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Articles

Varicose Veins: Diagnosis and Treatment

Jaqueline Raetz, Megan Wilson, Kimberly Collins

The pathophysiology of varicose veins involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Established risk factors include family history of venous disease, female sex, older age, chronically increased intra...

Adolescent Substance Use and Misuse: Recognition and Management

Jessica A. Kulak, Kim S. Griswold

Adolescent use of illicit substances imposes burdens to all levels of society. The types of substances that adolescents use have changed over the past decade, with a decrease in alcohol and increase in marijuana and opioid use. Primary care physicians can help identify...

Caregiver Care

Kristine Swartz, Lauren G. Collins

Caregiving is associated with physical, psychological, and financial burdens, and the demand for caregivers is expected to rise during the next few decades. Family physicians can offer practical, individualized interventions such as caregiver assessments that direct the...

Editorials

Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease

Kenneth W. Lin, Jennifer Middleton

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...

Close-ups

My Kidney Donation: Unexpected Twists

Caroline Wellbery

An altruistic kidney donation and an unexpected nephrectomy.

AFP Clinical Answers

Measles Vaccine, Acute Appendicitis, Screening for Heart Disease, Abdominal Pain, Hyperhidrosis

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

Cochrane for Clinicians

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer

Michael J. Arnold, Noah Cooperstein, Christopher Jonas

Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

Alternative Interventions for Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men

Anne L. Mounsey, Elizabeth Parks

In men with chronic pelvic pain and urinary dysfunction who have not responded to standard medical management, extracorporeal shock wave therapy reduces symptoms and increases quality of life. Acupuncture may also provide benefit to some patients.

Curbside Consultation

An Unhappily Married Patient

Matthew Alexander, Shaista Qureshi

Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in...

FPIN's Help Desk Answers

Attention-Deficit/Hyperactivity Disorder: Screening and Evaluation

Payal Gaba, Matthew Giordanengo

What are the best screening tools for the evaluation and diagnosis of attention-deficit/hyperactivity disorder (ADHD)?

Photo Quiz

A Bump on the Gum

Nguyet-Cam Lam, Tue T. Te

A child presented with a painful, round, erythematous lesion on the gingiva of the left upper gum above the canine tooth.

POEMs

Overview of New ACC/AHA Lipid Guidelines

Mark H. Ebell

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.

Aspirin, Eicosapentaenoic Acid, and Placebo Equally Effective in Preventing Colorectal Adenomas in High-Risk Patients

Henry C. Barry

After 12 months, neither aspirin nor EPA, alone or in combination, are any better than placebo at preventing colorectal adenomas in patients with high-risk neoplasia.

Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children

Mark H. Ebell

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

Mark H. Ebell

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.

Practice Guidelines

Cancer Screening: ACS Releases Annual Summary of Recommendations

Lisa Croke

The American Cancer Society (ACS) provides a summary of recommendations for cancer screening each year, including any updates and recent data, and advice for when recommendations cannot be made.

Medicine by the Numbers

Antibiotic Prophylaxis in Patients with COPD

Robert Murrey Brown, Rory Spiegel

This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

Letters to the Editor

Medical Content Should Be Equitable and Inclusive of Diverse Populations

Preoperative Nutritional Optimization in Older Patients Reduces Complications

Information from Your Family Doctor

Caregiver Care

A caregiver is a friend or relative who provides unpaid care for someone with a chronic or disabling condition.

Corrections

Corrections

Strength of evidence. The article, “The Pregnant Patient: Managing Common Acute Medical Problems” (November 1, 2018, p. 595), contained an error in the third sentence of the second paragraph of the “Common Symptoms During Pregnancy” section in the second column on page 597....

Corrections

Incorrect disease risk. The article, “The Pregnant Patient: Managing Common Acute Medical Problems” (November 1, 2018, p. 595), contained an error in the third sentence of the second paragraph of the “Dysuria” section in the first column on page 601 regarding the use of...



Disclosure

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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