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.

The PEER Simplified Lipid Guideline

Updated for 2023! A simplified approach to lipid management for busy family doctors! Practical summary for clinicians. Evidence-based recommendations for lipid management. Useful online decision aid. Easy-to-read patient handout.

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 TFP #353 – Turn Down the Heat! Can non-hormonal drugs improve vasomotor symptoms in menopause?

Do non-hormonal medications improve menopausal vasomotor symptoms?

After 12 weeks, approximately 50-75% of women with menopausal vasomotor symptoms experience ≥50% decrease in hot flashes with selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) or gabapentin versus 35-60% on placebo. Placebo reduces the number of hot flashes by about 40-50%, with an additional 10-20% reduction from SSRIs, SNRIs, and gabapentin. Read More

Tools for Practice #352 Do-It-Yourself Hearing Aids

Do self-fitted hearing aids improve hearing for adults with mild to moderate-severe hearing loss?

Some, but not all, direct-to-consumer self-fitted hearing aids are likely comparable to conventional hearing aids fitted via audiogram, at a much lower cost. Access and guidance/regulations on direct-to-consumer self-fitted hearing aids is limited in Canada. See suggestions below. Read More

Tools for Practice #351 Flaked out? Topical treatment for seborrheic dermatitis

How effective are topical treatments for adult facial or scalp seborrheic dermatitis?

About 40-50% of adults will have complete clearance of seborrheic dermatitis at 4 weeks with ketoconazole 2% or ciclopirox 1% compared to ~25% with placebo. Less studied interventions (metronidazole, corticosteroids, pimecrolimus) may be as effective but some have more adverse events (pimecrolimus, corticosteroids). Read More

Tools for Practice #350 Not a Dry Eye in the House – Looking into Artificial Tears

How effective are artificial tears for dry eye syndrome?

While most products improve symptom scores, comparisons to placebo/no treatment are rare. Differences in patient outcomes between artificial tear products (including preservative versus preservative free) are rare, inconsistent, and likely unreliable.  Product selection can be guided by costs and personal preference. Read More

Tools for Practice #349 An ASA a day when a baby’s on the way?

#349 An ASA a day when a baby’s on the way?

In women at risk for preeclampsia at ~12-28 weeks gestation, low-dose ASA (50-150mg) reduces risk of preeclampsia by an absolute ~2%, perinatal death by ~0.5%, and preterm birth by ~2% compared to placebo. The risk of postpartum hemorrhage is increased by up to ~1%. 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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