Article
When the evidence suggests that placebo is best
- Author:
- John Hickner, MD, MSc
- Richard Guthmann, MD, MPH
What they discovered is that no type of injection therapy has been proven to be better than a saline injection.
Article
Do A-fib patients continue to benefit from vitamin K antagonists with advancing age?
- Author:
- Richard Guthmann, MD, MPH
- Azita Bahrami, DO
- Robert Martin, DO
- Joan Nashelsky, MLS
EVIDENCE-BASED ANSWER: Yes, patients with atrial fibrilla- tion who are between the ages of 50 and 90 years continue to benefit from vitamin K...
Article
What clinical clues differentiate migraine from sinus headaches?
- Author:
- Christopher Boisselle, MD
- Richard Guthmann, MD, MPH
- Kathy Cable, MLS
EVIDENCE-BASED ANSWER: Patients with sinus headaches have thick nasal discharge, fever, chills, sweats, or abnormally malodorous breath (SOR: B,...
Article
What treatment is best for hypertrophic scars and keloids?
- Author:
- Richard Guthmann, MD, MPH
- Carol C. Williams, MD
- Sandy De Groote, MLIS
EVIDENCE-BASED ANSWER: NO ONE TREATMENT IS BEST (strength of recommendation [SOR]: C, meta-analysis of heterogenous studies); no good evidence...
Article
When should you consider implanted nerve stimulators for lower back pain?
- Author:
- Joshua R. Merok, MD
- Richard Guthmann, MD, MPH
- Amy Blevins, MALS
EVIDENCE-BASED ANSWER: CONSIDER IT FOR PATIENTS WITH FAILED BACK SURGERY SYNDROME. These patients can gain more pain relief from spinal cord...