Tag Archives: clinical practice guideline

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The new Canadian guideline presents evidence-based recommendations for prescribing of opioids for chronic non-cancer pain, including maximum dose recommendations, avoiding opioids in high-risk populations, and guidance for tapering.

Jason Busse, Associate Professor in the Department of Anesthesia at McMaster University and researcher with the Michael G. DeGroote National Pain Centre in Hamilton, Ontario, co-authored the guideline (open access). In this podcast, he speaks with Dr. Diane Kelsall, interim editor-in-chief, CMAJ, and explains the recommendations.

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Interview with Dr. Brett Thombs, professor in the Faculty of Medicine at McGill University and senior investigator of the Lady Davis Institute, Jewish General Hospital in Montreal. He is also chair-elect of the Canadian Task Force on Preventive Health Care and chair of the tobacco guideline working group.

In their clinical guideline published in the CMAJ (open access), Dr. Thombs and the Task Force reviewed the evidence supporting behavioural interventions for prevention and treatment of smoking in children and youth. He explains their findings in this podcast.

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Diagnosis of fetal alcohol spectrum disorder is essential to improve outcomes for affected individuals and families, and to inform pre-pregnancy counselling to prevent future cases. This guideline (open access) from the Canada Fetal Alcohol Spectrum Disorder Research Network provides evidence-based recommendations for best practices in the diagnosis of this condition.

In this podcast, two of the authors of the guideline explain what to look for in clinical practice. Dr. Valerie Temple is a clinical psychologist at Surrey Place Centre in Toronto, and Dr. Christine Loock is a developmental pediatrician at Children's and Women's Health Centre of British Columbia, with an academic appointment at UBC.

Interview with Dr. Kevin Pottie, Associate Professor of Family Medicine, and Epidemiology & Community Medicine at the University of Ottawa. Dr. Pottie is also Principal Scientist at the C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute at the University of Ottawa.

As people age, changes to the structure and the function of the brain may result in cognitive decline. These changes, however, do not equally affect all cognitive domains or all people. Should we screen our asymptomatic patients for cognitive impairment? In this evidence-based guideline (open access), the Canadian Task Force on Preventive Health Care recommends that we don’t. Dr. Pottie explains in this podcast.

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Interview with Dr. Shannon Humphrey, medical and cosmetic dermatologist in Vancouver, and assistant professor and director of CME in the Department of Dermatology and Skin Science at the University of British Columbia.

Acne can adversely affect quality of life and may lead to emotional distress and permanent scarring. This evidence-based guideline (open access) was developed to facilitate efficient diagnosis and effective treatment of acne vulgaris in the Canadian population. With early diagnosis, treatment of active lesions and prevention of adverse sequelae, the health of many Canadians with acne may be improved.

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Interview with Dr. Alvaro Morales, urologist and Professor Emeritus at Queen’s University School of Medicine in Kingston, Ontario. Dr. Morales and a team of experts have published evidence-based guidelines (open access) in the CMAJ for the diagnosis and management of testosterone deficiency syndrome in men. This guideline addresses clinical questions surrounding the diagnosis of testosterone deficiency and the appropriate use of testosterone replacement therapy in men. In this podcast, Dr. Alvaro also addresses the controversy that surrounds the diagnosis and management of testosterone deficiency syndrome.

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Interview with Dr. David Liu, Clinical Associate Professor in the Department of Radiology at the University of British Columbia in Vancouver. In their clinical practice guideline (open access), Dr. Liu and colleagues provide recommendations on the diagnosis and management of deep vein thrombosis (DVT), including anticoagulation, thrombus removal strategies and inferior vena cava filters. The poor outcomes seen in patients with iliofemoral DVT treated with standard anticoagulant therapy have led to exploration of other treatment options. The prevention and treatment of post-thrombotic syndrome are also addressed.

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In older adults living in long-term care facilities, fractures cause pain, agitation, immobility and transfer to hospital. Based on systematic reviews of the evidence, this guideline published in CMAJ provides recommendations to prevent fractures in this vulnerable group. These evidence-based strategies are presented by Dr. Alexandra Papaioannou, Professor of Medicine at McMaster University in the Division of Geriatric Medicine and a Geriatric Medicine Specialist at Hamilton Health Sciences. ...continue reading