Article
- Author:
- Gary Kelsberg, MD
Publish date: April 2, 2018
EVIDENCE-BASED ANSWER: Quite well, for cardiopulmonary resuscitation (CPR). Most patients (91%-100%) who select “do not resuscitate” (DNR) on their...
Article
- Author:
- Gary Kelsberg, MD
Publish date: July 4, 2017
EVIDENCE-BASED ANSWER: The effects are unclear. Marijuana use during pregnancy is associated with clinically unimportant lower bir...
Article
- Author:
- Gary Kelsberg, MD
Publish date: November 1, 2016
EVIDENCE-BASED ANSWER: Patients at highest risk for progression to diabetes benefit from metformin.
Article
- Author:
- Gary Kelsberg, MD
Publish date: October 1, 2016
EVIDENCE-BASED ANSWER: No, habitual knuckle popping, or cracking (over the course of several decades) isn’t associated with clinical or radiographi...
Article
- Author:
- Gary Kelsberg, MD
Publish date: September 1, 2016
EVIDENCE-BASED ANSWER: We don’t know which selective serotonin reuptake inhibitors (SSRIs) are the most effective and safe because no studies...
Article
- Author:
- Gary Kelsberg, MD
Publish date: April 27, 2016
EVIDENCE-BASED ANSWER: Selective serotonin reuptake inhibitors (SSRIs [fluoxetine, sertraline, paroxetine]) and the selective norepinephrine reupta...
Article
- Author:
- Gary Kelsberg, MD
Publish date: February 28, 2016
EVIDENCE-BASED ANSWER: No. Reducing caffeinated coffee consumption by 180 mg of caffeine (the equivalent of 2 cups) per day after 16 weeks’ g...
Article
- Author:
- Gary Kelsberg, MD
Publish date: January 31, 2016
EVIDENCE-BASED ANSWER: There is no simple answer; the risk/benefit picture is complicated. Controlling blood pressure to a target of 130/80 mm Hg o...
Article
- Author:
- Gary Kelsberg, MD
Publish date: October 1, 2015
EVIDENCE-BASED ANSWER: No, it doesn’t affect the risk of primary breast cancer, but it does (favorably) affect the risk of cancer recurrence....
Article
- Author:
- Gary Kelsberg, MD
Publish date: September 1, 2015
EVIDENCE-BASED ANSWER: Yes. Quadrivalent human papillomavirus (qHPV) vaccine reduces rates of anal intraepithelial neoplasia (AIN) by 50% to 54%, a...
Article
- Author:
- Gary Kelsberg, MD
Publish date: April 1, 2015
EVIDENCE-BASED ANSWER: Yes. Statin therapy produces a small increase in the incidence of diabetes: one additional case per 255 patients taking stat...
Article
- Author:
- Gary Kelsberg, MD
Publish date: April 1, 2015
EVIDENCE-BASED ANSWER: Yes. Children with primary nocturnal enuresis often, but not always, score about 10% lower on standardized rating scales for...
Article
- Author:
- Gary Kelsberg, MD
Publish date: November 1, 2014
EVIDENCE-BASED ANSWER: Yes, nortriptyline approximately doubles smoking cessation rates, an effect comparable to bupropion. Adding nortriptyline to...
Article
- Author:
- Gary Kelsberg, MD
Publish date: September 1, 2014
EVIDENCE-BASED ANSWER: No. Modern combined oral contraceptive pills (OCPs) don’t increase breast cancer risk in women with a family history (...
Article
- Author:
- Gary Kelsberg, MD
Publish date: August 1, 2014
EVIDENCE-BASED ANSWER: Topical nitrates provide short-term relief with some side effects, especially headache. Topical nitroglycerin (NTG) patches ...
