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hypertension

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Comparative Effectiveness Research Through a Collaborative Electronic Reporting Consortium

This article describes the creation of an EHR research network sufficiently large to conduct CER, the CER2 Consortium. We detail the network structure, initial research focus, governance, and future vision. The consortium was created through a partnership between the American Academy of...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/fiks-comparative-effectiveness-pediatrics-2015.pdf

Risk-Adjusted Comparison of Blood Pressue and Low-Density Lipoprotein Noncontrol in ...

The objectives of this article are to (1) demonstrate the use of electronically downloaded electronic health record (EHR) data to assess guideline concordance in a large cohort of primary care patients, (2) provide a contemporary assessment of noncontrol of BP and low-density ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/hammermeister-risk-adjusted-comparison.pdf

PRO Measure Implentation

...and decision making guided implementation of a medication adherence PRO measure (the Medication Adherence Survey [MAS]) for patients with hypertension and/or hyperlip- idemia. Results: Over 9 months, 40 of 45 practices (89%) implemented the MAS, collecting 3,247 surveys (mean �...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/kwan_saftinet_jabfm_2016.pdf

Effects of Changing Guidelines on Prescribing Aspirin for Primary Prevention of ...

Multiple studies and meta-analyses indicate that there is no specific population in which the benefits of low-dose aspirin therapy for primary prevention exceed the risks. The Dialysis Outcomes and Practice Patterns Study (DOPPS), an observational investigation of aspirin use and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/hissett-prescribing-aspirin-cvd.pdf

Management of New Detected Atrial Fibrillation

The Joint Panel of the American Academy of Family Physicians and the American College of Physicians, in collaboration with the Johns Hopkins Evidence-based Practice Center, systematically reviewed the available evidence on the management of newly detected atrial fibrillation and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/afib_guidelines.pdf

Pharmacologic Management of Newly Detected Atrial Fibrillation

...Bleeding Risk Index; CHADS2 = Congestive heart failure, Hypertension, Age 75+, Diabetes mellitus, prior Stroke, transient ischemic attack or thromboembolic event; CHA 2 DS 2 - VASc = Congestive heart failure, Hypertension, Age 75+, Diabetes mellitus, prior Stroke, transient...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/a-fib-guideline.pdf

Management of Atrial Fibrillation: Review of the Evidence for the Role of Pharmacologic...

Atrial Fibrillation

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/afib_background.pdf

Diagnosis and Management of Obesity

...Hypertension Hyperuricemia and gout Menstrual abnormalities Orthopedic problems Reduction of cerebral blood flow Sleep apnea Type 2 diabetes Depression Discrimination Low self-esteem Negative body image Negative stereotyping Social marginalization...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/obesity-diagnosis-mono.pdf

Treating Tobacco Use and Dependence: 2008 Update

...advice over time. Although most clinicians are comfortable in counseling their patients about other chronic diseases such as diabetes, hypertension, or hyperlipidemia, many believe that they are less effective in providing counseling to patients who use tobacco.84,85 As with these...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/TreatingTobaccoUseandDependence-2008Update.pdf

Practice-Based Research Networks

...... from the clinical observation that coronary heart disease appeared to occur less frequently among blacks than whites, even though hypertension was obviously more common in blacks and they consumed a higher animal fat diet.9 He elegantly detailed his study site, not- ing, for...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/pearlsofresearch.pdf

Target Disease

...The AAFP recommends that primary care professionals individualize the decision to offer or refer adults without obesity who do not have hypertension, dyslipidemia, abnormal blood glucose, or diabetes to behavioral counseling to promote a healthful diet and physical activity. (2016)...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdf

Chronic Kidney Disease Guideline Implementation in Primary Care

The TRANSLATE CKD study is an ongoing national, mixed-methods, cluster randomized control trial that examines the implementation of evidence-based guidelines for CKD into primary care practice. A complete study protocol has been published elsewhere. Thirty-eight primary care practices ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/vest-ckd-guidelines-2015.pdf

COPD_Prevention_Module.ppt

...Hypertension Careful with patient with hepatic cirrhosis Pregnancy (Category C) Avoid using in patients undergoing abrupt discontinuation of alcohol or sedatives Cost: $3.62-$7.78 daily References: AAFP. Pharmacologic product guide: FDA-approved medications. AHRQ....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPD_Prevention_Module.ppt

COPD-Patient-Intervention-Module.ppt

...between 55 and 60 mm Hg with pulmonary hypertension, peripheral edema suggesting heart failure, or polycythemia (hematocrit > 55%) (SOR: C) Cranston, 2008 GOLD, 2009 * Oxygen therapy can be used as long-term continuous therapy, during exercise, or to relieve acute dyspnea....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPD-Patient-Intervention-Module.ppt

COPD-Differential-Diagnosis-Module.ppt

...Characteristics Midlife to late-life onset; associated with risk factors such as hypertension and coronary artery disease Clinical presentation Fatigue, exertional and paroxysmal nocturnal dyspnea, and peripheral edema, crackles on auscultation Pulmonary function test...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPD-Differential-Diagnosis-Module.ppt

Management of Type 2 Diabetes in the Primary Care Setting: A Practice-Based Research ...

Only modest numbers of patients achieve established targets of diabetes control. Reengineering primary care practice may be necessary to substantially improve care.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/DOSmanuscript.pdf

Clinical practice guideline: Hoarseness (Dysphonia)

...Allergic rhinitis Chronic rhinitis Hypertension (because of certain medications used for this condition) Schizophrenia (because of anti-psychotics used for mental health problems) Osteoporosis (because of certain medications used for this condition) Asthma, chronic...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/RecBoardChair-060810-Attachment-Hoarseness-Guideline.pdf

ipf-brochure.pdf

...reflux disease, hiatal hernia, pulmonary malignancy, coronary artery disease, obstructive sleep apnea, obesity, emphysema, and pulmonary hypertension are comorbid conditions frequently associated with IPF.2,4 ● Occupational and environmental exposures. Chronic, repeated exposure...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/ipf/ipf-brochure.pdf

Clinical Practice Guideline: Planning for Labor and Vaginal Birth After Cesarean

Cesarean deliveries are a common surgical procedure in the United States, accounting for one in three U.S. births. The primary purpose of this guideline is to provide clinicians with evidence to guide planning for labor and vaginal birth after cesarean (LAC/VBAC).

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/AAFP%20PVBAC%20guideline.pdf

Hormonal testing and Pharmacologic Treatment of Erectile Dysfunction

The American College of Physicians developed this guideline to present the available evidence on hormonal testing in and pharmacologic management of erectile dysfunction. Current pharmacologic therapies include phosphodiesterase-5 (PDE-5) inhibitors, such as sildenafil, vardenafil, ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/acp-hormonaltest-ed.pdf

COPDCaseStudy-NumberOne.doc

...· Her only other past medical history includes hypertension for which she is using lisinopril, metoprolol, and hydrochlorothiazide. At this point, what further investigations do you think would be appropriate? A. Chest radiograph (CXR) B. Computed axial tomography (CT) of...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPDCaseStudy-NumberOne.doc

COPDCaseStudy-NumberThree.doc

...· Hypertension · Appendectomy · Family History · Father died of myocardial infarction at age 59 years (diabetes, hypertension, smoker) · Mother alive (atrial fibrillation, heart failure) · Healthy siblings · Social History · Married, 3 children · 30 pack year smoking...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/copd/COPDCaseStudy-NumberThree.doc

Americans in Motion - Healthy Interventions: A Guide to Group Visits for Chronic ...

Research indicates group visits can also provide an improved quality of care and a higher level of patient and physician satisfaction. They empower patients and also the physician and staff. Group visits allow for more time for education and relationship building. Group visits have ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/GroupVisitAIM.pdf

Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered ...

Many primary care practices are moving toward the patient-centered medical home (PCMH) model and increasingly are offering payment incentives linked to PCMH changes. Despite widespread acceptance of general PCMH concepts, there is still a pressing need to examine carefully and ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/BittonHamsterWheelPCMH2012.pdf

Design and Implementation of N-of-1 Trials: A User's Guide

AHRQ commissioned this User’s Guide as an informational resource to researchers, health care providers, patients, and other stakeholders to improve general understanding of n-of-1 trials and strengthen the quality of evidence that is generated when an n-of-1 trial is conducted. The ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/design-implementation-n1-trials.pdf

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