Empowering Primary Care Through Evidence

PEER is a primary care led evidence based medicine team focused on providing relevant evidence to family physicians and primary care providers.

CFPCLearn’s primary care focused library includes a variety of content including evidence summaries, videos, podcasts and interactive learning courses to support clinicians in their practice.

Most Recent Tools for Practice

Tools for Practice #300 – No Gain, No Pain? – What is the effect of diet-induced weight loss on osteoarthritis-related knee pain?

Will diet-induced weight loss reduce osteoarthritic knee pain in overweight and obese adults?

BOTTOM LINE:  Observational data suggests that obesity may be a risk factor for developing osteoarthritis, however trials reporting diet-induced weight loss alone (example 5% weight loss) demonstrate limited, likely clinically insignificant improvements in osteoarthritic pain (~5 points on 100-point pain scale) compared to control. Studies are limited by the small magnitude of weight loss. Read More

Tools for Practice #299 – Cardiovascular prevention trials: Now calling colchicine to the stand

Is colchicine effective for secondary cardiovascular prevention?

BOTTOM LINE: Daily low-dose colchicine in people with coronary artery disease (CAD) lowers the risk of cardiovascular events by ~1%/year (relative risk reduction 25-30%), but increases the risk of gastrointestinal events (mostly diarrhea) by ~2% and has no effect on mortality. Read More

Tools for Practice #298 – Long COVID: A (somewhat) short summary of risks, symptoms, and natural course

How common is Long COVID, what are the symptoms and how long does it last?

BOTTOM LINE:  The presence of Long Covid (persistence of ≥1 symptom after acute infection) is found in 20-80% at 60 days post-infection, varying widely based on study design and population. Risk factors include increased age, increased severity of initial infection and female sex. Fatigue, dyspnea, and cognitive effects are the most common symptoms, but the list is long. Symptoms decline over time, but some patients will have persistent symptoms at and possibly beyond 8 months. Read More

Tools for Practice #297 – Opening a can of helminths: Ivermectin for COVID-19

Does ivermectin improve clinical outcomes in COVID-19?

BOTTOM LINE: The best available evidence does not show that ivermectin improves clinically important outcomes in COVID-19. Use in COVID-19 is discouraged. Read More

Tools for Practice #296 – Frequent migraines are a headache: Can biologics help?

What is the efficacy of Calcitonin Gene Related Peptide (CGRP) inhibitors in migraine prophylaxis?

BOTTOM LINE: For patients with episodic and chronic migraines, treating 5-8 patients with a CGRP-inhibitor will lead to one patient experiencing at least a 50% reduction in monthly migraine days compared to placebo. From baseline, a decrease of 1-2 monthly migraine days may be seen. Cost may limit use. Read More

PEER Values

When creating primary care education and programs, the PEER team focuses on minimizing bias, patient orientated outcomes, shared decision making, collaboration and most importantly simplicity.

Who is PEER?

Patients, Experience, Evidence and Research (PEER) was formed between a group of primary care providers who shared a common belief that evidence should be made accessible to all primary care providers. 

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