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2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis.
https://doi.org/10.1002/art.41752
Arthritis & Rheumatology (Hoboken, N.J.); Fraenkel L, Bathon JM et. al.

Jun 9th, 2021 - To develop updated guidelines for the pharmacologic management of rheumatoid arthritis. We developed clinically relevant population, intervention, comparator, and outcomes (PICO) questions. After conducting a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the certainty of evidence. A voting panel comprising c...

Directive clinique no 422g : Ménopause et ostéoporose.
https://doi.org/10.1016/j.jogc.2022.03.004
Journal of Obstetrics and Gynaecology Canada : JOGC = Jou... Khan AA, Alrob HA et. al.

May 17th, 2022 - Proposer des stratégies pour améliorer les soins aux femmes en périménopause ou ménopausées d'après les plus récentes données probantes publiées. Femmes en périménopause ou ménopausées. BéNéFICES, RISQUES ET COûTS: La population cible bénéficiera des plus récentes données scientifiques publiées que leur communiqueront les fournisseurs de soins de santé. Aucun coût ni préjudice ne sont associés ...

Guideline No. 422g: Menopause and Osteoporosis.
https://doi.org/10.1016/j.jogc.2021.09.013
Journal of Obstetrics and Gynaecology Canada : JOGC = Jou... Khan AA, Alrob HA et. al.

May 17th, 2022 - Provide strategies for improving the care of perimenopausal and postmenopausal women based on the most recent published evidence. Perimenopausal and postmenopausal women. Target population will benefit from the most recent published scientific evidence provided via the information from their health care provider. No harms or costs are involved with this information since women will have the opp...

Guideline No. 426: Hypertensive Disorders of Pregnancy: Diagnosis, Prediction, Preventi...
https://doi.org/10.1016/j.jogc.2022.03.002
Journal of Obstetrics and Gynaecology Canada : JOGC = Jou... Magee LA, Smith GN et. al.

May 17th, 2022 - This guideline was developed by maternity care providers from obstetrics and internal medicine. It reviews the diagnosis, evaluation, and management of the hypertensive disorders of pregnancy (HDPs), the prediction and prevention of preeclampsia, and the postpartum care of women with a previous HDP. Pregnant women. Implementation of the recommendations in these guidelines may reduce the inciden...

American Association of Clinical Endocrinology Clinical Practice Guideline for the Diag...
https://doi.org/10.1016/j.eprac.2022.03.010
Endocrine Practice : Official Journal of the American Col... Cusi K, Isaacs S et. al.

May 16th, 2022 - To provide evidence-based recommendations regarding the diagnosis and management of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) to endocrinologists, primary care clinicians, health care professionals, and other stakeholders. The American Association of Clinical Endocrinology conducted literature searches for relevant articles published from January 1, 2010, ...

ACR Appropriateness Criteria® Chronic Chest Pain-High Probability of Coronary Artery Di...
https://doi.org/10.1016/j.jacr.2022.02.021
Journal of the American College of Radiology : JACR; , Litmanovich D et. al.

May 14th, 2022 - Management of patients with chronic chest pain in the setting of high probability of coronary artery disease (CAD) relies heavily on imaging for determining or excluding presence and severity of myocardial ischemia, hibernation, scarring, and/or the presence, site, and severity of obstructive coronary lesions, as well as course of management and long-term prognosis. In patients with no known is...

ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update.
https://doi.org/10.1016/j.jacr.2022.02.011
Journal of the American College of Radiology : JACR; , Hagiwara M et. al.

May 14th, 2022 - This article presents guidelines for initial imaging utilization in patients presenting with sinonasal disease, including acute rhinosinusitis without and with suspected orbital and intracranial complications, chronic rhinosinusitis, suspected invasive fungal sinusitis, suspected sinonasal mass, and suspected cerebrospinal fluid leak. CT and MRI are the primary imaging modalities used to evalua...

ACR Appropriateness Criteria® Osteomyelitis or Septic Arthritis-Child (Excluding Axial ...
https://doi.org/10.1016/j.jacr.2022.02.017
Journal of the American College of Radiology : JACR; , Shet NS et. al.

May 14th, 2022 - Imaging plays an integral role in the evaluation of suspected musculoskeletal infections in children, not only in the accurate identification of infection such as osteomyelitis or septic arthritis, but also in guiding management. Various diagnostic modalities serve different purposes in the assessment of suspected pediatric musculoskeletal infections. The purpose of this document is to provide ...

ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females.
https://doi.org/10.1016/j.jacr.2022.02.016
Journal of the American College of Radiology : JACR; , Khatri G et. al.

May 14th, 2022 - Pelvic floor disorders including pelvic organ prolapse (POP), urinary dysfunction, defecatory dysfunction, and complications after pelvic floor surgery are relatively common in the female population. Imaging tests are obtained when the initial clinical evaluation is thought to be incomplete or inconclusive or demonstrates findings that are discordant with patients' symptoms. An integrated imagi...

ACR Appropriateness Criteria® Crohn Disease-Child.
https://doi.org/10.1016/j.jacr.2022.02.020
Journal of the American College of Radiology : JACR; , Moore MM et. al.

May 14th, 2022 - Crohn disease is an inflammatory condition of the gastrointestinal tract with episodes of exacerbation and remission occurring in children, adolescents, and adults. Crohn disease diagnosis and treatment depend upon a combination of clinical, laboratory, endoscopic, histological, and imaging findings. Appropriate use of imaging provides critical information in the settings of diagnosis, assessme...

ACR Appropriateness Criteria® Post-Treatment Follow-up and Active Surveillance of Clini...
https://doi.org/10.1016/j.jacr.2022.02.015
Journal of the American College of Radiology : JACR; , Purysko AS et. al.

May 14th, 2022 - Renal cell carcinoma (RCC) accounts for most malignant renal tumors and is considered the most lethal of all urologic cancers. For follow-up of patients with treated or untreated RCC and those with neoplasms suspected to represent RCC, radiologic imaging is the most valuable component of surveillance, as most relapses and cases of disease progression are identified when patients are asymptomati...

ACR Appropriateness Criteria® Staging of Colorectal Cancer: 2021 Update.
https://doi.org/10.1016/j.jacr.2022.02.012
Journal of the American College of Radiology : JACR; , Korngold EK et. al.

May 14th, 2022 - Preoperative imaging of rectal carcinoma involves accurate assessment of the primary tumor as well as distant metastatic disease. Preoperative imaging of nonrectal colon cancer is most beneficial in identifying distant metastases, regardless of primary T or N stage. Surgical treatment remains the definitive treatment for colon cancer, while organ-sparing approach may be considered in some recta...

ACR Appropriateness Criteria® Staging and Surveillance of Testicular Cancer: 2021 Update.
https://doi.org/10.1016/j.jacr.2022.02.009
Journal of the American College of Radiology : JACR; , Schieda N et. al.

May 14th, 2022 - The staging and surveillance of testicular cancer is a complex topic, which integrates clinical, biochemical, and imaging components. The use of imaging for staging and surveillance of testicular cancer is individually tailored to each patient by considering tumor histology and prognosis. This document discusses the rationale for use of imaging by imaging modality during the initial staging of ...

ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Exclud...
https://doi.org/10.1016/j.jacr.2022.02.014
Journal of the American College of Radiology : JACR; , Bolen MA et. al.

May 14th, 2022 - Dyspnea is the symptom of perceived breathing discomfort and is commonly encountered in a variety of clinical settings. Cardiac etiologies of dyspnea are an important consideration; among these, valvular heart disease (Variant 1), arrhythmia (Variant 2), and pericardial disease (Variant 3) are reviewed in this document. Imaging plays an important role in the clinical assessment of these suspect...

ACR Appropriateness Criteria® Imaging of Facial Trauma Following Primary Survey.
https://doi.org/10.1016/j.jacr.2022.02.013
Journal of the American College of Radiology : JACR; , Parsons MS et. al.

May 14th, 2022 - Maxillofacial trauma patients comprise a significant subset of patients presenting to emergency departments. Before evaluating for facial trauma, an emergency or trauma physician must perform a primary survey to ensure patient stabilization. Following this primary survey, this document discusses the following clinical scenarios for facial trauma: tenderness to palpation or contusion or edema ov...

ACR Appropriateness Criteria® Imaging After Shoulder Arthroplasty: 2021 Update.
https://doi.org/10.1016/j.jacr.2022.02.019
Journal of the American College of Radiology : JACR; , Roberts CC et. al.

May 14th, 2022 - Shoulder arthroplasty is a common orthopedic procedure with a complication rate reported to be as high as 39.8% and revision rates as high as 11%. Symptoms related to postoperative difficulties include activity-related pain, decreased range of motion, and apprehension. Some patients report immediate and persistent dissatisfaction, although others report a symptom-free postoperative period follo...

ACR Appropriateness Criteria® Imaging of the Axilla.
https://doi.org/10.1016/j.jacr.2022.02.010
Journal of the American College of Radiology : JACR; , Le-Petross HT et. al.

May 14th, 2022 - This publication reviews the current evidence supporting the imaging approach of the axilla in various scenarios with broad differential diagnosis ranging from inflammatory to malignant etiologies. Controversies on the management of axillary adenopathy results in disagreement on the appropriate axillary imaging tests. Ultrasound is often the appropriate initial imaging test in several clinical ...

Canadian Cardiovascular Society 2022 Guidelines for Peripheral Arterial Disease.
https://doi.org/10.1016/j.cjca.2022.02.029
The Canadian Journal of Cardiology; , Abramson BL et. al.

May 11th, 2022 - Patients with widespread atherosclerosis such as peripheral artery disease (PAD) have a high risk of cardiovascular and limb symptoms and complications, which affects their quality of life and longevity. Over the past 2 decades there have been substantial advances in diagnostics, pharmacotherapy, and interventions including endovascular and open surgical to aid in the management of PAD patients...

ACR-ACNM-ASTRO-SNMMI Practice Parameter for Lutetium-177 (Lu-177) DOTATATE Therapy.
https://doi.org/10.1097/RLU.0000000000004182
Clinical Nuclear Medicine; Love C, Desai NB et. al.

May 5th, 2022 - This practice parameter (PP) for Lutetium-177 (Lu-177) DOTATATE peptide receptor radionuclide therapy (PRRT) aims to guide authorized users in selection of appropriate adult candidates with gastroeneropancreatic neuroendocrine tumors (GEP-NETs) from foregut, midgut, and hindgut. The essential selection criteria include somatostatin receptor-positive GEP-NETs, which are usually inoperable and pr...

ACR-ACNM-ASTRO-SNMMI Practice Parameter for Lutetium-177 (Lu-177) DOTATATE Therapy.
https://doi.org/10.1097/COC.0000000000000903
American Journal of Clinical Oncology; Love C, Desai NB et. al.

May 5th, 2022 - This practice parameter (PP) for Lutetium-177 (Lu-177) DOTATATE peptide receptor radionuclide therapy (PRRT) aims to guide authorized users in selection of appropriate adult candidates with gastroeneropancreatic neuroendocrine tumors (GEP-NETs) from foregut, midgut, and hindgut. The essential selection criteria include somatostatin receptor-positive GEP-NETs, which are usually inoperable and pr...