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Version 10.7

November 2015

What's New in the Healthwise Knowledgebase lists new documents, noteworthy enhancements to existing documents, and medically significant changes to existing documents. We do not list every change, such as editorial changes, made for this release. Refer to Tech Docs for a complete list of new and updated documents.

  • New Health and Disease Topics
  • New Medical Test Topics
  • Enhanced Content
  • New NCI Topics
  • New Medication Topics
  • New Aisle 7 (CAM) Content
  • Decision Point Updates
  • Health and Disease Topic Updates
  • Illustration Updates
  • NCI Topic Updates
  • Medication Topic Updates
  • Aisle 7 (CAM) Content Updates
  • Topic Title Changes and Topic Replacements
  • Medical Guideline Review
  • What's Next
  • Biotherapy for Cancer: This new topic briefly describes what biotherapy is and how it is used for cancer. It describes types of biotherapy and provides questions you can ask your doctor about these treatments.
  • Diabetes: Caregiving for an Older Adult: This new topic orients caregivers to the art of caregiving for an older adult who has diabetes. It focuses on finding out what the patient prefers; helping with basic healthy eating for diabetes without being the "food police"; and supporting the patient-doctor relationship, treatment plan, and shared decision-making. This topic also guides the caregiver through a series of questions about his or her own needs.
  • Antithyroid Antibody Tests: This new topic explains why antithyroid antibody tests are done and what they can show. These tests are blood tests that measure the levels of antibodies that can destroy thyroid tissue or make the cells produce thyroid hormones. This topic also tells how to prepare for the test and what is done during the test.

The following documents have been revised to help readers focus on the key points for the specific health issue.

  • Pulmonary (Lung) Nodules: This topic has been revised to focus on the causes, symptoms, risk factors, diagnosis, and treatment for both solitary and multiple lung nodules.

We revised the following documents so that they are more concise and easier for readers to explore and use. The content is now more streamlined, there is less repetition across the various sections of each document, and we provide more cues to the reader in the form of improved headings, lists, and well-placed links.

  • Breast Cancer: Should I Have Breast-Conserving Surgery or a Mastectomy for Early-Stage Cancer?: This decision aid now includes the most recent information about the benefits and risks of having breast-conserving surgery or a mastectomy for early-stage breast cancer.
  • Low Back Pain: Should I Have Spinal Manipulation?: This decision aid now includes information about certain conditions in which spinal manipulation may not be recommended. This decision aid includes information about other things you can do for low back pain with or without spinal manipulation. These are medicines, physical therapy, exercise, massage, mobilization, acupuncture, heat or ice, changing the way you do your activities, and cognitive-behavioral therapy.
  • Obesity: Should I Have Weight-Loss Surgery?: This decision aid now includes the most recent information about surgery for weight loss. Updates include mentioning that the amount of weight a person may lose with surgery varies depending on the type of surgery and how well the person follows lifestyle changes. We also updated when surgery might be done on teens.
  • Obesity: Should I Take Weight-Loss Medicine?: This decision aid now includes the most recent information about medicines used to help with weight loss. The topic mentions that medicines can help some people lose a small amount of weight. It also stresses that without making lifestyle changes, a person would gain back weight if he or she stops taking the medicine.
  • Prostate Cancer Screening: Should I Have a PSA Test?: This decision aid now includes updated statistics that show the number of false-positive test results and the number of men who are screened for prostate cancer who may get cancer treatment they don't need. We also added information about what some of the risk factors are for prostate cancer.

Refer to Tech Docs for a complete list of new National Cancer Institute content.

Medication topics from Cerner Multum, Inc., are not included in all systems. Added topics may include new information and/or the addition of new drug names. Refer to Tech Docs for a complete list of new titles.

Refer to Tech Docs for a complete list of new Aisle 7 (CAM) content.

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

  • HIV: When Should I Start Taking Antiretroviral Medicines for HIV Infection?: In Get the Facts under "What medicines are used to treat HIV?" we updated the list of drugs used to treat HIV infection based on the latest guidelines.

We continually monitor changes in medicine to ensure our topics are accurate and up-to-date. In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

  • Aspirin to Prevent Heart Attack and Stroke: We added shared decision making language and updated information about the benefits and risks of aspirin in the primary prevention of cardiovascular disease.
  • Deep Vein Thrombosis:
    • Overview: We removed venogram as a common test to diagnose DVT.
    • Treatment Overview: We now say that thrombolytic medicines are not commonly used to treat DVT.
    • Medications: We now say that thrombolytic medicines are not commonly used to treat DVT.
  • Diabetes: How to Give Glucagon: We updated the steps to give glucagon.
  • E. Coli Infection From Food or Water: We now say that there are many types of E. coli, and some can cause illness.
  • E. Coli Infection From Food or Water: Blood and Kidney Problems: We now say that O157 is not the only strain of E. coli that causes illness.
  • Heart Failure:
    • Medications: We added ivabradine to the list of systolic heart failure medicines.
  • HIV: Antiretroviral Therapy (ART): We updated the list of drugs used to treat HIV infection based on the latest guidelines.
  • Miscarriage:
    • Treatment Overview: We updated information about medicines used to treat miscarriage based on the updated ACOG Practice Bulletin.
  • Post-Thrombotic Syndrome: We added treatment options including intermittent pneumatic compression, an exercise program, and catheter procedures. We added anticoagulants as prevention therapy.
  • Preventing Deep Vein Thrombosis From Travel: We revised the number of hours that constitute a long trip by using an example of 4 or more hours instead of using an exact number of hours.
  • Sinusitis:
    • What Increases Your Risk: We added that having asthma increases your risk.
    • Medications: We changed from amoxicillin to amoxicillin with clavulanate.
  • Type of Insulin: We added the more highly concentrated forms of insulin.

We removed the discontinued brand name Vicodin from the following documents:

  • Chronic Pain
  • Drug Abuse and Dependence
  • Opiates
  • Pain Management
  • Teen Alcohol and Drug Abuse

We updated the following documents based on the thyroid screening guidelines from the American Thyroid Association and U.S. Preventive Services Task Force:

  • Hyperthyroidism
  • Hypothyroidism
  • Thyroid Nodules
  • Thyroid Testing

We updated the following documents based on the guidelines for the management of spontaneous intracerebral hemorrhage from the American Heart Association and American Stroke Association.

  • Hemorrhagic Stroke
  • Stroke

We updated the following documents to add the newer terminology that is used to describe diastolic and systolic heart failure. For diastolic heart failure, we added the term heart failure with preserved ejection fraction. For systolic heart failure, we added the term heart failure with reduced ejection fraction.

  • Heart Failure
  • Heart Failure Types
  • Heart Failure With Preserved Ejection Fraction (Diastolic Heart Failure)
  • Heart Failure With Reduced Ejection Fraction (Systolic Heart Failure)

In the following documents, we made medically significant revisions, added new medical information, or removed outdated medical information. While medically significant changes are listed here, documents that have minor revisions, such as editorial or consistency changes, are not listed.

  • The illustration of how a heart attack happens has been revised. It appears in the topics Coronary Artery Disease and Heart Attack and Unstable Angina.
  • The illustration of electrical cardioversion has been revised. It appears in the topics Electrical Cardioversion for Atrial Fibrillation and Electrical Cardioversion (Defibrillation) for a Fast Heart Rate.

Refer to Tech Docs for a complete list of updated National Cancer Institute content.

Medication topics from Cerner Multum, Inc. are not included in all systems. Updates may include new information and/or the addition of new drug names. Refer to Tech Docs for a complete list of updated titles.

Refer to Tech Docs for a complete list of updated Aisle 7 (CAM) content.

Topic title changes

  • Diastolic Heart Failure is now titled Heart Failure With Preserved Ejection Fraction (Diastolic Heart Failure).
  • Solitary Pulmonary Nodule is now titled Pulmonary (Lung) Nodules.
  • Systolic Heart Failure is now titled Heart Failure With Reduced Ejection Fraction (Systolic Heart Failure).
  • Thrombolytics for Deep Vein Thrombosis is now titled Thrombolytics for Heart Attack and Stroke.

Topic replacements

We archived the following searchable topics, and we name the replacement topics below. Refer to Tech Docs for a complete list of archived documents.

  • Dilation and Curettage (D&C) for Miscarriage and Dilation and Curettage (D&C) for Bleeding During Menopause have been removed and replaced with Dilation and Curettage (D&C).
  • The Heart Problems learning center has been removed. You can find the content in the Heart and Circulation learning center.

To ensure the medical accuracy and consistency of Healthwise consumer health content, our medical content specialists, physicians, and librarians regularly review medical guidelines and association statements, gold-standard journals, news, and evidence-based publications and databases.

The medical guidelines listed below are examples of updated guidelines we reviewed for this release.

  • American Academy of Orthopaedic Surgeons (2014). Management of anterior cruciate ligament injuries: Evidence-based clinical practice guideline.
  • American College of Obstetricians and Gynecologists (2015). Management of women with dense breasts diagnosed by mammography. ACOG Committee Opinion No. 625.
  • American College of Physicians (2015). Cervical cancer screening in average-risk women: Best practice advice from the Clinical Guidelines Committee of the American College of Physicians.
  • American Heart Association (2014). The postthrombotic syndrome: Evidence-based prevention, diagnosis, and treatment strategies. Scientific Statement from the American Heart Association.
  • American Heart Association/American Stroke Association (2015). Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals.
  • American Urological Association (2013). Early detection of prostate cancer: AUA guideline.
  • U.S. Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents (2015). Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents.

New topics

The following topics are a sample of the topics that are being developed. They are expected to release within the next six months.

  • Communicating pain for dementia patients
  • Swallowing study



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