American Academy of Family Physicians

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AFP Journal Club: Transient Ischemic Attack: The Rules Have ...

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This scientific guideline includes three game changers for physicians regarding TIA. The Journal Club authors discuss why physicians should be wary of clinical guidelines that are based on expert opinion.

www.aafp.org/afp/2012/0615/p1179.html

AFP Journal Club: The "ARB-MI Paradox": Real or a Fluke? - July ...

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The Journal Club authors discuss what factors make this meta-analysis, designed to determine whether the ARB-MI paradox is real or a statistical fluke, successful.

www.aafp.org/afp/2012/0715/p136.html

AFP Journal Club: Does Screening Mammography Lead to ...

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Implementation of a universal mammographic screening program leads to an increase in the diagnosis of invasive breast cancer, because of improved detection of clinically significant cancer and overdiagnosis.

www.aafp.org/afp/2013/0315/p408.html

AFP Journal Club: The Use of Coronary Computed Tomography ...

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Is coronary CTA good enough to allow for the safe discharge of low- to intermediate-risk patients with chest pain? Coronary CTA and standard care were equally effective at identifying a low-risk population. The test ...

www.aafp.org/afp/2012/1115/p900.html

AFP Journal Club: How Do Clinical Practice Guidelines Go Awry? - ...

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Many guidelines are dominated by recommendations from experts and are not based on sound clinical studies. The development of clinical practice guidelines needs to be transparent and devoid of commercial, financial, ...

www.aafp.org/afp/2012/0915/p514.html

AFP Journal Club: Rivaroxaban vs. Warfarin for Stroke Prevention ...

How does rivaroxaban compare with warfarin for stroke prevention in patients with nonvalvular atrial fibrillation? This study concluded that rivaroxaban is noninferior to warfarin. However, noninferiority trials do ...

www.aafp.org/afp/2012/0315/p577.html

AFP Journal Club: Antibiotics for Acute Otitis Media in Young ...

A discussion of why the conclusion of a high-profile study, which suggests that antibiotics are beneficial in children six to 23 months of age with acute otitis media, is incorrect.

www.aafp.org/afp/2012/0115/p104.html

AFP Journal Club: Antibiotics for Acute Otitis Media in Young ...

Two studies aim to clarify the appropriate use of antibiotic treatment in young children with acute otitis media.

www.aafp.org/afp/2011/1115/p1095.html

AFP Journal Club: Subarachnoid Hemorrhage and the CT Scan - ...

Is CT sensitive enough to rule out subarachnoid hemorrhage? This study says yes, but rretrospective studies are inherently problematic. Normal head CT should be followed by a lumbar puncture.

www.aafp.org/afp/2011/0915/p632.html

AFP Journal Club: Usefulness of Procalcitonin Measurement in ...

Measurement of procalcitonin is being pushed as a way to determine the presence or absence of bacterial infection and, therefore, as a way to reduce antibiotic use. But, how well does it work in the patients family ...

www.aafp.org/afp/2011/0715/p177.html

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