Researchers generated 4 principles to identify the role of patients and families in developing physicians' care plans through a multistakeholder advisory committee.
The guidelines were developed by over 100 experts, including hematologists, patient representatives, and other specialists.
"We continue to call for more research and encourage primary care clinicians to use their judgment when deciding whether to screen adolescents," task force chair Sue Curry, PhD, said in a statement.
Shared decision making and patient-centered care are endorsed and emphasized for patients with bradycardia with indications for pacemaker implantation; treatment decisions should be based on best available evidence and the patient's goals of care.
The American College of Physicians (ACP) revises and expands on current policy recommendations regarding gun-related injuries and deaths.
The researchers found that more than 95% of respondents reported routinely assessing adults' vaccination status and recommending both the 13-valent pneumococcal conjugate vaccine (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23).
Based on 3 randomized clinical trials that compared IPV screening to no screening, there were no significant improvements in outcomes (such as IPV or quality of life) over 3 to 18 months, and 2 studies reported no harms of screening.
Efforts targeting weight loss, including lifestyle, medication, and surgical interventions, are recommended for those with obesity. A sodium-glucose cotransporter 2 (SGLT2) inhibitor or glucagon-like peptide 1 (GLP-1) receptor agonist with proven cardiovascular benefit is recommended for patients with clinical cardiovascular disease.
The intent of the document is to help reduce heparin product overdose errors caused by misinterpretation of the drug strength displayed in the labeling.
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.
"In our quest for excellence in caring for the critically ill, let us make reducing diagnostic error a top priority," the authors write.
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.
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).
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.
"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.
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.
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.
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.
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.
Medical tourism can raise issues of safety and quality, particularly for care that is unapproved or legally or ethically prohibited in the United States.
The guidelines were developed by the American Association for the Study of Liver Diseases and the Infectious Diseases Society of America.
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.
Clinicians should use a total testosterone level below 300ng/dL as a reasonable cut-off in support of the diagnosis of low testosterone.
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.