American Family Physician

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POEMs

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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: 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: 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: ACE Inhibitors Decrease Cardiovascular Events in Patients with Diabetes, ARBs...

Sep 1, 2014 - In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that directly ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0901/p326.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: Oseltamivir Slightly Decreases Influenza Symptom Duration but Not ...

Oct 1, 2014 - Treatment of children with oseltamivir will decrease symptom duration by approximately one day, but will not reduce hospitalizations and does not seem to be effective in children with asthma. In adults, symptom reduction is less striking (less than one day), and hospitalization will not...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/1001/p497.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

POEMs: Opioids for Chronic Back Pain: Short-Term Effectiveness, Long-Term Uncertain ...

Aug 15, 2014 - Overall, in patients with chronic low-back pain, opioids are moderately more effective than placebo in the short term for pain relief and slightly more effective in the short term for improving function. However, data for long-term use are virtually nonexistent. The long-term use of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0815/od5.html

POEMs: Accuracy of Fecal DNA and Fecal Immunochemical Test for Colorectal Cancer ...

Sep 1, 2014 - Fecal DNA testing is more sensitive but less specific than fecal immunochemical testing (FIT), and as a result, has a higher false-positive rate. It is also more expensive than other noninvasive alternatives such as FIT. We do not know which test will be better at reducing mortality.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0901/p326a.html

POEMs: Anastrozole Decreases Rate of Breast Cancer in High-Risk Postmenopausal Women...

Aug 15, 2014 - Postmenopausal women at high risk of developing breast cancer who take anastrozole for five years have a lower rate of developing invasive breast cancer during that time frame.

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0815/od7.html

POEMs: Cold Symptoms Unaffected by Regular Analgesic Dosing or Use of Steam - ...

Sep 1, 2014 - Advice regarding the use of steam inhalation, ibuprofen alone or with acetaminophen, acetaminophen alone, and regular vs. as-needed use of analgesics did not show any improved effectiveness in treating symptoms of acute respiratory tract infections. Ibuprofen may be beneficial in ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0901/p335.html

POEMs: Immunochemical FOBTs Moderately Sensitive and Highly Specific for Colorectal ...

Aug 15, 2014 - Immunochemical FOBTs, such as OC-Micro, OC-Sensor, or OC-Light, are moderately sensitive (73% to 89%) and highly specific (92% to 95%) for identifying colorectal cancer. In comparison, Hemoccult Sensa has a lower sensitivity (64% to 80%) and specificity (87% to 90%). Immunochemical ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0815/od4.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: 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: 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: 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: 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: 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: 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: 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: No Increased Survival Benefit to Intensive Follow-Up After Colorectal Cancer ...

May 1, 2014 - Compared with minimal follow-up after surgery for colorectal cancer, intensive follow-up with regular computed tomography (CT), carcinoembryonic antigen (CEA) testing, or both results in more patients undergoing repeat surgery but no reduction in overall mortality or disease-specific ...

American Family Physician : POEMs

http://www.aafp.org/afp/2014/0501/p752.html

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