American family physician最新文献

Primary Care of Patients With Cancer. 癌症患者的初级保健。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Rebecca Eary, Esther Ho, Bijal A Balasubramanian

{"title":"Primary Care of Patients With Cancer.","authors":"Rebecca Eary, Esther Ho, Bijal A Balasubramanian","doi":"","DOIUrl":"","url":null,"abstract":"Family physicians are uniquely positioned to provide comprehensive care of patients across the cancer care continuum. Their longitudinal relationship with patients allows them to address cancer-related issues in addition to chronic disease management, preventive care, psychosocial needs, and caregiver support. Maintaining awareness of a patient's cancer diagnosis and related treatment is essential for evaluating new symptoms, recognizing treatment-related adverse effects, and identifying potential oncologic emergencies. Cancer treatment often complicates management of existing chronic illnesses, requiring close monitoring, medication adjustments, and attention to lifestyle factors and nutritional status. Goals of diabetes management include optimal glycemic control to prevent delays in oncologic surgeries, impaired wound healing, and difficulty in managing chemotherapy. Screening for cardiovascular disease should be performed for patients with cancer and known cardiac risk factors or oncologic treatment exposures known to cause cardiac complications. Consistent physical activity is recommended during cancer treatment to improve quality of life. Family physicians frequently serve as the first point of contact when patients experience adverse effects or complications from cancer therapies, many of which can affect physical function, mental health, and quality of life. Effective coordination between oncologists and family physicians is essential to ensure patients receive holistic, person-centered care.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 4","pages":"393-411"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influenza: Prevention, Diagnosis, and Treatment. 流感：预防、诊断和治疗。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Denise K C Sur, Catherine Peony Khoo

{"title":"Influenza: Prevention, Diagnosis, and Treatment.","authors":"Denise K C Sur, Catherine Peony Khoo","doi":"","DOIUrl":"","url":null,"abstract":"Influenza is typically a self-limiting viral infection that causes symptoms such as fever, chills, cough, rhinitis, headache, sweats, myalgias, and malaise. However, serious illness and complications (eg, pneumonia, death) can occur, particularly in individuals with risk factors. Annual influenza vaccination is recommended for people 6 months and older, including pregnant individuals, who do not have a contraindication to the vaccine. Rapid diagnosis of influenza using point-of-care testing in select patients increases antiviral prescribing and decreases antibiotic prescribing in those with a positive result. However, a negative rapid test result does not exclude influenza. Although most patients do not require treatment for influenza, antivirals should be initiated as soon as possible for patients who are hospitalized, have severe or progressive illness, or are at high risk of complications. Treatment can be considered in symptomatic patients who are household contacts of individuals at high risk of complications or in symptomatic health care professionals who care for patients at risk. Postexposure chemoprophylaxis with antiviral therapies can be considered in individuals who are at risk for influenza complications. Oseltamivir and baloxavir marboxil are commonly recommended antiviral treatment options for influenza. Antiviral treatment is most effective if taken within 24 to 36 hours of symptom onset and reduces symptoms by approximately 20 hours. However, there is little to no evidence that it reduces complications of influenza.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 4","pages":"369-378"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Care for People With Alcohol Use Disorder. 酒精使用障碍患者的初级保健。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Gregory A Jaffe, Adam Visconti, Kento Sonoda

{"title":"Primary Care for People With Alcohol Use Disorder.","authors":"Gregory A Jaffe, Adam Visconti, Kento Sonoda","doi":"","DOIUrl":"","url":null,"abstract":"Alcohol use disorder is one of the most common chronic conditions encountered in primary care. In the United States, 1 in 10 people 12 years and older had alcohol use disorder in 2024. Patients with alcohol use disorder have increased risk for complications and comorbidities in gastrointestinal, cardiovascular, and neurologic systems, as well as anxiety and mood disorders, trauma-related stress disorders, suicide, and unintentional injuries. The US Preventive Services Task Force recommends screening adults with the abbreviated Alcohol Use Disorders Identification Test-Consumption or similar tool. Routine evaluation of patients with alcohol use disorder can include focused physical examination, blood tests, imaging studies to evaluate liver function and fibrosis, and assessment for the likelihood of developing alcohol withdrawal syndrome. Treatment in the primary care setting is effective, and all patients with alcohol use disorder should receive a brief behavioral counseling intervention and treatment or referral for treatment, if indicated. Treatment of co-occurring mental health conditions increases the likelihood of recovery from both conditions. Patients should receive routinely recommended vaccines, including the pneumococcal vaccine in those 19 years or older.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 4","pages":"358-365"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practice Alert: AAFP 2026-2027 Respiratory Vaccine Recommendations for Adults. 实践警报：AAFP 2026-2027成人呼吸道疫苗建议。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Kenneth W Lin

引用次数: 0

Primary Care Hypertension Management: Guidelines From Hypertension Canada. 初级保健高血压管理：加拿大高血压指南。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Michael J Arnold

引用次数: 0

Common Skin Rashes in Children. 儿童常见的皮疹。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

J Lane Wilson, Allison Swanson, Anand Rajpara

{"title":"Common Skin Rashes in Children.","authors":"J Lane Wilson, Allison Swanson, Anand Rajpara","doi":"","DOIUrl":"","url":null,"abstract":"Childhood skin rashes are frequently evaluated by primary care physicians and are often diagnosed by recognition of distinguishing features. Atopic dermatitis affects 15% to 20% of children, usually with onset before the age of 2 years. Treatment is based on severity and begins with emollients and topical steroids. Erythema infectiosum presents with the slapped cheek rash that progresses to reticular lesions on the trunk and extremities. Hand-foot-and-mouth disease presents with painful oral ulcers and vesicular eruption of the hands, feet, buttocks, and genitals. Nonbullous impetigo is characterized by lesions with honey-colored crusting, whereas bullous impetigo presents with flaccid bullae; both are treated with antibiotics. Molluscum contagiosum is characterized by dome-shaped umbilicated papules that spontaneously resolve over months to years without intervention but may be treated with cryotherapy, curettage, or topical agents. Pityriasis rosea usually presents with a large herald patch on the trunk followed by the eruption of numerous smaller lesions aligned with Langer lines. Scarlet fever is a group A beta-hemolytic streptococcal infection with a sandpaper-like rash and should be treated with antibiotics to prevent rheumatic fever. Tinea capitis requires treatment with systemic antifungals, whereas tinea corporis is usually treatable with topical agents.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 4","pages":"345-357"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 修正。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

引用次数: 0

Transient Elastography for Noninvasive Assessment of Liver Fibrosis in MASLD and Chronic Liver Disease. 瞬态弹性成像无创评估MASLD和慢性肝病肝纤维化。

IF 3.5 3区医学

American family physician Pub Date : 2026-10-01

Joshua Cullison

引用次数: 0

Mother-Baby Singing Groups Can Reduce Postpartum Depression Symptoms. 母婴歌唱小组可以减少产后抑郁症状。

IF 3.5 3区医学