Top 20 Research Studies of 2017 for Primary Care Physicians

Mark H. Ebell, MD, MS; Roland Grad, MD, MSc,


Am Fam Physician. 2018;97(9):581-588. 

In This Article


Two POEMs address the prevention and treatment of common infections in primary care (Table 2).[15,16] Study 6 is a systematic review that found no increase in infections or complications when outpatient skin procedures were performed with nonsterile gloves.[15] Study 7 questions the requirement by many insurance companies that clinicians must first test a toenail with clinically obvious onychomycosis for fungal infection before they will pay for a course of an antifungal drug. This also delays treatment unnecessarily. This cost-effectiveness analysis found that empiric therapy with oral terbinafine (Lamisil) without diagnostic testing was the most cost-effective strategy.[16]