Group Health
RETURN

Version 10.3

October 2014

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
  • Enhanced Content
  • New NCI Topics
  • New Medication Topics
  • New Aisle 7 (CAM) Content
  • Decision Point Updates
  • Health and Disease Topic Updates
  • Medical Test Topic Updates
  • Symptom Topic Updates
  • NCI Topic Updates
  • Medication Topic Updates
  • Aisle 7 (CAM) Content Updates
  • Topic Title Changes and Topic Replacements
  • Medical Guideline Reviews
  • What's Next
  • Anemia: This new topic describes anemia and provides information about its cause, how it is diagnosed, and how it is treated.
  • Childbirth: Is Planning a C-Section a Good Choice?: This new topic discusses the reasons some pregnant woman want to plan a C-section for nonmedical reasons. It explains the risks of C-sections and when they might be done for medical and nonmedical reasons. It also mentions that the American College of Obstetricians and Gynecologists recommends that planned C-sections generally be done only for medical reasons.
  • Childbirth Planning: How to Partner With Your Doctor: This new topic looks at how women and their partners can form a good working relationship with their doctor or nurse-midwife during pregnancy. It discusses the kinds of issues women might want to talk about. These include pain control during labor, who they want with them during labor, and creating a birth plan.
  • Ebola or Marburg Virus Infection: This new topic describes the Ebola and Marburg virus infections. It includes information on symptoms, treatment, and prevention.
  • Enterovirus 68 (EV-D68): This new topic describes enterovirus 68. It includes information on symptoms, treatment, home treatment for adults and children, and when to call the doctor.
  • Neutropenia: Preventing Infections: This new topic explains how neutropenia increases the risk of infection, provides tips on how to prevent infections, and lists common signs of infection.
  • Postural Orthostatic Tachycardia Syndrome (POTS): This new topic describes POTS, its poorly understood cause, its symptoms and how it is diagnosed, and how it is treated.
  • Spirituality and Your Health: This new topic discusses spirituality as a personally defined facet of many people's lives that can enhance wellness. The reader can use this topic to think about spiritual wellness and to explore ideas for tending to the spirit.
  • Breast Changes During Pregnancy: This topic was enhanced to include more specific information on breast changes during each of the three trimesters. We also added tips for home care.
  • Comparing Artificial Sweeteners: This topic was enhanced to include information on the use of artificial sweeteners during pregnancy and breast-feeding.
  • Complementary Medicine: This topic was enhanced to align with terminology used by the National Center for Complementary and Alternative Medicine (NCCAM).
  • Complementary Medicine: Should I Use Complementary Medicine?: This Decision Point was enhanced to align with terminology used by the National Center for Complementary and Alternative Medicine (NCCAM).
  • Nutrition While Breast-Feeding: This topic was enhanced to include information on the use of artificial sweeteners during pregnancy and breast-feeding.

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.

We made changes based on the American Heart Association/American College of Cardiology/Heart Rhythm Society 2014 Guideline for the Management of Patients with Atrial Fibrillation.

  • Atrial Fibrillation: Should I Have Catheter Ablation?
  • Atrial Fibrillation: Should I Take an Anticoagulant to Prevent Stroke?
  • Atrial Fibrillation: Which Anticoagulant Should I Take to Prevent Stroke?

We made changes based on the American Heart Association/American College of Cardiology 2014 Guideline for the Management of Patients With Valvular Heart Disease.

  • Aortic Valve Stenosis: Should I Have Surgery?
  • Heart Valve Problems: Should I Choose a Mechanical Valve or Tissue Valve to Replace My Heart Valve?

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.

  • Adenovirus Vaccine: What You Need to Know: We added the 2014 CDC Adenovirus Vaccine Information Statement.
  • Antiplatelet Medicine for Heart Attack and Unstable Angina: We added vorapaxar (Zontivity) as an antiplatelet example.
  • Antiplatelet Medicine for Peripheral Arterial Disease: We added vorapaxar (Zontivity) as an antiplatelet example.
  • Cholesterol and Triglycerides: Eating Fish and Fish Oil: We added Epanova as an example of a prescription omega-3 fatty acid supplement.
  • Contraceptive Sponge for Birth Control: We added a statement that the contraceptive sponge is not recommended for use during the first 6 weeks after having a baby.
  • Dental Checkups for Children and Adults: We added new recommendations from The U.S. Preventive Services Task Force (USPSTF) for fluoride supplements and teeth varnish.
  • Diabetes: Blood Sugar Levels: Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.
  • Diabetes: Tests to Watch for Complications: Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.
  • Food Safety: Preparing: We added a new section on handling food that has mold on it.
  • Hysterectomy: We added information about uterine morcellation and the risk of spreading cancer.
  • Inactivated Influenza Vaccine: What You Need to Know: We added the 2014–2015 CDC Inactivated Influenza Vaccine Information Statement.
  • Live, Intranasal Influenza Vaccine: What You Need to Know: We added the 2014–2015 CDC Live, Intranasal Influenza Vaccine Information Statement.
  • Low Testosterone: We added a warning about the risk of blood clots in the veins, based on new information from the FDA.
  • Mitral Valve Prolapse: We reduced the amount of information on treatment for mitral valve prolapse. We emphasize that most people lead normal, healthy lives. We emphasize that few people have symptoms or need treatment.
  • Teething: We added an FDA warning about using teething gels.
  • Teething Products: We added an FDA warning about using teething gels.
  • Travel Health: We added a statement that the polio immunization is recommended if you are traveling to areas where polio is common.

We made changes based on the American Heart Association/American College of Cardiology/Heart Rhythm Society 2014 Guideline for the Management of Patients with Atrial Fibrillation.

  • Atrial Fibrillation
  • Catheter Ablation for Atrial Fibrillation
  • Maze Procedure for Atrial Fibrillation
  • Mitral Valve Disease: Heart Rhythm Problems
  • Pacemaker for Atrial Fibrillation

We made changes based on the American Heart Association/American College of Cardiology 2014 Guideline for the Management of Patients With Valvular Heart Disease.

  • Anticoagulants for Heart Valve Disease
  • Aortic Valve Regurgitation
  • Aortic Valve Regurgitation: Deciding About Surgery
  • Aortic Valve Replacement: Minimally Invasive Methods
  • Aortic Valve Replacement Surgery
  • Aortic Valve Stenosis
  • Aortic Valve Stenosis Complications
  • Aortic Valve Stenosis: Treatment When You Have Other Heart Problems
  • Balloon Valvotomy for Mitral Valve Stenosis
  • Balloon Valvuloplasty for Aortic Valve Stenosis
  • Endocarditis
  • Heart Valve Disease and Pregnancy
  • Heart Valve Replacement Surgery
  • Heart Valve Replacement Surgery: Life After Surgery
  • Mitral Valve Regurgitation
  • Mitral Valve Regurgitation and Exercise
  • Mitral Valve Regurgitation: Repair or Replace the Valve?
  • Mitral Valve Regurgitation: Severity
  • Mitral Valve Repair Surgery (Commissurotomy) for Mitral Valve Stenosis
  • Mitral Valve Replacement Surgery
  • Mitral Valve Stenosis
  • Mitral Valve Stenosis: Repair or Replacement?

We updated the statistics about how well birth control methods work.

  • Barrier Methods of Birth Control
  • Birth Control Hormones: The Implant
  • Birth Control Hormones: The Mini-Pill
  • Birth Control Hormones: The Patch
  • Birth Control Hormones: The Pill
  • Birth Control Hormones: The Ring
  • Birth Control Hormones: The Shot
  • Contraceptive Sponge for Birth Control
  • Diaphragm for Birth Control
  • Female Condoms
  • Intrauterine Device (IUD) for Birth Control
  • Male Condoms
  • Spermicide for Birth Control

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.

  • Glycohemoglobin (HbA1c, A1c): Based on the American Diabetes Association's 2014 position statement Type 1 Diabetes Through the Life Span, we updated target A1c for children younger than 18 who have type 1 diabetes.
  • Human Papillomavirus (HPV) Test: We added that the HPV test can be used along with a Pap test or by itself to screen for cervical cancer.

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.

  • Heat-Related Illnesses:
    • Home Treatment: We updated treatment information on the appropriate use of cold water and ice packs for emergency first aid.
  • Male Genital Problems and Injuries:
    • Topic Overview: We updated information on blood in the semen.
  • Nosebleeds:
    • Home Treatment: Information on the use of a saline or water-based lubricant replaced the information on the use of Vaseline (petroleum jelly) for treatment after a nosebleed.

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

  • Mitral Valve Prolapse: Children Who Play Sports is now titled Mitral Valve Prolapse.

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.

  • Asthma: Pollen as a Trigger has been removed. You can find the content in Asthma Triggers.
  • Beta-Blockers for Mitral Valve Prolapse has been removed. You can find the content in Mitral Valve Prolapse.
  • Differences Between COPD and Asthma has been removed. You can find the content in COPD (Chronic Obstructive Pulmonary Disease).
  • Midrin for Migraines has been removed. You can find the content in Migraine Headaches.
  • Mitral Valve Prolapse (HWID hw175288) has been removed. You can find the content in Mitral Valve Prolapse.
  • Treating a Sore Throat Caused by Postnasal Drip has been removed. You can find the content in Strep Throat: Home Treatment.
  • Vasodilators for Mitral Valve Regurgitation has been removed. You can find the content in Mitral Valve Regurgitation.

Drug details

Healthwise is changing its drug content policy. As part of this policy, we will be archiving all Healthwise drug details over the next several quarters. Healthwise will continue to provide hundreds of other pieces of drug content as well as nearly 2000 pieces on specific medications for those clients who license Multum.

We will now focus on the drugs tied to quality measures issued by organizations such as NCQA, the Joint Commission, and the Centers for Medicare and Medicaid Services. For these drugs, we will be adding new consumer-facing content as well as content that provides a behavioral approach to medication adherence.

Refer to Tech Docs for a complete list of drug details that were archived this quarter.

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 College of Cardiology/American Heart Association Task Force on Practice Guidelines (2014). Guideline for the management of patients with valvular heart disease.
  • American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society (2014). Guideline for the management of patients with atrial fibrillation.
  • American Diabetes Association (2014). Type 1 diabetes through the life span: A position statement of the American Diabetes Association.
  • American Heart Association/American Stroke Association (2014). Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack.
  • Global Initiative for Asthma (GINA) (2014). Global strategy for asthma management and prevention.
  • Global Initiative for Chronic Obstructive Lung Disease (2014). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease.
  • U.S. Preventive Services Task Force (2014). Screening for asymptomatic carotid artery stenosis.

New topics

These topics are in development and are expected to release within the next six months:

  • Beta-Blockers
  • High Blood Pressure in Children
  • Hoarding Disorder
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
  • Vegan Diet



Click here to learn about Healthwise