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161. Chimeric Antigen Receptor T-Cell Therapy for B-Cell Cancers: Effectiveness and Value

science companies. ICER receives approximately 15% of its overall revenue from these health industry organizations to run a separate Policy Summit program, with funding approximately equally split between insurers/PBMs and life science companies. For a complete list of funders and for more information on ICER's support, please visit http://www.icer-review.org/about/support/. About CTAF The California Technology Assessment Forum (CTAF) – a core program of ICER – provides a public venue in which (...) be assumed to support any part of this report, which is solely the work of the ICER team and its affiliated researchers. For a complete list of stakeholders from whom we requested input, please visit: https://icer-review.org/topic/car-t/. Expert Reviewers Charalambos (Babis) Andreadis, MD, MCSE Associate Professor of Clinical Medicine, Department of Medicine; Director, Clinical Research Support Office University of California, San Francisco (UCSF) Medical Center and UCSF Helen Diller Family Comprehensive

2018 California Technology Assessment Forum

162. Practice Guidelines for Moderate Procedural Sedation and Analgesia

requirements for practitioners who provide moderate procedural sedation. Application These guidelines are intended for use by all providers who perform moderate procedural sedation and analgesia in any inpatient or outpatient setting including but not limited to hospitals, ambulatory procedural centers, hospital-connected or freestanding office practices ( e.g. , dental, urology, or ophthalmology offices), endoscopy suites, plastic surgery suites, radiology suites (magnetic resonance imaging, computed (...) and other interests pertinent to the practice guideline were disclosed by all task force members and managed. The task force developed these guidelines by means of a seven-step process. First, criteria for evidence associated with moderate sedation and analgesia techniques were established. Second, original published research studies relevant to the guidelines were reviewed and analyzed; only articles relevant to the administration of moderate sedation were evaluated. Third, a panel of expert

2018 American Society of Anesthesiologists

163. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

, MD, PhD, FAHA , and MD MDOn behalf of the American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council Sharonne N. Hayes , Esther S.H. Kim , Jacqueline Saw , David Adlam , Cynthia Arslanian-Engoren , Katherine E. Economy , Santhi K. Ganesh , Rajiv Gulati , Mark E. Lindsay , Jennifer H. Mieres , Sahar Naderi , Svati Shah , David E. Thaler , Marysia S

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2018 American Heart Association

164. Hoarseness (Dysphonia)

–Head and Neck Surgery 2018 158 : 1_suppl , S1-S42 Share Share this article via social media. The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. Recommend to a friend Email a link to the following content: * Recipient's Email Address: * Your Email: Your Name: * Subject: Send me a copy of this email Retype the code from the picture: The e-mail addresses that you supply to use this service will not be used for any other purpose without (...) laryngoscopy at any time in a patient with dysphonia. Disclaimer This clinical practice guideline is not intended as an exhaustive source of guidance for managing dysphonia (hoarseness). Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition, and it may not provide the only appropriate approach to diagnosing and managing

2018 American Academy of Otolaryngology - Head and Neck Surgery

165. Non-alcoholic Fatty Liver Disease, Diagnosis and Management

Non-alcoholic Fatty Liver Disease, Diagnosis and Management The Diagnosis and Management of Nonalcoholic Fatty Liver Disease: Practice Guidance From the American Association for the Study of Liver Diseases Naga Chalasani, 1 Zobair Younossi , 2 Joel E. Lavine, 3 Michael Charlton, 4 Kenneth Cusi, 5 Mary Rinella, 6 Stephen A. Harrison, 7 Elizabeth M. Brunt, 8 and Arun J. Sanyal 9 Preamble This guidance providesadata-supportedapproachto the diagnostic, therapeutic, and preventive aspects (...) Denko, Lilly, Novo Nordisk, Fractyl, Allergan, Chemomab, Affimmune, Teva, and Ardelyx. He received grants from Bristol-Myers Squibb and Merck. He received royalties from UptoDate. He owns stock in Exhalenz, Arkana, and NewCo LLC. 328 PRACTICE GUIDANCE | HEPATOLOGY, VOL. 67, NO. 1, 2018 A HE STUDY OFLIVER D I S E ASES T MERICAN ASSOCIATION FORof Recommendations, Assessment Development, and Evaluation system. A guidance document is developed by a panel of experts in the topic, and guidance state

2018 American Association for the Study of Liver Diseases

166. Routine investigation and monitoring of adult HIV-1-positive individuals (2019 interim update)

of patients who are now starting ART who did not start soon after the baseline visit 7 3.4 Monitoring in the first 6 months after starting ART 8 3.5 Monitoring of patients established on ART and with the viral load suppressed 8 3.6 Additional monitoring of patients presenting with advanced disease (CD4 cell count 40 years with 10-year cardiovascular disease (CVD) risk calculated within 1 year of first presentation (90%), and within the last 3 years if taking ART (90%). Patients with a smoking history (...) months post-ART start • If VL not fully supressed at 6 months or any increase in VL at any time, see section 4.7.2 3.5 Monitoring of patients established on ART and with the viral load suppressed Cover all annual issues as outlined in Table 3.2: In addition: History at each visit: • Full medication history and recreational drug use • Understanding of dosing instructions • Adherence • Mood • Adverse effects • Patients’ concerns about medication Examination • According to any symptoms Investigations

2019 British HIV Association

167. Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries Comparative Effectiveness Review Number 210 Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries e Comparative Effectiveness Review Number 210 Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries Prepared for: Agency for Healthcare Research and Quality U.S. Department (...) the effectiveness of community, workplace, and health care system–based programs and policies aimed at supporting and promoting breastfeeding, and to determine the association between breastfeeding and maternal health Key Messages • Baby-Friendly Hospital Initiative (BFHI) is associated with improved rates of breastfeeding initiation and duration. • Health care staff education combined with postpartum home visits may be effective for increasing breastfeeding duration. • Health care staff education alone

2018 Effective Health Care Program (AHRQ)

168. Targeted Immunomodulators for the Treatment of Moderate-to-Severe Plaque Psoriasis: Effectiveness and Value

Foundation. No funding for this work comes from health insurers, pharmacy benefit managers, or life science companies. ICER receives approximately 15% of its overall revenue from these health industry organizations to run a separate Policy Forum program, with funding approximately equally split between insurers/PBMs and life science companies. For a complete list of funders and for more information on ICER's support, please visit http://www.icer-review.org/about/support/ Through all its work, ICER seeks (...) contents of this report or should be assumed to support any part of this report, which is solely the work of the ICER team and its affiliated researchers. For a complete list of stakeholders from whom we requested input, please visit: https://icer-review.org/material/psoriasis-stakeholder-list/ Expert Reviewers Alexa B. Kimball, MD Harvard Medical Faculty Physicians Beth Israel Deaconess Medical Center Conflict of Interest Declaration: Alexa B. Kimball is a consultant for Novartis, AbbVie, UCB, Lilly

2018 California Technology Assessment Forum

169. Value-Based Payments in Obstetrics and Gynecology

Value-Based Payments in Obstetrics and Gynecology ACOGCOMMITTEEOPINION Number 744 Committee on Health Economics and Coding This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Health Economics and Coding in collaboration with committee member John P. Geisler, MD, and Karen E. George, MD. Value-Based Payments in Obstetrics and Gynecology ABSTRACT: Unsustainable health care costs combined with suboptimal patient outcomes have led health (...) . In contrast to fee-for-service, alternative payment models (APMs) are strategies used by payers to incen- tivize the provision and coordination of high-value care, services, products, and medications.High-value payment systems emphasize quality over quantity, process improvement and efficiency, and elimination of unwar- ranted variation in care delivery using best practices. Although fee-for-service reimbursement rewards the health care provider for the individual visit or procedure, value-based payment

2018 American College of Obstetricians and Gynecologists

170. Adults With Congenital Heart Disease

) Physiological Stage B* (mo) Physiological Stage C* (mo) Physiological Stage D* (mo) Outpatient ACHD cardiologist 36–60 24 6–12 3–6 ECG 36–60 24 12 12 TTE 36–60 24 12 12 Pulse oximetry As needed As needed Each visit Each visit Exercise test† As needed As needed 12–24 6–12 *See Tables 3 and 4 for details on the ACHD AP classification system. †6-minute walk test or CPET, depending on the clinical indication. ACHD indicates adult congenital heart disease; CPET, cardiopulmonary exercise test; ECG (...) Adults With Congenital Heart Disease Accepted Manuscript 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease Karen K. Stout, MD, FACC, Chair, Writing Committee, Curt J. Daniels, MD, Vice Chair, Writing Committee, Jamil A. Aboulhosn, MD, FACC, FSCAI, Writing Committee Member, Biykem Bozkurt, MD, PhD, FACC, FAHA, Writing Committee Member, Craig S. Broberg, MD, FACC, Writing Committee Member, Jack M. Colman, MD, FACC, Writing Committee Member, Stephen R. Crumb, DNP

2018 American College of Cardiology

171. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management

navigation Articles & Issues Collections For Authors Journal Info > > Consensus Guidelines on the Use of Intravenous Ketamine Infu... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your (...) request. Please try after some time. Article Tools Share this article on: Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Export to End Note

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2018 American Society of Regional Anesthesia and Pain Medicine

172. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain

Articles & Issues Collections For Authors Journal Info > > Consensus Guidelines on the Use of Intravenous Ketamine Infu... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request (...) . Please try after some time. Article Tools Share this article on: Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Export to End Note Procite

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2018 American Society of Regional Anesthesia and Pain Medicine

173. Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks

and Public Health Medicine School of Public Health Imperial College London, UK Sarah Ferranti, M.D., M.P.H. Director, Preventive Cardiology Program Assistant Professor of Pediatrics Harvard Medical School Boston, MA Johanna M. Geleijnse, Ph.D., FAHA* Professor in Nutrition and Cardiovascular Disease Wageningen University Wageningen, Netherlands John E. Hall, Ph.D.* Arthur C. Guyton Professor & Chair Department of Physiology & Biophysics Director, Mississippi Center for Obesity Research University (...) the methodology and findings will be found on the Effective Health Care Program Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report. Persons using assistive technology may not be able to fully access information in this report. For assistance contact epc@ahrq.hhs.gov. Suggested citation: Newberry SJ, Chung M, Anderson CAM, Chen C, Fu Z, Tang A, Zhao N, Booth M, Marks J, Hollands S, Motala A, Larkin JK, Shanman R, Hempel S. Sodium and Potassium Intake: Effects on Chronic Disease

2018 Effective Health Care Program (AHRQ)

174. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology

and the American Society for Microbiology J Michael Miller Microbiology Technical Services, LLC, Dunwoody, Georgia Correspondence: J. M. Miller, Microbiology Technical Services, LLC, PO Box 88212, Dunwoody, GA 30338 ( ). Search for other works by this author on: Matthew J Binnicker Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota Search for other works by this author on: Sheldon Campbell Yale University School of Medicine, New Haven (...) to establish or confirm a diagnosis. It is important to welcome and actively engage the microbiology laboratory as an integral part of the healthcare team and encourage the hospital or the laboratory facility to have board-certified laboratory specialists on hand or available to optimize infectious disease laboratory diagnosis. HOW TO USE THIS DOCUMENT This document is organized by body system, although many organisms are capable of causing disease in >1 body system. There may be a redundant mention

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2018 Infectious Diseases Society of America

175. Low Back Pain, Adult Acute and Subacute

physician visits, surgery, injections and opioid medications compared with those patients with delayed physical therapy (Fritz, 2012). Adult Acute and Subacute Low Back Pain Algorithm Annotations Sixteenth Edition/March 2018 Return to Table of ContentsInstitute for Clinical Systems Improvement www.icsi.org 18 Please see “Self Care – Physical Activity” for more information about the effectiveness of activity for both prevention and treatment of low back pain. Spinal manipulation Recommendation Quality

2018 Institute for Clinical Systems Improvement

176. ASPEN Guidelines for the Selection and Care of Central Venous Access Devices for Adult Home Parenteral Nutrition Administration

of North Carolina Chapel Hill, Raleigh Durham, North Carolina Corresponding Author E-mail address: Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago Illinois Corresponding Author : Carol Braunschweig, PhD, RD, Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 Taylor Street (M\C 517), Chicago, IL 60048. Email: First published: 19 October 2018 Cited by: Financial disclosure: There was no funding or contribution from industry, nor were any (...) & Center for Gut Rehabilitation and Transplant, Cleveland, Ohio Nutrition Support Nurse Consultant, Shawnee Mission, Kansas Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago Illinois University of North Carolina Chapel Hill, Raleigh Durham, North Carolina Corresponding Author E-mail address: Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago Illinois Corresponding Author : Carol Braunschweig, PhD, RD, Department of Kinesiology

2018 American Society for Parenteral and Enteral Nutrition

177. Pharmacotherapy for Stimulant Use Disorders

. Pharmacotherapy for Stimulant Use Disorders: A Systematic Review Stimulant use disorders, specifically cocaine and methamphetamine use disorders, present ongoing public health problems in the United States, with major medical, psychiatric, cognitive, socioeconomic, and legal consequences. There are more emergency department visits associated with cocaine compared with other illicit substances, and several US cities consider methamphetamine as the drug of abuse associated with the "most serious consequences (...) been either declined by the patient or applied without successful outcome. Of EBTs for stimulant use disorder, contingency management (CM) has the largest effect size and is mandated by VA policy to be available to Veterans in intensive outpatient programs for SUD. For assistance with implementation of CM for stimulant use disorders, providers and programs are encouraged to contact the Philadelphia CESATE ( or ). The Philadelphia CESATE can provide implementation guidance and coaching, material

2018 Veterans Affairs - R&D

178. Assessing the Impact of Indexing Performance Measure Codes on the Perceived Value of EPC Reports to Health Systems

across different report types will have to be established. Conclusion Quality measure indexing is a promising and novel approach to enhance the usability of EPC reports for health systems. ES-3 References 1. White CM, Sanders-Schmidler GD, Butler M, et al. Understanding health systems’ use of and need for evidence to inform decisionmaking. Agency for Healthcare Research and Quality (US); 2017 Oct. Report 17(18)-EHC035-EF. Rockville, MD PMID 29611913. 1 Background In Health System Working Group-2 (...) Duke University Medical Center has about 10,829 full-time employees. As the Southeast’s preeminent health care provider, Duke University Health System attracted more than 68,000 inpatient stays and more than 2 million outpatient visits in FY17. George Cheely, M.D. is the Program Director of Care Redesign at Duke University Health System. Alison C. Weidner, M.D. is the Director of Care Redesign Informatics at Duke University Health System. Thomas A. Owens, M.D. is the President of the Duke Medical

2018 Effective Health Care Program (AHRQ)

179. Management of Pregnancy

of Reproduction 9 c. Complications 9 III. About this Clinical Practice Guideline 10 A. Methods 10 a. Grading Recommendations 11 b. Reconciling 2009 Clinical Practice Guideline Recommendations 13 c. Peer Review Process 14 B. Summary of Patient Focus Group Methods and Findings 14 C. Conflicts of Interest 15 D. Scope of this Clinical Practice Guideline 16 E. Highlighted Features of this Clinical Practice Guideline 16 F. Patient-centered Care 16 G. Shared Decision Making 17 H. Co-occurring Conditions 17 I (...) . Implementation 18 IV. Guideline Work Group 19 V. Algorithm 20 A. Algorithm Key 21 B. Actions at Every Visit 21 C. Interventions by Weeks Gestation 21 D. Standard of Pregnancy Care 23 a. Additional Information on Actions at Every Visit 23 b. Screenings 24 c. Time Sensitive Care 28 d. Summary 28 VA/DoD Clinical Practice Guideline for the Management of Pregnancy March 2018 Page 4 of 147 VI. Routine Pregnancy Care 29 VII. Recommendations 33 A. Care Throughout Pregnancy 36 a. Routine Care During Pregnancy 36 b

2018 VA/DoD Clinical Practice Guidelines

180. End-of-Life Care for People Experiencing Homelessness

is equipped to provide comprehensive health care.” 3. Information to be requested: Explain that you are going to ask about the patient’s physical health, mental health, and history with substances. At the first visit, ask about substance use or not, based on the level of engagement, what the patient has reported so far, and estimation of whether or not the patient will be able to respond truthfully. Recognize that a shorter interval between visits can facilitate follow-up and help establish necessary (...) therapeutic alliance is being established or if it is a one-time visit. If there is any suspicion or confirmation that the patient is facing a life-limiting illness, and if the attending clinician is not going to be able to form a long-term alliance, then it is key to ensure a “warm hand-off” and a commitment from care team providers, such as specialists, social workers, community-based resources, or peer specialists. Symptoms. Ask about current symptoms associated with the patient’s primary diagnosis

2018 National Health Care for the Homeless Council

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