Opioids were involved in 42,249 deaths in the United States in 2016, and opioid overdoses have quintupled since 1999.1 Among the causes behind these statistics is increased opiate prescribing by physicians—with primary care providers accounting for about one half of opiate prescriptions.2 As a...
Recent Resources
Effects of an Angiotensin-Converting–Enzyme Inhibitor, Ramipril, on Cardiovascular Events in High-Risk Patients
BACKGROUND:
Angiotensin-converting-enzyme inhibitors improve the outcome among patients with left ventricular dysfunction, whether or not they have heart failure. We assessed the role of an angiotensin-converting-enzyme inhibitor, ramipril, in patients who were at high risk for...
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Noninvasive Nonpharmacological Treatment for Chronic Pain: Evidence Summary
Purpose of Review
To assess which noninvasive nonpharmacological treatments for common chronic pain conditions improve function and pain for at least 1 month after treatment.
Key Messages
• Interventions that improved function and/ or pain for at least 1 month when used for...
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Gabapentin for Chronic Neuropathic Pain in Adults
BACKGROUND:
Gabapentin is commonly used to treat neuropathic pain (pain due to nerve damage). This review updates a review published in 2014, and previous reviews published in 2011, 2005 and 2000.
OBJECTIVES:
To assess the analgesic efficacy and adverse effects of gabapentin...
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Amitriptyline for Neuropathic Pain in Adults
BACKGROUND:
This is an updated version of the original Cochrane review published in Issue 12, 2012. That review considered both fibromyalgia and neuropathic pain, but the effects of amitriptyline for fibromyalgia are now dealt with in a separate review.Amitriptyline is a tricyclic...
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CKD Guideline Recommendations for Primary Care
Leveraging Practice-Based Research Networks to Accelerate Implementation and Diffusion of Chronic Kidney Disease Guidelines in Primary Care Practices
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Short- and Long-Term Outcomes after Bariatric Surgery in the Medicare Population
Introduction. We conducted a technology assessment to summarize and appraise the current evidence regarding the effectiveness and safety of bariatric surgery in the Medicare-eligible population.
Data Sources. We searched six bibliographic databases and...
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Cholesterol Management in Primary Care
Patients with existing disease or major risk factors should be prescribed statins unless contraindicated.
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Blood Pressure Control in Primary Care
Screening and treating hypertension can improve the health of patients and the population. Many patients don’t know that they have hypertension, are not on treatment or are not controlled.
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Smoking Cessation in Primary Care
Choose a treatment plan that fits the patient.
A comprehensive approach to cessation is more successful than any one mode of therapy. For patients ready to commit to quitting, use both behavioral interventions and pharmacologic therapy. Good evidence suggests that each of the following...
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