Considerations for Implementing Cabotegravir (Apretude) as PrEP for HIV Infection
Am Fam Physician. 2024 Apr;109(4):296.NO ABSTRACTPMID:38648820 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Hannah Zimmerman Allison Vogl Source Type: research

Longer Menstrual Cycle and Infertility Evaluation
Am Fam Physician. 2024 Apr;109(4):296-298.NO ABSTRACTPMID:38648821 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Anne Keenan Source Type: research

Airflow Reversibility in Patients With Asthma
Am Fam Physician. 2024 Apr;109(4):298-300.NO ABSTRACTPMID:38648822 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Neil Skolnik Donald A Mahler Barbara P Yawn Source Type: research

Management of Sore Throat: Time to Update
Am Fam Physician. 2024 Apr;109(4):301-302.NO ABSTRACTPMID:38648823 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Mark H Ebell Henry C Barry Source Type: research

Practice Alert: ACIP Recommends IPV for Unvaccinated or Incompletely Vaccinated Adults
Am Fam Physician. 2024 Apr;109(4):303-304.NO ABSTRACTPMID:38648824 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Doug Campos-Outcalt Source Type: research

Primary Care Access in Areas of the United States With Aging Populations
Am Fam Physician. 2024 Apr;109(4):308-309.ABSTRACTThe percentage of U.S. residents 65 years and older was 17% in 2020, and this number is expected to rise due to the aging of the baby boomer generation.1Although life expectancy fell between 2020 and 2021, the proportion of U.S. residents older than 65 years continues to increase.2This age group often has more medical comorbidities and prescription medications, increasing the demand for primary care access. Domestic migration (U.S. residents moving within the country) of this retirement-aged population further strains the primary care workforce in underserved areas.PMID:386...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Alison Huffstetler Michael Topmiller Source Type: research

Hormone Therapy for Sexual Function in Peri- and Postmenopausal Women
Am Fam Physician. 2024 Apr;109(4):310-311.NO ABSTRACTPMID:38648826 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Lilian White Source Type: research

Low Back Pain in Children, CVD and Obstetric History, Sarcoidosis, Penicillin Allergies, Myocardial Infarction, Venous Ulcers
Am Fam Physician. 2024 Apr;109(4):312.NO ABSTRACTPMID:38648827 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Source Type: research

Herbal Medicines for Functional Dyspepsia
Am Fam Physician. 2024 Apr;109(4):313-314.NO ABSTRACTPMID:38648828 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Juan Qiu Jennifer Grana Source Type: research

Remotely Delivered Psychotherapy for Treating Chronic Pain
Am Fam Physician. 2024 Apr;109(4):314-315.NO ABSTRACTPMID:38648829 (Source: American Family Physician)
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: John Laird Brandon Joa Source Type: research

Audiometry Interpretation for Hearing Loss in Adults
Am Fam Physician. 2024 Apr;109(4):316-323.ABSTRACTHearing loss is a prevalent, chronic condition in the United States; it is often gradual and progressive and is underreported by patients and undertreated by physicians. The impaired ability to effectively hear and communicate may result in negative emotional, cognitive, economic, and social consequences for individuals and may pose a safety risk. Questionnaires and smartphone apps are available to help identify and evaluate self-perceived hearing loss. Physicians should assess for objective hearing impairment when the patient or family member raises a concern or if cogniti...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Mandi Sehgal Alexandra Sellers Wendy S Biggs Source Type: research

Preventive Care for Men Who Have Sex With Men
Am Fam Physician. 2024 Apr;109(4):324-332.ABSTRACTMen who have sex with men (MSM) is an inclusive term used to refer to phenotypic males who have insertive or receptive sex (penile-anal or penile-oral) with other phenotypic males, including people who are transgender or have other gender identities. MSM may report their sexual orientation as homosexual, bisexual, heterosexual, or something else, but this stated sexual orientation may not align with their sexual attraction or behaviors. Several health conditions disproportionately affect MSM compared with age-matched heterosexual men, including HIV infection, anal cancer, s...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Stephen McMullan Therese Anderson Nadine Elhage Source Type: research

Management of Type 2 Diabetes Mellitus With Noninsulin Pharmacotherapy
Am Fam Physician. 2024 Apr;109(4):333-342.ABSTRACTType 2 diabetes mellitus is a chronic disease that is increasing in global prevalence. An individualized approach to pharmacotherapy should consider costs, benefits beyond glucose control, and adverse events. Metformin is the first-line therapy due to its low cost and effectiveness. Sulfonylureas and thiazolidinediones are additional low-cost oral hypoglycemic classes available in the United States; however, evidence shows variability in weight gain and hypoglycemia. Thiazolidinediones increase fluid retention and are not recommended in patients with New York Heart Associat...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Elizabeth M Vaughan Zuleica M Santiago-Delgado Source Type: research

Streptococcal Pharyngitis: Rapid Evidence Review
Am Fam Physician. 2024 Apr;109(4):343-349.ABSTRACTGroup A beta-hemolytic streptococcal pharyngitis is a common infection responsible for more than 6 million office visits in the United States annually. Only 10% of adults seeking care for a sore throat have group A beta-hemolytic streptococcal pharyngitis; however, 60% or more are prescribed antibiotics. Guidelines recommend using clinical decision rules to assess the risk of group A beta-hemolytic streptococcal infection, followed by rapid antigen testing if a diagnosis is unclear, before prescribing antibiotics. Fever, tonsillar exudate, cervical lymphadenitis, and patien...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Jennifer L Hamilton Leon McCrea Ii Source Type: research

Lumbar Spinal Stenosis: Diagnosis and Management
Am Fam Physician. 2024 Apr;109(4):350-359.ABSTRACTLumbar spinal stenosis is a clinical syndrome that affects more than 200,000 people in the United States annually. It is a common cause of chronic insidious low back pain, especially in older patient populations (mean age = 64 years). Lumbar spinal stenosis is a degenerative condition of the spine leading to narrowing in the spaces around the neurovascular bundles and the classic symptom of low back pain that radiates to the buttocks and lower extremities bilaterally. It is typically a progressive waxing and waning process that may deteriorate over years. The pain is typica...
Source: American Family Physician - April 22, 2024 Category: Primary Care Authors: Charles W Webb Kenneth Aguirre Peter H Seidenberg Source Type: research