The NAPCRG Pearls are the top research studies presented at the NAPCRG Annual Meeting each year that will impact clinical practice.
2019 Annual Meeting Pearls
Aspirin for primary prevention: comparison of studies before and after the era of statins and colorectal cancer screening
Mark Ebell, MD, MS; Frank Moriarty, PhD, BPharm
Coronary Artery Calcium Scoring as a Feasible Risk Stratification Strategy in a Primary Care Practice
Ed Bujold, MD, Chief Physician Strategist for KPN Health; Elisabeth Callen, PhD; Natalia Loskutova, MD, PhD
Home Blood Pressure monitoring to differentiate appropriate inaction from therapeutic inertia in clinically uncertain cases
Sonal Patil, MD, MSPH; Nuha Wareg, MBBS, MPH; Mark Kaiser; Jamie Smith, MA; Michael LeFevre, MD, MSPH, M.D., M.S.P.H.
Overscreening for cancer among older adults in the US: The role of usual source of care
Jennifer Moss, PhD; Alan Adelman, MD, MS; William Curry, MD, MS; Siddhartha Roy, DrPH, MPH; Eugene Lengerich, MS, VMD; Joie Cooper, BA, MS; Mack Ruffin, MD, MPH
PCR point of care test for group A streptococci in patients with an uncomplicated acute sore throat
Ronny Gunnarsson, MD, PhD; Bradley Elliott, MBBS, FRACGP, B.Biomed.Sc; Hilary Gorges; Clare Heal, PhD
Should we de-prescribe blood pressure lowering drugs in the elderly? Results from the OPTiMISE medication reduction trial
James Sheppard, PhD; Jonathan Mant, MD; Richard Hobbs, FMedSci; Richard McManus, PhD, MBBS, FRCGP, FRCP; Paul Little, MD, MBBS, MCRP, MRCP; Sue Jowett, PhD, BSc, MSc; Rupert Payne, PhD, MRCGP, FRCPE; Jenni Burt
2018 Annual Meeting Pearls
Opportunistic Screening for Heart Failure With Natriuretic Peptides in Patients With Atrial Fibrillation: A Meta-Analysis of Individual Participant Data of Four Screening Studies
Sander van Doorn, MD, PhD; Geert-Jan Geersing; Rogier Kievit; Yvonne van Mourik; Loes C. Bertens; Evelien E.S. van Riet; Leandra Boonman - de Winter; Karel G.M. Moons; Arno W. Hoes; Frans Rutten, MD, PhD
Measuring What Matters In and From Primary Care
Rebecca Etz, PhD; Kurt Stange, MD, PhD; Stephen Zyzanski, PhD; Martha Gonzalez; Jonathan O'Neal; Sarah Reves, FNP, MBA; Robert Phillips Jr, MD, MSPH
The Social Media CAGE: A Rapid Assessment of Problematic Social Media Use Among Youth
Kristin Pacl, MD; Yue Guo; Tammy Chang, MD, MPH, MS
Uptake of Active Surveillance for Low-Risk Prostate Cancer in a Population-Based Cohort
Jinping Xu, MD; Cathryn Bock, PhD; Elaine Brockman; Michael Goodman; James Janisse; Jacquelyn Keen; Loree Mincey; Kendra Schwartz, MD, MSPH
Patient Experiences With Pain As State Prescription Opioid Policies Change: Qualitative Study
Morhaf Al Achkar, MD, MSCR, FAAFP
Pediatric HITSS: A Short Screening Tool to Detect Childhood Physical and Sexual Abuse in Clinical Settings
Amer Shakil, MBA, MD; Philip Day, PhD; Sarah Woods, PhD; Jessica Chu; Samantha Bridges
Intra-Articular Hypertonic Dextrose Prolotherapy Reduces Knee Pain in Knee Osteoarthritis: A One Year Blinded Randomized Controlled Trial
David Rabago, MD; Ricky Wu; Kenneth Reeves, MD; Dicken Chan; Benjamin HK Yip; Vincent Chung; Samuel, Yeungshan Wong; Regina Sit
Prolotherapy, Physiotherapy and Combination Care for Lateral Epicondylalgia: A 3-Arm Single-Blinded Randomized Clinical Trial
Michael Yelland; David Rabago, MD; Michael Ryan; Shu-Kay Ng; Dinusha Vithanachchi; Nagarajan Manickaraj; Leanne Bisset
United States Pharmacopeia Patient-Centered Prescription Bottle Label Standards and Medication Adherence
Paul Smith, MD; Kenneth Schellhase, MD, MPH; Henry Young; David Mott; Farah Pathan; Steve Sparks, MS
2017 Annual Meeting Pearls
Cough Drops: Cause for Concern?
Danika Johnson; Robert Mead; David Hahn, MD, MS; Korey Kennelty, MSc, PharmD, PhD
Can We Increase the Rate of Obtaining Advance Directives in Our Primary Care Clinics?
Marie Sandoval, MD; Allen Repp, MD, MSc
Aromatase Inhibitors are Associated with a Higher Fracture Risk than Tamoxifen A systematic Review and Meta-Analysis
Ling-I Olivia Tseng; John Spinelli; Carolyn Gotay; Wan Yu Ho; Mary McBride, MS; Martin Dawes, MD PhD FRCGP
Oral Steroids for the Resolution of Otitis Media with Effusion in Children
Nick Francis, PhD, MD, BA; Chris Butler; Rebecca Cannings-John; Debbie Harris; Kerenza Hood; Colin Powell; Amanda Roberts; Victoria Shepherd; Emma Thomas-Jones; Cherry-Ann Waldron
Chronic Opioid Toxicity: A Clinically Important Concept, Narrative, Literature Review
Irina Kudrina, MD; Yoram Shir; Gillian Bartlett, PhD; Leon Tourian
Screening for Hypothyroidism in pregnancy
Andrei Aldea; Nebras Alghazawi; Roland Grad, MD, MSc, CCFP, FCFP; Mark Karanofsky
Using project ECHO to advance Health Care Delivery in Underserved Communities
Leslie Carlin, PhD; Allison Crawford; Ruth Dubin; Agi Erickson; Mandy Lamb; John Thomas IV
To Test or Not to Test: The Role of Glucose Self-Monitoring in Primary Care Patients With Non-Insulin Treated Type 2 Diabetes
John Buse, MD, PhD; Mark Weaver, PhD; Maihan Vu, MPH, DrPH; Madeline Mitchell, MURP; Tamara Blakeney, BS; Kimberlea Grimm, BAS; Jennifer Rees, RN, CPF; Franklin Niblock, BS; Katrina Donahue, MD, MPH
What Do Patients Taking Antidepressants Worry About? Analysis of a Consumer Medicines Call Centre
Mieke van Driel, MD, MSc, PhD; Samantha Hollingworth; Treasure McGuire, BSC, PhD, BPharm, GDCHP, GCHEd
Primary Care Physicians' Perspectives About the Use of Antipsychotics and Other Medications for Symptoms of Dementia
John William Kerns, MD; Jonathan Winter, MD; Rebecca Etz, PhD; Katherine Winter; Anton Kuzel, MD, MHPE
2016 Annual Meeting Pearls
Did Introduction of Medical Homes With Mandatory After-Hours Provision Reduce Emergency Department Utilization
Tara Kiran, MD; Rahim Moineddin, PhD; Alex Kopp; Eliot Frymire, MA, BEd; Richard H. Glazier, MD, MPH
Stakeholder Agreement Regarding Primary Care “Measures that Matter”
Rebecca S. Etz, PhD; Marshall Brooks, PhD; Martha Gonzalez, BA; Melissa S Hayes, BS; Anton J. Kuzel, MD, MHPE; Heather Librandi, BSC, EMT-P; Kurt C. Stange, MD, PhD
"Give Me a Reasonable Alternative"; Antipsychotics, Dementia, and Virginia Primary Care Physicians
Anton J. Kuzel, MD, MHPE; Jonathan Winter, MD; Rebecca S. Etz, PhD; Katherine Winter; Christine Carlson Kerns, RN; John William Kerns, MD
Prevalence of Atypical Pathogens in Patients With Sore Throat: A Meta-Analysis
Christian Marchello, MS; Mark H. Ebell, MD, MS
Why Do Female GPs Earn Less Than Their Male Colleagues?
Christopher Harrison, Bpsych, MSocH; Clare Bayram; Helena C. Britt, PhD; Janice Charles
Does Prompt Receipt of a Discharge Note by a Patients’ Family Physician Reduce the Rate of Readmissions and Emergency Room Visits in a Universally Funded Health Care System?
Liisa Jaakkimainen, MD, MSc, CCFP; Hong Lu; Jacqueline Young, MSc; Karen Tu, MD, MSc, CCFP, FCFP
Medicare Advantage Enrollees Have Fewer Avoidable Hospitalizations and More Appropriate Hospitalizations Than Traditional Medicare Enrollees: Results From a 12 State Study
Yalda Jabbarpour, MD; Stephen Petterson, PhD; Peter M Wingrove; Andrew Bazemore, MD, MPH
Patient Factors Associated With Successful Weight Loss in Obese Sedentary Primary Care Patients
Charles Buckley Eaton, MD, MS; Kim Gans; Sheri Hartman, PhD; Bess Marcus; Patricia Risica; Mary Roberts
Measuring Continuity in Primary Care and its Impact on Costs and Hospitalizations
Andrew Bazemore, MD, MPH; Stephen Petterson, PhD
Primary Care Physician Advice to Pursue Watchful Waiting is Associated With Less Low-Value Testing
Joshua J. Fenton, MD, MPH; Larissa May; Anthony F. Jerant, MD; Peter Franks, MB, BS
2015 Annual Meeting Pearls
Physical Exercise for Late Life Depression: Tailored Treatments Between Psychiatry and Primary Care
Klea Bertakis, MD, MPH; Mario Amore; Fabrizio Asioli; Luigi Bagnoli; Marco Menchetti; Martino Murri; Micro Neri; Francesca Neviani; Matteo Siena; Guilio Toni; Ferdinando Tripi; Stamatula Zanetidou; Donato Zocchi
Sterile Versus Non-Sterile Gloves for Minor Surgery in General Practice
Clare Heal and Shampavi Sri Haran
The Fit Family Challenge: A Primary Care-Based Pediatric Obesity Program
Bonnie Jortberg, PhD, RD, CDE; Raquel Rosen; Sarah Roth
Prescription Opioid Dose and Duration and Risk for Depression in Three Large Healthcare Center Patient Populations
Jeffrey Scherrer, PhD; Joanne Salas, MPH; Laurel Copeland; Brian Ahmedani; Eileen Stock; Thomas Burroughs, PhD, MA, MS; F. David Schneider, MD, MSPH; Kathleen Bucholz; Mark Sullivan; Patrick Lustman
Adjunctive Screening for Breast Cancer in Women with Dense Breasts: A Systematic Review
Joy Melnikow, MD, MPH; Joshua Fenton, MD, MPH; Evelyn Whitlock, MD, MPH; Diana Miglioretti, PhD; Jamie Thompson, MPH; Meghan Weyrich, MPH
Does Iron Deficiency Without Anemia in Infancy Affect Long Term Developmental Outcomes? Prospective 6 Year Cohort Study
Dee Mangin; Claire Dowson; David Fergusson; Elisabeth Wells
The Effectiveness of Maintenance SSRI Treatment in Primary Care Depression to Prevent Recurrence: Multicentre Double Blinded Placebo Controlled RCT.
Dee Mangin; Claire Dowson; Roger Mulder; Elisabeth Wells; Les Toop; Tony Dowell; Bruce Arroll, MBChB, PhD
Not as Transient as the Name Suggests: Fatigue, Psychological and Cognitive Impairment Following Transient Ischemic Attack (TIA)
Grace Moran; Melanie Calvert; Max Feltham; Tom Marshall; Ronan Ryan
Missed Opportunities for Prevention of Stroke and Transient Ischaemic Attack (TIA) in Primary Care
Grace Moran; Melanie Calvert; Max Feltham; om Marshall; Ronan Ryan
Oral Steroids for Acute Cough (OSAC): A UK Multi-Centre, Placebo Controlled, Randomised Trial
2014 Annual Meeting Pearls
The Reduction in ED and Hospital Admissions From Medical Home Practices is Specific to Primary-Care-Sensitive Chronic Conditions
Green LA, Markovitz A, Chang HC, Paustian M
Clinical Effectiveness of Collaborative Care Management For Depression Over Time
Garrison, GM; Angstman, KB; O’Connor S; Williams MD; Lineberry TW
Use of Antidepressants in Patients with Depression and Cardiometabolic Disease
Bhautesh Jani, David Purves, Sarah Barry, Colin McCowan, Jonathan Cavanagh, Frances Mair
Continuity of Care: Does Having the Same Primary Care Provider Over Time Matter?
S.T. Wong, A. Katz, Peterson, S., & Taylor, C.
A Prognostic Algorithm to Predict Hospitalization Among Children Presenting to Primary Care with Acute Cough and RTI: The ‘TARGET’ Prospective Cohort Study
Alastair D Hay, Niamh M Redmond, Andrew M Lovering, Barry Vipond, Brendan Delaney, Hannah Christensen, Hannah V Thornton, John P Leeming, Margaret Fletcher, Matthew Thompson, Paul Little, Peter Muir, Sophie Turnbull, Beth Stewart, Tim J Peters and Peter S Blair on behalf of the TARGET study team
Comparison of Osteoporosis Risk Assessment Tools in Women 50-64 Years Old
Jennifer L. Pecina MD, Lindy Romanovsky, MD Stephen P. Merry MD, Kurt A. Kennel MD, Tom D. Thacher MD
Does an Increase in Opioid Dose lead to an Increase in Depression?
Scherrer JF, Salas J, Lustman PJ, Burge S, Schneider FD, for the Residency Research Network of Texas Investigators. Pain. 2015;156:348-355
Gaps in Knowledge: What do Primary Care Patients Know about the Opioid Medication they Have Been Prescribed?
LS Wallace, L McDougle, WF Miser, RK Wexler
Autoinflation as a Treatment of Otitis Media with Effusion in Primary Care: A Randomized
Williamson I, Vennik J, Harnden A, Voysey M, Perera R, Kelly S, Yao G, Raftery J, Mant D, Little P
Are Antibiotics the Only Treatment Option for Urinary Tract Infection? – A Comparative Effectiveness Trial
Gágyor & J Bleidorn, K Wegscheider, G Schmiemann, M Kochen, E Hummers-Pradier
2013 Annual Meeting Pearls
Shared Decision-Making in Palliative Care: Clinical Implications for the Practice of Family Medicine
Bélanger E, Rodríguez C, Groleau D, Légaré F, & Marchand R.
J Haasenritter, S Bösner, N Donner-Banzhoff (Philipps University Marburg, Germany)
How often do patients with musculoskeletal (MSK) complaints newly treated with NSAIDs, subsequently consult their GP because of an adverse drug reaction (ADR)
AR Koffeman, AR van Buul, VE Valkhoff, GW ‘t Jong, PJE Bindels, J van der Lei, MCJM Sturkenboom, PAJ Luijsterburg, SMA Bierma-Zeinstra
A Comparison of the Male Osteoporosis Risk Estimation Score (MORES) and the FRAX® in Identifying Men at Risk for Osteoporosis
Alvah R. Cass, MD, SM, Angela J. Shepherd, MD, Rechelle Asirot, MD, Maimoona Nizami, MD & Manju Mahajan, MD
The True Blue model of collaborative care using practice nurses as case managers for depression alongside diabetes or heart disease: a randomised trial.
Morgan MAJ, Coates MJ, Dunbar JA, et al.
Systematic review of the diagnostic accuracy of capillary refill time for serious illness in children
S Fleming, P Gill, C Jones, A Van den Bruel, J Taylor, C Heneghan, M Thompson
Jeremy Howick, et al.
PCMH Implementation and Primary Care Provider and Staff Burnout: A Process Analysis
Diana Carvajal MD, MPH, Elizabeth Alt MD, MPH, Claudia Lechuga MS, Stephanie Neves BS, MA, Arthur Blank PhD, M. Diane McKee MD, MS
Rachel Hope, MD, The Christ Hospital/University of Cincinnati Family Medicine Residency ; Miranda Moore, PhD, & Andrew Bazemore, MD, The Robert Graham Center
Performance of a Rapid Influenza Detection Test (RIDT) in Ambulatory Primary Care Wisconsin: 2009-2013
Temte JL, Barlow S, Greene P, Haupt T, Reisdorf E, Wedig M, Shult P, Giorgi A, Fowlkes A. University of Wisconsin
Depression and Opioid Use Increase Risk of Incident Myocardial Infarction
Scherrer JF, Schneider FD, Hauptman PJ, Freedland KE and Lustman PJ, Saint Louis and Washington Universities School of Medicine
Helping Patients Reach a Balanced Understanding of Controversial Cancer Screening Recommendations:The Impossible Dream?
B Saver, R Luckmann, M Hayes, K Mazor, G Bacigalupe, J Calista, N Esparza, T Gorodetsky
Does the management of patients with chronic non-malignant pain (CMNP) differ between those with and without co-existing mental illness?
Elder NC, White C, Regan S – University of Cincinnati Department of Family and Community Medicine
Connie van Eeghen DrPH, Amanda Kennedy PharmD, Mark Pasanen MD, Benjamin Littenberg MD, Charles MacLean MD,
University of Vermont
The potential role of NT-proBNP in screening for heart failure and in predicting prognosis
Richard Hobbs, Care Taylor, Andrea Roalfe, Rachel Iles, University of Oxford
Is montelukast an effective treatment for postinfectious cough?
Wang K, Birring SS, Taylor K, Fry NK, Hay AD, Moore, M, Jin J,Perera R, Farmer A, Little P, Harrison TG, Mant D, Harnden A.