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Preoperative Guidelines for Medications Prior to Surgery

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161. CIRSE Guidelines on Percutaneous Vertebral Augmentation

cement in order to impede the secondary loss of vertebral body height encountered with PKP after balloon de?ation. Percutaneous Vertebroplasty Indications • Painful osteoporotic VCFs refractory to medical treat- ment. Failure of medical therapy is de?ned as minimal or no pain relief with the administration of physician- prescribed analgesics for 3 weeks, or achievement of adequate pain relief with only narcotic dosages that induce excessive intolerable sedation, confusion or constipation [16]. The 3 (...) - mell’s disease) [28]. • Symptomatic vertebrae plana [29]. • Acute stable A1 and A3 traumatic fractures (Magerl’s classi?cation) [30]. • Chronic traumatic fracture in normal bone with non- union of fracture fragments or internal cystic changes. • Need for vertebral body or pedicle reinforcement prior to posterior surgical stabilisation. Contraindications Absolute • Asymptomatic VCFs or patient improving on medical treatment without worsening of the collapse. • Unstable spinal fracture. Patients

2017 Cardiovascular and Interventional Radiological Society of Europe

162. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary Full Text available with Trip Pro

relevant to this guideline, was conducted between February and August 2015. Key search words included but were not limited to the following: adherence; aerobic; alcohol intake; ambulatory care; antihypertensive: agents, drug, medication, therapy; beta adrenergic blockers; blood pressure: arterial, control, determination, devices, goal, high, improve, measurement, monitoring, ambulatory; calcium channel blockers; diet; diuretic agent; drug therapy; heart failure: diastolic, systolic; hypertension: white (...) Treatment of Hypertension 1286 8.1.3. Follow-Up After Initial BP Evaluation 1287 8.1.4. General Principles of Drug Therapy 1288 8.1.5. BP Goal for Patients With Hypertension 1290 8.1.6. Choice of Initial Medication 1290 8.2. Follow-Up of BP During Antihypertensive Drug Therapy 1290 8.2.1. Follow-Up After Initiating Antihypertensive Drug Therapy 1290 8.2.2. Monitoring Strategies to Improve Control of BP in Patients on Drug Therapy for High BP 1291 9. Hypertension in Patients With Comorbidities 1291 9.1

2017 American Heart Association

163. Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline

and second, to guide the specifics of implementing the selected management options, including active surveillance, observation/watchful waiting, prostatectomy, radiotherapy, cryosurgery, high intensity focused ultrasound (HIFU) and focal therapy. Secondary or salvage treatment for localized prostate cancer that persists or recurs after primary definitive intervention, and primary treatment of locally advanced/metastatic disease, are outside the scope of these guidelines. The content of these guidelines (...) -49 D. Cryosurgery 50-56 E. HIFU/Focal therapy 57-60 V. Outcome Expectations and Management A. Side effects and HRQOL 61-65 B. Post-treatment follow-up 66-68 VI. Future Directions NA Guideline Statements Shared Decision Making (SDM) Counseling of patients to select a management strategy for localized prostate cancer should incorporate shared decision making and explicitly consider cancer severity (risk category), patient values and preferences, life expectancy, pre-treatment general functional

2017 American Urological Association

164. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

for this guideline, as in the previous iterations of the SUI guidelines, is an otherwise healthy female who is considering surgical therapy for the correction of pure stress and/or stress-predominant mixed urinary incontinence (MUI) who has not undergone previous SUI surgery. Patients with low-grade pelvic organ prolapse were also considered to be index patients. However, while the stage of prolapse was often specified in more recent trials, it was not indicated in many of the earlier studies. Where evidence (...) of significant voiding dysfunction × Guideline Statements 1-3 Below Discussion for Guideline Statements 1-3 is below. Close Guideline Statement 3 Physicians may perform additional evaluations in patients with the following conditions: (Expert Opinion) Concomitant overactive bladder symptoms Failure of prior anti-incontinence surgery Prior pelvic prolapse surgery × Guideline Statements 1-3 Below Discussion for Guideline Statements 1-3 is below. Close Discussion for Guideline Statements 1-3 The purpose

2017 American Urological Association

165. Quality Improvement Guidelines for Transarterial Chemoembolization and Embolization of Hepatic Malignancy

in 1973andisrecognizedtodayastheprimaryspecialtysocietyforphysicians who provide minimally invasive image guided therapies. A Quality Improvement (QI) Guideline attempts to provide clinical guidelines on the application of a speci?c procedureor treatment of a diseaseprocess when a signi?cant body of literature is available. A QI Guideline is produced by the Standards of Practice Committee. The membership of the SIR Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and the academic sectors (...) of Vascular and Interventional Radiology (R.M.H., R.J.L., R.S.), Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois; Department of Radiology (D.B.B.),VanderbiltUniversityMedicalCenter,Nashville,Tennessee;Divisionof Interventional Radiology (T.G.W., S.G.) and Center for Image Guided Cancer Therapy (S.G.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Radiology (J.E.S.), Mount Sinai Beth Israel, New York, New York; Department

2017 Society of Interventional Radiology

166. The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation

isolated aortic valve replacement, isolated coronary artery bypass graft surgery, and aortic valve replacement plus coronary artery bypass graft operations to restore sinus rhythm. (Class I, Level B nonrandomized) Surgical ablation for symptomatic AF in the absence of structural heart disease that is refractory to class I/III antiarrhythmic drugs or catheter-based therapy or both is reasonable as a primary stand-alone proce- dure, to restore sinus rhythm. (Class IIA, Level B randomized) Surgical (...) , Sentara Heart Hospital, Norfolk, Virginia (JMP); Division of Cardiac Surgery, Northwestern UniversityFeinbergSchoolof Medicine,Chicago, Illinois(PMM);Departmentof CardiacSurgery,Universityof Michigan, AnnArbor, Michigan (SFB); Department of Cardiovascular Services, Florida Heart and Vascular Care at Aventura, Aventura, Florida (HGR); Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia (VHT); Division of Cardiothoracic Surgery, University

2017 Society of Thoracic Surgeons

167. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

) ? Previous treatments for incontinence (e.g., behavioral therapy, Kegel exercises/pelvic floor muscle training, pharmacotherapy, surgery) ? Previous pelvic surgeries ? Past medical history (e.g., hypertension, diabetes, history of pelvic radiation) ? Current and past medications ? Fluid, alcohol, and caffeine intake ? Menopausal status Additionally, the physical examination of the index or non-index patient should include the following components: ? Focused abdominal examination ? Evaluation of urethral (...) conflicts of interest and author/staff contribu- tions appear at the end of the article. © 2017 by the American Urological Association American Urological Association (AUA) / Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) SURGICAL TREATMENT OF FEMALE STRESS URINARY INCONTINENCE: AUA/SUFU GUIDELINE Kathleen C. Kobashi, MD, FACS, FPMRS; Michael E. Albo, MD; Roger R. Dmochowski, MD; David A. Ginsberg, MD; Howard B. Goldman, MD; Alexander Gomelsky, MD; Stephen R. Kraus, MD

2017 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

168. Treatment of Non-Metastatic Muscle-Invasive Bladder Cancer Guideline

Preoperative counseling with an enterostomal therapist provides valuable education and is recommended prior to surgery. Patients with continent cutaneous reservoirs American Urological Association (AUA) / American Society of Clinical Oncology (ASCO) / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO) Muscle-Invasive Bladder Cancer Copyright © 2017 American Urological Association Education and Research, Inc.® 12 require self-catheterization for the rest of their lives (...) (ClinicalTrials.gov, Current Controlled Trials, ClinicalStudyResults.org and the World Health Organization International Clinical Trials Registry Platform) and regulatory documents (Drugs@FDA.gov and FDA Medical Devices Registration and Listing). A supplemental search of Ovid MEDLINE and Cochrane Central Register of Controlled Trials was conducted to capture additional published literature through February 2, 2016. When sufficient evidence existed, the body of evidence for a particular treatment was assigned

2017 American Society for Radiation Oncology

169. American Gastroenterological Association Institute Guideline on the Role of Elastography in the Evaluation of Liver Fibrosis Full Text available with Trip Pro

making with patients who desire liver fibrosis assessment. Acknowledgments Clinical Guidelines Committee included: Lauren Gerson, California Pacific Medical Center, San Francisco, California; Ikuo Hirano, Northwestern University School of Medicine, Chicago, Illinois; Geoffrey C. Nguyen, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada; Joel H. Rubenstein, Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan and Division of Gastroenterology, University (...) of Elastography in the Evaluation of Liver Fibrosis x Joseph K. Lim Affiliations Section of Digestive Diseases and Yale Liver Center, Yale University School of Medicine, New Haven, Connecticut 1 , x Steven L. Flamm Affiliations Departments of Medicine and Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 2 , x Siddharth Singh Affiliations Division of Gastroenterology, University of California-San Diego, La Jolla, California 3 , x Yngve T. Falck-Ytter Affiliations Division

2017 American Gastroenterological Association Institute

170. Imaging Program Guidelines: Pediatric Imaging

, nomenclature and other data are copyright by the American Medical Association. All Rights Reserved. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for the data contained herein or not contained herein. Description and Application of the GuidelinesGuideline Description and Administrative Guidelines | Copyright © 2017. AIM Specialty Health. All Rights Reserved. 5 Requests for multiple imaging studies to evaluate a suspected or identified condition (...) by AIM, the Guidelines establish objective and evidence-based, where possible, criteria for medical necessity determinations. In the process, multiple functions are accomplished: ? To establish criteria for when services are medically necessary ? To assist the practitioner as an educational tool ? To encourage standardization of medical practice patterns ? To curtail the performance of inappropriate and/or duplicate services ? To advocate for patient safety concerns ? To enhance the quality

2017 AIM Specialty Health

171. Guidelines for the Use of Laparoscopy during Pregnancy

Guideline 5: Administration of radionucleotides for diagnostic studies is safe for mother and fetus (++; Weak). When considered necessary to treat an urgent medical condition, radiopharmaceuticals can generally be administered at doses that provide whole fetal exposure of less than 5 mGy [59, 60] , well within the safe range of fetal exposure. Consultation with a nuclear medicine radiologist or technologist should be considered prior to performing the study. Cholangiography Guideline 6: Intraoperative (...) be necessary as dictated by the patient’s clinical condition and operative findings [218] . V. Perioperative Care Fetal Heart Monitoring Guideline 21: Fetal heart monitoring of a fetus considered viable should occur preoperatively and postoperatively in the setting of urgent abdominal surgery during pregnancy (++; Weak). While intraoperative fetal heart rate monitoring was once thought to be the most accurate method to detect fetal distress during laparoscopy, no intraoperative fetal heart rate

2017 Society of American Gastrointestinal and Endoscopic Surgeons

172. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline Full Text available with Trip Pro

. (1 |⊕⊕○○) 1.5. We recommend that clinicians inform and counsel all individuals seeking gender-affirming medical treatment regarding options for fertility preservation prior to initiating puberty suppression in adolescents and prior to treating with hormonal therapy of the affirmed gender in both adolescents and adults. (1 |⊕⊕⊕○) 2.0 Treatment of adolescents 2.1. We suggest that adolescents who meet diagnostic criteria for GD/gender incongruence, fulfill criteria for treatment, and are requesting (...) for osteoporosis exist, specifically in those who stop sex hormone therapy after gonadectomy. (1 |⊕⊕○○) 4.5. We suggest that transgender females with no known increased risk of breast cancer follow breast-screening guidelines recommended for non-transgender females. (2 |⊕⊕○○) 4.6. We suggest that transgender females treated with estrogens follow individualized screening according to personal risk for prostatic disease and prostate cancer. (2 |⊕○○○) 4.7. We advise that clinicians determine the medical necessity

2017 Pediatric Endocrine Society

173. Updated guideline on the management of common bile duct stones (CBDS)

that diclofenac or indomethacin To cite: Williams E, Beckingham I, El Sayed G, et al. Gut 2017;66:765–782. 1 Bournemouth Digestive Diseases Centre, Royal Bournemouth and Christchurch NHS Hospital Trust, Bournemouth, UK 2 HPB Service, Nottingham University Hospitals NHS Trust, Nottingham, UK 3 Department of Surgery, University College London Medical School, London, UK 4 Aintree Digestive Diseases Unit, Aintree University Hospital Liverpool, Liverpool, UK 5 Department of Hepatopancreatobiliary Medicine (...) . A variety of imaging modalities can be employed to identify the condition, while management of con?rmed cases of CBDS may involve endoscopic retrograde cholangiopancreatography, surgery and radiological methods of stone extraction. Clinicians are therefore confronted with a number of potentially valid options to diagnose and treat individuals with suspected CBDS. The British Society of Gastroenterology ?rst published a guideline on the management of CBDS in 2008. Since then a number of developments

2017 British Society of Gastroenterology

174. UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care

following the ‘BSG Guideline Advice’ document. 56 The draft guidelines were submitted for review by BSG AYP Section, CSSC and BSG Council and revised in response to their comments. Data sources and search strategy A systematic literature search was undertaken by a medical librar- ian (RF) using four relevant databases, Medline (via Ovid), Embase, Web of Science and CINAHL, aiming to capture all rele- vant studies across disciplines including paediatric and adult gastroenterology from 1980 to September (...) reviewers providing detailed feedback to the Guideline Development Group. The review resulted in the writing committee (AJB, PJS, JOL, SAM) undertaking changes and improvement in the structure and content of the guideline that underwent subse- quent approval by the Chair of the CSSC. The updated guide- line was reviewed by all members of the Guideline Development Group prior to submission for publication in September 2016. 4. Clarity and presentation Recommendations are intended to be speci?c

2017 British Society of Gastroenterology

175. First-trimester abortion in women with medical conditions

, patients on combination antiplatelet therapy (i.e., clopidogrel and aspirin) face an increased risk of systemic bleeding [54]. Clopidogrel should not be discon- tinued in the first 12 months after a drug eluting stent has been placed [33]. In general, the optimal period for discontinuation of antiplatelet therapy prior to any surgery is five days [33]. Such cases warrant consultation with a cardiologist or neurologist to determine if and when discontinuation of such medications is warranted. 627 (...) with medical conditions, absolute and relative contraindications to medication abortion drugs preclude their use in certain patients (Section Ib-c). Current labeling precautions related to the safety of medication abortion regimens for women with chronic medical condi- tions reflect the lack of available data; such patients have been excluded from clinical trials. Some of the contraindi- cations listed (chronic adrenal failure, inherited porphyria, long-term corticosteroid therapy) relate to pharmacologic

2012 Society of Family Planning

176. Improving Surgical/Medical Oncology Collaboration for Breast Cancer Treatment Planning: Pilot Testing the Impact of Continuing Education and Patient Care Planning

(use of a novel existing technology, the Carevive Care Planning System at the point of care plus provider continuing medical education. Condition or disease Intervention/treatment Phase Breast Cancer Behavioral: Carevive CPS Not Applicable Detailed Description: The overarching goals are to improve clinician knowledge about evidence-based practices for neoadjuvant therapy for breast cancer, increase appropriate referrals to medical oncology for consideration of preoperative systemic therapy (...) (as determined by adherence to NCCN pre-operative systemic therapy guidelines), and to improve communication between the multidisciplinary team and patient regarding the appropriateness, selection, and timing of neoadjuvant therapy. Secondary objectives include a) evaluation of the impact of the intervention on actual prescription of neoadjuvant therapy to eligible patients and b) evaluation of the impact of the intervention on surgeons and medical oncologists' knowledge, attitudes, and beliefs about

2017 Clinical Trials

177. 2014 AHA/ACC Guideline for the Management of Patients With Non?ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

be updated or modified. In general, a target cycle of 5 years is planned for full revisions (1). Downloaded From: http://content.onlinejacc.org/ on 09/23/2014MANUSCRIPT ACCEPTED ACCEPTED MANUSCRIPT Amsterdam EA, et al. 2014 AHA/ACC NSTE-ACS Guideline Page 7 of 150 Guideline-Directed Medical Therapy—Recognizing advances in medical therapy across the spectrum of cardiovascular diseases, the Task Force designated the term “guideline-directed medical therapy” (GDMT) to represent recommended medical therapy (...) as defined mainly by Class I measures, generally a combination of lifestyle modification and drug- and device-based therapeutics. As medical science advances, GDMT evolves, and hence GDMT is preferred to “optimal medical therapy.” For GDMT and all other recommended drug treatment regimens, the reader should confirm the dosage with product insert material and carefully evaluate for contraindications and possible drug interactions. Recommendations are limited to treatments, drugs, and devices approved

2014 Society for Cardiovascular Angiography and Interventions

178. 2016 Focused update of the Canadian Cardiovascular Society guidelines for the management of atrial fibrillation

block. y On the basis of results from Bridge or Continue Coumadin for Device Surgery Randomized Controlled Trial (BRUISECONTROL). 69 1178 Canadian Journal of Cardiology Volume 32 2016OAC should be reintroduced as soon as medically appropriate. IV. Periprocedural Anticoagulation Management Interruption of antithrombotic therapy When patients receiving OACs or APT agents need sur- gery or invasive diagnostic procedures, the risk of SSE while the antithrombotic agent is reduced or stopped must (...) of anticoagulation before and after elective surgery. N Engl J Med 1997;336:1506-11. 67. Douketis JD, Spyropoulos AC, Spencer FA, et al. Perioperative man- agement of antithrombotic therapy: Antithrombotic Therapy and Pre- vention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141: e326S-350. 68. Thrombosis Canada. Peri-operative management of patients who are receiving warfarin. Available at: http://www.thrombosiscanada.ca/ guides/pdfs

2016 CPG Infobase

179. Canadian stroke best practice recommendations: acute inpatient stroke care guidelines, update 2015

of these patients have pre-existing stroke risk factors including hypertension, diabetes, cardiac dis- ease and dyslipidemia. 16 These in-hospital strokes often occur following cardiac and orthopedic proced- ures, usually within seven days of surgery. These?ndingsonin-hospitalacutestrokeemphasize the need for all healthcare providers to be educated in symptom recognition, using guidelines and tools such astheHeartandStrokeFoundationofCanada’sFAST (Face, Arm, Speech, Time) approach. 17 Also, protocols for rapid (...) , including rehabilitation professionals; ? Access to 24/7 brain and neurovascular imaging and interventional neuroradiology expertise; ? Emergent neurovascular surgery access; ? Protocols in place for hyperacute and acute stroke management, and seamless transitions between stages of care (including pre-hospital, Emergency Department and inpatient care); ? Dysphagia screening protocols in place to assess all stroke patients without prolonged time delays prior to commencing oral nutrition and oral

2015 CPG Infobase

180. SIGN 50: A guideline developers' handbook

changes to published guidelines are agreed by GPAG rather than SIGN Council and slotted into the programme according to current capacity and workload. GPAG considers small change requests on a rolling basis and guidelines will be ‘refreshed’ if a proposal meets the following criteria: y new evidence substantially changes a small number of recommendations in the guideline (corresponding to no more than two related key questions) OR y a specific issue such as a new drug therapy or national issue (...) will be ‘refreshed’ if a proposal meets the following criteria: y new evidence substantially changes a small number of recommendations in the guideline (corresponding to no more than two related key questions) OR y a specific issue such as a new drug therapy or national issue such as a new government policy will give rise to a new key question AND y the nature of the update may not warrant assembling a multidisciplinary group. To allow SIGN to be reactive to the needs of healthcare professionals in NHSScotland

2015 SIGN

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