NGC Update Service: November 30, 2015

National Guideline Clearinghouse (NGC)

November 30, 2015

New This Week

Guideline Summaries

American Academy of Pediatrics

American Psychiatric Association

European Association of Urology Nurses

National Institute for Health and Care Excellence (NICE)

Registered Nurses' Association of Ontario

Withdrawn Summaries

The summaries listed below have been withdrawn from the NGC Web site because they no longer meet the NGC Inclusion Criteria. See the Guideline Archive for a complete list of guidelines that have been withdrawn from the NGC Web site.

Academy of Nutrition and Dietetics

  • Chronic kidney disease evidence-based nutrition practice guideline.
  • HIV/AIDS evidence-based nutrition practice guideline.

American Association for the Study of Liver Diseases

  • AASLD practice guidelines: the role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension.
  • Alcoholic liver disease.
  • Diagnosis and management of autoimmune hepatitis.
  • Diagnosis and management of primary sclerosing cholangitis.
  • Management of hepatocellular carcinoma: an update.

American Association of Diabetes Educators

  • Guidelines for the practice of diabetes education.

American Association of Neuroscience Nurses

  • Guide to the care of the hospitalized patient with ischemic stroke. 2nd edition.

American Cancer Society

  • American Cancer Society guideline for the early detection of prostate cancer.

American College of Cardiology Foundation

  • 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
  • 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine.

American College of Chest Physicians

  • American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery.
  • Device selection and outcomes of aerosol therapy: evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology.

American College of Emergency Physicians

  • Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis.

American College of Gastroenterology

  • Role of esophageal stents in benign and malignant diseases.
  • Ulcerative colitis practice guidelines in adults: American College of Gastroenterology, Practice Parameters Committee.

American College of Medical Genetics and Genomics

  • Array-based technology and recommendations for utilization in medical genetics practice for detection of chromosomal abnormalities.

American College of Obstetricians and Gynecologists

  • Gynecologic care for women with human immunodeficiency virus.
  • Management of alloimmunization during pregnancy.
  • Management of endometriosis.
  • Management of intrapartum fetal heart rate tracings.
  • Noncontraceptive uses of hormonal contraceptives.
  • Pregestational diabetes mellitus.
  • Vaginal birth after previous cesarean delivery.


NGC Spotlight

  • Visit the Hospital-Acquired Conditions page for evidence-based resources available on the NGC Web site to assist users in the prevention of CMS-identified hospital-acquired conditions.

Conference News

  • The 8th Annual Conference on the Science of Dissemination and Implementation will take place from December 14-15, 2015 in Washington DC. The theme is "Optimizing Personal and Population Health." Visit the conference home page for more information.
  • The Guidelines International Network North America (G-I-N NA) continues to sponsor a monthly webinar series on topics of interest to the North American guideline community. Information on upcoming webinars, as well as audio files and slides from past webinars, are available on the G-I-N Web site.

U.S. Food and Drug Administration (FDA) Advisories

  • November 17, 2015: Iodine-containing Contrast Agents for Medical Imaging: FDA is advising that rare cases of underactive thyroid have been reported in infants following the use of contrast media containing iodine, also called "contrast dye," for X-rays and other medical imaging procedures. In all of the reported cases, the infants were either premature or had other serious underlying medical conditions. Available evidence leads FDA to believe that this rare occurrence is usually temporary and resolves without treatment or any lasting effects. See the Drug Safety Communication for a data summary and a list of approved Approved Iodinated Contrast Media Products.
  • November 23, 2015: Intravascular Medical Devices: The FDA wants to make health care providers aware of the possibility that hydrophilic and/or hydrophobic coatings may separate (e.g., peel, flake, shed, delaminate, slough off) from medical devices and potentially cause serious injuries to patients. Coating separation can be caused by a number of factors, ranging from the difficulty of the procedure and the patient's anatomy to practitioner technique or using the wrong device for the procedure, to improper preconditioning of the device and improper storage conditions as well as issues with device design or manufacturing processes. Based on current information, the FDA believes the overall benefits of these devices continue to outweigh the risks. However, health care providers should be aware of potential problems and consider certain actions prior to use.

How to Participate

  • Submit Guidelines: Visit our Submit Guidelines page for information on how to submit your organization's guidelines.
  • Suggest a Guideline for Possible Inclusion: Submit your suggestions for evidence-based clinical practice guidelines that you would like to see included in NGC.

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