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AFP By Topic - American Family Physician

Nov 15, 2019 - Editors' Choice of Best Available Content

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewAll.htm

CDC: Preventing ACEs May Mitigate Chronic Health Issues

Nov 13, 2019 - At least five of the 10 leading causes of death are associated with adverse childhood experiences, according to a recent Morbidity and Mortality Weekly Report and an accompanying Vital Signs report from the CDC.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191113mmwraces.html

Taking Hypertension Medication at Bedtime Improves CVD Risk

Nov 6, 2019 - The Hygia Chronotherapy Trial found that bedtime hypertension therapy better reduced the risk of cardiovascular disease than taking blood pressure medication on awakening, as previous studies have suggested.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191106bedtimehbpmeds.html

AAFP Elderly Care CME Course in Fort Myers, FL -- CME

Nov 4, 2019 - Earn CME and learn the latest on cholesterol, diabetes, hypertension, end-of-life care, and more at the AAFP Geriatric Medicine live course in Fort Myers, FL.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/geriatrics-live/fort-myers.html

Stuttering: Understanding and Treating a Common Disability - American Family Physician

Nov 1, 2019 - Childhood-onset fluency disorder, the most common form of stuttering, is a neurologic disability resulting from an underlying brain abnormality that causes disfluent speech. Stuttering can lead to significant secondary effects, including negative self-perception and negative perception ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1101/p556.html

Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...

Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p540.html

Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ...

Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1101/od1.html

Let's Fix Rural Americans' Inadequate Access to Care

Oct 30, 2019 - It's no surprise that rural communities are suffering from health disparities, Kyle Leggott, M.D., writes in this Fresh Perspectives blog post. Although 20% of Americans live in rural areas, only 12% of primary care physicians practice there.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20191030fp-ruraltraining.html

Livestream from your device AAFP Internal Medicine CME Course -- CME

Oct 22, 2019 - Earn live CME credits and maximize your patient care with the AAFP’s Adult Medicine livestream.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/internal-live/streaming.html

Family Physician Couple Returns to Rural Roots in Minnesota

Oct 18, 2019 - Two family physicians who just happen to be married give AAFP News a firsthand view of their wide scope of practice and strong community ties in their small rural town of Sleepy Eye, Minn.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20191018sleepyeye.html

AAFP Chronic Diseases CME Course in San Diego (La Jolla), CA -- CME

Oct 16, 2019 - Learn the latest on AFib, hypertension, stroke prevention, and more at the AAFP Care of Chronic Conditions live, evidence-based CME course in San Diego (La Jolla), CA.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/chronic-conditions-live/san-diego1.html

Survey Examines Marijuana Use Among U.S. Adults

Oct 16, 2019 - A survey of more than 169,000 American adults found that individuals with one or more documented medical conditions are far more likely to use marijuana than those without a medical condition.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191016marijuanasurvey.html

Point-of-Care Guides - American Family Physician

Oct 15, 2019 - This collection features AFP content from the Point-of-Care Guides collection on topics related to anticoagulation, cancer, cardiovascular issues, diabetes, gastrointestinal issues, infectious diseases, mortality risk, musculoskeletal issues, neurologic issues, obstetric issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=75

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Flu Vaccine, Car Seats, PTSD, Kidney Stones, Bridging Warfarin - AFP Clinical Answers -...

Oct 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1015/p462.html

Obesity Prevention and Treatment

Oct 15, 2019 - The AAFP advocates for health care policies that address the significant health impact of obesity.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/obesity.html

Preventive Health

Oct 15, 2019 - The AAFP supports efforts to promote wellness and preventive public health care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/prevstrategy.html

Lifestyle Medicine Is My Prescription for Better Health

Oct 14, 2019 - Alex Mroszczyk-McDonald, M.D., is determined to convince his patients that a healthy diet, exercise and adequate rest are better than any medication he can prescribe.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20191014fp-lifestylemed.html

Review for ABFM Board Exam and Earn CME from the comfort of your own home or office -- CME

Oct 3, 2019 - Prepare for the ABFM exam. Stream the AAFP’s Board Review Express Live Course online and get the same in-depth Board review from home.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/board-review-express/houston-streaming.html

Review for ABFM Board Exam and Earn CME from the comfort of your own home or office -- CME

Oct 3, 2019 - Prepare for the ABFM exam. Stream the AAFP’s Board Review Express Live Course online and get the same in-depth Board review from home.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/board-review-express/livestream.html

AAFP Internal Medicine livestream courses spanning 12 weeks -- CME

Oct 2, 2019 - Earn live CME credits and maximize your patient care with the AAFP’s Adult Medicine livestream spanning 12 weeks.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/internal-live/livestream.html

Anticoagulation: Updated Guidelines for Outpatient Management - American Family Physician

Oct 1, 2019 - Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p426.html

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Atrial Fibrillation - American Family Physician

Oct 1, 2019 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=33

Domino: Beer is OK (If You Exercise), But Avoid Kale

Oct 1, 2019 - Frank Domino, M.D., delivered his popular Top 10 Updates in Evidence-based Medicine Sept. 27 during the Family Medicine Experience in Philadelphia. As usual, his presentation drew a huge crowd.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191001fmx-domino.html

AFP Podcast: Episode 94 - September 15, 2019 -- American Family Physician

Sep 21, 2019 - Episode 94 includes discussions on glycopyrronium topical wipes, urinary incontinence, augmentation for treatment-resistant depression, pelvic inflammatory disease, dual antiplatelet therapy for transient ischemic attack and minor stroke, ruling out community-acquired pneumonia.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/podcast/94.html

Stroke and TIA - American Family Physician

Sep 15, 2019 - This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks. This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=24

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Urinary Incontinence in Women: Evaluation and Management - American Family Physician

Sep 15, 2019 - Urinary incontinence is a common problem among women worldwide, resulting in a substantial economic burden and decreased quality of life. The Women’s Preventive Services Initiative is the only major organization that recommends annual screening for urinary incontinence in all women ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p339.html

Interventions to Prevent Perinatal Depression: Recommendation Statement - U.S. ...

Sep 15, 2019 - The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0915/od1.html

Weak Evidence Supports Augmentation Therapy for Treatment-Resistant Depression - POEMs ...

Sep 15, 2019 - There is weak research to guide treatment decisions for patients who have not responded to two adequate courses of antidepressant treatment. One study of cognitive behavior therapy showed benefit over placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p376.html

Omega-3 Fatty Acids Do Not Prevent Cancer or Cardiovascular Disease Events - POEMs - ...

Sep 15, 2019 - This is the second large, well-designed study (the first one included patients with diabetes mellitus; this one included patients without diabetes) that found no benefit from a 1-g daily dosage of marine n-3 fatty acid supplementation for the primary prevention of cardiovascular disease...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p374a.html

Review for ABFM Board Exam and Earn CME in Houston, TX -- CME

Sep 3, 2019 - Prepare for the ABFM exam with the AAFP’s Board Review Express Live Course in Houston. Learn test-taking strategies from family medicine experts.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/board-review-express/houston.html

2019 Handouts

Aug 27, 2019 - View handouts from the 2019 AAFP FMX.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/handouts.html

Short-Term Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin...

Aug 15, 2019 - Combined treatment with clopidogrel and aspirin, started within 24 hours of the first event, will decrease the likelihood of a recurrent stroke in an additional 2% of patients compared with aspirin alone, with a slight increase in the risk of extra-cranial bleeding.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249.html

Asthma, Back and Neck Pain, Pain During Labor, TIA, CBT for Anxiety - AFP Clinical ...

Aug 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0815/p208.html

Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...

Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0815/p209.html

Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...

Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0815/p251.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

5% Fluorouracil Is the Preferred Treatment for Actinic Keratoses - POEMs - American ...

Aug 15, 2019 - The use of topical 5% fluorouracil is most likely to result in successful elimination of actinic keratoses in a field on the head or face.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249a.html

AAFP Elderly Care CME Course in Vail, CO -- CME

Aug 13, 2019 - The AAFP Geriatric Medicine CME course in Vail, CO, features relevant, evidence-based information you can apply directly to your practice.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/geriatrics-live/vail.html

Resolution No. 408 (Illinois A) - Stigma and Bias Experienced by People with Obesity --...

Aug 5, 2019 - This resolution asks that the American Academy of Family Physicians (AAFP) ) support local, state and national policies that prohibit weight discrimination, and make available to its members educational materials to reduce the experience of weight stigma and bias for patients, including...

About AAFP : Organizational Leadership

https://www.aafp.org/about/governance/congress-delegates/2019/resolutions2/illinois-a.mem.html

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...

Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p184.html

Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...

Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0801/p180.html

More Evidence Against Antibiotics for Acute Asthma Exacerbations - POEMs - American ...

Aug 1, 2019 - Antibiotics do not benefit patients hospitalized with an asthma exacerbation. Evidence from this study suggests worse outcomes with antibiotic use, including a longer hospital stay, higher costs, and greater risk of diarrhea.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p185.html

Academy Takes Aim at Rural Health Challenges

Jul 23, 2019 - Rural Americans tend to be older, poorer and sicker than their urban counterparts. In his latest In the Trenches blog post, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin looks at the issues the Academy's new rural health initiative aims to address.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190723itt-rural.html

Resolution No. 607 (Washington A) - Climate CME and the Public Health -- Congress of ...

Jul 22, 2019 - This resolution asks that the American Academy of Family Physicians proactively expand its continuing medical education offerings that prepare physicians to identify, manage, and prevent health conditions related to human induced climate change.

About AAFP : Organizational Leadership

https://www.aafp.org/about/governance/congress-delegates/2018/resolutions2/washington-a.mem.html

Study Examines Causes of High-severity Malpractice Cases

Jul 16, 2019 - New research indicates that more than one out of three cases of medical malpractice that result in death or permanent disability can be linked to inaccurate or delayed diagnosis.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190716diagnosisstudy.html

Family Planning and Contraception - American Family Physician

Jul 15, 2019 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Hearing Loss in Adults: Differential Diagnosis and Treatment - American Family Physician

Jul 15, 2019 - More than 30 million U.S. adults have hearing loss. This condition is underrecognized, and hearing aids and other hearing enhancement technologies are underused. Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss (i.e., ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p98.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Correction - Corrections - American Family Physician

Jul 15, 2019 - ...in combination with aspirin to reduce the risk of major cardiovascular events (cardiovascular [CV] death, myocardial infarction [MI] and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease. Before publication, the article was not updated to...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0715/p74.html

Emergency and Urgent Care Self-Study Package -- CME

Jul 12, 2019 - Refine your emergency care skills on topics that include pediatric emergencies, stroke and stroke mimics, vascular emergencies and more.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/er-urgent.html

Sports Medicine -- FP Essentials

Jul 11, 2019 - FP Essentials is a monthly monograph focused on family medicine clinical topics. This edition is available for individual purchase.

CME | FP Essentials : Subscriptions

https://www.aafp.org/cme/subscriptions/fp-essentials/editions/482-ed.html

Heart Failure - American Family Physician

Jul 1, 2019 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26

Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician

Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p32.html

Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...

Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0701/p49.html

Physical Activity: Updated Recommendations from HHS - Practice Guidelines - American ...

Jul 1, 2019 - The U.S. Department of Health and Human Services recently published updated recommendations on physical activity based on a systematic review of the effect of physical activity on health. The committee addressed 38 questions and 104 subquestions and graded the evidence based on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0701/p58.html

2019-20 AFP Podcast Team -- American Family Physician

Jul 1, 2019 - The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP). Each episode includes brief summaries of articles and other features.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/podcast-2019-20.html

Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician

Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p751.html

Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease - Editorials - ...

Jun 1, 2019 - Aspirin's routine use for primary prevention has been the subject of controversy because of questionable benefits and increased bleeding risk. Aspirin therapy may reduce the relative risk of a first heart attack or stroke, but this benefit could be outweighed by the risk of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0601/p670.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Overview of New ACC/AHA Lipid Guidelines - POEMs - American Family Physician

Jun 1, 2019 - These updated guidelines, made without any input from primary care physicians who manage most patients with hyperlipidemia, are more complex than the 2013 guidelines and will likely lead to even more recommendations for statins, ezetimibe (Zetia), and PSK9 inhibitors.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p716.html

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk,...

May 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0515/p606.html

Apophysitis and Osteochondrosis: Common Causes of Pain in Growing Bones - American ...

May 15, 2019 - Apophysitis and osteochondrosis are common causes of pain in growing bones but have differing etiologies and required management. Apophysitis results from a traction injury to the cartilage and bony attachment of tendons in children and adolescents. Most often it is an overuse injury in...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p610.html

What Evidence Do We Need Before Recommending Routine Screening for Social Determinants ...

May 15, 2019 - Social determinants have a large effect on patients' health and well-being. Primary care clinicians need more evidence about their role in addressing social determinants of health, and community resources and public health support are needed to help patients with unmet social needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0515/p602.html

Tobacco: Preventing and Treating Nicotine Dependence and Tobacco Use (Position Paper)

May 9, 2019 - Read the AAFP's position paper on the preventing and treating nicotine and tobacco use.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/nicotine-tobacco-prevention.html

FP Mentor Guides Youths to Careers in Health Care

May 6, 2019 - Beulette Hooks, M.D., never met a black physician while she was growing up. Now she's working to ensure young people in her community have mentors in medicine.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20190506fdf-hooks.html

Hyperlipidemia - American Family Physician

May 1, 2019 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

Inpatient Medicine - American Family Physician

May 1, 2019 - ...kidney disease, meningitis, myocardial infarction, pancreatic cancer, pancreatitis, pleural effusion, pneumonia, pyelonephritis, stroke, syncope, and transfusions. New research may affect the interpretation and application of this material. Clinical judgment is advised. Note that...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=88

Cholesterol Management: ACC/AHA Updates Guideline - Practice Guidelines - American ...

May 1, 2019 - The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0501/p589.html

Heat-Related Illnesses - American Family Physician

Apr 15, 2019 - Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening...

American Family Physician : Article

https://www.aafp.org/afp/2019/0415/p482.html

Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...

Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0415/p519.html

Common Breast Problems - American Family Physician

Apr 15, 2019 - Palpable breast masses, mastalgia, and nipple discharge are commonly encountered symptoms in outpatient practice, causing significant patient anxiety and precipitating medical consultation. The initial workup includes a detailed clinical history and physical examination. Women ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0415/p505.html

Colorectal Cancer, Osteoporosis, Knee Osteoarthritis, Suspected Dementia, Pacifier Use ...

Apr 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0415/p478.html

Research Shows Perceptions of E-cigarettes Are Changing

Apr 15, 2019 - A recent analysis of results from two national surveys shows that increasing numbers of American adults are aware of the risks associated with e-cigarette use, with many now viewing them as at least as harmful as combustible cigarettes.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20180415e-cigsurveys.html

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...

Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p422.html

Will a Feeding Tube Help? Deciding for a Father at the End of Life - Close-ups - ...

Apr 1, 2019 - Making caring, difficult choices on behalf of loved ones at the end of life.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0401/p420.html

Aspirin’s Benefits and Harms Are Less Clear for Primary Prevention in Moderate-Risk ...

Apr 1, 2019 - In this study, after five years of treatment, patients at a moderate risk of heart disease who took low-dose aspirin did not show a decrease in coronary events and all-cause mortality and had slightly more gastrointestinal bleeding.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p459a.html

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...

Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p421.html

Testicular Cancer, Onset of Labor, Respiratory Tract Infection, Thyroid Cancer, Running...

Apr 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0401/p424.html

Not Tough Enough? What More Do You Want?

Mar 25, 2019 - Leonard Reeves, M.D., offers a rebuttal to a speaker who questioned the toughness of physicians amid a burnout crisis.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190325lv-toughenough.html

Care of Chronic Conditions Self-Study Package -- CME

Mar 21, 2019 - Gain a wide-ranging overview of family medicine-specific content related to chronic conditions with this AAFP self-study CME package.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/chronic-conditions.html

Longitudinal Assessment Self-Study | Be prepared for FMCLA. -- CME

Mar 21, 2019 - With practice questions and Board-style content, make the AAFP’s Longitudinal Assessment Self-Study Package your all-in-one FMCLA companion.

CME : CME by Topic

https://www.aafp.org/cme/cme-topic/all/longitudinal-assessment.html

Top POEMs of 2018: Screening and Prevention -- American Family Physician

Mar 21, 2019 - These are the top POEMs from 2018 screening and prevention.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/authors/ebm-toolkit/resources/poems-2018/screening.html

AAFP Affirms Value of New Cholesterol Management Guideline

Mar 20, 2019 - The AAFP recently gave its affirmation of value designation to a cholesterol management guideline jointly developed by the American College of Cardiology and the American Heart Association.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190320acc-ahacholguidln.html

Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment - American Family ...

Mar 15, 2019 - Lower extremity peripheral artery disease (PAD) affects 12% to 20% of Americans 60 years and older. The most significant risk factors for PAD are hyperlipidemia, hypertension, diabetes mellitus, chronic kidney disease, and smoking; the presence of three or more factors confers a 10-fold...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p362.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0315/od1.html

Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...

Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0315/p392.html

Screening for Atrial Fibrillation with Electrocardiography - Putting Prevention into ...

Mar 15, 2019 - M.T. is a 67-year-old woman who presents to your office requesting electrocardiography (ECG). Her brother was recently diagnosed with atrial fibrillation after screening with ECG, and she is concerned that she may have the same condition.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0315/p383.html

What's Included With FMX On Demand

Feb 27, 2019 - FMX On Demand is your online library of the most popular FMX sessions. Earn a year's worth of credit!

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/on-demand/packages.html

2019 CME Session Topics

Feb 27, 2019 - View the CME topics that will be discussed at the 2019 AAFP Family Medicine Experience (FMX), September 24-28, 2019, Pennsylvania Convention Center, Philadelphia, PA.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/session-topics.html

Tracks

Feb 27, 2019 - Attend one of the seven tracks being offered at the 2019 AAFP Family Medicine Experience (FMX), September 24-28, Pennsylvania Convention Center, Philadelphia, PA.

Events : Family Medicine Experience (FMX)

https://www.aafp.org/events/fmx/cme/opportunities/tracks.html

Shift Health System's Focus From Profit to Prevention

Feb 21, 2019 - Leonard Reeves, M.D., writes in this Leader Voices Blog post that a single-payer system reserved for primary care would put the focus on keeping people healthy rather than on treating illness.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190221lv-change.html

Type 2 Diabetes Therapies: A STEPS Approach - American Family Physician

Feb 15, 2019 - A concise way to evaluate pharmacotherapy options for type 2 diabetes mellitus is to use the five patient-oriented STEPS criteria: safety, tolerability, efficacy, price, and simplicity. The first-line treatment option, metformin, is safe and fairly well-tolerated, has excellent ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p237.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...

Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188a.html

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