Search results for "Guidelines"
Continuing anti-TNF therapy in pregnancy appears beneficial for patients with IBD
A French target trial emulation, which refers to the use of observational data to mimic a randomized controlled trial, found that maternal relapse of inflammatory bowel disease (IBD) and premature births were less common when patients continued anti-tumor necrosis factor (anti-TNF) therapy after 24 weeks of pregnancy than when the drugs were discontinued.
https://acpinternist.org/weekly/archives/2022/09/27/1.htm
27 Sep 2022
Advance care planning: Administration and reimbursement
Advance care planning conversations should happen before critical illness or hospitalization occurs, and Medicare can reimburse physician time spent on them.
https://acpinternist.org/archives/2022/09/advance-care-planning-administration-and-reimbursement.htm
1 Sep 2022
MKSAP Quiz: Preparticipation physical examination for sports
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
https://acpinternist.org/weekly/archives/2022/09/20/3.htm
20 Sep 2022
New guideline targets preventing obesity in midlife women
A guideline from the Women's Preventive Services Initiative recommends physicians counsel women ages 40 to 60 years about healthy eating and physical activity to maintain weight or prevent weight gain.
https://acpinternist.org/weekly/archives/2022/08/02/2.htm
2 Aug 2022
Not enough time for primary care clinicians to provide guideline-recommended care, study finds
A recent simulation study estimated that a primary care clinician would require 26.7 h/d to provide preventive, chronic, and acute care, plus documentation/inbox management, to an average panel of 2,500 patients. This time decreased to 9.3 h/d with team-based care.
https://acpinternist.org/weekly/archives/2022/07/12/2.htm
12 Jul 2022
MKSAP Quiz: Genetic consult for breast cancer risk
A 29-year-old woman requests advice after receipt of a direct-to-consumer genetic test result that included BRCA gene analysis. She has no breast symptoms and has not undergone any previous breast cancer screening. Following a physical exam and other findings, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2022/09/13/3.htm
13 Sep 2022
New ACP clinical guidelines address diagnosis, management of adult patients with diverticulitis
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
https://acpinternist.org/weekly/archives/2022/01/18/2.htm
18 Jan 2022
Cardiac societies issue new joint guideline on management of heart failure
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://acpinternist.org/weekly/archives/2022/04/05/2.htm
5 Apr 2022
New guideline encourages use of cognitive behavioral therapy for insomnia in adults
The American Academy of Sleep Medicine's guideline update addresses use of multicomponent brief therapies for insomnia, as well as single therapies such as stimulus control and relaxation therapy.
https://acpinternist.org/weekly/archives/2020/12/22/5.htm
22 Dec 2020
EHR alerts may help boost guideline-directed therapy for heart failure
An industry-funded cluster-randomized trial found that clinician alerts were associated with an over 40% increase in prescription of four recommended drug classes in patients with heart failure with reduced ejection fraction.
https://acpinternist.org/weekly/archives/2022/04/12/1.htm
12 Apr 2022