Search results for "Clinical decision-making"
Guideline for Ménière's disease offers 16 key action statements for diagnosis, treatment
An updated guideline from the American Academy of Otolaryngology—Head and Neck Surgery cautions that due to the variety of clinical presentations in patients with definite and probable Ménière's disease, a full and accurate diagnosis may take months to attain.
https://immattersacp.org/weekly/archives/2020/04/14/4.htm
14 Apr 2020
NKF-ASN task force issues final report on use of race in diagnosing kidney disease
Effective immediately in the U.S., estimated glomerular filtration rate should be calculated with an updated equation that does not include a race modifier for Black patients, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) said.
https://immattersacp.org/weekly/archives/2021/09/28/2.htm
28 Sep 2021
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://immattersacp.org/weekly/archives/2022/04/12/1.htm
12 Apr 2022
ACIP releases updated vaccination schedule with several changes
Updated recommendations from the Advisory Committee on Immunization Practices (ACIP) affect vaccinations for influenza and human papillomavirus, among others.
https://immattersacp.org/weekly/archives/2020/02/04/1.htm
4 Feb 2020
ACP, Society to Improve Diagnosis in Medicine produce case-based resource to improve diagnosis
Cases were designed to encourage thinking around diagnostic decision-making, identify problems that may occur in the diagnostic process, and demonstrate how diagnostic errors may affect both patients and the daily practice of medicine.
https://immattersacp.org/weekly/archives/2017/10/17/5.htm
17 Oct 2017
Decision aid did not help surrogates, clinicians agree on treatment goals for critically ill patients
Nearly all surrogates chose a more aggressive treatment goal for patients on life support than was suggested by a decision aid, despite the aid being based on surrogates' reports of patients' values.
https://immattersacp.org/weekly/archives/2019/01/29/5.htm
29 Jan 2019
Testing CRP level safely reduced antibiotic use in patients with COPD exacerbation
In patients with chronic obstructive pulmonary disease (COPD) exacerbations, point-of-care testing of C-reactive protein (CRP) level decreased antibiotic use without affecting clinical outcomes, a randomized controlled trial found.
https://immattersacp.org/weekly/archives/2019/07/16/1.htm
16 Jul 2019
Updated guideline on cholesterol management focuses on detailed risk assessment
The guideline from the American College of Cardiology/American Heart Association recommends that physicians talk to patients about risk-enhancing factors that can help provide a more personalized risk assessment, in addition to such traditional risk factors as smoking and high blood pressure.
https://immattersacp.org/weekly/archives/2018/11/20/2.htm
20 Nov 2018
MKSAP Quiz: Familial screening for hypertrophic cardiomyopathy
A 56-year-old man is being evaluated after his 18-year-old son had a syncopal episode during a high school basketball game and was diagnosed with hypertrophic cardiomyopathy (HCM). The patient has had no symptoms, including with physical activity such as golfing or playing tennis. Findings of a comprehensive physical examination are unremarkable. An electrocardiogram and echocardiogram are normal, with no evidence of HCM. When should this patient next be screened for HCM?
https://immattersacp.org/weekly/archives/2018/06/19/3.htm
19 Jun 2018
Take a tiered approach to CVD
Primary care physicians' efforts are paying off as they promote primary prevention of cardiovascular disease, even in a time-pressed visit.
https://immattersacp.org/archives/2022/02/take-a-tiered-approach-to-cvd.htm
1 Feb 2022