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81. Clinical Practice Guideline on Prevention of Orthopaedic Implant in Patients Undergoing Dental Procedures

Association John Hellstein, DDS, MS The University of Iowa, College of Dentistry Department of Oral Pathology, Radiology and Medicine DSB S356 Iowa City, IA 52242 American Association of Hip and Knee Surgeons David Kolessar, MD Geisinger Wyoming Valley Medical Center 1000 East Mountain Boulevard Valley Medical Building Wilkes-Barre, PA 18711 American Association of Neurological Surgeons/Congress of Neurological Surgeons John E. O'Toole, MD Assistant Professor of Neurosurgery Rush University Medical Center (...) 1725 W. Harrison Street, Suite 970 Chicago, IL 60612 American Association of Oral and Maxillofacial Surgeons Mark J. Steinberg DDS, MD 1240 Meadow Road, Suite 300 Northbrook, IL 60062 AAOS Clinical Practice Guideline Unit vii v0.2 2.2.2012 College of American Pathologist Karen C. Carroll MD, FCAP Johns Hopkins Hospital Department of Pathology-Microbiology Division 600 N Wolfe Street Meyer B1-193 Baltimore, MD 21287 Knee Society Kevin Garvin, MD University of Nebraska Medical Center Creighton

2012 American Academy of Orthopaedic Surgeons

82. Osteoarthritis of the Knee

with MCII 19 Table 5. AAOS Guideline Language 20 Table 6. Recommendation Strengths, Descriptions, and Clinical Implications 21 Table 7. Quality and Applicability Summary: Strength Training Versus Control 35 Table 8 Quality and Applicability Summary: Isokinetic Versus Isotonic Versus Isometric Strength Training 36 Table 9. Quality and Applicability Summary: High Versus Low Resistance Strength Training 36 Table 10. Quality and Applicability Summary: Isokinetic Versus Isotonic Versus Isometric Strength

2013 American Academy of Orthopaedic Surgeons

83. Clinical Practice Guideline on the Management of Anterior Cruciate Ligament Injuries

, bone tenderness, loss of motion, and/or pathological laxity] that the practitioner obtain AP and lateral knee xrays to identify fractures or dislocations requiring emergent care. Strength of Recommendation: Consensus Description: There is no supporting evidence. In the absence of reliable evidence, the work group is making a recommendation based on their clinical opinion. Consensus recommendations can only be created when not establishing a recommendation could have catastrophic consequences. ACL (...) MAGNETIC RESONANCE IMAGING (MRI) Strong evidence supports that the MRI can provide confirmation of ACL injury and assist in identifying concomitant knee pathology such as other ligament, meniscal, or articular cartilage injury. Strength of Recommendation: Strong Description: Evidence from two or more “High” strength studies with consistent findings for recommending for or against the intervention. ACL PEDIATRIC There is limited evidence in skeletally immature patients with torn ACLs, but it supports

2014 American Academy of Orthopaedic Surgeons

84. Clinical Practice Guideline on Management of Hip Fractures in the Elderly

. Relationship Between Domain Scores and Applicability for Studies of Prognostics 31 Table 8. Strength of Recommendation Descriptions 32 Table 9. AAOS Guideline Language Stems 33 Table 10. Clinical Applicability: Interpreting the Strength of a Recommendation 33 Table 11. Interpreting Likelihood Ratios 34 Table 12. Quality Table of Treatment Studies for Advanced Imaging 40 Table 13. Quality Table of Diagnostic Studies for Advanced Imaging 41 Table 14. MRI Results 42 Table 15. Quality Table of Treatment (...) defined as those 65 years of age and older. It is not intended to address management of patients with fractures as a result of high energy trauma or those with fractures related to pathologic bone lesions. BURDEN OF DISEASE The economic burden of managing elderly hip fractures was estimated at $17-20 billion in 2010. M1, M2 A typical patient with a hip fracture spends US $40000 in the first year following hip fracture for direct medical costs and almost $5000 in subsequent years. Costs

2014 American Academy of Orthopaedic Surgeons

85. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

people worldwide (1–5), and is a leading cause of disability among older adults. The knees, hips, and hands are the most commonly affected appendicular joints. OA is characterized by pathology involving the whole joint, includ- ing cartilage degradation, bone remodeling, osteophyte forma- tion, and synovial inflammation, leading to pain, stiffness, swelling, and loss of normal joint function. As OA spans decades of a patient’s life, patients with OA are likely to be treated with a number of different (...) , physical and occupational therapists, and patients (Supplementary Appendix 3, http://onlin e l ibr ary .wiley .com/doi/10.1002/acr .24131/ abstract). This guideline included an initial literature review limited to English- language publications from inception of the databases to October 15, 2017, with updated searches conducted on August 1, 2018 and relevant papers included. Studies pub- lished after August 1, 2018 were not evaluated for this guide- line. Supplementary Appendix 4 (http://onlin elibr

2020 American College of Rheumatology

86. Sexual Misconduct

and gynecology should be educated about the inherent power imbalance in the patient–physician relation- ship, avoidance of sexually offensive or denigrating language, risk factors for sexual misconduct, and procedures for reporting suspected misconduct. VOL. 135, NO. 1, JANUARY 2020 OBSTETRICS & GYNECOLOGY e43Introduction The practice of obstetrics and gynecology includes interaction in times of intense emotion and vulnerability for patients and involves sensitive physical examinations and medically (...) examination of patients without a chaper- one (85%), and practice in nonacademic medical set- tings (94%) (14). Sexual misconduct by clinicians during labor and delivery may be more prevalent than previously thought. A large survey of U.S. and Canadian obstetric support personnel raised concern that clinicians may at times use sexually degrading language with laboring women or perform genital examinations or procedures without appropriate consent or despite the patient’s refusal (15). Again, although

2020 American College of Obstetricians and Gynecologists

87. Appropriate prescribing of psychotropic medication for non-cognitive symptoms in people with dementia

behaviour. Agitation A state of excessive motor activity, verbal aggression, or physical aggression to oneself or others, associated with observed or inferred evidence of emotional distress. Alzheimer’s disease (AD) A condition presenting with symptoms of impaired memory, thinking and/or behaviour. It is a progressive dementia resulting from the degeneration of brain cells affecting mood, behaviour and memory. Is characterised by “plaques” between the dying cells in the brain and “tangles” within (...) that information long enough to make a voluntary choice, (c) to use or weigh that information as part of the process of making the decision, or (d) to communicate his or her decision (whether by talking, writing, using sign language, assistive technology, or any other means) or, if the implementation of the decision requires the act of a third party, to communicate by any means with that third party (Assisted Decision-Making (Capacity) Act, 2015). Carer A family member or nominated representative or co

2019 National Clinical Guidelines (Ireland)

88. Clinical Practice Guideline on the Diagnosis and Prevention of Periprosthetic Joint Infections

and Knee Surgeons Matthew J. Kraay, MD Wayne E. Moschetti, MD, MS The Knee Society American Academy of Orthopaedic Surgeons Christopher J. Palestro, MD Society of Nuclear Medicine and Molecular Bryan J. Pack, MD Imaging American Academy of Orthopaedic Surgeons Stefan Riedel, MD Kathleen G. Beavis, MD College of American Pathologists American Society for Clinical Pathology Mihra S. Taljanovic, MD Robin Patel, MD American College of Radiology American Society for Microbiology and Infectious Diseases (...) searched on December 12, 2017 with limits for publication dates from 1970-2017 and English language. DEFINING THE STRENGTH OF THE RECOMMENDATIONS Judging the strength of evidence is only a stepping stone towards arriving at the strength of a clinical practice guideline recommendation. The strength of recommendation (Table 1) also takes into account the quality, quantity, and the trade-off between the benefits and harms of a treatment, the magnitude of a treatment’s effect, and whether there is data

2020 American Academy of Orthopaedic Surgeons

89. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

. Strength of Recommendation: Moderate Description: Evidence from two or more “Moderate” quality studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. HYALURONIC ACID INJECTIONS FOR ROTATOR CUFF TEARS Limited evidence supports the use of hyaluronic acid injections in the non-operative management of patients with rotator cuff pathology. Strength of Recommendation: Limited Description: Evidence from two or more “Low” quality (...) cause of musculoskeletal disability in the United States. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults, second only to chronic knee pain in our society’s burden of musculoskeletal disease. Rotator cuff pathology is the leading cause of shoulder-related disability seen by orthopaedic surgeons, and surgical volume is on the rise (Narvy 2016). One study, for example, notes a 141% increase in rotator cuff repairs from 1996 to 2006 in the United States

2020 American Academy of Orthopaedic Surgeons

90. Molecular Biomarkers in Localized Prostate Cancer

articles, case reports, or narrative reviews; and published in a non-English language. The guideline recommendations were crafted, in part, using the Guidelines into Decision Support methodology. In addition, a guideline implementability review was conducted and revisions were made to the draft to clarify recommended actions for clinical practice. Ratings for the type and strength of recommendation, evidence, and potential bias are provided with each recommendation. The ASCO Expert Panel and guidelines (...) and might benefit from refined risk classification. Literature review, analysis, and clinical interpretation. Twenty studies - were obtained (Data Supplement 4). Management decisions in localized prostate cancer are generally centered around the use of prognostic clinical and pathologic factors to assess tumor aggressiveness and natural history. However, the prognostic accuracy of an isolated clinicopathologic variable—Grade Group, clinical stage, and PSA—is limited. Multivariable models, such as NCCN

2020 American Society of Clinical Oncology Guidelines

92. Evaluation and Management of Constipation

of the english language articles and studies in adults, systematic reviews, and The American Society of Colon and Rectal Surgeons’ Clinical Practice Guideline for the Evaluation and Management of Constipation Ian M. Paquette, M.D. • Madhulika Varma, M.D. • Charles T ernent, M.D. Genevieve Melton-Meaux, M.D. • Janice F. Rafferty, M.D. • Daniel Feingold, M.D. scott R. steele, m.D. Dis Colon Rectum 2016; 59: 479–492 Doi: 10.1097/DCR.0000000000000599 © t he asCRs 2016 XXX CLINICAL PRACTICE GUIDELINESCopyright © (...) and convenient alternative to laxatives and works by increasing bowel frequency and fe- cal bulk in patients with chronic idiopathic constipation even in the setting of pelvic outlet obstruction. 49,51,55,56 h owever, 80% of patients with slow colon transit and 63% of patients with a disorder of defecation and outlet ob- struction issues do not respond to increased dietary fiber, whereas 85% of patients without an underlying pathologi- cal finding improve or become symptom free. 48 a systematic review

2016 American Society of Colon and Rectal Surgeons

93. Management of carpal tunnel syndrome evidence-based clinical practice guideline

Companion Consensus Statement Protocol 770 Appendix VII 771 Participating Peer Review Organizations 771 Structured Peer Review Form 772 Appendix VIII 774 Interpreting the Forest Plots 774 Appendix IX 775 17 Conflict of Interest 775 Appendix X 778 Bibliographies 778 Included Studies 778 Excluded Studies 793 Appendix XIII 982 Letters of Endorsement from External Organizations 982 18 LIST OF TABLES Table 1. Strength of Recommendation Descriptions 33 Table 2. AAOS Guideline Language Stems 34 Table 3

2016 American Academy of Orthopaedic Surgeons

94. Enhanced Recovery

and the Cochrane Database of Collected Reviews using a variety of key word combinations (for details on key words and search strate- gies see System- atic searches were conducted from 1990 to 2016 and were restricted to English-language articles. Directed searches of the embedded references from the primary articles were also performed in certain circumstances. Prospective ran- domized controlled trials (RCTs) and meta-analyses were given preference in developing

2017 American Society of Colon and Rectal Surgeons

95. Anal Squamous Cell Cancers

as a skin lesion and would not be considered related to the GI tract. Confusion often arises over the various pathology terms commonly used to describe lesions involving the anus and perianal skin. The Lower Anogenital Squa- mous Terminology project unified terminology for all HPV-related squamous precursor lesions with a 2-tiered nomenclature system. 22,23 This system simply designates noninvasive pathology as either low-grade or high-grade squamous intraepithelial lesions (LSILs and HSILs) based (...) publications were limited to the English language, but no limits on year of publication were applied. The search strate- gies were based on the key words anal cancer and anal squamous cancer as primary search terms, with addi- tional, key-word searches including AIN, anal intraep- ithelial neoplasia, Nigro protocol, anal HPV, LSIL, and HSIL. Searches were also performed based on various treatments for anal cancers, including “anal cancer AND radiation,” “anal cancer AND chemoradiother- apy,” “anal cancer

2018 American Society of Colon and Rectal Surgeons

96. Treatment of Rectal Prolapse

was received. Correspondence: Scott R. Steele, M.D., 9500 Euclid Ave/A30, Cleveland Clinic, Cleveland OH, 44915. E-mail: xxxxxxXXX CLINICAL PRACTICE GUIDELINESCopyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited. BORDEIANOU ET AL: TREATMENT OF RECTAL PROLAPSE 1122 2016. Retrieved publications were limited to the English language and human participants. The search strategies were based on the concepts of rectal prolapse (...) prolapse report urinary incontinence, and ˜15% to 30% have significant vaginal vault prolapse. 6,19 Patients with multivisceral prolapse require a multidisci- plinary approach. 20 2. Additional testing, such as a fluoroscopy or MRI defe- cography, colonoscopy, barium enema, and urodynamics, may be used selectively to refine the diagnosis and identify other important coexisting pathology. Recommendation: strong recommendation based on moderate-quality evi- dence, 1B. If prolapse is suggested but cannot

2017 American Society of Colon and Rectal Surgeons

97. Diagnosis and Treatment of Low Back Pain

are written utilizing a standard language that indicates the strength of the recommendation. “A” recommendations indicate a test or intervention is “recommended”; “B” recom- mendations “suggest” a test or intervention and “C” recommendations indicate a test or intervention “may be considered” or “is an option.” “I” or “Insufficient Evidence” statements clearly indicate that “there is insufficient evidence to make a recommendation for or against” a test or intervention. Work group con- sensus statements (...) tomography STAXI State-Trait Anger Expression Inventory TDR Total disc replacement TENS Transcutaneous electrical nerve stimulation TLIF Transforaminal lumbar interbody fusion TSE Transcutaneous spinal electroanalgesia TSK Tampa Scale for Kinesiophobia TTM Transtheoretical Model UK BEAM UK Back pain Exercise And Manipulation (UK BEAM) VAS Visual analog scale VNS Visual Numeric Pain Scale VO Vertebral osteophytes VRS Verbal rating scale ZDS Zung Depression ScaleRecommendations were developed based

2020 North American Spine Society

98. Disorders of the Hepatic and Mesenteric Circulation Full Text available with Trip Pro

MEDLINE(R) Daily and Ovid MEDLINE(R), Evidence-Based Medicine Reviews—Cochrane Central Registry of Controlled Trials, EMBASE, and PsycInfo for the period 2000 through 2018 and limited to the English language. A combination of database-specific subject headings (subject's headings plus text words) was used (see Table 1, Supplementary Digital Content 1, ). The results were downloaded from each database into EndNote X7, and duplicates were removed. To evaluate the level of evidence and strength (...) are some of the final steps in the dissolution of the clot. Diagram of normal clotting process: vessel injury, platelet plug formation, and clot development and defects observed in cirrhosis. The net balance of procoagulant and anticoagulant factor pathways governs whether there is propagation or abortion of a protective or pathological clot which is then further governed by the simultaneously activated thrombolytic (fibrinolytic) plasmin-based pathways which govern clot remodeling and/or clot

2020 American College of Gastroenterology

99. Clinical Practice Guideline on the Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

Language Stems 19 Table 10. Clinical Applicability: Interpreting the Strength of a Recommendation 20 Table 11. Interpreting Likelihood Ratios 21 Table 12. Quality and Applicability: Studies for Universal Ultrasound Screening 23 Table 13. Imaging of the Unstable Hip (Universal Ultrasound Versus Risk-Stratified Ultrasound) 25 Table 14. Quality and Applicability: Studies for Evaluation of Infants with Risk Factors for DDH 23 Table 15. Quality and Applicability: Prognostic Studies for Evaluation of Infants (...) abnormalities of the hip in the newborn and early infancy periods are progressive and pathologic versus self-resolving and potentially within a range of normal development. While clinical terms such as “click, clunk, dislocatable, subluxatable, reducible, dysplastic, asymmetric thigh folds, and limited hip abduction” are common in papers related to this topic, no clear or widely accepted clinical definitions exist by which to compare patient populations to each other. In particular, the term “click” has

2014 American Academy of Orthopaedic Surgeons

100. Cancer Screening

were recently summarized in a guideline produced by the United States Preventive Services Task Force (USPSTF) and in a guideline produced by the American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology (ACS/ASCCP/ASCPS). The information below reflects the views of both groups unless otherwise noted. The National Comprehensive Cancer Network (NCCN) has guidelines for cervical cancer screening that incorporate those of ACS/ASCCP (...) exam and review of the pathology report (when available) that the cervix was completely removed. Women who have had a supra cervical or subtotal hysterectomy should continue cervical cancer screening as per current guidelines. Screening initiation. Screening should be initiated at age 21 in women for whom screening is appropriate. Screening frequency and testing method. Screening intervals vary depending on the assessed risk for the individual woman, the woman’s age, and the testing method used

2014 University of Michigan Health System


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