Search Results for

*

1-50 of 51 ResultsHelp using search on aafp.org Sort by Relevance , Date , Title

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - Discussing with patients the pros and cons of medications for borderline glucose values could distract us from more important topics such as lifestyle changes, smoking cessation, and blood pressure control. Time is the most valuable resource in a physician-patient partnership, and there...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p136.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

Is "Precision Medicine" Ready to Use in Primary Care Practice? No: It Is Barely Ready ...

Dec 15, 2017 - Precision medicine is ultimately only a tool, and just as it might be used to facilitate better outcomes, if adopted prematurely, it may paradoxically increase inappropriate care. Therefore, primary care physicians must wait for carefully conducted randomized studies to demonstrate ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/1215/p769.html

Is "Precision Medicine" Ready to Use in Primary Care Practice? Yes: It Offers Patients ...

Dec 15, 2017 - The question that primary care physicians should be considering is not whether precision medicine is ready for prime time in their practices. Rather, they should be considering how they will adjust their practice patterns to the changing landscape of medicine to maximize patient benefit...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/1215/p767.html

Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...

May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p618.html

Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? Yes: ...

May 15, 2017 - We need to emphasize the message that regardless of which test is used, patients should get screened for colorectal cancer.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p616.html

Should Family Physicians Routinely Screen Patients for Hepatitis C? Yes: Screening ...

Jan 1, 2016 - For patients to receive appropriate care for their chronic infection and receive curative treatment, they must first know they are infected, and it all begins with screening.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2016/0101/p15.html

Should Family Physicians Routinely Screen Patients for Hepatitis C? No: One-time ...

Jan 1, 2016 - Given current scientific uncertainties, limited resources, and evolving guidelines, a reasonable middle ground would be to focus HCV testing and therapy on patients who are most likely to have long-term complications from the infection.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2016/0101/p17.html

Should Preparticipation Cardiovascular Screening of Athletes Include ECG? Yes: ...

Sep 1, 2015 - Cardiovascular screening with ECG is a valid, cost-effective, and worthwhile endeavor in the preparticipation sports evaluation.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0901/p338.html

Should Preparticipation Cardiovascular Screening of Athletes Include ECG? No: There Is ...

Sep 1, 2015 - Although there are many reasons to conduct preparticipation sports examinations, there is insufficient evidence to support cardiac screening with ECG.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0901/p343.html

Should Family Physicians Screen for Testosterone Deficiency in Men? Yes: Screening for ...

Feb 15, 2015 - With the possible exception of patients with cardiovascular disease, testosterone replacement therapy remains a potentially beneficial option in improving health-related quality of life in men.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p220.html

Should Family Physicians Screen for Testosterone Deficiency in Men? No: Screening May ...

Feb 15, 2015 - Testosterone testing leads to testosterone treatment, which is inappropriate for the vast majority of patients. Testosterone treatment should be reserved for patients who are truly hypogonadal.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p226.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Yes: ...

Aug 15, 2014 - The recommendations appropriately focus treatment on those most likely to benefit.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p212.html

Should Family Physicians Follow the New ACC/AHA Cholesterol Treatment Guideline? Not ...

Aug 15, 2014 - The recommendations should have paid more attention to the inherent uncertainties in risk estimates and the importance of individual patient circumstances and preferences.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0815/p223.html

Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? ...

Jul 15, 2014 - When offered to the appropriate population in the appropriate context, CT-based lung cancer screening will reduce the number of deaths caused by this difficult disease.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0715/od2.html

Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? No:...

Jul 15, 2014 - There is still considerable uncertainty about the true magnitude of benefit from annual lung cancer screening, as well as the financial and psychological costs; therefore, the scope of the recommendation should be limited to one of individualized, shared decision making.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0715/od3.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? Yes: ...

Jun 1, 2014 - Being able to anticipate and mitigate the potentially adverse outcomes of hospitalization in these patients should be reason enough to screen for cognitive impairment in the primary care setting.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p861.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? No: ...

Jun 1, 2014 - Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in practice.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p864.html

Two Views on the New DSM-5: DSM-5: A Diagnostic Guide Relevant to Both Primary Care and...

Oct 15, 2013 - We are optimistic that by having welcomed an extensive review process and taken active steps to make DSM-5 more applicable to all of medicine, we have generated an approach that signifies a much improved future for the diagnosis and classification of mental disorders.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1015/od2.html

Is Natural Family Planning a Highly Effective Method of Birth Control? Yes: Natural ...

Nov 15, 2012 - Yes: Natural Family Planning Is Highly Effective and Fulfilling. Natural family planning (NFP) is an effective and fulfilling method of avoiding pregnancy that has developed significantly over the past 80 years.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1115/od1.html

Two Views on the DSM-5: The Need for Caution in Diagnosing and Treating Mental ...

Oct 15, 2013 - Primary care physicians should not blindly follow DSM-5's lead toward looser psychiatric diagnoses and should exercise much greater caution in the prescription of psychotropic drugs.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1015/od1.html

Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most...

Oct 1, 2013 - The evidence supports the use of antibiotics only in certain clinical situations and avoidance of antibiotics in certain children with AOM.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1001/od2.html

Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics? Yes: ...

Oct 1, 2013 - The demonstrated benefits of antibiotic use are an average of one less day of pain and fever, which is about evenly offset by the risk of adverse effects. Benefits warrant discussion with parents for shared decision making regarding treatment.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1001/od1.html

Should Family Physicians Screen for Vitamin D Deficiency? Yes: Targeted Screening in ...

Apr 15, 2013 - Although it is not time for general population-based screening for vitamin D deficiency, we should focus on screening populations at risk of or who have osteoporosis.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0415/od1.html

Should Family Physicians Screen for Vitamin D Deficiency? No: Screening Is Unnecessary,...

Apr 15, 2013 - The evidence remains incomplete, but there are numerous problems with regularly measuring serum vitamin D levels to assess for deficiency.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0415/od2.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? Yes: The Potential ...

Feb 1, 2013 - The bolus administration of this micronutrient should be abandoned in most circumstances, and patients should be encouraged to obtain their calcium intake from an appropriately balanced diet.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od1.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? No: Concerns Are ...

Feb 1, 2013 - When patients are randomized and cardiovascular events are carefully adjudicated, there is no compelling evidence that calcium supplementation increases the rate of major cardiovascular events.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od2.html

Should the Target A1C Level Be Less Than 7 Percent? No: The Case for Modest Glycemic ...

Dec 15, 2012 - No: The Case for Modest Glycemic Control in Patients with Type 2 Diabetes

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1215/od2.html

Is Natural Family Planning a Highly Effective Method of Birth Control? No: Natural ...

Nov 15, 2012 - No: Natural Family Planning Methods Are Overrated. Natural family planning (NFP) methods are not highly effective contraceptive options. The most important consequence of contraceptive failure is unintended pregnancy, which is costly to the individual and to society.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1115/od2.html

Editorials: Controversies in Family Medicine - Dec 15, 2012 - American Family Physician

Dec 15, 2012 - Yes: This Should Be the Target for Most Patients

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1215/od1.html

Editorials: Controversies in Family Medicine - Oct 15, 2012 - American Family Physician

Oct 15, 2012 - No: Universal Screening Has Uncertain Benefits and a High Risk of Harms. Atherosclerosis can be demonstrated in young arteries, and its development over time correlates with the presence of risk factors for the disease, including higher lipid levels. But the presence of this association...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od1.html

Should Family Physicians Routinely Screen for Hypercholesterolemia in Children? Yes: ...

Oct 15, 2012 - Yes: The Evidence Supports Universal Screening. Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od2.html

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - Yes: Screening Improves CAD Risk Management in Selected Patients. Sudden death is often the first manifestation of atherosclerotic coronary artery disease (CAD). One-third of deaths from CAD in the Atherosclerosis Risk in Communities study occurred without warning signs, and there was ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p398.html

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - No: Screening is Unproven, Expensive, and Potentially Harmful. Coronary artery calcium (CAC) scores have been recommended as a way to screen for coronary artery disease (CAD). Before we get too enthusiastic about this expensive new test, remember that a good screening test must perform ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p405.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? No: Evidence Shows No ...

Apr 15, 2012 - No: Evidence Shows No Clinically Significant Benefit Over Watchful Waiting. The pain often improves greatly within one month, with more than 90 percent of patients no longer needing medical care within three months.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p763.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Evidence Shows ...

Apr 15, 2012 - Yes: Evidence Shows Benefit in Most Patients. The goal of manipulation is to restore maximal, pain-free movement of the musculoskeletal system in postural balance. In the past decade, there has been a significant growth in evidence supporting the benefits of manipulation.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p756.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Spinal ...

Apr 15, 2012 - Yes: Spinal Manipulation Is a Useful Adjunct Therapy. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have research studies evaluated the benefits of spinal ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p760.html

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease - Editorials: ...

Jun 15, 2011 - The factor most strongly associated with appropriate aspirin use is a conversation between the patient and physician. The National Committee for Quality Assurance has proposed that health plans measure their members' use of aspirin, as well as the extent to which physicians discuss ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1380.html

Should All Children Be Screened for Autism Spectrum Disorders? Yes: Merging Science, ...

Aug 15, 2011 - Screening offers the potential for early treatment, which can lessen the effect of a condition. This is true for ASDs and related disorders in which randomized controlled trials have demonstrated improvements in young children with ASDs with regard to parent-child social communication, ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0815/p361.html

Should All Children Be Screened for Autism Spectrum Disorders? No: Screening Is Not ...

Aug 15, 2011 - Whether or not early detection of ASDs through screening is beneficial is best answered by an unbiased, comprehensive systematic review, before screening recommendations are proposed. Several guideline panels in other countries have conducted such a review using robust assessment ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0815/p377.html

Should We Screen Patients for Barrett's Esophagus? Yes: Men with Long-standing Reflux ...

May 15, 2011 - Although screening and surveillance for Barrett's esophagus is controversial, the latest evidence supports this approach to decrease morbidity and mortality. Carefully evaluating patients with reflux symptoms and stratifying them based on known risk factors has the potential to result ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1140.html

The Case Against Routine Aspirin Use for Primary Prevention in Low-Risk Adults - ...

Jun 15, 2011 - A policy of generalized aspirin use in adults for the primary prevention of CVD is probably not warranted. Instead, the benefits and risks of aspirin therapy for primary prevention need to be considered on an individual basis, and should be reserved for persons at highest long-term risk...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1387.html

Hyperlipidemia Treatment in Children: The Younger, the Better - Editorials: ...

Sep 1, 2010 - Despite the absence of data in children demonstrating morbidity and mortality reduction by aggressive treatment of lipid disorders, the overwhelming data in adults (e.g., decreasing LDL cholesterol, improved morbidity and mortality) and evidence of atherosclerotic lesions developing in ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/0901/p460.html

Should We Screen Patients for Barrett's Esophagus? No: The Case Against Screening - ...

May 15, 2011 - Although there is enthusiasm in some groups for screening patients for Barrett's esophagus, with the goal of reducing death from esophageal adenocarcinoma, review of the evidence does not show sufficient benefit to recommend such a program.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1148.html

Should We Treat Moderately Elevated Triglycerides? No: Reducing Moderately Elevated ...

Feb 1, 2011 - Moderately elevated triglyceride levels have not been established as an independent risk factor for CHD. More importantly, the lowering of moderately elevated triglyceride levels with drug therapy has not been shown to decrease the rate of CHD for primary prevention in otherwise healthy...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0201/p246.html

Monitoring Osteoporosis Treatment: DXA Should Not Be Routinely Repeated - Editorials: ...

Oct 1, 2010 - Unless the physician knows how to adjust therapy based on repeat DXA, monitoring osteoporosis treatment via DXA is unlikely to be clinically necessary or beneficial. Currently, we assume that if the patient has not had a fracture and the BMD significantly increases, then no change in ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1001/p752.html

The Role of Nonstatin Therapy in Managing Hyperlipidemia - Editorials: Controversies in...

Nov 1, 2010 - When treating hyperlipidemia, physicians often face the question of the clinical value of nonstatin drugs, including bile acid sequestrants, fibrates (fibric acid derivatives), niacin, and cholesterol-absorption inhibitors. This editorial highlights the most prominent trial data and ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1056.html

Bone Density Testing to Monitor Osteoporosis Therapy in Clinical Practice - Editorials:...

Oct 1, 2010 - The bottom line in caring for patients with osteoporosis is that monitoring for treatment effect is appropriate and desirable. A statistically significant BMD loss may lead to further evaluation and possibly a change in treatment. The strategy of monitoring therapy with BMD testing is ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1001/p749.html

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else - ...

Nov 1, 2010 - Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with hyperlipidemia has ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1063.html

Screening for Hyperlipidemia in Children: Primum Non Nocere - Editorials: Controversies...

Sep 1, 2010 - Only 40 to 55 percent of children with elevated cholesterol and low-density lipoprotein levels will continue to have elevated lipids on follow-up. A recent evidence review supporting the U.S. Preventive Services Task Force statement on lipid screening in children reached the following ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/0901/p468.html

Page  1 2 Next

25 50 100 results per page