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21. Appropriate Use of Point-of-Care Ultrasonography in Patients With Acute Dyspnea in Emergency Department or Inpatient Settings: A Clinical Guideline From the American College of Physicians.
作者: Amir Qaseem.;Itziar Etxeandia-Ikobaltzeta.;Reem A Mustafa.;Devan Kansagara.;Nick Fitterman.;Timothy J Wilt.; .;Pelin Batur.;Thomas G Cooney.;Carolyn J Crandall.;Lauri A Hicks.;Jennifer S Lin.;Michael Maroto.;Jeffrey Tice.;Janice E Tufte.;Sandeep Vijan.;John W Williams.
来源: Ann Intern Med. 2021年174卷7期985-993页
The American College of Physicians (ACP) developed this guideline to provide clinical recommendations on the appropriate use of point-of-care ultrasonography (POCUS) in patients with acute dyspnea in emergency department (ED) or inpatient settings to improve the diagnostic, treatment, and health outcomes of those with suspected congestive heart failure, pneumonia, pulmonary embolism, pleural effusion, or pneumothorax.
22. Appropriate Use of Short-Course Antibiotics in Common Infections: Best Practice Advice From the American College of Physicians.
作者: Rachael A Lee.;Robert M Centor.;Linda L Humphrey.;Janet A Jokela.;Rebecca Andrews.;Amir Qaseem.; .;Elie A. Akl.;Thomas A. Bledsoe.;Mary Ann Forciea.;Ray Haeme.;Devan L. Kansagara.;Maura Marcucci.;Matthew C. Miller.;Adam J. Obley.
来源: Ann Intern Med. 2021年174卷6期822-827页
Antimicrobial overuse is a major health care issue that contributes to antibiotic resistance. Such overuse includes unnecessarily long durations of antibiotic therapy in patients with common bacterial infections, such as acute bronchitis with chronic obstructive pulmonary disease (COPD) exacerbation, community-acquired pneumonia (CAP), urinary tract infections (UTIs), and cellulitis. This article describes best practices for prescribing appropriate and short-duration antibiotic therapy for patients presenting with these infections.
23. What Is the Antibody Response and Role in Conferring Natural Immunity After SARS-CoV-2 Infection? Rapid, Living Practice Points From the American College of Physicians (Version 1).
作者: Amir Qaseem.;Jennifer Yost.;Itziar Etxeandia-Ikobaltzeta.;Mary Ann Forciea.;George M Abraham.;Matthew C Miller.;Adam J Obley.;Linda L Humphrey.; .;Robert M Centor.;Elie A Akl.;Rebecca Andrews.;Thomas A Bledsoe.;Ray Haeme.;Devan L Kansagara.
来源: Ann Intern Med. 2021年174卷6期828-835页
The widespread availability of SARS-CoV-2 antibody tests raises important questions for clinicians, patients, and public health professionals related to the appropriate use and interpretation of these tests. The Scientific Medical Policy Committee (SMPC) of the American College of Physicians developed these rapid, living practice points to summarize the current and best available evidence on the antibody response to SARS-CoV-2 infection, antibody durability after initial infection with SARS-CoV-2, and antibody protection against reinfection with SARS-CoV-2.
24. Should Remdesivir Be Used for the Treatment of Patients With COVID-19? Rapid, Living Practice Points From the American College of Physicians (Version 2).
作者: Amir Qaseem.;Jennifer Yost.;Itziar Etxeandia-Ikobaltzeta.;George M Abraham.;Janet A Jokela.;Mary Ann Forciea.;Matthew C Miller.;Linda L Humphrey.; .;Robert M. Centor.;Rebecca Andrews.;Ray Haeme.
来源: Ann Intern Med. 2021年174卷5期673-679页
Clinicians must have access to the best available evidence to inform point-of-care decisions about the use of remdesivir in patients with COVID-19. This article provides updated advice from the American College of Physicians for clinicians based on an updated rapid review.
25. Diabetes Management in Chronic Kidney Disease: Synopsis of the 2020 KDIGO Clinical Practice Guideline.
作者: Sankar D Navaneethan.;Sophia Zoungas.;M Luiza Caramori.;Juliana C N Chan.;Hiddo J L Heerspink.;Clint Hurst.;Adrian Liew.;Erin D Michos.;Wasiu A Olowu.;Tami Sadusky.;Nikhil Tandon.;Katherine R Tuttle.;Christoph Wanner.;Katy G Wilkens.;Lyubov Lytvyn.;Jonathan C Craig.;David J Tunnicliffe.;Martin Howell.;Marcello Tonelli.;Michael Cheung.;Amy Earley.;Peter Rossing.;Ian H de Boer.;Kamlesh Khunti.
来源: Ann Intern Med. 2021年174卷3期385-394页
The Kidney Disease: Improving Global Outcomes (KDIGO) organization developed a clinical practice guideline in 2020 for the management of patients with diabetes and chronic kidney disease (CKD).
26. Should Remdesivir Be Used for the Treatment of Patients With COVID-19? Rapid, Living Practice Points From the American College of Physicians (Version 1).
作者: Amir Qaseem.;Jennifer Yost.;Itziar Etxeandia-Ikobaltzeta.;George M Abraham.;Janet A Jokela.;Mary Ann Forciea.;Matthew C Miller.;Linda L Humphrey.; .;Robert M Centor.;Rebecca Andrews.;Ray Haeme.;Devan L Kansagara.;Maura Marcucci.
来源: Ann Intern Med. 2021年174卷2期229-236页
These rapid and living practice points from the American College of Physicians address the effectiveness and harms of remdesivir treatment in patients with COVID-19.
27. Convalescent Plasma for the Treatment of COVID-19: Perspectives of the National Institutes of Health COVID-19 Treatment Guidelines Panel.
作者: Alice K Pau.;Judith Aberg.;Jason Baker.;Pamela S Belperio.;Craig Coopersmith.;Page Crew.;Birgit Grund.;Roy M Gulick.;Carly Harrison.;Arthur Kim.;H Clifford Lane.;Henry Masur.;Virginia Sheikh.;Kanal Singh.;Jinoos Yazdany.;Pablo Tebas.; .
来源: Ann Intern Med. 2021年174卷1期93-95页
In the United States, the efficacy and safety of convalescent plasma for treating coronavirus disease 2019 (COVID-19) is currently being tested in randomized placebo-controlled clinical trials. Treatment of individual patients with COVID-19 with convalescent plasma outside such trials is also now permitted through U.S. Food and Drug Administration Emergency Use Authorization. Here, members of the National Institutes of Health COVID-19 Treatment Guidelines Panel provide their views regarding use of convalescent plasma for treating COVID-19.
28. Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2020 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline.
作者: Patrick G O'Malley.;Michael J Arnold.;Cathy Kelley.;Lance Spacek.;Andrew Buelt.;Sundar Natarajan.;Mark P Donahue.;Elena Vagichev.;Jennifer Ballard-Hernandez.;Amanda Logan.;Lauren Thomas.;Joan Ritter.;Brian E Neubauer.;John R Downs.
来源: Ann Intern Med. 2020年173卷10期822-829页
In June 2020, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) released a joint update of their clinical practice guideline for managing dyslipidemia to reduce cardiovascular disease risk in adults. This synopsis describes the major recommendations.
29. Second International Guidelines for the Diagnosis and Management of Hereditary Hemorrhagic Telangiectasia.
作者: Marie E Faughnan.;Johannes J Mager.;Steven W Hetts.;Valerie A Palda.;Kelly Lang-Robertson.;Elisabetta Buscarini.;Erik Deslandres.;Raj S Kasthuri.;Andrea Lausman.;David Poetker.;Felix Ratjen.;Mark S Chesnutt.;Marianne Clancy.;Kevin J Whitehead.;Hanny Al-Samkari.;Murali Chakinala.;Miles Conrad.;Daniel Cortes.;Claudia Crocione.;Jama Darling.;Els de Gussem.;Carol Derksen.;Sophie Dupuis-Girod.;Patrick Foy.;Urban Geisthoff.;James R Gossage.;Adrienne Hammill.;Ketil Heimdal.;Katharine Henderson.;Vivek N Iyer.;Anette D Kjeldsen.;Masaki Komiyama.;Kevin Korenblatt.;Jamie McDonald.;Jack McMahon.;Justin McWilliams.;Mary E Meek.;Meir Mei-Zahav.;Scott Olitsky.;Sara Palmer.;Rose Pantalone.;Jay F Piccirillo.;Beth Plahn.;Mary E M Porteous.;Marco C Post.;Ivan Radovanovic.;Paul J Rochon.;Josanna Rodriguez-Lopez.;Carlo Sabba.;Marcelo Serra.;Claire Shovlin.;Dennis Sprecher.;Andrew J White.;Ingrid Winship.;Roberto Zarrabeitia.
来源: Ann Intern Med. 2020年173卷12期989-1001页
Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease with an estimated prevalence of 1 in 5000 that is characterized by the presence of vascular malformations (VMs). These result in chronic bleeding, acute hemorrhage, and complications from shunting through VMs. The goal of the Second International HHT Guidelines process was to develop evidence-based consensus guidelines for the management and prevention of HHT-related symptoms and complications.
30. Synopsis of the 2020 U.S. Department of Veterans Affairs/U.S. Department of Defense Clinical Practice Guideline: The Diagnosis and Management of Hypertension in the Primary Care Setting.
作者: Cdr Mark P Tschanz.;William C Cushman.;Cdr Travis E Harrell.;Dan R Berlowitz.;James L Sall.
来源: Ann Intern Med. 2020年173卷11期904-913页
In January 2020, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a joint clinical practice guideline for the diagnosis and management of hypertension in the primary care setting.
31. Pharmacologic Approaches to Glycemic Treatment of Type 2 Diabetes: Synopsis of the 2020 American Diabetes Association's Standards of Medical Care in Diabetes Clinical Guideline.
作者: Kacie Doyle-Delgado.;James J Chamberlain.;Jay H Shubrook.;Neil Skolnik.;Jennifer Trujillo.
来源: Ann Intern Med. 2020年173卷10期813-821页
The American Diabetes Association (ADA) updates the Standards of Medical Care in Diabetes annually to provide clinicians, patients, researchers, payers, and other interested parties with evidence-based recommendations for the diagnosis and management of diabetes.
32. Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians.
作者: Amir Qaseem.;Robert M McLean.;David O'Gurek.;Pelin Batur.;Kenneth Lin.;Devan L Kansagara.; .; .;Thomas G Cooney.;Mary Ann Forciea.;Carolyn J Crandall.;Nick Fitterman.;Lauri A Hicks.;Carrie Horwitch.;Michael Maroto.;Robert M McLean.;Reem A Mustafa.;Janice Tufte.;Sandeep Vijan.;John W Williams.
来源: Ann Intern Med. 2020年173卷9期739-748页
The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) developed this guideline to provide clinical recommendations on nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults in the outpatient setting. The guidance is based on current best available evidence about benefits and harms, taken in the context of costs and patient values and preferences. This guideline does not address noninvasive treatment of low back pain, which is covered by a separate ACP guideline that has also been endorsed by AAFP.
33. Screening for Anxiety in Adolescent and Adult Women: A Recommendation From the Women's Preventive Services Initiative.
作者: Kimberly D Gregory.;David Chelmow.;Heidi D Nelson.;Maureen Sayres Van Niel.;Jeanne A Conry.;Francisco Garcia.;Susan M Kendig.;Nancy O'Reilly.;Amir Qaseem.;Diana Ramos.;Alina Salganicoff.;Sarah Son.;Julie K Wood.;Christopher Zahn.; .
来源: Ann Intern Med. 2020年173卷1期48-56页
The Women's Preventive Services Initiative (WPSI), a national coalition of women's health professional organizations and patient representatives, developed a recommendation on screening for anxiety in adolescent and adult women to improve detection; achieve earlier diagnosis and treatment; and improve health, function, and well-being. The WPSI's recommendations are intended to guide clinical practice and coverage of services for the Health Resources and Services Administration and other stakeholders. The target audience for this recommendation includes all clinicians providing preventive health care to women, particularly in primary care settings. This recommendation applies to women and adolescent girls aged 13 years or older who are not currently diagnosed with anxiety disorders, including pregnant and postpartum women.
34. Should Clinicians Use Chloroquine or Hydroxychloroquine Alone or in Combination With Azithromycin for the Prophylaxis or Treatment of COVID-19? Living Practice Points From the American College of Physicians (Version 1).
作者: Amir Qaseem.;Jennifer Yost.;Itziar Etxeandia-Ikobaltzeta.;Matthew C Miller.;George M Abraham.;Adam Jacob Obley.;Mary Ann Forciea.;Janet A Jokela.;Linda L Humphrey.; .;Robert M Centor.;Rebecca Andrews.;Thomas A Bledsoe.;Ray Haeme.;Devan L Kansagara.;Maura Marcucci.
来源: Ann Intern Med. 2020年173卷2期137-142页 35. The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines.
作者: Vincent Mysliwiec.;Jennifer L Martin.;Christi S Ulmer.;Susmita Chowdhuri.;Matthew S Brock.;Christopher Spevak.;James Sall.
来源: Ann Intern Med. 2020年172卷5期325-336页
In September 2019, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a new joint clinical practice guideline for assessing and managing patients with chronic insomnia disorder and obstructive sleep apnea (OSA). This guideline is intended to give health care teams a framework by which to screen, evaluate, treat, and manage the individual needs and preferences of VA and DoD patients with either of these conditions.
37. Testosterone Treatment in Adult Men With Age-Related Low Testosterone: A Clinical Guideline From the American College of Physicians.
作者: Amir Qaseem.;Carrie A Horwitch.;Sandeep Vijan.;Itziar Etxeandia-Ikobaltzeta.;Devan Kansagara.; .;Mary Ann Forciea.;Carolyn Crandall.;Nick Fitterman.;Lauri A Hicks.;Jennifer S Lin.;Michael Maroto.;Robert M McLean.;Reem A Mustafa.;Janice Tufte.
来源: Ann Intern Med. 2020年172卷2期126-133页
The American College of Physicians (ACP) developed this guideline to provide clinical recommendations based on the current evidence of the benefits and harms of testosterone treatment in adult men with age-related low testosterone. This guideline is endorsed by the American Academy of Family Physicians.
38. Breast Cancer Screening and Diagnosis: A Synopsis of the European Breast Guidelines.
作者: Holger J Schünemann.;Donata Lerda.;Cecily Quinn.;Markus Follmann.;Pablo Alonso-Coello.;Paolo Giorgi Rossi.;Annette Lebeau.;Lennarth Nyström.;Mireille Broeders.;Lydia Ioannidou-Mouzaka.;Stephen W Duffy.;Bettina Borisch.;Patricia Fitzpatrick.;Solveig Hofvind.;Xavier Castells.;Livia Giordano.;Carlos Canelo-Aybar.;Sue Warman.;Robert Mansel.;Francesco Sardanelli.;Elena Parmelli.;Axel Gräwingholt.;Zuleika Saz-Parkinson.; .
来源: Ann Intern Med. 2020年172卷1期46-56页
The European Commission Initiative for Breast Cancer Screening and Diagnosis guidelines (European Breast Guidelines) are coordinated by the European Commission's Joint Research Centre. The target audience for the guidelines includes women, health professionals, and policymakers.
39. Policy Recommendations for Public Health Plans to Stem the Escalating Costs of Prescription Drugs: A Position Paper From the American College of Physicians.
The increasing price of prescription drugs is an ongoing concern for Medicare and Medicaid, particularly for patients with chronic health conditions who are using multiple medications and patients in these programs taking high-priced brand-name specialty drugs. Shifts in benefit design, including higher deductibles and a movement away from copayments to coinsurance, have increased patient out-of-pocket costs and put pressure on program budgets. In this paper, the American College of Physicians expands on its position paper from 2016 and offers additional recommendations to decrease out-of-pocket costs for patients, enhance the government's purchasing power, and address existing policies that add costs to the health care system.
40. Policy Recommendations for Pharmacy Benefit Managers to Stem the Escalating Costs of Prescription Drugs: A Position Paper From the American College of Physicians.
Recent discussions about the increasing prices of prescription drugs have focused on pharmacy benefit managers (PBMs), third-party intermediaries for various types of employers and government purchasers who negotiate drug prices in health plans and thus play a crucial role in determining the amount millions of Americans pay for medications. In this position paper, the American College of Physicians expands on its position paper from 2016 by offering additional recommendations to improve transparency in the PBM industry and highlighting the need for reliable, timely, and relevant information on prescription drug pricing for physicians and patients.
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