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161. Telepsychiatry With Children and Adolescents

often differ in race, ethnicity, or culture from the families they serve through tele- psychiatry. 133 Because the psychiatrist will likely reside at a distance from the patient site, it might bedif?cultto become familiarwith thecommunity’svaluesandresources. 134,135 A visit to the patient site might help to appreciate community values. Respectful and candid questions about these differ- ences can help to determine an appropriate “match” be- tween the site and the psychiatrist. 67,121 Staff atthe (...) and Oscar G. Bukstein on page 811. This article can be used to obtain continuing medical education (CME) at JOURNAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT PSYCHIATRY VOLUME 56 NUMBER 10 OCTOBER 2017 875TABLE 1 Evidence-Base Supporting Child and Adolescent Telepsychiatry Citation Sample Assessment Findings Randomizedcontrolled trials Nelson et al., 2003 20 28youth(age8e14y;mean10.3y) withdepression diagnostic interview and scale comparable improvement of depressive

2017 American Academy of Child and Adolescent Psychiatry

162. Professional Practice Guidelines for Occupationally Mandated Psychological Evaluations

, the criterion reference standards for the evaluation will need to be understood by the psychologist in order to address the referral question(s) adequately. Application. Preemployment evaluations of job candi- dates involve a comparison of the candidates’ personality, abilities, or functioning against a qualifying standard. For some positions, these standards may be derived through review of a job analysis conducted by the hiring organiza- tion or by a global job analysis conducted by a professional/ trade (...) in addressing the referral question(s). In contrast to preemployment evaluations, referrals for fitness for duty and workplace safety evaluations focus on questions about the employee’s mental or emotional condi- tion and its impact on the employee’s ability to perform the essential functions of the position safely and effectively, with or without reasonable accommodation. For example, when evaluating whether the mental health problems of a physician impair his or her professional competence

2017 American Psychological Association

163. Chronic pain disorder medical treatment guideline.

depending on chronicity, complexity of the problem, and anticipated therapeutic effect. Treatment plans should always be based on a diagnosis utilizing appropriate diagnostic procedures. All treatment plans begin with shared decision making with the patients. Before initiation of any therapeutic procedure, an authorized treating physician, employer and insurer must consider these important issues in the care of the injured worker: Patients undergoing therapeutic procedure(s) should be released (...) the frequency of surgery in the first year after treatment in patients with neurologic compression and corresponding imaging findings who also are strong candidates for surgery and have completed 6 weeks of therapy without adequate benefit. The benefits for the non-surgical group persisted for at least 5 years in most patients, regardless of the type of block given (Design: Randomized clinical trial ). After 6 weeks of conservative therapy for large herniated discs, an epidural injection may be attempted

2017 National Guideline Clearinghouse (partial archive)

164. Interventions Targeting Sensory Challenges in Children with Autism Spectrum Disorder - An Update

Children’s Hospital Columbus, OH Jennifer Frost, M.D. American Academy of Family Physicians Leawood, KS Susan Levy, M.D., M.P.H.* Children’s Hospital of Philadelphia Philadelphia, PA Tristram Smith, Ph.D.* University of Rochester Rochester, NY Larry Wexler, Ph.D. Oak Brook Psychology Chicago, IL *Provided input on Draft Report. iv Technical Expert Panel In designing the study questions and methodology at the outset of this report, the EPC consulted several technical and content experts. Broad expertise (...) ( to see draft research questions and reports or to join an email list to learn about new program products and opportunities for input. If you have comments on this systematic review, they may be sent by mail to the Task Order Officers named below at: Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, or by email to Arlene S. Bierman, M.D., M.S. Director Gopal Khanna, M.B.A. Director Agency for Healthcare Research and Quality Center

2017 Effective Health Care Program (AHRQ)

165. Routes to emergency medicine practice following a Family Medicine residency

the very northern settlements of Canada to southern border cities, family physicians have been working in emergency departments since their earliest days in Canada. This begs the important question: what is the value added through a recognized college competency in emergency medicine [CCFP(EM)]? 1. For starters, it boosts your job prospects. It is an almost universal requirement at academic emergency departments to have an additional credential in emergency medicine. 2. It standardizes care (...) setting the PGY3 resident has an opportunity to implement emergency skills early so that they are more comfortable working in an emergency department as a consultant. The intended candidate for the practice eligible route is a physician who ‘falls into’ emergency medicine. This is the family physician who provides comprehensive primary care for their community which includes some emergency care. Through the inclusion of emergency care in their practice, the physician may find that they have

2017 CandiEM

166. Screening for Hepatitis C Virus: A Systematic Review

by searching the following bibliographic databases MEDLINE (1946–) with in-process records and daily updates via Ovid; Embase (1974–) via Ovid; the Cochrane Library via Wiley; and PubMed. The search strategy consisted of both controlled vocabulary, such as the National Library of Medicine’s MeSH (Medical Subject Headings), and keywords. To address the research question related to clinical effectiveness, three separate searches were performed. A broad search for the concept of screening in hepatitis C (...) was performed, and methodological filters were applied to limit the study types to health technology assessments, systematic reviews, meta-analyses, randomized controlled trials (RCTs), and controlled clinical trials. To address the specific concepts of risk- and prevalence-based screening programs, no methodological filters were applied to the search to limit retrieval by study type. To address the research question related to frequency of harms, methodological filters were applied to limit retrieval

2017 CADTH - Health Technology Assessment

167. Anabolic Therapies for Osteoporosis in Postmenopausal Women: Effectiveness and Value

of romosozumab. Among the findings summarized was a new safety signal regarding serious cardiovascular adverse events. Amgen has agreed with the FDA that the ARCH data should be considered in the regulatory review prior to the initial marketing authorization, and as a result the company does not expect approval of romosozumab in the US to occur in 2017. Due to this delay, we have removed romosozumab from our network meta-analysis and our economic modeling and will not consider any voting questions (...) and Medicaid Coverage Policies 70 Appendix C. Previous Systematic Reviews and Technology Assessments 71 Appendix D. Ongoing Studies 73 Appendix E. Comparative Clinical Effectiveness Supplemental Information 76 Appendix F. Comparative Value Supplemental Information 86 ©Institute for Clinical and Economic Review, 2017 Page v Evidence Report – Anabolic Therapies for Osteoporosis List of Acronyms Used in this Report ACE American College of Endocrinology ACP American College of Physicians AACE American Academy

2017 California Technology Assessment Forum

168. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services

maternity and newborn services Publication history iv Acknowledgements iv Financial support v Executive summary vi Purpose of the guideline vii Guideline development methodology viii Available evidence viii Recommendations ix Remarks x Research gaps xi Plans for updating the guideline xii Introduction 1 Objectives 2 Scope 2 Target audience 2 Population of interest 3 Priority questions 3 Outcomes of interest 4 Presentation of the recommendations 4 Description of the interventions 5 Evidence (...) group 31 External resource persons 31 Systematic review teams 31 Management of conflicts of interests 32 Identification of priority questions and outcomes 33 ContentsGuideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services Evidence identification and retrieval 33 Quality assessment and grading of evidence 33 Formulation of recommendations 34 Consensus decision-making rules and procedures 35 Document preparation and peer-review 35

2017 World Health Organisation Guidelines

169. Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups

EXECUTIVE SUMMARY 1 Purpose of the guideline 1 Guideline development methodology 2 Available evidence 2 Recommendations 3 Rationale 4 Remarks 4 Research gaps 5 Plans for updating the guideline 5 INTRODUCTION 6 Objectives 6 Scope 6 Population of interest 6 Key questions 7 Outcomes of interest 7 Target audience 8 BACKGROUND 9 Soil-transmitted helminth infections 9 Burden of the disease 9 Morbidity caused by soil-transmitted helminth infections 9 Overall evidence on morbidity due to soil-transmitted (...) 38 Systematic review teams 38 Management of conflicts of interests 38 Identification of priority questions and outcomes 40 Evidence identification and retrieval 40 Quality assessment and grading of evidence 41 Formulation of recommendations 41 Decision-making during the guideline development group meeting 42 Document preparation and peer review 43 DISSEMINATION AND PLANS FOR UPDATING 43 Dissemination 43 Plans for updating the guideline 43 REFERENCES 44 ANNEX 1. QUESTION IN POPULATION

2017 World Health Organisation Guidelines

170. Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association (Full text)

resuscitation; HF, heart failure; IABP, intra-aortic balloon pump; ICU, intensive care unit; MD, medical doctor, NP, nurse practitioner; PA, physician assistant; PCI, percutaneous coronary intervention; and VAD, ventricular assist device. CICU Versus ICU Admission Many contemporary tertiary care center CICUs have evolved into critical care environments for patients with a primary cardiovascular diagnosis, with an acuity and therapeutic technologies that mirror those of many ICUs. , Although the CICU (...) . The pathophysiological concept of the expanded cardiogenic shock spiral. eNOS indicates endothelial nitric oxide synthase; iNOS, inducible nitric oxide synthase; LVEDP, left ventricular end-diastolic pressure; NO, nitric oxide; SIRS, systemic inflammatory response syndrome; SVR, systemic vascular resistance; and TNF-α, tumor necrosis factor-α. Adapted from Hollenberg et al with the permission of American College of Physicians, Inc, copyright © 1999, American College of Physicians, all rights reserved; from Hochman

2017 American Heart Association PubMed abstract

171. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association (Full text)

Use (Chapter 3) • In 2015, among adults =18 years of age, overall rates of tobacco use were estimated to be 15.2% (16.7% of males and 13.7% of females; National Health Interview Survey). • In the United States, substantially higher tobacco use rates are found in low socioeconomic status, Native American, and lesbian, gay, bisexual, or transgender people reporting disability or activ- ity limitations, as well as mentally ill populations. There also is substantial regional variation (...) , more than any major diagnostic group. • The annual direct and indirect cost of CVD and stroke in the United States was an estimated $316.1 billion in 2012 to 2013. This figure includes $189.7 billion in expenditures (direct costs, which include the cost of physicians and other professionals, hospital services, pre- scribed medication, and home health care, but not the cost of nursing home care) and $126.4 billion (indirect costs) in lost future productivity attributed to premature CVD and stroke

2017 American Heart Association PubMed abstract

172. Management of Diabetes Mellitus in Primary Care

D. Inpatient Care 41 E. Selected Complications 46 VII. Pharmacological Therapy 52 A. Summary of the Evidence - Monotherapy and Non-Insulin Two-Drug Combination Therapy 54 B. Triple Therapy 56 C. Insulin Therapy 57 D. Cardiovascular Outcomes Trials 61 VIII. Knowledge Gaps and Recommended Research 65 Appendix A: Evidence Review Methodology 67 A. Developing the Scope and Key Questions 67 B. Conducting the Systematic Review 71 VA/DoD Clinical Practice Guideline for the Management of Type 2 Diabetes (...) this Clinical Practice Guideline This guideline represents a significant step toward improving the treatment and management of patients with DM in the VA and DoD. As with other CPGs, however, challenges remain, including evidence gaps, the need to develop effective strategies for guideline implementation and to evaluate the effect of guideline adherence on clinical outcomes. This guideline is intended for VA and DoD healthcare practitioners including physicians, nurse practitioners, nurses, physician

2017 VA/DoD Clinical Practice Guidelines

173. Quality indicators for gastrointestinal endoscopy units

for Gastrointestinal Endoscopy (ASGE) has generated programming to assist physicians and allied healthcare professionals in understanding how to translate quality concepts into practice. With this work, we now have a stronger sense of how to measure quality at the patient and procedural level. A critical component of high-quality endoscopy services relates to the site of the procedure: the endoscopy unit. Unlike many procedure-associated quality indicators, evidenced-based indicators used to measure the quality (...) a framework for generating potential endoscopy unit quality indicators. The subgroups used this framework to generate a candidate list of endoscopy unit quality indicators that were then reviewed by the steering committee. The steering committee subsequently met on March 7 to 8, 2014, to re?ne these potential endoscopy unit quality indicators and unanimously agreed upon 155 potential quality indicators (patient experience, 46; employee experience, 33; ef?ciency and operations, 25; procedure-related, 24

2017 American Society for Gastrointestinal Endoscopy

174. Improving Nasal Form and Function after Rhinoplasty (Full text)

-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any clinician or individual, in any setting, involved in the management of these patients. The target patient population is all patients aged ≥15 years. The guideline is intended to focus on knowledge gaps, practice (...) their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record. (2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon’s

2017 American Academy of Otolaryngology - Head and Neck Surgery PubMed abstract

175. Chronic Obstructive Pulmonary Disease

specific clinical procedure or treatment must be made by the physician in light of the circumstances presented by the patient. Chronic Obstructive Pulmonary Disease Patient population: Adults with chronic obstructive pulmonary disease (COPD). Objectives: 1. Provide a framework for management of chronic COPD and for the treatment of mild to moderate acute exacerbations. 2. Improve symptoms, quality of life and lung function while reducing morbidity and mortality for patients with COPD. Key Points COPD (...) for predicting prognosis. Multiple dimensions of disease severity (airflow limitation, symptom severity, exacerbation risk) should help guide management. Management Issues Both physicians and patients under-recognize the potential benefits of appropriate disease management for COPD. The lack of a large FEV 1 response to bronchodilation may contribute to a sense of skepticism regarding the benefits of treatment. However, COPD is a chronic inflammatory disease with systemic manifestations that affect patient

2017 University of Michigan Health System

176. Diagnosis and Treatment of Low Back Pain

. Knowledge Gaps and Recommended Research 51 Appendix A: Evidence Review Methodology 53 A. Developing the Scope and Key Questions 53 a. Population(s) 53 b. Intervention(s) 54 c. Comparator(s) 56 d. Outcomes 56 e. Timing 57 f. Setting 57 B. Conducting the Systematic Review 57 a. Criteria for Study Inclusion/Exclusion 59 b. Literature Search Strategy 60 C. Convening the Face-to-face Meeting 61 D. Grading Recommendations 62 E. Recommendation Categorization 65 a. Categorizing Recommendations with an Updated (...) was the third highest out of 155 conditions. In 2013, the estimated spending related to LBP and neck pain was $87.6 billion, an increase of $57.2 billion over the past 18 years.[7] b. Veterans Affairs Population The National Institutes of Health 2014 National Health Interview Survey provided national prevalence estimates of U.S. Veterans with severe pain (including back pain). The survey showed that 33% of Veterans reported significant back pain in the prior three months. The back pain was axial in 20

2017 VA/DoD Clinical Practice Guidelines

177. Interventions to Address Sexual Problems in People With Cancer

Interventions to Address Sexual Problems in People With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Adaptation of Cancer Care Ontario Guideline Guideline Question What is the effectiveness of pharmacological interventions, psychosocial counseling, or devices to manage sexual problems after cancer treatment? More specifically, issues in men and in women were examined separately. Target Population This guideline is applicable to adult (≥ 18 years of age) men and women (...) (and their partners) of all sexual orientations living with cancer of any type. For the purposes of this guideline, men and women who were previously treated for a childhood cancer were not included. Target Audience Health care practitioners, such as oncologists, urologists, gynecologists, primary care providers, surgeons, nurses, physiotherapists, social workers, counselors, psychologists, psychiatrists, and sex therapists/counselors, and advanced practice providers, such as physician assistants and nurse

2017 American Society of Clinical Oncology Guidelines

178. Screening for Atrial Fibrillation: 2017 European Heart Rhythm Association (EHRA) Consensus Document

), APHRS, and Societad Latinoamericana de Estimulation Cardiaca y Electrofisiologia (SOLAECE). The document was peer-reviewed by official external reviewers representing EHRA, HRS, APHRS, and SOLAECE. Consensus statements are evidence-based, and derived primarily from published data. In contrast with current systems of ranking level of evidence, EHRA has opted for a simpler, perhaps, more user- friendly system of ranking that should allow physicians to easily assess current status of evidence (...) -relatedstrokerisk Atrial fibrillation is a well-known risk factor for stroke, 11 through a cardio-embolic mechanism, but recent studies have highlighted that ischaemic stroke risk in the presence of multiple stroke risk factors is similarly high, whether or not documented AF is present. 12,13 The lat- ter data do not question the benefit that can be derived by investing in screening strategies targeted to detect AF in specific populations at risk. In a cohort of patients with multiple stroke risk factors

2017 Heart Rhythm Society

179. Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children (Full text)

and pediatric patients with CDI was convened to develop these practice guidelines. A systematic evidence-based approach was adopted for the guideline questions and population, intervention, comparator, outcome (PICO) formulations, the selection of patient-important outcomes, as well as the literature searches and screening of the uncovered citations and articles. The rating of the quality of evidence and strength of recommendation was supported by a Grading of Recommendations Assessment, Development (...) in the category of good practice statements that should not be graded, we followed published principles by the GRADE working group on how to identify such recommendations and use appropriate wording choices [13]. Accordingly, a formal GRADE rating was not pursued for those statements as these statements would make it clear that they would do greater good than harm or greater harm than good, and thus a study would not be warranted to address such a question. Discrepancies were discussed and resolved, and all

2017 Infectious Diseases Society of America PubMed abstract

180. Repetitive transcranial magnetic stimulation for treatment-resistant major depression


2017 EUnetHTA

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