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102. Enhanced Recovery

. Several meta- analyses of RCTs have shown that goal-directed fluid ther - apy (GDFT) reduces postoperative morbidity and length of hospital stay, especially in high-risk patients undergo- ing major surgery. 213–216 High-risk patients have been vari- ably defined but have been noted to include patients with a history of severe cardiorespiratory illness (acute myo- cardial infarction, chronic obstructive pulmonary disease, stroke, etc), planned extensive surgery (>8 h), age >70 years with evidence (...) 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

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

if ineffective. Extreme caution needed for older adults; use PPI with NSAID or with COX-2/aspirin . NSAID use in patients with heart disease or its risk factors increases overall risk of heart attack or stroke. Naproxen Aleve Initial: 225 – 550 mg BID Typical: 375 mg BID Max: 500 mg BID $13 / $13 NSAID use in patients with heart disease or its risk factors increases overall risk of heart attack or stroke. Opioids (listed in order of increasing potency) 1 Tramadol [Schedule 4] Ultram Initial: 25 or 50 mg QID (...) 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

2017 University of Michigan Health System

104. Clinical practice guideline for limb salvage or early amputation

or by downloading to your smartphone or tablet via the Apple and Google Play stores! View background material via the LSA CPG eAppendix Page4 Table of Contents SUMMARY OF RECOMMENDATIONS 6 BURDEN OF INJURY 6 PSYCHOSOCIAL FACTORS 7 REHABILITATION 7 NERVE INJURY 7 MASSIVE SOFT TISSUE AND MUSCLE DAMAGE 7 VASCULAR INJURY/LIMB ISCHEMIA 8 SMOKING 8 LOWER EXTREMITY INJURY SCORES 8 AMPUTATION/LIMB SALVAGE 9 GUIDELINE DEVELOPMENT GROUP ROSTER 10 Voting Members 10 Non-Voting Members 10 INTRODUCTION 11 METHODS 15 Best (...) the LSA CPG eAppendix VASCULAR INJURY/LIMB ISCHEMIA 32 SMOKING 34 LOWER EXTREMITY INJURY SCORES 36 AMPUTATION/LIMB SALVAGE 38 CONSENSUS STATEMENTS 40 Methodology 41 Orthotics/Prosthetics 42 Massive Muscle Damage 43 Comorbidities 45 APPENDICES 47 Appendix I – References for Included Literature 48 Appendix II - Guideline Development Group Disclosures 51 Non-Voting Oversight Chairs’ and Voting Members’ Disclosures 51 Appendix III – PICO Questions Used to Define Literature Search 53 Appendix IV

2020 American Academy of Orthopaedic Surgeons

105. Urological Trauma

: spleen, liver, and kidney. J Trauma, 1989. 29: 1664. 14. Monstrey, S.J., et al. Urological trauma and severe associated injuries. Br J Urol, 1987. 60: 393. 15. MacKenzie, E.J., et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med, 2006. 354: 366. 16. Caterson, E.J., et al. Boston bombings: a surgical view of lessons learned from combat casualty care and the applicability to Boston’s terrorist attack. J Craniofac Surg, 2013. 24: 1061. 17. Feliciano DV, M.E (...) , anatomic distribution, associated injuries, and outcomes. Urology, 2010. 76: 977. 35. Shariat, S.F., et al. Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma, 2007. 62: 933. 36. Santucci, R.A., et al. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma, 2001. 50: 195. 37. Malaeb, B., et al. Should blunt segmental vascular renal injuries be considered

2019 European Association of Urology

106. Neuro-urology

of lower urinary tract symptoms (LUTS) in stroke patients: a cross-sectional, clinical survey. Neurourol Urodyn, 2008. 27: 763. 13. Marinkovic, S.P., et al. Voiding and sexual dysfunction after cerebrovascular accidents. J Urol, 2001. 165: 359. 14. Rotar, M., et al. Stroke patients who regain urinary continence in the first week after acute first-ever stroke have better prognosis than patients with persistent lower urinary tract dysfunction. Neurourol Urodyn, 2011. 30: 1315. 15. Lobo, A., et al (...) Sci, 2017. 381: 230. 24. Dolecek, T.A., et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009. Neuro Oncol, 2012. 14 Suppl 5: v1. 25. Maurice-Williams, R.S. Micturition symptoms in frontal tumours. J Neurol Neurosurg Psychiatry, 1974. 37: 431. 26. Christensen, D., et al. Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA

2019 European Association of Urology

107. Male Sexual Dysfunction

and meta-analysis. J Clin Endocrinol Metab, 2010. 95: 2560. 153. Haddad, R.M., et al. Testosterone and cardiovascular risk in men: a systematic review and meta-analysis of randomized placebo-controlled trials. Mayo Clin Proc, 2007. 82: 29. 154. Vigen, R., et al. Association of testosterone therapy with mortality, myocardial infarction, and stroke in men with low testosterone levels. JAMA, 2013. 310: 1829. 155. Sohn, M., et al. Standard operating procedures for vascular surgery in erectile dysfunction (...) : reproducibility, evaluation criteria and the effect of sexual intercourse. J Urol, 1998. 159: 1921. 110. Hatzichristou, D.G., et al. Hemodynamic characterization of a functional erection. Arterial and corporeal veno-occlusive function in patients with a positive intracavernosal injection test. Eur Urol, 1999. 36: 60. 111. Sikka, S.C., et al. Standardization of vascular assessment of erectile dysfunction: standard operating procedures for duplex ultrasound. J Sex Med, 2013. 10: 120. 112. Pathak, R.A., et al

2019 European Association of Urology

109. The Association of Coloproctology of Great Britain and Ireland Consensus Guidelines in Surgery for Inflammatory Bowel Disease Full Text available with Trip Pro

pouch surgery, reoperation and readmission , . Overall, high‐volume centres are also more likely to offer a variety of restorative options in well‐selected patients . Evidence from qualitative research on patient experience in centralized stroke and cancer services suggest that the disadvantage of travelling further was outweighed by the opportunity to receive best care , . In cancer care, patients were willing to travel 75 min longer to reduce their risk of complications by 1% and over 5 h longer

2018 Association of Coloproctology of Great Britain and Ireland

111. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome

internation- ally accepted terminology, of the practice of orthopaedic physical therapists and hand rehabilitation • Provide information for payers and claims reviewers re- garding the practice of orthopaedic and hand therapy for common musculoskeletal conditions • Create a reference publication for clinicians, academic in- structors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of ortho- paedic physical therapy and hand rehabilitation STATEMENT (...) below. Each team developed recommendations based on the strength of ev- idence, including how directly the studies addressed the ques- tion on hand pain and sensory deficits: CTS. In developing their recommendations, the authors considered the strengths and limitations of the body of evidence and the health benefits, side effects, and risks of tests and interventions. GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in management and rehabilitation reviewed this CPG

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

112. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

(the production of greater than 20 to 33% of total 24 hour urine output during the period of sleep, which is age-dependent with 20% for younger individuals and 33% for elderly individuals), 28 low nocturnal bladder capacity or both. In nocturnal polyuria, nocturnal voids are frequently normal or large volume as opposed to the small volume voids commonly observed in nocturia associated with OAB. Sleep disturbances, vascular and/or cardiac disease and other medical conditions are often associated with nocturnal (...) ., stroke, multiple sclerosis, spinal cord injury), mobility deficits, medically complicated/uncontrolled diabetes, fecal motility disorders (fecal incontinence/constipation), chronic pelvic pain, history of recurrent urinary tract infections (UTIs), gross hematuria, prior pelvic/vaginal surgeries (incontinence/prolapse surgeries), pelvic cancer (bladder, colon, cervix, uterus, prostate) and pelvic radiation. The female patient with significant prolapse (i.e., prolapse beyond the introitus) also may

2019 American Urological Association

113. Incontinence after Prostate Treatment: AUA/SUFU Guideline (2019)

. Absorbent Products – Liners, Guards, Briefs, Underwear. Most patients will start with absorbent pads and make adjustments in type based on the severity of leakage. 91 In general, milder incontinence is managed satisfactorily with shields or lower density guards, while severe incontinence requires briefs or underwear with or without inserts to prevent accidents. From a cost perspective, briefs and underwear systems have been demonstrated to be more effective than pads. 92 Thus, the patient should (...) than several pads or garments per day, financial considerations may influence the ability to change pads in a timely fashion. Therefore, it is important to ensure that the patient is utilizing the most effective product based on their degree of incontinence. Occlusive Devices (Clamps) . Occlusive devices may function as a stand-alone therapy for incontinence or as an adjunct to absorbent products. Combination therapy between the two types of devices, such as pads and clamps together, decreases

2019 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

114. AACE/ACE Clinical Practice Guidelines for Developing a Diabetes Mellitus Comprehensive Care Plan

Cardiovascular Risk in Diabetes; ACE = angiotensin-converting enzyme; ADA = American Diabetes Association; ADvAnCE = Action in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation; AEr = albumin excretion rate; Apob = apolipoprotein B; Arb = angiotensin II recep - tor blocker; AsCvD = atherosclerotic cardiovascu - lar disease; bEl = best evidence level; bmi = body mass index; CDC = Centers for Disease Control and Prevention; CDE = certified diabetes educator; Cgm = continuous (...) ; it remains undiagnosed for years in many affected persons because they are asymptomatic. Consequently, up to 25% of patients with T2D have already developed at least 1 micro- vascular complication by the time of diagnosis (27 [EL 1; RCT]). Insulin resistance

2015 American Association of Clinical Endocrinologists

115. Carpal Tunnel Syndrome (CTS) Guideline

recovery. These options are best implemented when physicians and employers work collaboratively along with the claim manager and the Vocational Rehabilitation Counselor (VRC). See next page for hand diagram. 13 Washington State Department of Labor and Industries Carpal Tunnel Syndrome Guideline – 2017, amended July 2020 VII. Hand Diagram * This diagram can be printed and completed by the patient. Pain Patient Name: ______________________Claim#:_______________Date:____________ Comments: Tingling (...) . Conditions associated with carpal tunnel syndrome. in Mayo Clinic proceedings. 1992. 4. Hakim, A.J., et al., The genetic contribution to carpal tunnel syndrome in women: a twin study. Arthritis Care & Research, 2002. 47(3): p. 275-279. 5. Eleftheriou, A., et al., Cumulative keyboard strokes: a possible risk factor for carpal tunnel syndrome. J Occup Med Toxicol, 2012. 7(1): p. 16. 6. Andersen, J.H., et al., Computer use and carpal tunnel syndrome: a 1-year follow-up study. Jama, 2003. 289(22): p. 2963

2017 Washington State Department of Labor and Industries

116. Complex Regional Pain Syndrome (CRPS-2011)

Complex Regional Pain Syndrome (CRPS-2011) Effective October 1, 2011 Hyperlink and Formatting update September 2016 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment 2011 TABLE OF CONTENTS I. Introduction II. Establishing Work-Relatedness III. Prevention A. Know the Risk Factors B. Identify Cases Early and Take Action C. Encourage Active Participation in Rehabilitation IV. Making the Diagnosis A. Symptoms and Signs B. Three-Phase Bone Scintigraphy C. Diagnostic (...) October 1, 2011 Hyperlink and Formatting update September 2016 Page 2 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment I. INTRODUCTION This guideline is to be used by physicians, claim managers, occupational nurses, all other providers and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). This guideline was developed in 2010 – 2011 by the Industrial Insurance Medical

2011 Washington State Department of Labor and Industries

117. Management of Glaucoma

(Second Edition) 35 ischaemia. Initially fibrovascular membrane covers the angle, causing secondary open angle glaucoma. This can progress to angle closure glaucoma. The common conditions associated with NVG are proliferative diabetic retinopathy, central retinal vein occlusion and other conditions such as ocular ischaemic syndrome and tumours. Management of NVG involves optimising treatment of the underlying disease and control of high IOP. The treatment for NVG includes: 15 • medical treatment (...) ) 8. REHABILITATION 29 9. REFERRAL 30 10. SPECIAL CONDITIONS 31 10.1 Ocular Hypertension 31 10.2 Primary Open Angle Glaucoma Suspect 33 10.3 Steroid-Induced Glaucoma 34 10.4 Neovascular Glaucoma 34 10.5 Intraocular Pressure Monitoring in 35 Post-Refractive Surgery Cases 11. IMPLEMENTING THE GUIDELINES 37 11.1 Facilitating and Limiting Factors 37 11.2 Potential Resource Implications 37 REFERENCES 39 Appendix 1 Example of Search Strategy 45 Appendix 2 Clinical Questions 46 Appendix 3 Van Herick Test

2017 Ministry of Health, Malaysia

118. Clinical Practice Guidelines on Hypertension

, the results from a 2011 meta-analysis of RCTs of BP targets in subjects with type 2 diabetes and impaired fasting glucose 91 suggest that most of the beneficial reduction in all-cause mortality in the intensive treatment group (systolic BP 220 mmHg or diastolic BP > 120 mmHg, before specific treatment begins. 121 The rate of BP reduction would depend on the specific comorbidities. 9.4.2 Lowering of the BP after transient ischemic attack and after acute phase of stroke D After the acute phase of stroke (...) , begin antihypertensive treatment in hypertensive patients if the systolic BP is more than 140 mmHg and diastolic BP is more than 90 mmHg. 122,123 Grade D, Level 4 KEY RECOMMENDATION KEY RECOMMENDATION 53 A Use any of the five major pharmacological classes of antihypertensive drugs for stroke prevention in patients after the acute phase of stroke, provided that the BP is effectively lowered. 21,75 Grade A, Level 1 ++ GPP The target BP level in patients after transient ischemic attack and after acute

2017 Ministry of Health, Singapore

119. 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 related psychoses, and policy makers. It does not override the responsibility of clinicians to make appropriate decisions, taking into account the unique circumstances of the person they are treating. The scope of this guideline is the schizophrenia spectrum which includes schizophrenia, schizoaffective disorder, schizotypal disorder, schizophreniform disorder and acute transient psychotic disorder with symptoms of schizophrenia. The spectrum notion is based on the presumption (and partial evidence

2016 Royal Australian and New Zealand College of Psychiatrists

120. Management of Multiple Sclerosis

AND RISK 27 OF PROGRESSION 12. REFERRAL 32 13. TREATMENT 33 13.1 Treatment of Acute Attacks and Relapses 33 13.2 Disease Modifying Treatment 35 13.3 Treatment of MS-related Symptoms 53Management of Multiple Sclerosis No. Title Page 14. NEUROPSYCHIATRIC PROBLEMS 72 15. SPECIAL ISSUES 75 16. IMPLEMENTING THE GUIDELINES 78 References 79 Appendix 1 Example of Search Strategy 91 Appendix 2 Clinical Questions 92 Appendix 3 Differential Diagnosis of Optic Disc Swelling 93 Appendix 4 Treatment of NMO/NMOSD 94 (...) . Medical officers and general practitioners d. Allied health professionals e. Pharmacists f. Students (medical postgraduates and undergraduates, and allied health students) g. Patients and carers HEALTHCARE SETTINGS Outpatient, inpatient and community settingsManagement of Multiple Sclerosis v GUIDELINES DEVELOPMENT GROUP Chairperson Dr. Shanthi Viswanathan Consultant Neurologist Hospital Kuala Lumpur Members (alphabetical order) Dr . Akmal Hafizah Zamli Rehabilitation Physician Hospital Sg. Buloh Dr

2015 Ministry of Health, Malaysia


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