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261. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

are to assist in delivering optimum, efficacious treatment and functional recovery from nonspecific low back pain. Scope, Purpose and Intended User This document was developed by the North American Spine Society Evidence-Based Guideline Development Committee with representation from stakeholder or- ganizations as an educational tool to assist practi- tioners who treat adult patients with nonspecific low back pain. The goal is to provide a tool that assists practitioners in improving the quality (...) Development Methodology Through objective evaluation of the evidence and transparency in the process of making recommendations, it is NASS’ goal to develop evidence-based clinical practice guidelines for the diagnosis and treatment of adult patients with various spinal conditions. These guidelines are developed for educational purposes to assist practitioners in their clinical decision-making processes. Multidisciplinary and Multi-Stakeholder Collaboration With the goal of ensuring the best possible care

2020 American Academy of Pain Medicine

262. Palliative Care for Adults

care to their patients in some manner. Indeed, there is a presumption that providers will all be able to provide a level of primary palliative care for symptoms commonly encountered in their respective practices. There is, however, growing recognition that primary care providers may need more education and training to recognize and evaluate other forms of distress and suffering in patients with serious illness. (Quill, 2013) Educational programs have been developed in recent years to assist (...) Documents 11 Definitions 11 Annotations 12–45 Quality Improvement Support 46–56 Aims and Measures 47–48 Implementation Recommendations 49 Implementation Tools and Resources 50 Implementation Tools and Resources Tables 51–56 Assessment Tools 51 Physician Education Resources (Fast Facts) 51–52 General Tools and Resources 52–56 Supporting Evidence 57–76 References 58–63 Appendices 64–76 Appendix A: Literature Search Terms 64–65 Appendix B: How to Discuss Serious Illness 66–68 Appendix C: Signs and Symptoms

2020 Institute for Clinical Systems Improvement

263. Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations (Full text)

(SBIRT) as part of trauma care. [4] Since 2006, the Committee on Trauma has required all trauma centers to have a mechanism to identify patients with hazardous alcohol use; Level I and II centers must provide an intervention by trained staff. [5] This strategy aims to reach a population beyond those with a diagnosis of alcohol dependence; for every one adult in the US who is dependent on alcohol, more than six other adults who are not dependent on alcohol are still at risk of injuring themselves (...) , Annoyed, Guilty, Eye opener). [8][9] The presence of intoxication at the time of presentation to the hospital may be measured objectively by the weight of alcohol present by blood volume (BAC). Brief intervention for patients who screen positive for hazardous alcohol use may be performed by anyone capable of showing respect and concern for the patient, such as a physician, nurse, or any other staff member; relatively little training is required and may be accomplished with online materials

2020 Eastern Association for the Surgery of Trauma PubMed abstract

264. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

for the Journal of Early Intervention; has received funding for travel to 5 scientific meetings and research support from the NIH National Institute of Mental Health 6 (NIMH), HRSA, and Institute of Education Sciences (IES); has received speaking honoraria; has 7 received publishing royalties from Guilford Press; has received honoraria from Autism Speaks 8 and NIMH for grant reviews; received payment to conduct training in behavioral interventions 9 for ASD; dedicates 10% of clinical efforts to behavioral (...) parent training; and has received 10 research support from the NIMH, HRSA, and the IES. 11 A. Stahmer serves as an editor for Autism: International Journal of Research and Practice and 12 on the editorial board for the Journal of Early Intervention; has received funding for travel to 13 scientific meetings and research support from the NIMH, HRSA, and Institute of Education 14 Sciences (IES); has received speaking honoraria; has received publishing royalties from Guilford 15 Press; has received

2020 American Academy of Neurology

265. Sexually Transmitted Infections: Behavioral Counseling

very large trial of a video-based intervention that was powered to detect a small effect and the low-intensity group of a trial of African American women (4). In the latter trial, the intervention included a 20-minute individualized and culturally sensitive counseling session with trained African American nurse educators. Incidence of STIs was lower in both of the skill-based intervention groups at 12 months (14% [high-intensity] and 15% [low-intensity]) than in the control group (27%). The 2 skill (...) . 49. O'Donnell LN, Doval AS, Duran R, O'Donnell C. Video-based sexually transmitted disease patient education: its impact on condom acquisition. Am J Public Health . 1995;85:817-22. Source: This article was published online first at www.annals.org on September 23, 2014. Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health

2020 U.S. Preventive Services Task Force

266. Respiratory tract infections (self-limiting) – reducing antibiotic prescribing

may be supported by evidence-based written information tailored to the patient’s needs. Treatment and care, and the information patients are given about it, should be culturally appropriate. It should also be accessible to people with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English. Families and carers should also be given the information and support they need. 1. American Academy of Pediatrics Subcommittee on Management of Acute (...) for Health and Care Excellence 2015. All rights reserved. NICE copyright material can be downloaded for private research and study, and may be reproduced for educational and not-for- profit purposes. No reproduction by or for commercial organisations, or for commercial purposes, is allowed without the written permission of NICE. This guideline is an adaptation of Respiratory Tract Infections – Antibiotic Prescribing (CG69). NICE guidance is prepared for the National Health Service in England. © National

2019 Best Practice Advocacy Centre New Zealand

267. Guidelines on Chronic Coronary Syndromes (Full text)

revisions the Guidelines are approved by all the experts involved in the Task Force. The finalized document is approved by the CPG for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline (...) educational material addressing the cultural and professional needs for cardiologists and allied professionals. Collecting high-quality observational data, at appropriate time interval following the release of ESC Guidelines, will help evaluate the level of implementation of the Guidelines, checking in priority the key end points defined with the ESC Guidelines and Education Committees and Task Force members in charge. The Members of this Task Force were selected by the ESC, including representation from

2019 European Society of Cardiology PubMed abstract

268. The management of urinary incontinence in women

professionals and patients make decisions about the most appropriate treatment and care for specific clinical circumstances. • Can be used to develop standards to assess the clinical practice of individual health professionals. • Can support the education and training of health professionals and others. • Can improve communication between patients and health professionals. The Best Practice Advocacy Centre New Zealand (bpac nz ) has an agreement with NICE to contextualise recently published NICE clinical (...) in the management of UI and associated disorders or who work within an MDT with this training, and who regularly carry out surgery for UI in women. 1.11.2 Training should be sufficient to develop the knowledge and generic skills documented below. Knowledge should include the: • specific indications for surgery • required preparation for surgery including preoperative investigations • outcomes and complications of proposed procedure • anatomy relevant to procedure • steps involved in procedure • alternative

2019 Best Practice Advocacy Centre New Zealand

269. Management of Type 2 Diabetes Mellitus

that clinicians should address at each visit and annually. DSME has evolved from didactic programs based on information-transfer and compliance or adherence as outcomes, to more patient-centered, empowerment based approaches. Recent findings related to DSME include: • Diabetes self-management education is effective for improving psychosocial and health outcomes (including HbA1c) and for reducing costs. • Traditional knowledge based DSME is essential but not sufficient for sustained behavior change. People (...) Management of Type 2 Diabetes Mellitus Quality Department Guidelines for Clinical Care Ambulatory Diabetes Mellitus Guideline Team Team Leaders Connie J Standiford, MD General Internal Medicine Sandeep Vijan, MD General Internal Medicine Team Members Hae Mi Choe, PharmD College of Pharmacy R Van Harrison, PhD Medical Education Caroline R Richardson, MD Family Medicine Jennifer A Wyckoff, MD Metabolism, Endocrinology & Diabetes Consultants Martha M Funnell, MS, RN, CDE Diabetes Research

2020 University of Michigan Health System

270. Heart Failure - Systolic Dysfunction

Heart Failure - Systolic Dysfunction 1 Quality Department Guidelines for Clinical Care Ambulatory Heart Failure Guideline Team Team Leader William E Chavey, MD Family Medicine Team Members Barry E Bleske, PharmD Pharmacy R Van Harrison, PhD Medical Education Robert V Hogikyan, MD, MPH Geriatric Medicine Yeong Kwok, MD General Medicine John M Nicklas, MD Cardiology Consultant Todd M Koelling, MD Cardiology Initial Release August, 1999 Most Recent Major Update August, 2013 Interim/Minor Revision (...) . Cardiopulmonary exercise testing can quantitate a patient’s functional capacity. Testing may be indicated to document disability for insurance. Patients with poor ventilatory efficiency (VE/VCO2 slopes > 35) or very low peak oxygen consumptions (VO2 1 year. These patients should be referred to an electrophysiologist or cardiologist for evaluation. Part of the evaluation for ICD should be an ECG. This will define the QRS duration and help determine whether the device should also provide Cardiac

2020 University of Michigan Health System

271. Guideline: Perinatal care of the extremely preterm baby

for in-utero transfer unless transfer puts the mother’s life at risk • Transfer not indicated if: o Birth certain or imminent at 3 SD below mean) profound sensorineural hearing loss, or blindness. ^Moderate disability: child typically reaching a reasonable level of independence, and involving one or more of the following symptoms: cerebral palsy (but the child could still walk), moderate learning difficulties, (IQ 2-3 SD below mean) sensorineural hearing loss that can be corrected with a hearing aid (...) , or impaired vision without blindness. # Mild disabilities: would include mild learning problems or other impairments such as squints 4.1 Definitions to aid parental understanding The International Classification of Functioning, Disability and Health (ICF) is endorsed for use in Australia. 37 In ICF ‘disability’ is an umbrella term covering impairment of body functions and structures, activity limitations and problems with involvement in life situations as influenced by the physical, social and attitudinal

2020 Queensland Health

272. Cardiac arrhythmias in coronary heart disease

and is applicable to guidance produced using the processes described in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines (...) Psychosocial assessment and screening New 7.4 Psychosocial interventions Updated 8 Provision of information Updated 9 Implementing the guideline Updated 1.3 STATEMENT OF INTENT This guideline is not intended to be construed or to serve as a standard of care. Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline recommendations

2018 SIGN

273. Management of epithelial ovarian cancer

at www.evidence.nhs.uk Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our guideline manual, which can (...) throughout this guideline is given in Annex 2. 8 The histological classification of ovarian cancer is given in Annex 3. 1.4 STATEMENT OF INTENT This guideline is not intended to be construed or to serve as a standard of care. Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline recommendations will not ensure a successful outcome

2018 SIGN

274. Pharmacological management of migraine

produced using the processes described in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using (...) headache with a global prevalence of around one in seven people. 8 The Global Burden of Disease study ranks migraine as the seventh most common cause of disability worldwide, rising to the third most common cause in the under 50s. 9 It is estimated that migraine costs the UK around £3 billion a year in direct and indirect costs, taking into consideration the costs of healthcare, lost productivity and disability. 10 Twice as many women as men are affected. 11 This is considered to be due to changes

2018 SIGN

275. Management of stable angina

in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been (...) Perioperative revascularisation 33 6.3 Drug therapy in patients undergoing non-cardiac surgery 34 7 Psychological health 38 7.1 How does angina affect quality of life? 38 7.2 Improving symptom control with behavioural interventions 39 7.3 The effect of health beliefs on symptoms and functional status 40 8 Provision of information 41 8.1 Information and education about surgery and other interventions 41 8.2 Cardiac waiting times 42 8.3 Follow up in patients with angina 42 8.4 Checklist for provision

2018 SIGN

276. UK Standards for the Management of Patients with Microtia and Atresia

for ease of access to the service. This may be a specialist nurse or other appropriately trained individual. · It should be recognised that unilateral Atresia and associated hearing loss may have an impact on a child’s development, and that the child’s progress and hearing should be closely monitored. · For hearing restoration options may include: educational support, conventional air conduction hearing aids, bone conduction hearing aids, and implantable hearing aid devices. · Patients should (...) national audit meetings should take place to review outcomes and to share best practice. · Surgeons embarking on a career in Microtia should be able to demonstrate a significant period of training devoted to acquisition of the necessary skills in a recognised centre. Certification of competence in all the techniques they offer should be evidenced in an appropriate manner. · In the early period of practice, surgeons should enter a period of mentorship with a recognised expert. Centres offering

2019 British Association of Plastic Reconstructive and Aesthetic Surgeons

277. Simplified guideline for prescribing medical cannabinoids in primary care

recommend long-term monitoring of medical cannabinoids to further assess potential individual and societal benefits and harms. Dr Allan is Professor of Evidence-Based Medicine in the Department of Family Medicine at the University of Alberta in Edmonton. Mr Ramji, Ms Perry, and Dr Ton are Knowledge Translation Experts in the Physician Learning Program with the Alberta Medical Association and in Lifelong Learning and the Department of Family Medicine at the University of Alberta. Dr Beahm is Research (...) Physicians. Dr Noël is Health Innovation Studio Lead and Human-centred Knowledge Designer for Lifelong Learning in the Faculty of Medicine and Dentistry at the University of Alberta. Dr Lindblad is Knowledge Translation and Evidence Coordinator for the Alberta College of Family Physicians and Associate Clinical Professor in the Department of Family Medicine at the University of Alberta. 120 Canadian Family Physician | Le Médecin de famille canadien ? Vol 64: FEBRUARY | FÉVRIER 2018 CLINICAL PRACTICE

2018 CPG Infobase

278. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

cause of adult neuro- logical disability, with over 400,000 Canadians living with its e?ects, and it ranks as the third leading cause of death. 1 Stroke costs the Canadian economy more than $3.6 billion a year in physician services, hospital costs, lost wages, and decreased productivity. 2 The impact of stroke can be seen even among persons who have sustained seemingly minor strokes or transi- entischemicattacks(TIA).Canadiandataindicatethat evenindividualsfreeofpost-strokecomplicationsinthe short (...) and management strategies. 1.1 Timing of initial assessment Table T wo summarizes the triage categories and target times for initial assessment of patients with transient ischemic attack and non-disabling ischemic stroke. 1.1.1 VERY HIGH Risk for Recurrent Stroke (Symptom onset within last 48 hours) i. Patients who present within 48 hours of a suspected transient ischemic attack or non- disabling ischemic stroke with the following symptoms are considered at highest risk of first or recurrent stroke

2018 CPG Infobase

279. Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings

to deter- mine the quality of evidence and strength of recommendation (Box 1). The evidence-to-decision framework is provided in Appendix 2 (available at www.cmaj.ca/lookup/suppl/doi:10.1503/ cmaj.171430/-/DC1). The Knowledge Translation team at St. Michael’s Hospital (Toronto, Ontario) engaged members of the public on behalf of the task force at two stages of guideline development. In the first phase, 15 participants aged 58 to 78 years rated outcomes to inform the systematic review, by means (...) , based on how likely further research is to change our confidence in the estimate of effect. 15GUIDELINE E590 CMAJ | MAY 14, 2018 | VOLUME 190 | ISSUE 19 74 years were asked to provide their perspective on the guideline recommendations. 17 A knowledge translation tool for the guideline was informed by feedback from clinicians and patients and is provided on the task force website (www.canadiantaskforce.ca). The recommendation was approved by the entire task force and underwent external review

2018 CPG Infobase

280. Practice guideline: joint CCMG-SOGC recommendations for the use of chromosomal microarray analysis for prenatal diagnosis and assessment of fetal loss in Canada

, was approved by the CCMG Board of Directors (5 June 2017) and the SOGC Board of Directors (on 19 June 2017). The CCMG is a Canadian organisation responsible for certifying medical geneticists and clinical laboratory geneticists and for establishing professional and ethical standards for clinical genetics services in Canada. The SOGC is a Canadian organisation which produces national clin- ical guidelines for both public and medical, education and clin- ical practice, on important women’s health issues (...) with an NT =3.5 mm, prenatal CMA should be offered (II-2 B). The working group recognises that, in some instances, local resources allow for prenatal chromosomal microarray analysis to be available for all invasive prenatal specimens, outside of the above indications. While an approximate 1.7% risk of abnormal findings has been documented, 15 there is also the impact of inci- dental findings and variants of unknown significance (VOUS) in a broad population (the so-called ‘toxic knowledge

2018 CPG Infobase

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