Overview of New ACC/AHA Lipid Guidelines.
PMID: 31150171 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Cancer Screening: ACS Releases Annual Summary of Recommendations.
PMID: 31150172 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Croke LM Tags: Am Fam Physician Source Type: research

Attention Deficit/Hyperactivity Disorder: Screening and Evaluation.
PMID: 31150173 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Gaba P, Giordanengo M Tags: Am Fam Physician Source Type: research

Adolescent Substance Use and Misuse: Recognition and Management.
Abstract Adolescent use of illicit substances imposes an enormous burden on individuals, families, and communities. The types of illicit substances adolescents are using have changed drastically over the past decade with decreases in alcohol use (including binge alcohol use) offset by increases in electronic cigarette, marijuana, and opioid use. Primary care physicians have the opportunity to identify adolescents who use illicit substances. The U.S. Preventive Services Task Force and the American Academy of Family Physicians found insufficient evidence to assess the balance of benefits and harms of primary care-ba...
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Kulak JA, Griswold KS Tags: Am Fam Physician Source Type: research

Antibiotic Prophylaxis in Patients with COPD.
PMID: 31150175 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Brown RM, Spiegel R Tags: Am Fam Physician Source Type: research

Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease.
PMID: 31150176 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Lin KW, Middleton J Tags: Am Fam Physician Source Type: research

Caregiver Care.
Abstract 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 during the next few decades. Caring for loved ones is associated with several benefits, including personal fulfillment; however, caregiving is also associated with physical, psychological, and financial burdens. Family physicians can aid in the identification, support, and treatment of caregivers by offering caregiver asse...
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Swartz K, Collins LG Tags: Am Fam Physician Source Type: research

Alternative Interventions for Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men.
PMID: 31150178 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Mounsey AL, Parks E Tags: Am Fam Physician Source Type: research

Aspirin, Eicosapentaenoic Acid, and Placebo Equally Effective in Preventing Colorectal Adenomas in High-Risk Patients.
PMID: 31150179 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Barry HC Tags: Am Fam Physician Source Type: research

Correction.
Authors: PMID: 31150180 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

Correction.
Authors: PMID: 31150181 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

A Bump on the Gum.
PMID: 31150182 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Lam NC, Te TT Tags: Am Fam Physician Source Type: research

My Kidney Donation: Unexpected Twists.
PMID: 31150183 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Wellbery C Tags: Am Fam Physician Source Type: research

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus.
PMID: 31150184 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Measles Vaccine, Acute Appendicitis, Screening for Heart Disease, Abdominal Pain, Hyperhidrosis.
Authors: PMID: 31150185 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children.
PMID: 31150186 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

An Unhappily Married Patient.
PMID: 31150187 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Alexander M, Qureshi S Tags: Am Fam Physician Source Type: research

Varicose Veins: Diagnosis and Treatment.
Abstract Varicose veins are twisted, dilated veins most commonly located on the lower extremities. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Risk factors include family history of venous disease; female sex; older age; chronically increased intra-abdominal pressure due to obesity, pregnancy, chronic constipation, or a tumor; and prolonged standing. Symptoms of varicose veins include a heavy, achy feeling and an itching or burning sensation; these symptoms worsen with prolonged standing. Potential ...
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Raetz J, Wilson M, Collins K Tags: Am Fam Physician Source Type: research

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer.
PMID: 31150189 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Arnold MJ, Cooperstein N, Jonas C Tags: Am Fam Physician Source Type: research

Preoperative Nutritional Optimization in Older Patients Reduces Complications.
PMID: 31150190 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Orlovich DS Tags: Am Fam Physician Source Type: research

Medical Content Should Be Equitable and Inclusive of Diverse Populations.
PMID: 31150191 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Authors: Dianat S Tags: Am Fam Physician Source Type: research

Caregiver Care.
Authors: PMID: 31150192 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - June 1, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP.
PMID: 31083874 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Armstrong C Tags: Am Fam Physician Source Type: research

What Evidence Do We Need Before Recommending Routine Screening for Social Determinants of Health?
PMID: 31083876 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Krist AH, Davidson KW, Ngo-Metzger Q Tags: Am Fam Physician Source Type: research

Limited Data: Deprescribing is Safe, But at the Risk of Symptom Recurrence.
PMID: 31083877 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Barry HC Tags: Am Fam Physician Source Type: research

Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation.
Abstract Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Meta-analyses and systematic reviews have shown that these interventions can improve symptoms of depression and anxiety disorders. As an adjunctive treatment, exercise seems most helpful for treatment-resistant depression, unipolar depression, and posttraumatic stress disorder. Yoga as monotherapy or adjunctive therapy shows positive effects, particularly for depression. As an adjunctive therapy, it facilitates treatment of anxiety disorders, particu...
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Saeed SA, Cunningham K, Bloch RM Tags: Am Fam Physician Source Type: research

FIT Has Similar Yield as Colonoscopy for Colorectal Cancer and Advanced Adenoma Over 10 Years.
PMID: 31083879 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI Cotherapy.
PMID: 31083880 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research

Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease.
PMID: 31083881 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Douglas M Tags: Am Fam Physician Source Type: research

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved Ejection Fraction.
PMID: 31083882 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Lice and Scabies: Treatment Update.
Abstract Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed with visualization of live lice. Nits (lice eggs or egg casings) alone are not sufficient to diagnose a current infestation. A "no-nit" policy for return to school is not recommended because nits can remain even after successful treatment. First-line pharmacologic treatment for pediculosis is permethrin 1% lotion or shampoo. Newer treatments are available but costly, and resistance patterns are generally unknown. Noninsecticidal agents, including dim...
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Gunning K, Kiraly B, Pippitt K Tags: Am Fam Physician Source Type: research

Unpleasant Foot Odor and Skin Changes.
PMID: 31083884 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Keenan WF Tags: Am Fam Physician Source Type: research

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Recommendation Statement.
Authors: PMID: 31083886 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults.
PMID: 31083887 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Authors: Borsky AE, Zhang E Tags: Am Fam Physician Source Type: research

Lice and Scabies.
Authors: PMID: 31083888 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 15, 2019 Category: Primary Care Tags: Am Fam Physician Source Type: research

Family Medicine: Data Driven Practice with Emphasis on Underserved Patients.
Abstract Family physicians' role and interest in caring for underserved or undertreated patients is quite evident in this issue of JABFM. One in 5 family physicians provide urgent or emergency care, which is particularly important in rural areas. Methods and resources for obtaining information about social determinants of health are variable. A data-rich article considers how family medicine practice ownership might be associated with quality outcomes. We have articles on using text messages to increase HIV testing and colon cancer screening for Latino patients. For patients with significant behavioral health diso...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Bowman MA, Neale AV, Seehusen DA Tags: J Am Board Fam Med Source Type: research

The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System.
Abstract BACKGROUND: Hydrocodone-combination analgesics were changed from Schedule III to Schedule II to discourage the prescribing of these analgesics. Our primary aim was to explore the effect of hydrocodone rescheduling on opioid prescribing within an urban safety-net health care system. METHODS AND DESIGN: Data were extracted from electronic records of ambulatory patients (N = 82,432 patients) prescribed hydrocodone-combination, codeine-combination, or tramadol opioid analgesics (N = 200,675 prescriptions) between October 6, 2013 and October 6, 2015. Data analyses modeled predicted probabilities of hydroc...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Northrup TF, Carroll K, Suchting R, Villarreal YR, Zare M, Stotts AL Tags: J Am Board Fam Med Source Type: research

Provider Perspectives of Patient Experiences in Primary Care Imaging.
This study aimed to explore the perceived impacts imaging tests have on patients from the perspective of the primary care providers (PCPs) and determine PCPs' understanding of patient-centered outcomes (PCOs) from imaging tests. METHODS: Recruitment of PCPs occurred at 4 family medicine clinics in Washington and Idaho. Primary care physicians, nurse practitioners, or physician assistants who order imaging tests were eligible to participate. Semistructured interviews explored providers' perceptions of patient experiences during the process of ordering, performing and following up on imaging tests. Classic content analy...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Zigman Suchsland ML, Hardy V, Zhang Y, Vigil PD, Collins KL, Woodhouse WM, Chou R, Findlay SD, Lavallee DC, Thompson MJ Tags: J Am Board Fam Med Source Type: research

Does Ownership Make a Difference in Primary Care Practice?
Abstract PURPOSE: We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices. METHODS: This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing Heart Health in Primary Care Initiative by the Agency for Health Care Research and Quality. We compared physician-owned practices, health system or medical group practices, and Federally Qualified Health Centers (FQHC) by...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Lindner S, Solberg LI, Miller WL, Balasubramanian BA, Marino M, McConnell KJ, Edwards ST, Stange KC, Springer RJ, Cohen DJ Tags: J Am Board Fam Med Source Type: research

Text Messages Can Encourage Patients to Discuss and Receive HIV Testing in Primary Care.
CONCLUSION: Our proof-of-concept study suggests an HIV text message campaign may increase HIV testing by encouraging patients to initiate discussion with their physicians. This intervention may increase HIV testing among low-income populations. A larger study is needed to confirm these findings. PMID: 31068405 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Wettermann R, Marek H, Giordano TP, Arya M Tags: J Am Board Fam Med Source Type: research

Patient Body Mass Index (BMI) Knowledge in a Rural Primary Care Population.
CONCLUSION: In this cross-sectional cohort study, it was found that patients' knowledge about BMI and weight-related risk factors has increased modestly. However, despite the increase in patients' knowledge and discussions about BMI with their primary care physician, there was not a decrease in BMI. Future studies are needed to provide more detailed information about the discussion between patients and providers in relation to the patient's personal weight status. PMID: 31068406 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Haggerty T, Xiang J, King D Tags: J Am Board Fam Med Source Type: research

Cholesterol Management: ACC/AHA Updates Guideline.
PMID: 31038893 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Hoover LE Tags: Am Fam Physician Source Type: research

AFP 2019: New Fellow, New Features, Top 20 Articles of 2018, and AFP Statistics.
PMID: 31038894 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Sexton S Tags: Am Fam Physician Source Type: research

Saline Irrigation for Allergic Rhinitis.
PMID: 31038895 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Clebak KT, Naccarato J, Riley TD Tags: Am Fam Physician Source Type: research

Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test and Interpret the Results.
PMID: 31038896 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Sox HC, Aerts M, Haasenriter J Tags: Am Fam Physician Source Type: research

Denosumab for Reducing Risk of Fractures in Postmenopausal Women.
PMID: 31038897 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Song P, Zehtabchi S Tags: Am Fam Physician Source Type: research

Clinically Relevant Drug-Drug Interactions in Primary Care.
Abstract Drug interactions are common in the primary care setting and are usually predictable. Identifying the most important and clinically relevant drug interactions in primary care is essential to patient safety. Strategies for reducing the risk of drug-drug interactions include minimizing the number of drugs prescribed, re-evaluating therapy on a regular basis, considering nonpharmacologic options, monitoring for signs and symptoms of toxicity or effectiveness, adjusting dosages of medications when indicated, and adjusting administration times. Inhibition or induction of cytochrome P450 drug metabolizing isoen...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Carpenter M, Berry H, Pelletier AL Tags: Am Fam Physician Source Type: research

Risks of Elective Labor Induction vs. Expectant Management.
PMID: 31038899 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Tracy D, van den Berk Clark C Tags: Am Fam Physician Source Type: research

New-Onset Full-Body Rash Following Sore Throat in a Child.
PMID: 31038900 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Johnson L, Drew C, Kastl E Tags: Am Fam Physician Source Type: research

Interventional Radiology: Indications and Best Practices.
Abstract Interventional radiology employs image-guided techniques to perform minimally invasive procedures for diagnosis and treatment. Interventional radiology is often used to place central venous catheters and subcutaneous ports, with some evidence of benefit over surgical placement. Arterial embolization procedures are used to manage many types of hemorrhage and are highly effective for severe postpartum hemorrhage. Vascular interventions, such as endovascular treatment of varicosities, acute limb ischemia, and pulmonary embolism, are superior to surgical interventions. For chronic limb ischemia and deep venou...
Source: American Family Physician - May 1, 2019 Category: Primary Care Authors: Arnold MJ, Keung JJ, McCarragher B Tags: Am Fam Physician Source Type: research