Menorrhagia: recommended treatments in primary care

Treating menorrhagia in primary care. An overview of drug trials and a survey of prescribing practice.

Menorrhagia can be treated by drug therapy or surgery. General practitioners (GPs) can prescribe drugs to reduce menstrual blood loss as first-line treatment, referring patients for surgical treatment if drug therapy fails. This study examined the efficacy of drugs used to treat menorrhagia and surveyed British GPs to discover the extent to which they prescribed the most effective drugs for thi...

Effectiveness of primary care-relevant treatments for obesity in adults.

BACKGROUND Overweight and obesity in adults are common and adversely affect health. PURPOSE To summarize effectiveness and harms of primary care-relevant weight-loss interventions for overweight and obese adults. DATA SOURCES MEDLINE, Cochrane Central Register of Controlled Trials, and PsycINFO from January 2005 to September 2010; systematic reviews for identifying trials before 2005. STU...

Guideline recommended treatments in complex patients with multimorbidity.

Multimorbidity is an increasing problem for both clinicians and patients. Aging populations, the increased complexity of managing chronic illness, and the tendency of guidelines to focus on a single disease have created a “perfect storm” of treatment burden. Consider the following patient: “Mrs S is a 79 year old woman with osteoporosis, osteoarthritis, type 2 diabetes mellitus, hypertension, a...

Which instrument provides the best evaluation of psychological treatments in primary care? Psychological outcome profiles (PSYCHLOPS) in primary care

Primary care Clinical efficacy of three common treatments in acute otitis externa in primary care: randomised controlled trial

Objective To compare the clinical efficacy of ear drops containing acetic acid, corticosteroid and acetic acid, and steroid and antibiotic in acute otitis externa in primary care. Design Randomised controlled trial. Setting 79 general practices, Netherlands. Participants 213 adults with acute otitis externa. Main outcome measures Primary outcome: duration of symptoms (days) according to patient...