Article
Should we screen women for hypothyroidism?
- Author:
- Amy H. Olsen, MD
- Gary Kelsberg, MD
- John Coffey, MLS
EVIDENCE-BASED ANSWER: Though evidence is insufficient to recommend screening all women for hypothyroidism, women aged >50 years are at...
Article
Does moderate exercise prevent MI for patients with coronary heart disease?
- Author:
- Rodney Riedel, MD
- Gary Kelsberg, MD
- Sarah Greenley
EVIDENCE-BASED ANSWER: Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the...
Article
Do statins reduce the risk of stroke?
- Author:
- Naomi Busch, MD
- Gary Kelsberg, MD
- Susan K. Kendall, PhD, MSLIS
EVIDENCE-BASED ANSWER: HMG Co-A reductase inhibitors (statins) are effective for primary prevention of ischemic stroke in people who have a...
Article
Which healthy adults should take aspirin?
- Author:
- Matt Werner, MD
- Gary Kelsberg, MD
- Arlene McFarlin Weismantel, MILS, AHIP
EVIDENCE-BASED ANSWER: In adults with no history of cardiovascular disease, aspirin reduces the risk of nonfatal myocardial infarction (MI)....
Article
Should we screen adults for asymptomatic microhematuria?
- Author:
- Katherine Kryszczuk, MD
- Gary Kelsberg, MD
- Joanne Rich, BScPharm, MLIS
EVIDENCE-BASED ANSWER: Screening patients for asymptomatic microhematuria does not appear to improve outcomes, since screening does not identify a...
Article
Do ACE inhibitors prevent nephropathy in type 2 diabetes without proteinuria?
- Author:
- Lisa Sferra, MD
- Gary Kelsberg, MD
- Sherry Dodson, MLS
EVIDENCE-BASED ANSWER: Angiotensin-converting enzyme (ACE) inhibitors make a significant difference for patients with diabetes as a whole. If...
Article
What is the best initial treatment of Parkinson’s disease?
- Author:
- Jennifer, MD
- Gary Kelsberg, MD
- Joanne Rich, BSc (Pharm), MLIS
EVIDENCE-BASED ANSWER: No studies clearly demonstrate the best initial treatment for Parkinson’s disease. Levodopa improves motor function in...
Article
Which infants need lumbar puncture for suspected sepsis?
- Author:
- Sarah Wilhelm, MD
- Gary Kelsberg, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: Evidence from prospective and retrospective clinical trials suggests that for infants <2 months old, only those at high...
Article
Does a knee brace decrease recurrent ACL injuries?
- Author:
- Nancy Mallory, MD
- Gary Kelsberg, MD
- Debra Ketchell, MLIS
EVIDENCE-BASED ANSWER: After surgical anterior cruciate ligament (ACL) reconstruction, knee bracing does not significantly protect against injury...
Article
Do nasal decongestants relieve symptoms?
- Author:
- Ginger Allen, MD
- Gary Kelsberg, MD
- Terry Ann Jankowski, MLS, AHIP
EVIDENCE-BASED ANSWER: Oral and topical nasal decongestants result in a statistically significant improvement in subjective symptoms of nasal...
Article
Heat or ice for acute ankle sprain?
- Author:
- Chris Thompson, MD
- Gary Kelsberg, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: For grade 3 and 4 ankle sprains, ice works better than heat to speed recovery (return to play) (strength of recommendation...
Article
How accurate is the clinical diagnosis of pneumonia?
- Author:
- Gary Kelsberg, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: No element or combination of elements from the clinical history and physical examination are sufficiently sensitive or...