New Topics and Topic Updates

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What's New in the Healthwise® Knowledgebase

Spring Release (11.3) May 2017

What's New in the Healthwise Knowledgebase lists new documents, 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 Illustrations

New illustrations

New NCI Topics

Refer to Tech Docs for a complete list of new National Cancer Institute content. These changes were implemented for this release.

New Medication Topics

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. These changes were implemented for this release.

New Aisle 7 (CAM) Content

Refer to Tech Docs for a complete list of new Aisle 7 (CAM) content. These changes were implemented for this release.

CDC Vaccination Information Statements and Immunization Schedules

The Centers for Disease Control and Prevention (CDC) creates Vaccine Information Statements (VISs). Each VIS includes information about the purpose of the vaccine and about risks, precautions, and who should get the vaccine.

There are no new or updated Vaccine Information Statements (VIS) for the Spring 2017 Release.

We replaced the previous version of this immunization schedule with the latest version provided by the CDC:

  • Adult Immunization Schedule
  • Childhood Immunization Catch-Up Schedule: Ages 4 Months to 18 Years
  • Childhood Immunization Schedule: Ages 0 to 6 Years
  • Childhood Immunization Schedule: Ages 7 to 18 Years

Decision Point Updates

We continually monitor changes in medicine to ensure that 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 In the following documents we made medically significant revisions, added new medical information, or removed outdated medical information.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.

  • Osteoporosis: Should I Take Bisphosphonate Medicines? : We expanded and revised this topic. We now address all postmenopausal women, with or without osteoporosis. We explain how the benefits of each option depend on your risk of fracture. And we added a discussion of atypical fractures and jaw osteonecrosis, including an estimate for the chances.

Health and Disease Topic Updates

We continually monitor changes in medicine to ensure that 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.

Heart failure: In several documents, we revised the range of sudden weight gain that patients should watch for. We now say to watch for a sudden weight gain such as more than 2 to 3 pounds in a day or 5 pounds in a week. (Your doctor may suggest a different range of weight gain.)

NCI Topic Updates

Refer to Tech Docs for a complete list of updated National Cancer Institute content. These changes were implemented for this release.

Medication Topic Updates

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. These changes were implemented for this release.

Aisle 7 (CAM) Content Updates

Refer to Tech Docs for a complete list of updated Aisle 7 (CAM) content. These changes were implemented for this release.

Topic Title Changes

Medical Guideline Review

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 Pediatrics, et al. (2016). Policy statement: Visual system assessment in infants, children, and young adults by pediatricians.
  • American Diabetes Association (2017). Standards of medical care in diabetes—2017.
  • American Heart Association (2016). Current diagnosis and treatment strategies for specific dilated cardiomyopathies: A scientific statement from the American Heart Association.
  • American Heart Association (2017). A scientific statement for the diagnosis, treatment, and long-term management of Kawasaki disease.
  • Bhattacharyya N, et al. (2008, updated 2017). Clinical practice guideline: Benign paroxysmal positional vertigo (update). American Academy of Otolaryngology—Head and Neck Surgery Foundation.
  • Centers for Disease Control and Prevention (2016). CDC guideline for prescribing opioids for chronic pain.
  • Department of Veterans Affairs and Department of Defense (2016). Clinical practice guideline for the management of concussion/mild traumatic brain injury.
  • Global Initiative for Asthma (2017). Global strategy for asthma management and prevention (2017 update).
  • Global Initiative for Chronic Obstructive Lung Disease (2017). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease.
  • Journal of Clinical Endocrinology and Metabolism (2017). Pediatric obesity—Assessment, treatment, and prevention: An Endocrine Society clinical practice guideline.
  • Journal of Pediatrics (2017). Diagnosis of cystic fibrosis: Consensus guidelines for the Cystic Fibrosis Foundation.
  • Journal of Pediatrics (2017). Recommendations for preventive pediatric health care.
  • Pediatrics (2017). Clinical Report: Guidance for the clinician in rendering pediatric care: Care of the adolescent after an acute sexual assault.
  • Society of Thoracic Surgeons (2017). Clinical practice guidelines for the surgical treatment of atrial fibrillation.
  • U.S. Preventive Services Task Force (2016). Screening for latent tuberculosis infection in adults: U.S. Preventive Services Task Force recommendation statement.
  • U.S. Preventive Services Task Force (2016). Screening for lipid disorders in children and adolescents.
  • U.S. Preventive Services Task Force (2016). Screening for skin cancer: U.S. Preventive Services Task Force recommendation statement.
  • U.S. Preventive Services Task Force (2016). Serologic screening for genital herpes infection: U.S. Preventive Services Task Force recommendation statement.
  • Van der Heijde D, et al. (2016). 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis.

What's Next

The following is a list of examples of topics in progress:

  • Mitochondrial Diseases
  • Opioid Use Disorder
  • Pleural Effusion