Map of medicine updates

November 30, 2011 at 2:43 pm Leave a comment

New care maps! 
The following care maps have been newly developed by our Clinical Editorial team and expert contributors, and are available to view, print and share:

Anaemia NEW! 
Cough in children NEW!
Cough in adults  NEW!                                       
Crystal arthropathy NEW! 
Pelvic organ prolapse NEW!                           
Hip pain NEW!

The latest evidence

Map of Medicine monitors over 150 guidance producers, and constantly searches over 3,000 sources for the latest meta-analyses and systematic reviews, enabling healthcare professionals to stay abreast of changes through a single resource. The care maps below have been updated with the latest evidence-based recommendations:

  • Bladder cancer: use of pioglitazone (an oral treatment for type 2 diabetes) is associated with a small increased risk of bladder cancer. Healthcare professionals should be aware of new warnings and precautions for use in at-risk patients
  • Epilepsy in adults: now including the latest evidence from NICE recommending retigabine for the adjunctive treatment of partial onset seizures with or without secondary generalisation where other options have failed
  • Fluid and electrolyte imbalance: the Pathology Harmony Group have produced guidelines on reference intervals for normal sodium and potassium levels. This is of particular interest to users and commissioners of hospital diagnostic services
  • Gastro-oesophageal reflux disease (GORD) in children and adolescents: NICE have now updated their guidance on endoluminal gastroplication. Check out the secondary care page of the care map for the latest recommendation
  • Hip fracture: newly updated recommendations from NICE including the timing of surgery, patient and carer views and information are now incorporated throughout the care map
  • Miscarriage updated to include new guidance from Royal College of Obstetricians and Gynaecologists on the investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage; also now with the latest evidence on indications for transvaginal and transbdominal cerclage in the treatment of cervical incompetence for women suffering recurrent miscarriage
  • Myeloma:  see the ‘Initial chemotherapy’ care points for the latest evidence on bortezomib and thalidomide for the first-line treatment of multiple myeloma
  • Retinal detachment: includes recent new guidelines from the College of Optometrists on examining patients who complain of flashes and floaters, and when to refer urgently or as emergency
  • Rheumatoid arthritis: abatacept is now recommended for the treatment of rheumatoid arthritis after the failure of conventional disease-modifying anti-rheumatic drugs. See the medical treatment page of the care map
  • Warts: new evidence indicates that cryotherapy using liquid nitrogen is associated with higher costs per additional healed patient than 50% salicylic acid for the treatment of verrucae

For a full list of updates in this issue, please visit our  NeNNewNeNeNeNewNe New & Updated page.

Coming soon
The following topics are in development and will be available to your local area in early 2012:

  • Abdominal aortic aneurysm
  • Ankle injury
  • Anxiety
  • Knee injuries
  • Knee pain  NEW!
  • Neonatal assessment
  • Polycystic ovary syndrome (PCOS)

View this Map of Medicine bulletin online at http://eepurl.com/htzd2

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