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141. Prostate cancer: diagnosis and management

the 2019 recommendations on MRI and biopsy and how they might affect practice, see rationale and impact. Prostate cancer: diagnosis and management (NG131) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 511.2.6 Help people decide whether to have an MRI or prostate biopsy by discussing: their prostate-specific antigen (PSA) level their digital rectal examination (DRE) findings (including an estimate of prostate (...) they might affect practice, see rationale and impact. Staging Staging 1.2.14 Offer isotope bone scans when hormonal therapy is being deferred as part of watchful waiting to asymptomatic people who are at high risk of developing bone complications. [2008] [2008] Prostate cancer: diagnosis and management (NG131) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 11 of 511.2.15 Consider CT for people with histologically proven

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

142. Hypertension in pregnancy: diagnosis and management

re-testing on a new sample, alongside clinical review. [2019] [2019] T o find out why the committee made the 2019 recommendations on the assessment of proteinuria and how they might affect practice, see rationale and impact. 1.3 Management of chronic hypertension in pregnancy Pre-pregnancy advice Pre-pregnancy advice 1.3.1 Offer women with chronic hypertension referral to a specialist in hypertensive disorders of pregnancy to discuss the risks and benefits of treatment. [2010, [2010, amended 2019 (...) Hypertension in pregnancy: diagnosis and management Hypertension in pregnancy: diagnosis Hypertension in pregnancy: diagnosis and management and management NICE guideline Published: 25 June 2019 www.nice.org.uk/guidance/ng133 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

143. Depression in children and young people: identification and management

to severe depression). [2019] [2019] T o find out why the committee made the 2019 recommendations on treatments for mild depression and how they might affect practice, see rationale and impact. 1.6 Steps 4 and 5: Managing moderate to severe depression T T reatments for moder reatments for moderate to se ate to sev vere depression ere depression For children and young people with learning disabilities, see the recommendations on psychological interventions in the NICE guideline on mental health problems (...) Depression in children and young people: identification and management Depression in children and y Depression in children and young people: oung people: identification and management identification and management NICE guideline Published: 25 June 2019 www.nice.org.uk/guidance/ng134 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

144. Urinary incontinence and pelvic organ prolapse in women: management

chronic pain management bowel symptom management neurology. [2019] [2019] 1.1.7 Members of the regional MDT (listed in recommendation 1.1.5) should attend regional MDT meetings when their specific expertise is needed. [2019] [2019] T o find out why the committee made the 2019 recommendations on organisation of specialist services and how they might affect practice, see rationale and impact. 1.2 Collecting data on surgery and surgical complications 1.2.1 Ask women having surgery for stress urinary (...) as a Urinary incontinence and pelvic organ prolapse in women: management (NG123) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 13 of 72routine part of pelvic floor muscle training. [2006] [2006] 1.4.7 Continue an exercise programme if pelvic floor muscle training is beneficial. [2006] [2006] T o find out why the committee made the 2019 recommendation on pelvic floor muscle training and how it might affect practice, see

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

145. Hypertension in adults: diagnosis and management

rationale and impact. Hypertension in adults: diagnosis and management (NG136) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 22 of 40Rationale and impact Rationale and impact These sections briefly explain why the committee made the recommendations and how they might affect practice. They link to details of the evidence and a full description of the committee's discussion. Diagnosing hypertension Recommendations 1.2.1 (...) ] 1.2.12 Consider the need for specialist investigations in people with signs and symptoms suggesting a secondary cause of hypertension. [2004, amended [2004, amended 2011] 2011] T o find out why the committee made the 2019 recommendations on diagnosing hypertension and how they might affect practice, see rationale and impact. 1.3 Assessing cardiovascular risk and target organ damage For guidance on the early identification and management of chronic kidney disease, see NICE's guideline on chronic

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

146. Fever in under 5s: assessment and initial management

to fever, but may be at higher risk of coronary artery abnormalities than older children. [2019] [2019] Fever in under 5s: assessment and initial management (NG143) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 11 of 35T o find out why the committee made the 2019 recommendations on Kawasaki disease and how they might affect practice see rationale and impact. Imported infections Imported infections 1.2.29 When (...) is largely an interpretation of symptoms rather than physical signs. The guidance in this section may also apply to healthcare professionals whose scope of practice does not include the physical examination of a young child (for example, community pharmacists). Management according to risk of serious illness Management according to risk of serious illness 1.3.1 Healthcare professionals performing a remote assessment of a child with fever should seek to identify symptoms and signs of serious illness

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

147. Hyperparathyroidism (primary): diagnosis, assessment and initial management

/litre. 1.1.10 Look for alternative diagnoses, including malignancy, if the person's PTH is below the lower limit of the reference range. T o find out why the committee made the recommendations on diagnostic testing in primary care and how they might affect practice, see rationale and impact. Hyperparathyroidism (primary): diagnosis, assessment and initial management (NG132) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights (...) out why the committee made the recommendations on testing and assessment in secondary care and how they might affect practice, see rationale and impact. 1.3 Referral for surgery 1.3.1 Refer people with a confirmed diagnosis of primary hyperparathyroidism to a surgeon with expertise in parathyroid surgery if they have: symptoms of hypercalcaemia such as thirst, frequent or excessive urination, or Hyperparathyroidism (primary): diagnosis, assessment and initial management (NG132) © NICE 2019. All

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

148. Crohn’s disease: management

-and- conditions#notice-of-rights). Page 17 of 22Rationale and impact Rationale and impact This section briefly explains why the committee made the recommendations and how they might affect practice. It links to details of the evidence and a full description of the committee's discussion. Maintaining remission in Crohn's disease after surgery Recommendations 1.4.1 to 1.4.6 Wh Why the committee made the recommendations y the committee made the recommendations The recommendations apply to people with ileocolonic (...) in clinical practice. Full details of the evidence and the committee's discussion are in the evidence review: Crohn's disease management – post surgical maintenance of remission. Return to recommendations Crohn’s disease: management (NG129) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 19 of 22Conte Context xt Crohn's disease is a chronic inflammatory disease that mainly affects the gastrointestinal tract. The disease

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

149. Ulcerative colitis: management

other and with placebo for induction of remission for people with subacute ulcerative colitis that is refractory to systemic corticosteroids? Ulcerative colitis: management (NG130) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 20 of 28Rationale and impact Rationale and impact This section briefly explains why the committee made the recommendations and how they might affect practice. It links to details (...) or aminosalicylate, depending on patient preference, availability and acquisition cost. The new recommendations specify that courses of oral corticosteroids should be time-limited. This should address varying practice in prescribing for some corticosteroids. Full details of the evidence and the committee's discussion are in evidence review: induction of remission in mild-to-moderate ulcerative colitis. Ulcerative colitis: management (NG130) © NICE 2019. All rights reserved. Subject to Notice of rights (https

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

150. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management

. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 38Rationale and impact Rationale and impact These sections briefly explain why the committee made the recommendations and how they might affect practice. They link to details of the evidence and a full description of the committee's discussion. Initial management (...) of 381.1.7 Offer secondary prevention, in addition to aspirin, as soon as possible after the diagnosis of TIA is confirmed. [2008, amended 2019] [2008, amended 2019] T o find out why the committee made the 2019 recommendation on offering aspirin and how it might affect practice, see rationale and impact. T o find out why the committee made the other 2019 recommendations on initial management of suspected and confirmed TIA and how they might affect practice, see rationale and impact. 1.2 Imaging

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

151. Ectopic pregnancy and miscarriage: diagnosis and initial management

and initial management (NG126) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 13 of 33T o find out why the committee made the 2019 recommendations on using ultrasound scans for diagnosis of tubal ectopic pregnancy, and how they might affect practice, see rationale and impact. Human chorionic gonadotrophin measurements in women with pregnancy of Human chorionic gonadotrophin measurements in women with pregnancy of unknown (...) for ectopic pregnancies to resolve and future fertility outcomes are likely to be the same with either expectant or medical management. [2019] [2019] T o find out why the committee made the 2019 recommendations on expectant management and how they might affect practice, see rationale and impact. Medical and surgical management Medical and surgical management 1.6.8 Offer systemic methotrexate [4] to women who: have no significant pain and and have an unruptured tubal ectopic pregnancy with an adnexal mass

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

152. Extended hours in primary care linked to reductions in minor A&E attendances

Extended hours in primary care linked to reductions in minor A&E attendances Extended hours in primary care linked to reductions in minor A&E attendances Discover Portal Discover Portal Extended hours in primary care linked to reductions in minor A&E attendances Published on 13 December 2016 doi: Practices which offered additional appointments showed a reduction in the number of their patients attending emergency departments (also known as A&E) for minor conditions. There was no overall (...) general practices in Manchester to offer extra appointments during evenings and weekends as part of a larger programme to improve primary care. There was a 26.4% relative reduction in “minor” A&E visits (10,933 fewer visits), compared to 469 practices which did not offer additional appointments. Nationally, policy-makers aim to encourage patients with minor conditions to attend alternative services, including primary care. These findings suggest additional appointments may help reduce minor A&E visits

2019 NIHR Dissemination Centre

153. Following programmes to improve recovery after surgery linked to shorter hospital stays

and experience of care for patients using evidence based replicable steps from referral to recovery. This systematic review demonstrates the importance of pathway compliance in achieving the optimal outcomes. These pathways should become the standard for care, and pathway compliance the measure of a quality service. Dr Nigel Acheson (Patient safety and clinical risk management), Regional Medical Director (South), NHS England Categories Tools Preview Based on NHS Choices Close Useful Links Related Sites (...) Following programmes to improve recovery after surgery linked to shorter hospital stays Following programmes to improve recovery after surgery linked to shorter hospital stays Discover Portal Discover Portal Following programmes to improve recovery after surgery linked to shorter hospital stays Published on 24 January 2017 doi: Reduced compliance with enhanced recovery protocols was associated with more days in hospital after keyhole bowel surgery, an increased likelihood of readmission

2019 NIHR Dissemination Centre

154. Group education linked to a lower chance of diabetes, for those who stick with the course

received leaflets only. But the people at highest risk may also be those least likely to start or complete the programme. If confirmed in practice, the programme could delay diabetes in about 4% of those who attend all sessions. This study looks back to reassess data from a large NIHR trial in the UK. The study aims to see whether success is linked to the level of adherence to the programme. The original study found no reduction in type 2 diabetes when considering all 880 people from 44 GP practices (...) published in 2016, the Let’s Prevent Diabetes Trial. This was a large trial of 44 practices including 880 participants. This new study focused on the 447 people who were offered the education intervention, and looked to see whether their level of attendance was linked to their chances of getting diabetes during the three years of the trial. They compared the results for different levels of attendance to the results of 443 people in the control arm of the trial, who were given educational leaflets

2019 NIHR Dissemination Centre

155. Specialist hip fracture services linked to fewer deaths in South Central region

as a model of best practice to organise secondary prevention services. The British Orthopaedic Association 2007 includes best practice standards for a nurse-led fracture liaison service and orthogeriatric model of care for secondary prevention of fragility fractures. What are the implications? The introduction and/or expansion of an orthogeriatriatric or fracture liaison service model of care following hip fracture in the elderly can reduce rates of death. The services focused on initial management (...) Specialist hip fracture services linked to fewer deaths in South Central region Specialist hip fracture services linked to fewer deaths in South Central region Discover Portal Discover Portal Specialist hip fracture services linked to fewer deaths in South Central region Published on 31 January 2017 doi: Following a hip fracture, nurse-led fracture liaison services or specialist consultant (orthogeriatrician) input both reduce deaths. They did not reduce the small number of people having

2019 NIHR Dissemination Centre

156. Clinical Practice Guideline for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit

Clinical Practice Guideline for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit Clinical Practice Guidelines for the Management of Pain, Agi... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register (...) Policy. Toggle navigation Articles & Issues Collections For Authors Journal Info > > Clinical Practice Guidelines for the Management of Pain, Agi... 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 Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your

2013 Society of Critical Care Medicine

157. Practice Advisory for the Prevention and Management of Operating Room Fires

Practice Advisory for the Prevention and Management of Operating Room Fires Practice Advisory for the Prevention and Management of Operating Room Fires:An Updated Report by the American Society of Anesthesiologists Task Force on Operating Room Fires | Anesthesiology | ASA Publications 2524149103 ASA Publications Log in to access full content You must be logged in to access this feature. ASA members enjoy complimentary access to ASA publications, as well as a variety of educational resources (...) . Non-ASA Members Login Free Practice Parameter | February 2013 Practice Advisory for the Prevention and Management of Operating Room Fires: An Updated Report by the American Society of Anesthesiologists Task Force on Operating Room Fires ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; Author Notes Received from the American Society of Anesthesiologists, Park Ridge, Illinois. Submitted for publication October 18, 2012. Accepted for publication October 18, 2012. Supported by the American Society

2013 American Society of Anesthesiologists

158. Practice Guidelines for Management of the Difficult Airway

Practice Guidelines for Management of the Difficult Airway Practice Guidelines for Management of the Difficult Airway:An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway | Anesthesiology | ASA Publications 2334763556 ASA Publications Log in to access full content You must be logged in to access this feature. ASA members enjoy complimentary access to ASA publications, as well as a variety of educational resources. Non-ASA Members Login (...) Free Practice Parameter | February 2013 Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; Author Notes Received from American Society of Anesthesiologists, Park Ridge, Illinois. Submitted for publication October 18, 2012. Accepted for publication October 18, 2012. Supported by the American Society of Anesthesiologists and developed under

2013 American Society of Anesthesiologists

159. Peripheral arterial disease. Diagnosis and management in general practice

Peripheral arterial disease. Diagnosis and management in general practice clinical are less intensively treated. 6 Both asymptomatic and symptomatic PAD patients have a high risk of death from cardiovascular disease (CVD), 2,7 therefore early treatment reduces mortality. 8 Screening for PAD in general practice Screening for PAD using the ankle-brachial index (ABI) or questionnaire is not currently recommended in Australia, and has not been shown to be of benefit in randomised controlled trials (...) are often not intensively managed in PAD patients. Objective To summarise the information around the diagnosis and management of PAD in the general practice setting. Discussion Careful history, clinical examination, and measurement of ankle-brachial index remain the initial means of diagnosing PAD. More detailed anatomic information from duplex imaging, computed tomography angiography and magnetic resonance angiography, is usually unnecessary unless endovascular or surgical intervention is being

2013 Clinical Practice Guidelines Portal

160. Clinical practice guidelines for the management of rotator cuff syndrome in the workplace

Clinical practice guidelines for the management of rotator cuff syndrome in the workplace Clinical Practice Guidelines for the Management of Rotator Cu? Syndrome in the Workplace Never Stand Still Medicine Rural Clinical School The University of New South Wales, Medicine, Rural Clinical School, Port Macquarie Campus 2013The work was initiated and funded by Essential Energy, Australia Copyright: © The University of New South Wales, Medicine, Rural Clinical School. 2013 ISBN Number: 978–0–7334 (...) –3195–5 Suggested Citation: Hopman K, Krahe L, Lukersmith S, McColl AR, & Vine K. 2013. Clinical Practice Guidelines for the Management of Rotator Cuff Syndrome in the Workplace. The University of New South Wales. This document is available online at http://rcs.med.unsw.edu.au/rotatorcuffsyndromeguidelines Report prepared by: Lukersmith & Associates Pty Ltd Editor: Dr Lee Krahe, Louise Scahill - WordFix, Kris Vine Design: Melinda Jenner and Eva Wong, Print Post Plus (P3) Design Studio Printing

2013 Clinical Practice Guidelines Portal

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