Search results for "Guidelines"
Cardiology societies update guideline on management of chronic coronary disease
The guideline from the American Heart Association and the American College of Cardiology emphasizes coordinating care between cardiovascular and primary care professionals and prioritizing symptom relief and quality of life, among other recommendations.
https://immattersacp.org/weekly/archives/2023/08/01/2.htm
1 Aug 2023
Start screening for colorectal cancer at age 50 years, ACP suggests
An update of ACP's 2019 guidance statement on the topic suggests that clinicians start screening for colorectal cancer in asymptomatic average-risk adults at age 50 years and consider not screening those between the ages of 45 and 49 years.
https://immattersacp.org/weekly/archives/2023/08/01/1.htm
1 Aug 2023
MKSAP Quiz: Routine visit for a patient with chronic kidney disease
A 45-year-old man is evaluated during a routine visit in September. He has advanced chronic kidney disease due to IgA nephropathy. After his vaccination history is evaluated, what is the most appropriate additional vaccine to administer at this visit?
https://immattersacp.org/weekly/archives/2023/07/18/3.htm
18 Jul 2023
Balancing benefits and harms of pain meds in older adults
Pain guidelines issued by medical societies call for nondrug therapies and exercise as primary recommendations for chronic pain.
https://immattersacp.org/archives/2023/07/balancing-benefits-and-harms-of-pain-meds-in-older-adults.htm
1 Jul 2023
Frailer heart failure patients less likely to receive guideline-recommended therapy
A prospective analysis of patients with heart failure and reduced ejection fraction in Japan found that the proportion receiving angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers, and mineralocorticoid receptor antagonists decreased as physical frailty increased.
https://immattersacp.org/weekly/archives/2023/06/20/4.htm
20 Jun 2023
Low-dose aspirin associated with 20% increase in risk of anemia among older adults
Analysis of a randomized trial of aspirin in healthy older patients found significantly increased risk of anemia, faster decline in hemoglobin concentrations, and greater decline in ferritin levels with aspirin versus placebo.
https://immattersacp.org/weekly/archives/2023/06/20/1.htm
20 Jun 2023
Quadruple therapy for heart failure cost-effective compared to previous standard of care
Adding a sodium-glucose cotransporter-2 inhibitor to standard care had intermediate cost-effectiveness, but replacing an angiotensin-converting enzyme inhibitor with an angiotensin receptor-neprilysin inhibitor was only borderline cost-effective, a modeling study found.
https://immattersacp.org/weekly/archives/2023/06/13/1.htm
13 Jun 2023
MKSAP Quiz: Risks of gender dysphoria treatment
A 37-year-old transgender woman (genetic male, identifies as a female) requests feminizing hormone therapy. She was diagnosed with gender dysphoria by her psychiatrist in accordance with DSM-5 criteria. Following lab studies, what treatment risks should be reviewed with the patient?
https://immattersacp.org/weekly/archives/2023/06/06/3.htm
6 Jun 2023
A living guideline for depression treatment
ACP recommends choosing between a second-generation antidepressant or cognitive behavioral therapy for adults in the acute phase of moderate to severe major depressive disorder.
https://immattersacp.org/archives/2023/06/a-living-guideline-for-depression-treatment.htm
1 Jun 2023
The epidemic of misinformation
This month's issue addressed fighting misinformation, major depressive disorder, and an ACP/Annals of Internal Medicine forum on the end of the COVID-19 public health emergency.
https://immattersacp.org/archives/2023/06/the-epidemic-of-misinformation.htm
1 Jun 2023