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61. Management of Nasopharyngeal Carcinoma

/fraction) • IMRT recommended to minimise dose to critical structures Follow-up and Surveillance • Multidisciplinary team involvement (ENT specialist, oncologist, speech therapist, audiologist, etc) • Head & neck and systemic examination (including nasopharyngoscopy): • Cross-sectional imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained (...) imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained and experienced dental specialist • Weight assessment on follow-up • Annual thyroid function test (TFT) screening Local disease Distant disease Regional disease • Restage to assess recurrent or persistent disease – MRI or CT scan and PET/CT scan • Biopsy of recurrent lesion(s), as clinically

2016 Ministry of Health, Malaysia

62. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

, Australia 3 Northern Adelaide Local Health Network, Adelaide, SA, Australia 4 Department of Psychiatry, St Vincent’s Health and The University of Melbourne, Melbourne, VIC, Australia 5 Rehabilitation Services, Metro South Mental Health Service, Brisbane, QLD, Australia 6 Mental Health and Addiction Services, Northland District Health Board, Whangarei, New Zealand 7 Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, The University of Western Australia (UWA (...) and recreational activities. The lack of improvement in workforce participation is very disappointing, given that many people with schizophrenia express a desire to work, and most likely reflects a failure to develop effective vocational rehabilitation services. Improved vocational outcomes would have economic benefits, as well as improving social inclusion and quality of life. Early intervention for psychotic disorders has been shown to be cost-effective (Hastrup et al., 2013; McCrone et al., 2009). Further

2016 Royal Australian and New Zealand College of Psychiatrists

64. Clinical Practice Guideline on the Treatment of Pediatric Diaphyseal Femur Fractures

Children's Hospital One Children's Pl Ste 4S 20 Saint Louis, MO 63110 Charles T. Mehlman, DO, MPH Children's Hospital Medical Center 3333 Burnet Avenue, MLC 2017 Cincinnati, Ohio 45229-3039 David M. Scher, MD Hospital for Special Surgery 535 E 70th St 5th Fl New York, NY 10021 Travis Matheney, MD Children's Hospital Boston Orthopedic Surgery 47 Joy Street Boston, MA 02115 James O Sanders, MD Department of Orthopaedics Rehabilitation University of Rochester 601 Elmwood Avenue Rochester NY 14642 Guidelines (...) to consider when calculating the overall cost of treatment for pediatric femoral fracture. 5 The main considerations for patients and third party payers are the relative cost and effectiveness of each treatment option. But hidden costs for pediatric patients must also be considered. These costs include the additional home care required for a patient, the costs of rehabilitation and of missed school for the patient, child care costs if both parents work, and time off of work required by one or both parents

2015 American Academy of Orthopaedic Surgeons

66. Treatment of Fecal Incontinence

included “fecal incontinence” anD [“fecal oR anal oR stool”], anD [“physical therapy oR rehabilitation oR biofeedback”], anD [“sphincteroplasty” oR “implants” oR “bowel sphincter” oR “artificial sphincter” oR “ra- diofrequency” oR “sacral nerve stimulation” oR “inject- able”]. Directed searches of the embedded references from The American Society of Colon and Rectal Surgeons’ Clinical Practice Guideline for the Treatment of Fecal Incontinence Ian M. Paquette, M.D.• Madhulika G. Varma, M.D.• Andreas M (...) constipation with overflow in- continence, or in patients secondarily constipated because of the use of antidiarrheal medication. 1,76,77 Biofeedback 1. Biofeedback should be considered as an initial treat- ment for patients with incontinence and some pre- served voluntary sphincter contraction. Grade of Recommendation: Strong recommendation based on moderate-quality evidence, 1B. Biofeedback training or pelvic floor rehabilitation is noninvasive and hence considered a first-line treatment option

2015 American Society of Colon and Rectal Surgeons

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

Association Canadian Dental Association Centers for Disease Control and Prevention College of American Pathologists Lumbar Spine Research Society North American Spine Society Society of Infectious Diseases Pharmacists The Infectious Diseases Society of America Participation in the AAOS peer review process does not constitute an endorsement of this guideline by the participating organization. AAOS Clinical Practice Guideline Unit ix v0.2 2.2.2012 Table of Contents Summary of Recommendations iii Terminology (...) of Orthopaedic Surgeons & Congress of Neurological Surgeons Paul A. Anderson, MD Professor Department of Orthopedics & Rehabilitation University of Wisconsin K4/735 600 Highland Avenue Madison WI 53792 American Dental Association Elliot Abt, DDS 4709 Golf Road, Suite 1005 Skokie, IL 60076 American Dental Association Harry C. Futrell, DMD 330 W 23rd Street, Suite J Panama City, FL 32405 American Dental Association Stephen O. Glenn, DDS 5319 S Lewis Avenue, Suite 222 Tulsa, OK 74105-6543 American Dental

2012 American Academy of Orthopaedic Surgeons

69. The treatment of Glenohumeral Joint Osteoarthritis

, IL 60018 Janet L. Wies MPH AAOS Clinical Practice Guideline Manager Sara Anderson MPH – Lead Analyst Kevin Boyer Laura Raymond MA Patrick Sluka MPH AAOS v1.0 12.05.09 x Peer Review The following organizations participated in peer review of this clinical practice guideline: Arthroscopy Association of North America American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Orthopaedic Society for Sports Medicine American Physical Therapy Association

2009 American Academy of Orthopaedic Surgeons

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

findings or evidence from a single study for recommending for or against the intervention or diagnostic test or the evidence is insufficient or conflicting and does not allow a recommendation for or against the intervention. 5 ANESTHESIA Strong evidence supports similar outcomes for general or spinal anesthesia for patients undergoing hip fracture surgery. Strength of Recommendation: Strong Description: Evidence from two or more “High” strength studies with consistent findings for recommending (...) Research 254 Results 255 Rehabilitation 258 Sub-Recommendation Summary 258 Risks and Harms of Implementing these Recommendations 258 Future Research 258 Occupational and Physical Therapy 259 Rationale 259 Intensive Physical Therapy 260 Rationale 260 Nutrition 261 Rationale 261 Interdisciplinary Care Program 262 Rationale 262 Results 263 Postoperative MultiModal Analgesia 346 Rationale 346 Risks and Harms of Implementing this Recommendation 346 Future Research 346 Results 347 Calcium and Vitamin D

2014 American Academy of Orthopaedic Surgeons

72. Enhanced Recovery

However, inherent biases in the study design, lack of control group or randomization of participants, small sample sizes, wide variances in com- pliance with protocols, and limited generalizability limited these studies. When looking at postoperative quality out- comes, small, single-center studies report no differences in postoperative complication rates and hospital length of stay with prehabilitation compared with control subjects or postoperative rehabilitation 103,106,109 or results have been

2017 American Society of Colon and Rectal Surgeons

73. Diagnosis and Treatment of Low Back Pain

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 (...) : Symptoms for current LBP episode present for greater than 12 weeks. 2 General fitness program: Exercise program not fo- cused on specific muscle groups; by definition the goal is to improve the overall general fitness of the patient by using a combination of aerobic conditioning with stretching/strengthening of all major muscle groups. Lumbar stabilization exercises: Focused on facilitat- ing and strengthening specific muscles that directly or indirectly control spinal joint function, especially

2020 North American Spine Society

74. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

, the SickKids Foundation, Cerebral 15 Palsy Alliance Foundation, and Kids Brain Health Network for research in cerebral palsy; serves 16 on the data safety monitoring board for AveXis; has received financial compensation for 17 consulting work for Biogen and Roche; and has received research support as site principal 18 investigator for Ionis, Biogen, Roche, and Cytokinetics for clinical trials in spinal muscular 19 atrophy. 20 M. Armstrong serves on the Level of Evidence editorial board for Neurology

2020 American Academy of Neurology

76. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 20 Standard Criteria for all CPGs Article must be a full peer-reviewed published article report of a clinical study

2017 American Academy of Orthopaedic Surgeons

77. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances

Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances 1 Quality Department Guidelines for Clinical Care Ambulatory Chronic Pain Management Guideline Team Team Leads Daniel W Berland, MD General Medicine / Anesthesiology Phillip E Rodgers, MD Family Medicine Team Members Carmen R Green, MD Anesthesiology R Van Harrison, PhD Medical Education Randy S Roth, PhD Physical Medicine & Rehabilitation Consultants Daniel J. Clauw, MD Rheumatology Jennifer A. Meddings (...) Checklist for Patients with Chronic Pain Initial Visit (See outline in Appendix A) Assessment Detailed pain history: quality, location, radiating patterns, exacerbating factors, associated injuries/events at original onset Pain treatment history: consultants seen, interventions or surgeries performed, medications tried and their perceived effectiveness, rehabilitation therapy completed, reasons for leaving previous providers Complete psychosocial history: psychiatric evaluations and/or diagnoses, family

2017 University of Michigan Health System

78. Impact of Affordable Care Act on Trauma and Emergency General Surgery

— importantoutcome Holzmacher etal.,2017 Retrospectivecohortstudy,Trauma patients from Maryland,WashingtonDC, andVirginiaseenata single LevelItrauma center inWashington, DC Discharge home,% Washington DC89.8%,Virginia 87.5%,Maryland 93.2% Discharge to SAR, SNF, oracute rehabilitation, % Washington DC7.9%,Virginia 12.5%, Maryland6.8% Virginiavs.DC,p=0.75 Marylandvs. DC, p=0.68 Leeetal.,2014 Retrospectivepre-/post-MHRstudy,Trauma patients admitted totheICUfromasingleLevelI trauma centerinMassachusetts (...) Dispositionoutcomes,Propensitymatchedodds ratiowith discharge home as referent (not prepolicy/postpolicy) Homehealth servicesOR1.70(95%CI,1.08–2.68) SNF/Rehabilitation OR0.91 (95%CI,0.72–1.31) Other OR1.15 (95%CI,0.79–1.67) Santryetal., 2014 Retrospectivepre-/post-MHRstudy,Trauma patients froma single LevelI trauma center inMassachusetts Discharge Disposition,AdjustedOR for uninsured vs. insured patients (not prepolicy/postpolicy) HomewithservicesAOR0.64 (95%CI, 0.44–0.93) RehabilitationAOR0.08(95%CI,0.05–0.96

2019 Eastern Association for the Surgery of Trauma

80. Management of adults with diabetes undergoing surgery

to consider, the patient can then make an informed decision to proceed with surgery. Patients should be made aware of the increased risks of surgery with poorly controlled diabetes. 2. Intra-operative care Use of appropriate anaesthetic, fluids, pain relief and minimally invasive operative techniques to reduce post-operative pain and gut dysfunction, promoting early return to normal eating. 3. Post-operative rehabilitation Rehabilitation services available 7 days a week for 365 days a year, enabling rapid

2016 Association of British Clinical Diabetologists


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