Guidelines

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

By September 18, 2018

Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.

Recommendations Issued for Enhancing ICU Diagnostic Safety

September 17, 2018

"In our quest for excellence in caring for the critically ill, let us make reducing diagnostic error a top priority," the authors write.

AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated

September 14, 2018

Ruling out Rx non-compliance, white coat syndrome, and interfering medications necessary

AAP Issues Updated Influenza Vaccine Recommendations

By September 06, 2018

According to the Centers for Disease Control and Prevention (CDC), the 2017-2018 flu season was one of the most severe - excluding pandemics - on record.

Efficacy, Safety of PSA Testing for Prostate Cancer Screening Investigated

September 06, 2018

Odds of choosing screening up for men with family history, African descent, low socioeconomic status

Guidelines for Managing Perimenopausal Depression Now Available

By September 05, 2018

The 5 topics addressed by the 11-member expert panel include epidemiology, clinical presentation, therapeutic effects of antidepressants, effects of hormone therapy, and the effectiveness of other therapies (eg, psychotherapy, exercise, natural health products).

CDC: Updated Influenza Vaccination Recommendations for 2018-2019

By August 23, 2018

In general, routine annual vaccination is recommended for all patients ≥6 months of age who have no contraindications.

AMA Adopts Policy to Advance Gender Equity in Medicine

August 10, 2018

In order to reduce gender bias, the AMA was directed to recommend elimination of the question of prior salary information from job applications, create an awareness campaign to inform physicians of their rights, and establish educational programs to empower all genders to negotiate for equitable compensation.

National Guideline Clearinghouse Offline Due to Funding Cuts

August 02, 2018

"We believe it is important for providers to have access to evidence-based guidelines when they need them, which is why health insurance providers were an early supporter and sponsor of this project," Cathryn Donaldson, Director of Communications & Public Affairs for AHIP, said in a statement.

ACOG, Others Come Out Against Proposed Rule on Title-X

July 26, 2018

Organizations representing over 700,000 women and adolescent health care providers, including the ACOG, the AAP, and the American College of Physicians, are opposing all efforts to limit medically accurate health care information available to patients and exclude qualified providers from participating in the Title-X program.

Guidelines for ART Updated for Those With or at Risk for HIV

July 25, 2018

For initial therapy, an integrase strand transfer inhibitor plus 2 nucleoside reverse transcriptase inhibitors is generally recommended; the treatment choice should be guided by unique patient circumstances.

CDC: Updated Recommendations for Latent TB Infection Treatment

By June 28, 2018

In 2017, a Work Group was assembled to conduct a systematic review of 3HP regimen studies published between January 2006 to June 2017, specifically looking at outcomes in children, individuals with HIV/AIDS, and those who self-administered treatment.

USPSTF Issues Recommendation on Screening for Osteoporosis

June 28, 2018

Based on these findings, the USPSTF recommends screening for women aged 65 years and older and in younger women who have been through menopause and are at increased risk.

AMA Adopts Ethical Guidance on Medical Tourism

June 27, 2018

Medical tourism can raise issues of safety and quality, particularly for care that is unapproved or legally or ethically prohibited in the United States.

HCV Guidelines Updated to Include Recommendations for Key Populations

By May 25, 2018

The guidelines were developed by the American Association for the Study of Liver Diseases and the Infectious Diseases Society of America.

AAN: New Guideline on Disease-Modifying Therapies for MS Published

By April 24, 2018

The guideline, published in the journal Neurology, provides recommendations on initiating, switching, and discontinuing DMTs relevant to patients with relapsing-remitting MS (RRMS), secondary progressive MS, primary progressive MS (PPMS), and clinically isolated syndromes of demyelination.

AASM: Medical Marijuana Should Not Be Used to Treat Sleep Apnea

By April 16, 2018

Continuous positive airway pressure (CPAP) remains the mainstay of medical treatment for OSA.

AUA: New Guidelines for Diagnosis, Management of Testosterone Deficiency

By April 10, 2018

Clinicians should use a total testosterone level below 300ng/dL as a reasonable cut-off in support of the diagnosis of low testosterone.

Endocrine Society Updates Testosterone Therapy Guidelines

By March 20, 2018

Men should only be diagnosed with hypogonadism, says the new guideline, if they display symptoms of a testosterone deficiency and their measurements of total or free testosterone are unequivocally and consistently low.

Updated Practice Guideline on Hirsutism Management Issued

March 15, 2018

"Excess facial or body hair is not only distressing to women, it is often a symptom of an underlying medical problem," said Kathryn Martin, MD, Massachusetts General Hospital and lead author of the study.

ADA 'Deeply Concerned' by New ACP Recommendations for Diabetes Management

By March 09, 2018

Based on international clinical trials (ACCORD, ADVANCE, VADT and UKPDS), the ADA recommends a reasonable A1C goal for adults with type 2 diabetes of ≤7%.

ACIP Votes in Favor of Intranasal Flu Vaccine Flumist Quadrivalent

By February 22, 2018

The Advisory Committee on Immunization Practices (ACIP) has voted in favor of a renewed recommendation for the use of Flumist Quadrivalent (Influenza Vaccine Live, Intranasal).

New Guidelines Focus on Early Treatment Decisions in Acute Pancreatitis

By February 12, 2018

The guidelines are intended to reduce practice variation and promote high-quality and high-value care.

USPSTF: Screening for Syphilis in Pregnant Women Beneficial

February 07, 2018

Draft recommendation indicates considerable net benefit to screening for syphilis infection

ACIP: 2018 Recommended Immunization Schedule for Adults Released

By February 06, 2018

Changes in the 2018 adult immunization schedule from the previous year's schedule include new ACIP recommendations for the use of recombinant zoster vaccine (RZV) for adults aged 50 years or older and the use of an additional dose of measles, mumps, and rubella vaccine (MMR) in a mumps outbreak setting.

ACIP: 2018 Immunization Schedule for Children, Adolescents Available

By February 06, 2018

The recommended childhood and adolescent immunization schedules for 2018 have been approved by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention (CDC), the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists.

Major Recs From New ACC/AHA Blood Pressure Guidelines

January 23, 2018

"The 2017 guideline uses a different classification system for BP than previous guidelines; emphasizes out-of-office BP measurements to confirm the diagnosis of and monitor success in control of hypertension," the authors write.

New Guidelines Available on Anticoagulation Tx for Cardiopulmonary Bypass

January 22, 2018

Recommendations for heparin dosing and monitoring, contraindications and alternatives, reversal

USPSTF Updates Recommendation Statement on Scoliosis Screening

January 10, 2018

"Our review of the current evidence has pointed to more questions than answers about the benefits and harms of screening children and teenagers with no symptoms of scoliosis," said USPSTF member Alex R. Kemper, MD, MPH.

New Guidelines Published on Opioid Use in Refractory RLS Treatment

By January 09, 2018

Although the research found opioid use to have a favorable risk-benefit ratio, other avenues of treatment should be considered before opioid prescription including addressing iron stores and combination therapy.