General Medicine: Clinical Practice Guideline Watch

Screening for Colorectal Cancer

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

A new guideline adds noninvasive options but with many caveats.

• By Richard Saitz, MD, MPH, FACP, FASAM
• March 27, 2008
• Covering:
  • Levin B et al., CA Cancer J Clin 2008 Mar 5

Pharmacologic Treatment of Dementia

• General Medicine
• Clinical Practice Guideline Watch
• Free Article

Drugs do not lead to dramatic improvements in patients with dementia.

• By Richard Saitz, MD, MPH, FACP, FASAM
• March 25, 2008
• Covering:
  • Qaseem A et al., Ann Intern Med 2008 Mar 4; 148:370
  • Raina P et al., Ann Intern Med 2008 Mar 4; 148:379

New ACP Guideline on Palliative Care

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

Simple recommendations highlight the need for clear communication, attention to caregivers, and continuity and coordination of care.

• Interview

• By Richard Saitz, MD, MPH, FACP, FASAM
• January 29, 2008
• Covering:
  • Qaseem A et al., Ann Intern Med 2008 Jan 15; 148:141
  • Lorenz KA et al., Ann Intern Med 2008 Jan 15; 148:147

USPSTF Recommends Against Screening for Asymptomatic Carotid Artery Stenosis

• General Medicine
• Clinical Practice Guideline Watch
• Free Article

At first glance, the recommendation seems surprising — but upon further examination, it makes sense.

• Interview

• By Richard Saitz, MD, MPH, FACP, FASAM
• January 15, 2008
• Covering:
  • Wolff T et al., Ann Intern Med 2007 Dec 18; 147:860
  • U.S. Preventive Services Task Force., Ann Intern Med 2007 Dec 18; 147:854

Screening for Hypertension

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

A grade A recommendation calls for blood pressure screening of adults aged 18 and older.

• By Richard Saitz, MD, MPH, FACP, FASAM
• January 8, 2008
• Covering:
  • U.S. Preventive Services Task Force., Ann Intern Med 2007 Dec 4; 147:783
  • Wolff T and Miller T., Ann Intern Med 2007 Dec 4; 147:787

Clinical Practice Guideline: COPD

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

The ACP makes three strong recommendations for the diagnosis and management of stable chronic COPD.

• By Richard Saitz, MD, MPH, FACP, FASAM
• December 6, 2007
• Covering:
  • Qaseem A et al., Ann Intern Med 2007 Nov 6; 147:633
  • Wilt TJ et al., Ann Intern Med 2007 Nov 6; 147:639

Guidelines for Perioperative Cardiovascular Evaluation for Patients Considering Noncardiac Surgery

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

The new guideline gives clinicians more latitude to individualize decisions.

• By Allan S. Brett, MD
• November 20, 2007
• Covering:
  • Fleisher LA et al., Circulation 2007 Oct 23; 116:1971

Recommended Adult Immunization Schedule: ACIP Practice Guideline

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

Several new vaccines, and new recommendations for older vaccines

• By Richard Saitz, MD, MPH, FACP, FASAM
• November 15, 2007
• Covering:
  • Advisory Committee on Immunization Practices., Ann Intern Med 2007 Oct 18
  • Poland GA and Schaffner W., Ann Intern Med 2007 Oct 18

Diagnosis and Treatment of Low Back Pain

• General Medicine
• Clinical Practice Guideline Watch
• Free Article

Evidence-based recommendations for evaluation and management in the primary care setting

• By Richard Saitz, MD, MPH, FACP, FASAM
• October 25, 2007
• Covering:
  • Chou R et al., Ann Intern Med 2007 Oct 2; 147:478
  • Chou R and Huffman LH., Ann Intern Med 2007 Oct 2; 147:492
  • Chou R and Huffman LH., Ann Intern Med 2007 Oct 2; 147:505

American College of Chest Physicians Weighs In Against CT Screening for Lung Cancer

• General Medicine
• Clinical Practice Guideline Watch
• Subscription Required

The guideline recommends CT screening only in the context of a well-designed clinical trial.

• Interview

• By Allan S. Brett, MD
• September 27, 2007
• Covering:
  • Bach PB et al., Chest 2007 Sep; 132:69S