Article
Does withholding an ACE inhibitor or ARB before surgery improve outcomes?
- Author:
- Robert Jackman, MD
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: A guarded yes, because the evidence of benefit is from observational studies and applies to noncardiac surgery. Withholding...
Article
Do oral decongestants have a clinically significant effect on BP in patients with hypertension?
- Author:
- Joyce C. Hollander-Rodriguez, MD
- Holly L. Montjoy, MD
- Brynn Smedra, MD, MS
- JP Prouty, MD
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) in...
Article
How well do antivirals shorten genital herpes pain duration?
- Author:
- Stephen T. Yip, DO
- Robyn Liu, MD, MPH
- Thomas Warrington, MD
- Charles W. Webb, DO, CAQSM
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: Oral and intravenous (IV) acyclovir each shorten the duration of pain for a first primary outbreak of herpes by about 50%;...
Article
Does a low-fat diet help prevent breast cancer?
- Author:
- Elizabeth Steiner, MD
- David Klubert, MD
- Meg Hayes, MD
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: No. Studies show no evidence that reducing dietary fat decreases a woman’s risk of developing postmenopausal breast cancer...
Article
What are safe sleeping arrangements for infants?
- Author:
- Michelle R. Adler, MD, MPH
- Abbas Hyderi, MD, MPH
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: Non-supine sleep position and parental tobacco use are known risk factors for sudden infant death syndrome (SIDS). Recent...
Article
What are appropriate screening tests for adolescents?
- Author:
- Frances E. Biagioli, MD
- Jennifer E. DeVoe, MD, DPhil
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: Screen all women of childbearing age, including adolescents, for rubella susceptibility (strength of recommendation [SOR]:...
Article
What are appropriate screening tests for infants and children?
- Author:
- Frances E. Biagioli, MD
- Jennifer E. DeVoe, MD, DPhil
- Andrew Hamilton, MS, MLS
EVIDENCE-BASED ANSWER: There is adequate evidence for screening neonates for hemoglobinopathies, congenital hypothyroidism, phenylketonuria (...