Article
Do group visits improve HbA1c more than individual visits in patients with T2DM?
- Author:
- Amanda Berbert, MD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: Yes. In patients with type 2 diabetes mellitus (T2DM), group visits led by health professionals or teams improved...
Article
Do statins alter the risk or progression of dementia?
- Author:
- Tess Lang, MD
- Joseph Clifton, PharmD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED SUMMARY: No. Moderate-intensity statin therapy (with pravastatin or simvastatin) doesn’t prevent progression to dementia in...
Article
Does breastfeeding affect the risk of childhood obesity?
- Author:
- Lindsay Gunnell, MD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: Yes. Ever having breastfed during the first year of life is associated with a 15% lower risk of overweight or obesity over...
Article
Is red-yeast rice a safe and effective alternative to statins?
- Author:
- Hsiang-Hwa Shawn Chen, MD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: Yes, but perhaps not the red-yeast rice extracts available in the United States. In patients with known coronary artery...
Article
What is the best imaging method for patients with a presumed acute stroke?
- Author:
- Roya Sadeghi, MD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: It depends on whether the stroke is schemic or hemorrhagic. For early detection of ischemic stroke, magnetic resonance...
Article
Do dietary choices alone alter the risk of developing metabolic syndrome?
- Author:
- Joel Carey, MD
- Jon Neher, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: YES, but not in the short term. In studies of patient populations controlled for differences in dietary content alone,...
Article
Does metformin prevent diabetes in at-risk adults?
- Author:
- Theresa Mangahas, MD
- Grace Huang, PharmD
- Jon Neher, MD
- Sarah Safranek, MLIS, AHIP
EVIDENCE-BASED ANSWER: Yes. Metformin therapy reduces the risk of developing diabetes for adults with one or more risk factors for at least 5...
Article
Does antepartum perineal massage reduce intrapartum lacerations?
- Author:
- John Dame, MD
- Jon Neher, MD
- Sarah Safranek, MLIS
EVIDENCE-BASED ANSWER: Yes—to a point. Antepartum perineal massage reduces both the incidence of perineal trauma requiring suturing and the...
Article
What is the best medical therapy for new-onset type 2 diabetes?
- Author:
- Cheri Klam, MD
- Jon Neher, MD
- Helen Mayo, MLS
EVIDENCE-BASED ANSWER: Sulfonylureas, metformin, thiazolidinediones, and non-sulfonylurea secretagogues differ little in their ability to decrease...