3 kg).

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/p396.html

POEMs: Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - American ...

Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p456.html

POEMs: PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main ...

Apr 1, 2017 - Patients undergoing PCI had fewer early myocardial infarctions, but more later deaths and later myocardial infarctions. There are other benefits to PCI, including shorter hospital stay, lower cost, and faster recovery. But patients should be informed of the tradeoffs, and it is ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p455a.html

POEMs: Chocolate Consumption May Make Acne Vulgaris Worse - American Family Physician

Jan 15, 2017 - This study found a statistically significant increase in facial acne lesions among college students 48 hours after ingesting chocolate instead of jelly beans (average compared with baseline: 4.8 new lesions vs. 0.7 fewer lesions, respectively).

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p122a.html

POEMs: Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od2.html

POEMs: Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory ...

Feb 15, 2017 - For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0215/od2.html

POEMs: Hypertensive Urgency Not Really an Urgent Problem - American Family Physician

Nov 1, 2016 - It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1101/p750a.html

POEMs: Tamsulosin Beneficial for Passage of 5- to 10-mm Distal Ureteral Stones - ...

Jan 15, 2017 - Tamsulosin promotes stone passage of distal ureteral stones that are 5 to 10 mm in size. You would need to treat five such patients to get one stone passage. Smaller stones tend to pass on their own at a rate of 86% in this study.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p123a.html

POEMs: Sertraline Reduces Risk of Depression in Adults After Traumatic Brain Injury - ...

Feb 1, 2017 - This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0201/p194.html

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