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AAFP News - Oct 1, 2015 - American Family Physician

Oct 1, 2015 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

Family Physicians Play Major Role in Urban ERs

Sep 29, 2015 - A sizable percentage of family physicians work in emergency departments, but many had not previously been counted as FPs because they reported being ER physicians.

AAFP News : Practice and Professional Issues

Overweight, Obesity, and Fitness

Sep 22, 2015 - View information about the prevention of obesity and other chronic conditions. Learn about Americans In Motion-Healthy Interventions, the AAFP's program that makes fitness the treatment of choice for many chronic illnesses.

Patient Care : Well-being and Prevention

USPSTF Issues Draft Statement on Low-dose Aspirin to Prevent CVD, Colorectal Cancer

Sep 16, 2015 - On Sept. 15, the U.S. Preventive Services Task Force posted a draft recommendation statement supporting prophylactic low-dose aspirin therapy for patients ages 50-59 who have an increased risk of heart attack and stroke.

AAFP News : Health of the Public

Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI ...

Sep 15, 2015 - In this well-designed observational study, older patients given an initial prescription of dabigatran had lower all-cause mortality and fewer ischemic and hemorrhagic strokes, but a higher risk of gastrointestinal (GI) bleeding, than a matched group of patients given warfarin.

American Family Physician : POEMs

Self-Study Formats -- CME

Sep 15, 2015 - CME. AAFP Continuing Medical Education by Self-Study Format.

CME : Browse

ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP - Practice ...

Sep 15, 2015 - In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.

American Family Physician : Practice Guidelines

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...

Sep 15, 2015 - J.W., a 34-year-old man who smokes, presents for his annual checkup for hypertension. Hisblood pressure is elevated (142/95 mm Hg), and he has gained 10 lb (4.5 kg) since his lastvisit. J.W. is now considered overweight, with a body mass index (BMI) of 27 kg per m2. He reports no other ...

American Family Physician : Putting Prevention into Practice

Spinal Stenosis: Physical Therapy Before Surgery - POEMs - American Family Physician

Sep 15, 2015 - Assigning patients to six weeks of physical therapy is as effective as initially sending them for decompression surgery, with fewer complications, even in patients who have a strong preference for surgery. A trial of six weeks of physical therapy makes sense for many patients with ...

American Family Physician : POEMs

CMS Aims to Reduce Costs in Medicare Advantage Plans

Sep 11, 2015 - CMS will soon open the application process for a new value-based insurance design model that aims to reduce costs in Medicare Advantage health plans.

AAFP News : Government and Medicine

Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician

Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...

American Family Physician : Article

Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More ...

Sep 1, 2015 - This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.

American Family Physician : POEMs

HHS Seeks Nominations for 2015 Hypertension Control Challenge

Aug 19, 2015 - HHS is seeking nominations for its 2015 Million Hearts Hypertension Control Challenge, which aims to recognize clinicians, practices and health systems that have had success controlling patients' hypertension.

AAFP News : Health of the Public

Diagnosis and Management of Osteoporosis - American Family Physician

Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

Top POEMs of 2014: Cardiovascular Disease -- American Family Physician

Aug 15, 2015 - These are the top POEMs from 2014 on cardiovascular disease.

American Family Physician : AFP Home

Vorapaxar (Zontivity) for the Prevention of Thrombotic Cardiovascular Events - STEPS - ...

Aug 15, 2015 - Vorapaxar should be limited to select patients with a history of MI or peripheral arterial disease who desire additional treatment for the prevention of MI.

American Family Physician : STEPS

Top POEMs of 2014: Diabetes Mellitus -- American Family Physician

Aug 15, 2015 - These are the top POEMs from 2014 on diabetes mellitus.

American Family Physician : AFP Home

AAFP News - Aug 15, 2015 - American Family Physician

Aug 15, 2015 - ...labels to clearly indicate that these medications increase the risk of cardiovascular thrombotic events, including myocardial infarction and stroke. All prescription NSAIDs currently include information about a potential increased risk of such events. The new warning strengthens the...

American Family Physician : AAFP News: AFP Edition

How to Help Your Patients Choose Wisely -- FPM

Aug 1, 2015 - Steer patients away from inappropriate and overused procedures that can diminish health care.

Family Practice Management : Articles

DPC Summit Draws Hundreds of Enthusiastic Family Physicians

Jul 15, 2015 - The first direct primary care summit held in the Midwest, organized by the AAFP and two partner organizations, drew hundreds of physicians eager to learn more about the practice model.

AAFP News : Practice and Professional Issues

FDA Orders Across-the-board Risk Updates to NSAIDs Labels

Jul 13, 2015 - On July 9, FDA officials directed manufacturers of non-aspirin nonsteroidal anti-inflammatory drugs to update their product labels to warn users of the risk for cardiovascular thrombotic events associated with these medications.

AAFP News : Health of the Public

Differential Diagnosis of Polyarticular Arthritis - American Family Physician

Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...

American Family Physician : Article

CEA vs. Stenting: Mixed Results, Mostly Bad - POEMs - American Family Physician

Jul 1, 2015 - These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal and disabling...

American Family Physician : POEMs

Nicotine Replacement Therapy for Smoking Cessation - Medicine by the Numbers - American...

Jul 1, 2015 - Studies show that 1 in 15 patients successfully quit smoking and 1 in 94 patients experienced chest pain or palpitations. Want to know more?

American Family Physician : Medicine by the Numbers

Patients with Initial Unprovoked DVT or PE Benefit from Long-Term Low-Dose Aspirin - ...

Jun 15, 2015 - Aspirin improves long-term cardiovascular and thrombotic outcomes in patients who have had an initial unprovoked episode of VTE. The risk of bleeding was no higher in the aspirin group, perhaps because those at risk of bleeding were uncovered during the initial period of anticoagulation.

American Family Physician : POEMs

New payment model seeks to reduce cardiovascular disease -- FPM

Jun 9, 2015 - New payment model seeks to reduce cardiovascular disease

Family Practice Management : Getting Paid Blog : FPM Home

New CVD Risk-reduction Model Promises to Pay for Results

Jun 4, 2015 - On May 28, HHS Secretary Sylvia Burwell introduced the Million Hearts Cardiovascular Disease (CVD) Risk Reduction Model, which will use predictive modeling to generate personalized CVD risk scores and modification plans for Medicare patients.

AAFP News : Health of the Public

Nonpharmacologic Management of Hypertension: What Works? - American Family Physician

Jun 1, 2015 - Hypertension is one of the most common conditions encountered in primary care. Nonpharmacologic strategies have been shown to help lower blood pressure. Lifestyle modifications are recommended for all patients with hypertension. The American Heart Association/American College of ...

American Family Physician : Article

Tight Glycemic Control for Type 2 Diabetes Mellitus (Over Five Years) - Medicine by the...

Jun 1, 2015 - Studies show that none were helped and 1 in 6 patients were harmed. See why.

American Family Physician : Medicine by the Numbers

HHS Awards Aim to Help Primary Care Practices Promote Heart Health

May 29, 2015 - HHS' Agency for Healthcare Research and Quality has launched its EvidenceNOW: Advancing Heart Health in Primary Care grant initiative with $112 million in awards to empower small primary care practices to improve the heart health of nearly 8 million patients.

AAFP News : Health of the Public

AAFP Comments on NIH's Draft National Pain Strategy

May 22, 2015 - In response to NIH's request for comments on a draft National Pain Strategy document developed by the Interagency Pain Research Coordinating Committee, the AAFP expressed support for the draft document and the need for additional voluntary education and training to help physicians ...

AAFP News : Health of the Public

Common Questions About Chronic Low Back Pain - American Family Physician

May 15, 2015 - More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, defined as persistent symptoms for longer than three months. Low back...

American Family Physician : Article

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2015 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...

May 15, 2015 - N.C. is a 65-year-old woman who presents for her yearly checkup. She walks one to two miles daily, is in generally good health, has no significant cardiovascular history, and has no health concerns at today's visit.

American Family Physician : Putting Prevention into Practice

Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...

May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...

American Family Physician : Article

Increased GI Bleeding After Switch from Warfarin to Dabigatran - POEMs - American ...

May 1, 2015 - The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal (GI) ...

American Family Physician : POEMs

Provision of Contraception: Key Recommendations from the CDC - American Family Physician

May 1, 2015 - The Centers for Disease Control and Prevention has released comprehensive recommendations for provision of family planning services. Contraceptive services may be addressed in five steps, and counseling may be provided in a tiered approach, whereby the most effective options are ...

American Family Physician : Article

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...

May 1, 2015 - The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

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

Birth Control: What You Should Know - American Family Physician

May 1, 2015 - ...if you smoke, talk with your doctor about birth control that has estrogen in it. These conditions may increase your risk of blood clots and stroke. Condoms are the only birth control method that decreases your risk of getting a sexually transmitted infection. Condoms can be used...

American Family Physician : Patient Handout

Sponsored Resources -- Programs and Initiatives

Apr 23, 2015 - sponsored resources

About AAFP : Programs and Initiatives

Diagnosis of Acute Stroke - American Family Physician

Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...

American Family Physician : Article

Abdominal Aortic Aneurysm - American Family Physician

Apr 15, 2015 - Abdominal aortic aneurysm refers to abdominal aortic dilation of 3.0 cm or greater. The main risk factors are age older than 65 years, male sex, and smoking history. Other risk factors include a family history of abdominal aortic aneurysm, coronary artery disease, hypertension, ...

American Family Physician : Article

Stroke: How to Recognize It and What to Do About It - American Family Physician

Apr 15, 2015 - ...Stroke: How to Recognize It and What to Do About It Am Fam Physician. 2015 Apr 15;91(8):online. See related article on acute stroke What is a stroke? A stroke is like a brain attack. In a heart attack, not enough blood gets to the heart muscle. In a stroke, not enough blood...

American Family Physician : Patient Handout

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

AAP Releases Practice Guideline on Diagnosis, Management, and Prevention of ...

Apr 15, 2015 - This guideline on the diagnosis, management, and prevention of bronchiolitis in children one to 23 months of age from the American Academy of Pediatrics (AAP) updates a previous guideline published in 2006.

American Family Physician : Practice Guidelines

Cultural Competence Education for Health Care Professionals - Cochrane for Clinicians -...

Apr 15, 2015 - Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to be ineffective.

American Family Physician : Cochrane for Clinicians

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes - POEMs -...

Apr 15, 2015 - Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

American Family Physician : POEMs

Options for Unintended Pregnancy - American Family Physician

Apr 15, 2015 - ...Previous: Stroke: How to Recognize It and What to Do About It Next: Screening for Abdominal Aortic Aneurysm: Recommendation Statement View the full table of contents >> Home / Journals / afp / Vol. 91/No. 8(April 15, 2015) / Options for Unintended Pregnancy...

American Family Physician : Patient Handout

Introducing Medicine by the Numbers: A Collaboration of The NNT Group and AFP - ...

Apr 1, 2015 - The NNT is a useful concept that helps convey the importance of an intervention in various populations. The NNT assigns a bottom-line number to the relative strength of an intervention, and helps put it in perspective. Toward that end, we are happy to announce a partnership with ...

American Family Physician : Editorials

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