October 2009 Archives

USPSTF: Screening for Breast Cancer

| No Comments
The U.S. Preventive Services Task Force (USPSTF) recommends screening mammography, with or without clinical breast examination (CBE), every 1-2 years for women aged 40 and older.
Grade: B (recommended, fair evidence)

The USPSTF concludes that the evidence is insufficient to recommend for or against routine CBE alone to screen for breast cancer.
Grade: I (insufficient evidence)

The USPSTF concludes that the evidence is insufficient to recommend for or against teaching or performing routine breast self-examination (BSE).

Grade: I (insufficient evidence)


Screening for Breast Cancer, Topic Page. November 2003. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD.

NKF/KDOQI: Erythropoietin & Hemoglobin Target

| No Comments

2.1.3 In dialysis and nondialysis patients with CKD receiving ESA therapy, the Hb target should not be greater than 13.0 g/dL. (Clinical Practice GUIDELINE - MODERATELY STRONG EVIDENCE)

 

KDOQI Clinical Practice Guideline and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease: 2007 Update of Hemoglobin Target

ACC/AHA: 2009 Heart Failure Dx & Mgmt

| No Comments

3. Recommendations for the Initial Clinical Assessment of Patients Presenting With Heart Failure

Class IIa, number 9.

Measurement of natriuretic peptides (BNP and NT-proBNP) can be useful in the evaluation of patients presenting in the urgent care setting in whom the clinical diagnosis of HF is uncertain. Measurement of natriuretic peptides can be useful in risk stratification (Level of Evidence: A

3. Recommendations for Serial Clinical Assessment of Patients Presenting With Heart Failure

Class IIb, number 1.

The value of serial measurements of BNP to guide therapy for patients with HF is not well established (Level of Evidence: C)

 

2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults. J Am Coll Cardiol 2009; 53: 1343.

IDSA: Asymptomatic Bacteriuria in Adults

| 4 Comments

2. Pyuria accompanying asymptomatic bacteriuria is not an indication for antimicrobial treatment (A-II).

 

IDSA Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteriuria in Adults

Recent Comments

  • Patrick: Guidelines are meant to be guidelines. In the IDSA recommendation, read more
  • Alifeya: an example, 80 y/o nursing home resident with severe dementia read more
  • Patrick: The IDSA guidelines for uncomplicated cystitis excluded studies where >2% read more
  • mbazylewicz: Does a fever (unidentified source) with no dysuria, frequency, urgency, read more