American College of Physicians: Internal Medicine — Doctors for Adults ®

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Guidelines released on bone, brain, heart care

From the February 1997 ACP Observer, copyright © 1997 by the American College of Physicians.

A number of organizations have released guidelines recently:

  • The American College of Rheumatology (ACR) has released the first-ever prevention and treatment guidelines for steroid-induced osteoporosis, an under-recognized cause of bone loss. The ACR emphasized that early intervention is crucial—the majority of bone loss occurs early in treatment. The guidelines were published in the November 1996 issue of Arthritis and Rheumatism. Send requests for guidelines to ACR, 60 Executive Park South, Suite 150, Atlanta, GA 30329.
  • The AHCPR has updated its guideline for caring for patients suffering from urinary incontinence (UI). "Managing Acute and Chronic Urinary Incontinence" is designed to educate caregivers in home health and nursing facilities on how to help patients cope with the condition. For a copy of the guideline, call the AHCPR information clearinghouse at 800-358-9295, or call the InstantFax service at 301-594-2800.
  • The AHCPR has also released evidence-based guidelines to help clinicians distinguish between normal age-related changes in cognitive ability and symptoms of early Alzheimer's disease. This is the AHCPR's final guideline. In the future, it plans to use its resources to develop a broader base of scientific information that others can use for developing their own guidelines. For an overview and consumer guide, visit AHCPR's home page at http://www.ahcpr.gov/guide/. To order the guideline, call AHCPR information clearinghouse at 800-358-9295.
  • The American Heart Association (AHA) has released the first recommendations on screening young athletes for the likelihood of sudden death. The guidelines call for mandatory cardiovascular screening of all athletes and recommend that physicians conduct both a personal and family history. For a copy of the guidelines, call the AHA at 214-373-6300.
  • The AHA, in conjunction with the American College of Cardiology (ACC), has published new practice guidelines for managing heart attack patients. The guidelines stress awareness of early warning signs and quick response as critical to reducing morbidity. For a copy of the guidelines, call the ACC at 301-897-2694 or the AHA at 214-373-6300.

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