Gary Kelsberg, MD

Article

Do any folk remedies or herbals help induce labor?

Author:: Gary Kelsberg, MD

Publish date: August 1, 2008

EVIDENCE-BASED ANSWER: Yes, some do. Breast stimulation and electroacupuncture help, while other common remedies that have been studied are ineffec...

Article

Which patients undergoing noncardiac surgery benefit from perioperative beta-blockers?

Author:: Gary Kelsberg, MD

Publish date: February 1, 2008

EVIDENCE-BASED ANSWER: Patients with moderate to high cardiac risk (a Revised Cardiac Risk Index [RCRI] score of 2 or higher [TABLE]) have a reduce...

Article

What is the role of combination therapy (insulin plus oral medication) in type 2 diabetes?

Author:: Gary Kelsberg, MD

Publish date: November 1, 2006

EVIDENCE-BASED ANSWER: Combination therapy using insulin plus metformin (Glucophage), a sulfonylurea, or both produces glycemic control comparable ...

Article

What is the risk of adverse outcomes in a woman who develops mild hypertension from OCs?

Author:: Gary Kelsberg, MD

Publish date: November 1, 2006

EVIDENCE-BASED ANSWER: Women who take oral contraceptives (OCs) have an increased risk of developing new hypertension, which returns to baseline wi...

Article

What is the prognostic value of stress echocardiography for patients with atypical chest pain?

Author:: Gary Kelsberg, MD

Publish date: October 1, 2006

EVIDENCE-BASED ANSWER: Patients with atypical chest pain and no history of cardiovascular events (coronary artery disease, unstable angina, or hist...

Article

What are effective treatments for oppositional defiant behaviors in adolescents?

Author:: Gary Kelsberg, MD

Publish date: October 1, 2006

EVIDENCE-BASED ANSWER: Psychological interventions for the family—such as parenting skills training and behavioral therapy for the child, the paren...

Article

When should a child with an undescended testis be referred to a urologist?

Author:: Gary Kelsberg, MD

Publish date: April 1, 2006

EVIDENCE-BASED ANSWER: Infants with an undescended testis should be referred between ages 6 and 15 months, since almost all who experience spontane...

Article

How long is expectant management safe in first-trimester miscarriage?

Author:: Gary Kelsberg, MD

Publish date: October 1, 2005

EVIDENCE-BASED ANSWER: More than 80% of women with a first-trimester spontaneous abortion have complete natural passage of tissue within 2 to 6 wee...

Article

What treatments prevent miscarriage after recurrent pregnancy loss?

Author:: Gary Kelsberg, MD

Publish date: October 1, 2005

EVIDENCE-BASED ANSWER: Progesterone produces a small but significant decrease in miscarriage among pregnant women with 3 or more unexplained pregna...

Article

What is the initial work-up in the diagnosis of hypertension?

Author:: Gary Kelsberg, MD

Publish date: September 1, 2005

EVIDENCE-BASED ANSWER: Patients with a new diagnosis of hypertension should be evaluated with a history and physical exam and the following initial...

Article

Does anticoagulation prevent thrombosis for persons with fractures distal to the hip?

Author:: Gary Kelsberg, MD

Publish date: April 1, 2005

EVIDENCE-BASED ANSWER: Low-molecular-weight heparin (LMWH) prophylaxis significantly reduces the total incidence of deep venous thrombosis (DVT) fo...

Article

Can type 2 diabetes be prevented through diet and exercise?

Author:: Gary Kelsberg, MD

Publish date: January 1, 2005

EVIDENCE-BASED ANSWER: Diets that result in long-term weight loss of 5% to 7%, along with moderate-intensity exercise for more than 150 minutes per...

Article

Is antibiotic prophylaxis effective for recurrent acute otitis media?

Author:: Gary Kelsberg, MD

Publish date: December 1, 2004

EVIDENCE-BASED ANSWER: For children who have recurrent episodes of clinically diagnosed acute otitis media (AOM), antibiotic prophylaxis significan...

Article

How effective is gastric bypass for weight loss?

Author:: Gary Kelsberg, MD

Publish date: November 1, 2004

EVIDENCE-BASED ANSWER: Gastric bypass results in weight loss of approximately 33% at 2 years and 25% at 8 years (strength of recommendation [SOR]: ...

Article

What is the most effective diagnostic evaluation of streptococcal pharyngitis?

Author:: Gary Kelsberg, MD

Publish date: September 1, 2004

EVIDENCE-BASED ANSWER: Standardized clinical decision rules, such as the Centor criteria, can identify patients with low likelihood of group A beta...