Health Advocate Clinical Guidelines

Health Advocate Clinical Guidelines: Sources

From the current medical literature to revised guidelines from trusted medical organizations, our Health Advocate clinical team of experienced medical directors and Registered Nurses continually monitors new research and updates our approach to preventive and chronic care. This ensures that when we are helping our members through the decision support process, we are giving them help based on the best that medicine has to offer.

Here are the sources our team uses to develop our guidelines.

Asthma

NHBLI Summary Report (2007)
http://www.nhlbi.nih.gov/guidelines/asthma/asthsumm.pdf

Quick reference (revised 9/12):
http://www.nhlbi.nih.gov/guidelines/asthma/asthma_qrg.pdf
https://www.nhlbi.nih.gov/health-topics/guidelines-for-diagnosis-management-of-asthma

Global strategy for Asthma:

All reports and guides for 2018 available for download at: http://ginasthma.org/

http://ginasthma.org/2018-gina-report-global-strategy-for-asthma-management-and-prevention/

COPD

Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017.
Available from: http://goldcopd.org/gold-reports/

2018 report incorporates information published between Jan 2016 to July 2017.

Full report

http://goldcopd.org/wp-content/uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society.

Annals of Internal Medicine 2011 Aug; 155(3):179-191

http://annals.org/article.aspx?articleid=479627

CAD

Link to HF guidelines update explanation web page:
http://www.acc.org/latest-in-cardiology/articles/2017/04/28/12/01/societies-release-hf-guideline-focused-update

Pertinent guidelines:
http://www.acc.org/clinical-topics/stable-ischemic-heart-disease#sort=%40fwhatstrendingscore86069%20descending&tab=guidelines

American Heart Association (AHA)/American College of Cardiology (ACC) Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease https://doi.org/10.1161/CIR.0b013e318235eb4d

Circulation. 2011; 124:2458-2473 originally published November 3, 2011

ACC/AHA/AATS/PCNA/SCAI/ STS Focused Update of the Guideline for the Diagnosis and Management of Patients with Stable Ischemic Heart Disease, November, 2014

Circulation. 2014; 130:1749-1767 https://doi.org/10.1161/CIR.0000000000000095

2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction, 2014 AHA/ACC Guideline.

Diabetes

Standards of Care in Diabetes 2018 American Diabetes Association
http://care.diabetesjournals.org/content/41/Supplement_1

Summary of Revisions: Standards of Medical Care in Diabetes—2018

Diabetes Care 2018 Jan; 41(Supplement 1): S4-S6. https://doi.org/10.2337/dc18-Srev01
http://care.diabetesjournals.org/content/41/Supplement_1/S4

Acknowledged, but not formally adopted:
http://annals.org/aim/fullarticle/2674121/hemoglobin-1c-targets-glycemic-control-pharmacologic-therapy-nonpregnant-adults-type

Heart Failure

http://www.acc.org/guidelines/hubs/heart-failure guideline hub for HF includes all updates of 2013 guideline.

2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America
https://doi.org/10.1161/CIR.0000000000000509

Circulation. 2017; CIR.0000000000000509

March 6, 2018, Volume 137, Issue 10

Hypertension

Guideline Hub:
http://www.acc.org/guidelines/hubs/high-blood-pressure

2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Paul K. Whelton, Robert M. Carey, Wilbert S. Aronow, Donald E. Casey, Karen J. Collins, Cheryl Dennison Himmelfarb, Sondra M. DePalma, Samuel Gidding, Kenneth A. Jamerson, Daniel W. Jones, Eric J. MacLaughlin, Paul Muntner, Bruce Ovbiagele, Sidney C. Smith, Crystal C. Spencer, Randall S. Stafford, Sandra J. Taler, Randal J. Thomas, Kim A. Williams, Jeff D. Williamson, Jackson T. Wright

https://doi.org/10.1161/HYP.0000000000000065

Hypertension. 2017; HYP.0000000000000065

Originally published November 13, 2017

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians

Ann Intern Med. 2017; 166(6):430-437.

DOI: 10.7326/M16-1785

http://annals.org/aim/article/2598413/pharmacologic-treatment-hypertension-adults-aged-60-years-older-higher-versus

Cardiovascular Risk, Lipid Disorders & Metabolic Syndrome

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults

https://doi.org/10.1161/01.cir.0000437738.63853.7a

2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk

Circulation 2014; 129:S49-S73

https://doi.org/10.1161/01.cir.0000437741.48606.98

Link to CV Risk Calculator:
https://my.americanheart.org/professional/StatementsGuidelines/PreventionGuidelines/Prevention-Guidelines_UCM_457698_SubHomePage.jsp

Obesity

2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults

https://doi.org/10.1161/01.cir.0000437739.71477.ee

Circulation 2014; 129: S102-S138

Full Guideline: Pharmacological Management of Obesity

JCEM | February 2016

Caroline M. Apovian (chair), Louis J. Aronne, Daniel H. Bessesen, Marie E. McDonnell, M. Hassan Murad, Uberto Pagotto, Donna H. Ryan, and Christopher D. Still

The link below contains additional clinical and educational resources:
https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines/pharmacological-management-of-obesity

Document: Pharmacological Management of Obesity: An Endocrine Society Clinical Practice Guideline; Journal of Clinical Endocrinology and Metabolism

J Clin Endocrinol Metab (2015) 100 (2): 342-362.

https://doi.org/10.1210/jc.2014-3415

AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITY Endocrine Practice Vol 22 (Suppl 3) July 2016

https://www.aace.com/files/final-appendix.pdf

US Dietary Guidelines

HHS USDA 2015-2020 Dietary Guidelines for Americans Executive Summary:

http://health.gov/dietaryguidelines/2015/guidelines/executive-summary/

Full Guideline:

http://health.gov/dietaryguidelines/2015/guidelines/

Depression

Per APA website, new guideline on Major depression under development:

https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines

American Psychiatric Association Practice Guideline: Treatment of Patients with Major Depressive Disorder, November 2010

http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf

Quick reference guide:
http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd-guide.pdf

Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients with Major Depressive Disorder: A Clinical Practice Guideline from the American College of Physicians

Ann Intern Med. 2016; 164(5):350-359. doi: 10.7326/M15-2570 http://annals.org/article.aspx?articleid=2490527

Preventive Services

Childhood Immunizations Advisory Committee on Immunization Practices. Recommended Immunization Schedules United States, 2018

https://www.cdc.gov/vaccines/schedules/

American Academy of Pediatrics/ Bright Futures Recommendations for Preventive Pediatric Health Care, 2017

https://brightfutures.aap.org/Pages/default.aspx

https://www.aap.org/en-us/Documents/periodicity_schedule.pdf

Preventive Services Recommendations: U.S. Preventive Services Task Force (USPTF)

http://www.uspreventiveservicestaskforce.org/BrowseRec/Index

Link to A and B recommendations:

http://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/

Cancer screening in the United States, 2017: A review of current American Cancer Society guidelines and current issues in cancer screening

First published: 7 February 2017

DOI: 10.3322/caac.2139

http://onlinelibrary.wiley.com/doi/10.3322/caac.21392/full

American Cancer Society 2015 Breast Cancer Screening Guideline

http://jama.jamanetwork.com/article.aspx?articleid=2463262

Smoking Cessation

Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2015; 163(8):622-634.

DOI: 10.7326/M15-2023

https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions1

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