Annals of Family Medicine articles from May 2004

Annals of Family Medicine archives from May 2004

In this issue: the patient voice, clinical research, clustered data, and the Wonca research conference.(Editorial)
May 1, 2004... Ann Fam Med 2004;2:194-197. DOI: 10.1370/afm.198. This issue of Annals brings together methodology, rigorous review, and relevant research. It also provides an opportunity to reflect on the Annals' first year of publication, and to present...

Annals of Family Medicine is 1 year old: so what and who cares?(Editorial)
May 1, 2004... Ann Fam Med 2004;2:197-199. DOI: 10.1370/afm.196. I must confess that I am one of those people who love the feel and smell of books, magazines, and, yes, journals. I appreciate being able to point, click, and read on release a latest issue...

On the nature and analysis of clustered data.(Editorial)(Editorial)
May 1, 2004... Ann Fam Med 2004;2:199-200. DOI: 10.1370/afm.197. Studies in which data from multiple patients are collected per clinician or per practice are becoming common in primary care research, particularly with the increase of studies conducted in...

Adjusted chi-square statistics: application to clustered binary data in primary care.
May 1, 2004... ABSTRACT The frequency of randomized cluster trials is increasing in primary care research. These trials are differentiated by the randomization method, in which a group of individuals is randomly assigned to an intervention as a cluster...

What is an intracluster correlation coefficient? Crucial concepts for primary care researchers.
May 1, 2004... ABSTRACT BACKGROUND Primary care research often involves clustered samples in which subjects are randomized at a group level but analyzed at an individual level. Analyses that do not take this clustering into account may report...

Quantifying risk of adverse clinical events with one set of vital signs among primary care patients with hypertension.
May 1, 2004... ABSTRACT BACKGROUND Hypertension is often uncontrolled. One reason might be physicians' reticence to modify therapy in response to single office measurements of vital signs. METHODS Using electronic records from an inner-city primary...

Accuracy of screening for diabetic retinopathy by family physicians.
May 1, 2004... ABSTRACT BACKGROUND We wanted to examine the accuracy of family physicians' screening for diabetic retinopathy using standardized criteria and a nonmydriatic ophthalmoscope. METHODS Eleven family physicians assessed 28 standardized...

A randomized clinical trial of the effect of intraoperative saline perfusion on postvasectomy azoospermia.
May 1, 2004... ABSTRACT BACKGROUND We wanted to determine whether a saline flush during vasectomy would reduce the time needed to reach azoospermia. METHODS During vasectomy men were randomly assigned to flush the prostatic end of the vas deferens...

Patient pain in primary care: factors that influence physician diagnosis.
May 1, 2004... ABSTRACT BACKGROUND The accurate recognition of patient pain is a crucial, but sometimes difficult, task in medical care. This study explored factors related to the physician's diagnosis of pain in primary care patients. METHODS New...

Medical management of intimate partner violence considering the stages of change: precontemplation and contemplation.
May 1, 2004... ABSTRACT BACKGROUND We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care office. METHODS Thirty-two mothers in IPV...

Consumer knowledge of over-the-counter phenazopyridine.
May 1, 2004... ABSTRACT BACKGROUND Effective use of over-the-counter (OTC) medications depends on purchasers' knowledge of their indications. This study examines consumer knowledge regarding the urinary tract analgesic phenazopyridine, which recently...

Referral of patients to specialists: factors affecting choice of specialist by primary care physicians.
May 1, 2004... ABSTRACT BACKGROUND We wanted to determine the importance of factors in primary care physicians' choice of specialist when referring patients and to compare importance ratings by physicians' race and sex. METHODS Using a...

What complementary and alternative medicine practitioners say about health and health care.
May 1, 2004... ABSTRACT BACKGROUND We wanted to explore the beliefs and practices of complementary and alternative medicine (CAM) practitioners. METHODS A representative sample of local CAM practitioners was selected for 32 face-to-face in-depth...

Screening for ovarian cancer: recommendation statement.
May 1, 2004... This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for ovarian cancer and the supporting evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive...

Screening for visual impairment in children younger than age 5 years: recommendation statement.
May 1, 2004... This statement summarizes the U.S. Preventive Services Task Force recommendation on screening for visual impairment in children younger than age 5 years and the supporting evidence, and updates the 1996 recommendations contained in the Guide to...

What can family physicians offer patients with carpal tunnel syndrome other than surgery? A systematic review of nonsurgical management.
May 1, 2004... ABSTRACT BACKGROUND We undertook a literature review to produce evidence-based recommendations for nonsurgical family physician management of carpal tunnel syndrome (CTS). METHODS Study design was systematic review of randomized...

The future of Family Medicine? Reflections from the front lines reveal frustration and opportunity.(On Track)
May 1, 2004... THE FUTURE OF FAMILY MEDICINE The Future of Family Medicine (FFM) project aims to launch efforts "to transform and renew the discipline of family medicine to meet the needs of patients in a changing health care environment." (1) Table 1...

Future of Family Medicine report sparks optimism.(From the American Academy of Family Physicians)
May 1, 2004... In 2002, AAFP joined 6 other family medicine organizations in initiating the Future of Family Medicine (FFM) project, with the ambition of revitalizing the specialty. AAFP Board Chair James Martin, MD, of San Antonio, who chaired the...

The Journal of the American Board of Family Practice (JABFP).(From the American Board of Family Practice)
May 1, 2004... New! Instructions for Authors Updated and Enhanced on JABFP Web Site Newly revised instructions for authors are now available at the JABFP Web site at http://www.jabfp.org. While retaining information on the journal's areas of interest,...

STFM offers training and educational resources for preceptors.(From the Society of Teachers of Family Medicine)
May 1, 2004... The Society of Teachers of Family Medicine (STFM), a leader in family medicine education, offers educational resources for volunteer preceptors who teach medical students and residents. Highlighted below are the tools to help community...

The end of normalcy.(From the Association of Departments of Family Medicine)
May 1, 2004... There was nothing normal about the recent meeting of the Association of Departments of Family Medicine. The meeting itself was innovative, with presentations and discussions about new clinical models, including systems of care for communities...

Teaching tomorrow's leaders, today.(From the Association of Family Practice Residency Directors)
May 1, 2004... As family medicine educators, it is our responsibility to teach the content and culture of our specialty to the next generation of family physicians. The publication of the Future of Family Medicine (FFM) report provides a landmark document for...

Future of Family Medicine recommendations confirm need for increased research from family physicians.(From the North American Primary Care Research Group)
May 1, 2004... Members of NAPCRG and others might scan the Future of Family Medicine (FFM) report 1 and conclude that research has been neglected, with only 1 of 10 recommendations clearly focused on the science of family medicine. They would, however, be...