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Endocrinology

Welcome to the endocrinology category for physicians and pharmacists. This clinical endocrinology category features links to resources on the topic of endocrine and metabolic disorders e.g. diabetes, thyroid disease and menopause. These resources include clinical guidelines, medical journal articles, prescribing guidance and more.

American Association of Clinical Endocrinologists Guidelines

Source: aace.com
Clinical Resource: Guidelines
Register to Access Content: No

Last Checked: 08/05/13 Link Error: Report It

 

American Association of Clinical Endocrinologists Position and Consensus Statements

Source: aace.com
Clinical Resource: Position Statements and Consensus Statements
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Last Checked: 08/05/13 Link Error: Report It

 

The Endocrine Society Clinical Practice Guidelines

Source: endocrine.org
Clinical Resource: Guidelines
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Last Checked: 07/11/13 Link Error: Report It

 

The Endocrine Society Scientific Statements

The Endocrine Society offers Scientific Statements to educate basic scientists, clinical scientists, and clinicians on the scientific basis of disease and its application to the practice of medicine with regard to both prevention and management. Scientific Statements provide an overview of basic and clinical science content on topics of emerging importance.

Source: endocrine.org
Clinical Resource: Scientific Statements
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Last Checked: 07/06/13 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Diabetes and other endocrinal, nutritional and metabolic conditions

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

Society for Endocrinology Practice and Policy Statements

Source: endocrinology.org
Clinical Resource: Practice and Policy Statements
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Last Checked: 08/05/13 Link Error: Report It

 

Endocrine, nutritional and metabolic - CLEAR: clinical enquiry and response service

The CLEAR service is delivered by a team of information professionals based at Healthcare Improvement Scotland and NHS Greater Glasgow and Clyde.

CLEAR aims to provide clinicians with summarised evidence relating to aetiology, diagnosis, prognosis and treatment queries about patient care.

Source: knowledge.scot.nhs.uk
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 22/04/13 Link Error: Report It

 

BestBETs
Endocrine system

BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is.

Source: bestbets.org
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 08/05/13 Link Error: Report It

 

Endotext - Ask an Expert

We attempt to answer important questions from readers, if time permits, and publish those of value to other readers in this column.

Source: endotext.org
Clinical Resource: Questions and Answers
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Last Checked: 01/08/13 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews

The Cochrane Collaboration is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Topics:

Endocrine & Metabolic
Gynaecology

Source: cochrane.org
Clinical Resource: Systematic Reviews
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Last Checked: 13/07/15 Link Error: Report It

 

Endotext.org

Endotext.org is the web-based source of information on endocrine disease written by physicians and directed to physicians around the world caring for patients with these problems, and is organize by Leslie J De Groot, MD , twelve Section Editors, and nearly 400 Authors. It is comprehensive, authoritative, constantly up-dated, un-biased, and available without cost to physicians and trainees. All material may be freely downloaded for personal use. This site covers the broad area of Clinical Endocrinology, emphasizing clinical endocrine practice, including the most current information on the manifestations of endocrine disease, diagnosis and treatment. Endotext.org is the premier provider of well reviewed and organized clinical endocrine information on the Web.

Endocrine Emergencies
Pituitary Disease and Neuroendocrinology
Diabetes Mellitus and Carbohydrate Metabolism---DiabetesManager
Endocrinology of Male Reproduction
Endocrinology of Female Reproduction
Thyroid Disease- www.thyroidmanager.org
Adrenal Disease and Function
Diseases of Bone and Mineral Metabolism
Diffuse Hormonal Systems and Endocrine Tumor Syndromes
Pediatric Endocrinology
Obesity---Obesitext
Endocrine Disease and Pregnancy
Endocrine Testing Protocols
Endocrinology of Aging

Source: endotext.org
Clinical Resource: Web Book
Register to Access Content: Yes - registration is FREE

Last Checked: 01/08/13 Link Error: Report It

 

Endobible - Advice on Endocrine Symptoms, Diagnosis, Treatment

Practical guidance on endocrine diagnosis and management

Source: endobible.com
Clinical Resource: Various
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Last Checked: 25/06/13 Link Error: Report It

 

The Merck Manual for Health Care Professionals
Endocrine and Metabolic Disorders

Source: merckmanuals.com
Clinical Resource: Manual
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Last Checked: 08/05/13 Link Error: Report It

 

Endocrinology Handbook

Endocrine Unit Imperial College Healthcare NHS Trust Charing Cross, Hammersmith and St. Mary’s Hospitals

Diagnosis and appropriate treatment in clinical endocrinology rely heavily on the accurate use and interpretation of diagnostic tests. This handbook was devised as a means of guiding new junior staff (and refreshing the memories of their seniors!) when confronted by clinical problems and their investigation. This bible is meant to be brief and didactic with the inevitable costs as well as benefits of such an approach.

Source: imperialendo.co.uk
Clinical Resource: Handbook
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Last Checked: 19/08/15 Link Error: Report It

 

Calculators | American Thyroid Association

Calculators

Calcitonin and Carcinoembryonic Antigen (CEA) Doubling Time Calculator
Change in Thyroid Nodule Volume Calculator
Thyroid Cancer Staging Calculator

Source: thyroid.org
Clinical Resource: Calculators
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Last Checked: 08/05/13 Link Error: Report It

 

Association of British Clinical Diabetologists Position Papers

Source: diabetologists-abcd.org.uk
Clinical Resource: Position Papers
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Last Checked: 08/05/13 Link Error: Report It

 

American Diabetes Association Clinical Practice Recommendations

Source: diabetes.org
Clinical Resource: Practice Recommendations
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Last Checked: 08/05/13 Link Error: Report It

 

Canadian Diabetes Association 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

Source: diabetes.ca
Clinical Resource: Guidelines
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Last Checked: 08/05/13 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Diabetes

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 18/05/15 Link Error: Report It

 

International Diabetes Federation Clinical Practice Guidelines

Source: idf.org
Clinical Resource: Guidelines
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Last Checked: 20/08/15 Link Error: Report It

 

Diabetes Management in General Practice 2012/13
Guidelines for Type 2 Diabetes

General practitioners continue to provide most of the medical support to people with type 2 diabetes. This guide plays an important role in providing a readable summary of current guidelines and recommendations from various sources on the management of type 2 diabetes in the general practice setting.

Source: diabetesaustralia.com.au
Clinical Resource: Guideline
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Last Checked: 24/11/16 Link Error: Report It

 

Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline from the American College of Physicians

Source: acponline.org
Clinical Resource: Guideline
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Last Checked: 30/12/13 Link Error: Report It

 

Bandolier Knowledge
Diabetes

In these pages are collected the stories from Bandolier relating to diabetes.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

The Tayside Diabetes Handbook

The Tayside Diabetes Handbook serves as the on-line reference manual for all healthcare professionals involved in the care and management of people with diabetes in Tayside. It contains locally developed guidelines, protocols, information and clinical advice based on the SIGN 116 Guideline and other relevant clinical and research evidence.

Source: taysidedn.dundee.ac.uk
Clinical Resource: Handbook
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Last Checked: 08/05/13 Link Error: Report It

 

Leicestershire Diabetes Management Guidelines

Source: leicestershirediabetes.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Texas Diabetes Council | Algorithms & Guidelines

The Texas Diabetes Council presents the following treatment algorithms to assist in the delivery of primary care practice. They have been developed by a panel of experts through an open, peer-reviewed process to assure that they are complete, accurate and consistent with the current state of knowledge on diabetes treatment.

Source: tdctoolkit.org
Clinical Resource: Algorithms
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Last Checked: 17/06/13 Link Error: Report It

 

Royal College of Nursing
Starting injectable treatment in adults with Type 2 diabetes

This publication was written by members of the RCN Diabetes Nursing Forum Committee, all of whom have many years’experience in initiating injectable therapy.

Intended as a resource for nurses new to injectable therapy ,this guide includes an overview of the underlying principles for starting insulin and GLP 1s along with practical tips on education, adjustment of doses and dealing with difficult situations. There is also a glossary of terms associated with diabetes and its treatment.

Source: rcn.org.uk
Clinical Resource: Guidance
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Last Checked: 26/10/15 Link Error: Report It

 

 

Insulin Regimens

The appropriate insulin regimen for each patient with diabetes will depend on their type of diabetes and their individual needs and circumstances.

Improved glycaemic control has been shown to reduce the risk of complications for both type 1 diabetes and type 2 diabetes. Regimens which attempt to improve glycaemic control will require more active involvement of the patient, both with the number of injections and with the need for close self-monitoring of blood glucose.

Source: patient.co.uk
Clinical Resource: Article
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Last Checked: 08/05/13 Link Error: Report It

 

How to Initiate, Titrate, and Intensify Insulin Treatment in Type 2 Diabetes

This article provides pharmacists with an overview of recent developments and currently available insulin therapies in the management of type 2 diabetes.

Source: uspharmacist.com
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

Use of Intensive Insulin Therapy for the Management of Glycemic Control in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians

Source: acponline.org
Clinical Resource: Guideline
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Last Checked: 30/12/13 Link Error: Report It

 

Long-Acting Insulin Analogues in Type 2 Diabetes Mellitus

Long-acting insulin analogues have no advantages over human isophane insulin in effects on HbA1C levels. They have at best, marginal benefits on hypoglycaemic episodes.

Source: derbyshiremedicinesmanagement.nhs.uk
Clinical Resource: Update
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Last Checked: 19/08/15 Link Error: Report It

 

Conversion of Glucose Values from mg/dl to mmol/l

Source: soc-bdr.org
Clinical Resource: Calculator
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Last Checked: 13/03/14 Link Error: Report It

 

HOMA Calculator

The HOMA Calculator uses the HOMA2 model to estimate beta cell function (%B) and insulin sensitivity (%S) for an individual from simultaneously measured fasting plasma glucose and fasting plasma RIA insulin values. Fasting specific insulin or C-peptide values can be used instead of RIA insulin. The HOMA2 model is calibrated to give %B and %S values of 100% in normal young subjects when using a suitable insulin assay.

Source: dtu.ox.ac.uk
Clinical Resource: Calculator
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Last Checked: 08/05/13 Link Error: Report It

 

estimated Average Glucose, eAG

ADA is recommending the use of a new term in diabetes management, estimated average glucose, or eAG. Health care providers can now report A1C results to patients using the same units (mg/dl or mmol/l) that patients see routinely in blood glucose measurements.

Source: professional.diabetes.org
Clinical Resource: Calculator
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Last Checked: 13/03/14 Link Error: Report It

 

HbA1c Standardisation For Clinical Health Care Professionals

From 1 June 2009, the way in which HbA1c results are reported in the UK is changing. This leaflet explains why and how this will happen.

Source: diabetes.org.uk
Clinical Resource: Leaflet
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Last Checked: 04/03/13 Link Error: Report It

 

HbA1c converter

Convert HbA1c % to mmol/mol and vice versa

Source: diabetes.org.uk
Clinical Resource: Converter
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Last Checked: 13/03/14 Link Error: Report It

 

HbA1c conversion tables

Source: nzssd.org.nz
Clinical Resource: Tables
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Last Checked: 08/05/13 Link Error: Report It

 

Reporting and interpreting glycated haemoglobin (HbA1c) results/values

When performed for diagnosis/CV risk screening
When performed in those with confirmed diabetes

Source: nzssd.org.nz
Clinical Resource: Tables
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Last Checked: 13/03/14 Link Error: Report It

 

Self-Monitoring of Blood Glucose (SMBG) Recommendation Tool for Healthcare Providers
Canadian Diabetes Association

The Association has developed three SMBG tools—one for healthcare providers and two for people living with diabetes—to not only identify SMBG recommendations and pattern management for healthcare providers, but to provide essential information and education for patients for optimal self-management.

Source: diabetes.ca
Clinical Resource: Recommendation Tool
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Last Checked: 19/08/15 Link Error: Report It

 

Glucose testing in people with Diabetes – Self monitoring
Flowchart produced by the Lambeth and Southwark Diabetes Prescribing Workstream.

Source: londondiabetes.nhs.uk
Clinical Resource: Flowchart
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Last Checked: 08/05/13 Link Error: Report It

 

 

American Society of Hypertension Position Paper: Treatment of Hypertension in Patients With Diabetes - An Update

Source: ash-us.org
Clinical Resource: Position Paper
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Last Checked: 08/05/13 Link Error: Report It

 

Management of Hypertension for People with Diabetes

Hypertension is a common problem in people with diabetes. This resource provides a summary for practicing clinicians about the treatment of hypertension in people with diabetes

Source: hypertension.ca
Clinical Resource: Clinical Paper
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Last Checked: 22/04/13 Link Error: Report It

 

European Society of Hypertension Newsletter
Treatment of Hypertension in Patients with Type 2 Diabetes Mellitus

Source: eshonline.org
Clinical Resource: Newsletter
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Last Checked: 19/08/15 Link Error: Report It

 

European Society of Hypertension Newsletter
Microalbuminuria in Type-1 Diabetes Mellitus

Source: eshonline.org
Clinical Resource: Newsletter
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Last Checked: 19/08/15 Link Error: Report It

 

Kidney Disease Outcomes Quality Initiative Clinical Practice Guideline for Diabetes and Chronic Kidney Disease: 2012 Update

Source: kidney.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

Urine Albumin-to-Creatinine Ratio (UACR)

Evaluating Patients with Diabetes for Kidney Disease presents key information about assessing UACR and GFR for diabetes educators and other healthcare professionals.

Source: nih.gov
Clinical Resource: Factsheet
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Last Checked: 17/02/14 Link Error: Report It

 

UK Prospective Diabetes Study Risk Engine

Risk calculators based on equations from the Framingham Heart Study tend to underestimate risks for people with diabetes as this study included relatively few diabetic subjects. The UKPDS Risk Engine is a type 2 diabetes specific risk calculator based on 53,000 patients years of data from the UK Prospective Diabetes Study, which also provides an approximate 'margin of error' for each estimate.

Source: dtu.ox.ac.uk
Clinical Resource: Calculator
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Last Checked: 22/04/13 Link Error: Report It

 

myhealthywaist.org

The website myhealthywaist.org is produced by the International Chair on Cardiometabolic Risk of Université Laval.

The most comprehensive educational website on the relationships between abdominal obesity, type 2 diabetes and cardiovascular disease.

Source: myhealthywaist.org
Clinical Resource: Various
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Last Checked: 22/04/13 Link Error: Report It

 

Management of hyperglycemia in patients with diabetes mellitus and chronic renal failure

Diabetes mellitus is recognized as a leading cause of chronic kidney disease and end-stage renal failure. Chronic renal failure is associated with insulin resistance and, in advanced renal failure, decreased insulin degradation. Both of these abnormalities are partially reversed with the institution of dialysis. Except for diet with protein restriction, patients with diabetes should be preferably treated with insulin.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 16/03/13 Link Error: Report It

 

Royal College of Obstetricians and Gynaecologists Scientific Impact Paper on Diagnosis and Treatment of Gestational Diabetes

Source: rcog.org.uk
Clinical Resource: Scientific Impact Paper
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Last Checked: 19/08/15 Link Error: Report It

 

2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections

Source: idsociety.org
Clinical Resource: Guideline
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Last Checked: 15/05/15 Link Error: Report It

 

Drug interactions with oral hypoglycaemic drugs

Oral hypoglycaemic drugs may interact with other drugs. Pharmacodynamic interactions occur with medications that alter blood glucose and may require the dose of the oral hypoglycaemic drug to be altered. Pharmacokinetic interactions vary with the drug group. Sulfonylureas and repaglinide are metabolised in the liver. Their plasma concentrations and activity can be reduced by drugs which induce hepatic enzymes and increased by hepatic enzyme inhibitors. Metformin is renally excreted and may have increased toxicity with drugs that impair renal function.

Source: nps.org.au
Clinical Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Oral Hypoglycemic Agents: The Risk of Hypoglycemia

A number of studies and case reports have described clinically important drug interactions with oral hypoglycemics.

Source: hanstenandhorn.com
Clinical Resource: Journal Article
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Last Checked: 05/06/15 Link Error: Report It

 

Rifamycins and Anti-Diabetic Agents: Drug-Drug Interactions

A 2-sided diagram for clinicians and healthcare providers that describes drug-drug interactions of Rifamycins and Anti-Diabetic Agents.

Source: heartlandntbc.org
Clinical Resource: Diagram
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Last Checked: 19/10/15 Link Error: Report It

 

Management of adults with diabetes undergoing surgery and elective procedures: improving standards

These guidelines have been commissioned by NHS Diabetes and written by the Joint British Diabetes Societies Inpatient Care Group and representatives from the specialist societies surgeons and anaesthetists.

Source: diabetes.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

The peri-operative management of the adult patient with diabetes
Association of Surgeons of Great Britain and Ireland

These guidelines cover all stages of the patient pathway from primary care referral to surgical outpatients, pre-operative assessment, hospital admission, surgery, post-operative care and discharge.

Source: asgbi.org.uk
Clinical Resource: Publication
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Last Checked: 08/05/13 Link Error: Report It

 

Clinical Guideline for the Management of Adult Patients Diabetes Mellitus During Surgery / Elective Procedures
Royal Cornwall Hospitals NHS Trust

Source: rcht.nhs.uk
Clinical Resource: Guideline
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Last Checked: 27/08/13 Link Error: Report It

 

Treatment of Vulvovaginal Candidiasis in Patients With Diabetes

This article examines current information regarding vulvovaginitis in diabetic women and therapeutic options for its management.

Source: diabetesjournals.org
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

American Society for Parenteral and Enteral Nutrition Clinical Guidelines: Nutrition Support of Adult Patients With Hyperglycemia

Source: nutritioncare.org
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Caring for Diabetics in a Palliative Care setting; The challenges.

Source: rbch.nhs.uk
Clinical Resource: Presentation
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Last Checked: 24/04/14 Link Error: Report It

 

Diabetes Mellitus at the End of Life

Source: hospiceintheweald.org.uk
Clinical Resource: Guideline
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Last Checked: 24/04/14 Link Error: Report It

 

British Thyroid Association Guidelines/Statements

Source: british-thyroid-association.org
Clinical Resource: Guidelines
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Last Checked: 08/05/13 Link Error: Report It

 

American Thyroid Association Professional Guidelines

Source: thyroid.org
Clinical Resource: Guidelines
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Last Checked: 08/05/13 Link Error: Report It

 

Thyroid Disease Manager
Ask an Expert

Any physician may submit a question regarding a thyroid patient to <ldegroot@earthlink.net> and one of our panel of expert thyroidologists will attempt to provide an answer

Source: thyroidmanager.org
Clinical Resource: Questions and Answers
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Last Checked: 08/05/13 Link Error: Report It

 

Adapted Summary of UK Guidelines for the Use of Thyroid Function Tests

Contents

Indications for thyroid function testing
Hypothyroidism
Hyperthyroidism

Source: pathlabs.rlbuht.nhs.uk
Clinical Resource: Summary
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Last Checked: 13/03/14 Link Error: Report It

 

Management of common thyroid diseases

This Bulletin discusses the treatment of thyroid disease and considers approaches to diagnosis and monitoring.

Source: npc.nhs.uk
Clinical Resource: National Prescribing Centre Bulletin
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Last Checked: 24/04/15 Link Error: Report It

 

Current drug management of hypo- and hyperthyroidism

Thyroid dysfunction is a common disorder and most cases of hypothyroidism are managed in general practice. Our Drug review discusses the currently available drug treatments for hypo- and hyperthyroidism, followed by sources of further information in Resources.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

Myxoedema Coma

Myxoedema coma is a rare, but potentially fatal disorder which may occur in patients with longstanding untreated hypothyroidism.

Source: patient.co.uk
Clinical Resource: Article
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Last Checked: 08/05/13 Link Error: Report It

 

Hyperthyroidism: Diagnosis and Treatment

The proper treatment of hyperthyroidism depends on recognition of the signs and symptoms of the disease and determination of the etiology. The most common cause of hyperthyroidism is Graves' disease. Other common causes include thyroiditis, toxic multinodular goiter, toxic adenomas, and side effects of certain medications.

Source: aafp.org
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

Evaluating and managing patients with thyrotoxicosis

This article outlines the clinical presentation and evaluation of a patient with thyrotoxicosis.

Source: racgp.org.au
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

Hyperthyroid Crisis (Thyrotoxic Storm)

Hyperthyroid crisis is an uncommon medical emergency caused by an exacerbation of hyperthyroidism characterised by decompensation of one or more organ systems in people with untreated or poorly treated hyperthyroidism. Hyperthyroid crisis usually occurs in patients already known to have hyperthyroidism but may be the first presentation of hyperthyroidism.

Source: patient.co.uk
Clinical Resource: Article
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Last Checked: 08/05/13 Link Error: Report It

 

Investigation and Management of Amiodarone-Associated Thyroid Disease

Source: nhslothian.scot.nhs.uk
Clinical Resource: Protocol
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Last Checked: 08/05/13 Link Error: Report It

 

Thyroid disease in the perinatal period

This article outlines changes to thyroid physiology and iodine requirements in pregnancy, pregnancy specific reference ranges for thyroid function tests and detection and management of thyroid conditions in pregnancy.

Source: racgp.org.au
Clinical Resource: Journal Article
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Last Checked: 07/05/14 Link Error: Report It

 

Hypothyroidism in the Very Old

Determining whether or not to treat individuals for hypothyroidism can be difficult in the population of the oldest old (those over 80 years of age) because the evidence base is limited and conflicting.

Source: aging.arizona.edu
Clinical Resource: Factsheet
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Last Checked: 26/10/15 Link Error: Report It

 

Subclinical Hypothyroidism

This column will focus on the relatively common condition known as subclinical hypothyroidism, also referred to as mild thyroid failure.

Source: uspharmacist.com
Clinical Resource: Journal Article
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Last Checked: 25/06/13 Link Error: Report It

 

Subclinical Hypothyroidism: An Update for Primary Care Physicians

Subclinical hypothyroidism (SCH), also called mild thyroid failure, is diagnosed when peripheral thyroid hormone levels are within normal reference laboratory range but serum thyroid-stimulating hormone (TSH) levels are mildly elevated. This condition occurs in 3% to 8% of the general population. It is more common in women than men, and its prevalence increases with age. Of patients with SCH, 80% have a serum TSH of less than 10 mIU/L. The most important implication of SCH is high likelihood of progression to clinical hypothyroidism. The possibility that it is a cardiovascular risk factor has been a subject of debate.

Source: mayoclinicproceedings.org
Clinical Resource: Journal Article
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Last Checked: 25/06/13 Link Error: Report It

 

Taking care of thyroxine

Thyroxine tablets are important in managing hypothyroidism, but treatment may be sub-optimal if they are used incorrectly. The tablets have pharmaceutical properties which can impair the patients management. Discussing the correct use and storage of the tablets is an important part of prescribing thyroxine.

Source: nps.org.au
Clinical Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Drugs That Inhibit Levothyroxine Absorption

Levothyroxine is widely used to treat patients with thyroid disorders. Unfortunately, the bioavailability of levothyroxine can be reduced by a variety of other medications, leading to reduced levothyroxine effect.

Source: hanstenandhorn.com
Clinical Resource: Journal Article
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Last Checked: 05/06/15 Link Error: Report It

 

Can patients on levothyroxine take sea kelp?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

Kelp is a generic term that refers to Laminaria and Macrocystis species of brown seaweeds, although in practice the term is often used in reference to species of Fucus. The species Fucus vesiculosus, more commonly known as bladderwrack, is reported to be commonly used in the preparation of kelp products. Because of its iodine content kelp has traditionally been used as a source of iodine for thyroid deficiency and as a slimming supplement.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Global Library of Women's Medicine
Reproductive Endocrinology and Infertility

An expert clinical resource for women's healthcare. Constantly updated. Peer reviewed. Comprehensive coverage

Reproductive Endocrinology and Infertility

  • Endocrine biochemistry
  • Reproductive neuroendocrinology
  • The ovary
  • Menstruation and menstrual disorders
  • The thyroid and adrenal glands
  • Endocrinology of pregnancy
  • The prostaglandins
  • Fertility
  • Recurrent pregnancy loss
  • Infertility
  • Assisted reproductive technology
Source: glowm.com
Clinical Resource: Library
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Last Checked: 20/03/13 Link Error: Report It

 

Reproductive hormones: The right test, at the right time, for the right patient

Understanding the physiology of reproductive hormones, recognising pathology and knowing what tests to order, when to order them and how to interpret the results can be daunting. Hormone tests provide important information when applied appropriately, but often they are used without a clearly thought out diagnostic pathway, or in response to patient demand, rather than being tailored to the right patient in the right situation. In such situations, hormone tests will, at best, be of no clinical use, and at worst, lead to anxiety and uncertainty. We look at some of the more common applications of hormone tests in the general practice setting.

Source: bpac.org.nz
Clinical Resource: Article
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Last Checked: 13/03/14 Link Error: Report It

 

Royal College of Obstetricians and Gynaecologists Guideline for Long-Term Consequences of Polycystic Ovary Syndrome

Source: rcog.org.uk
Clinical Resource: Guideline
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Last Checked: 19/08/15 Link Error: Report It

 

Royal College of Obstetricians and Gynaecologists Scientific Impact Paper on Metformin Therapy for the Management of Infertility in Women With Polycystic Ovary Syndrome

Source: rcog.org.uk
Clinical Resource: Scientific Impact Paper
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Last Checked: 19/08/15 Link Error: Report It

 

Ovulation Induction in Polycystic Ovary Syndrome

This Clinical Practice Guideline has been prepared by the Reproductive Endocrinology and Infertility Committee and approved by Executive and Council of the Society of Obstetricians and Gynaecologists of Canada.

Source: sogc.org
Clinical Resource: Guideline
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Last Checked: 19/10/15 Link Error: Report It

 

The North American Menopause Society Position Statements & Other Reports

Source: menopause.org
Clinical Resource: Position Statements and Reports
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Last Checked: 21/08/15 Link Error: Report It

 

International Menopause Society Recommendations

Source: imsociety.org
Clinical Resource: Recommendations
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Last Checked: 08/05/13 Link Error: Report It

 

International Menopause Society Position Papers and Consensus Statements

Source: imsociety.org
Clinical Resource: Position Papers and Consensus Statements
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Last Checked: 08/05/13 Link Error: Report It

 

Royal College of Nursing
Menopause: lifestyle and therapeutic approaches

This publication aims to help all health care professionals gain awareness of all these issues by reviewing what happens to the body during menopause and in the post-menopausal stage, examining the impact of these changes on women, and finally outlining the options for health after menopause.

Source: rcn.org.uk
Clinical Resource: Guidance
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Last Checked: 26/10/15 Link Error: Report It

 

Osteoporosis in Menopause

This clinical practice guideline has been prepared by the Menopause and Osteoporosis Working Group, reviewed by the Clinical Practice Gynaecology and Family Physician Advisory Committees, and approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada.

Source: sogc.org
Clinical Resource: Guideline
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Last Checked: 19/10/15 Link Error: Report It

 

The British Menopause Society: Fact Sheets

Fact Sheets

  • Alternative and Complementary Therapies
  • Explaining risk and study design
  • HRT and Breast Cancer
  • Mammograms and HRT
  • Medical Alternatives to Hormone Replacement Therapy
  • Osteoporosis
  • Ovarian cancer and HRT
  • Premature Menopause
  • The Initial Menopause Consultation
Source: thebms.org.uk
Clinical Resource: Factsheets
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Last Checked: 08/05/13 Link Error: Report It

 

Menopausal Medicine

The ASRM newsletter for clinicians who care for older women

Source: asrm.org
Clinical Resource: Newsletters
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Last Checked: 08/05/13 Link Error: Report It

 

The Facts of Hormone Therapy for Menopausal Women
David W. Sturdee

This book is intended as a resource for family doctors and specialist nurses. It provides a concise account of recent advances in this exciting field, together with an outline of the evidence which informs current thinking. It is hoped that the information it contains will also prove useful to women interested in the up-to-date facts about HT. For the physician, prescription guidelines are included for women of different ages and clinical needs, highlighting the variety of treatment regimens currently in use.

Source: imsociety.org
Clinical Resource: Book
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Last Checked: 08/05/13 Link Error: Report It

 

Hormone replacement therapy

The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.

Source: webarchive.org.uk
Clinical Resource: e-Learning
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Last Checked: 24/04/15 Link Error: Report It

 

Is there a lactose-free hormone replacement therapy (HRT)?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

All branded oral formulations of oestrogen-containing hormone replacement therapy (HRT) currently available on prescription contain lactose.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Royal College of Obstetricians and Gynaecologists Scientific Impact Paper on Alternatives to HRT for Management of Symptoms of the Menopause

Source: rcog.org.uk
Clinical Resource: Scientific Impact Paper
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Last Checked: 19/08/15 Link Error: Report It

 

Complementary and Herbal Therapies for Hot Flushes

There have been a great many trials of complementary and herbal medicines and some of these have suggested benefits from certain therapies and others have shown no benefit. It can be difficult for consumers and for doctors to interpret this mixed information. This information sheet provides a brief overview of the current evidence for complementary and herbal therapies.

Source: menopause.org.au
Clinical Resource: Information Sheet
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Last Checked: 29/11/16 Link Error: Report It

 

Assessment and Management of Cardiovascular Risks in Women
A Short Guide for Menopause Physicians

The guide provides details of the key cardiovascular risk factors in women and describes how risk can be determined and monitored within the gynaecological setting, and in which populations. The guide contains practical guidance for menopause physicians to follow to help them to reduce cardiovascular risk in their patients.

Source: imsociety.org
Clinical Resource: Guide
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Last Checked: 22/04/13 Link Error: Report It

 

Guideline for the diagnosis and management of osteoporosis in postmenopausal women and men from the age of 50 years in the UK

The National Osteoporosis Guideline Group gratefully acknowledges the collaboration of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and the support of the Bone Research Society, British Geriatrics Society, British Orthopaedic Association, Bone Research Society, British Society of Rheumatology, National Osteoporosis Society, Osteoporosis 2000, Osteoporosis Dorset, Primary Care Rheumatology Society, Royal College of Physicians and Society for Endocrinology.

Source: shef.ac.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

European guidance for the diagnosis and management of osteoporosis in postmenopausal women

Source: iofbonehealth.org
Clinical Resource: Position Paper
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Last Checked: 08/05/13 Link Error: Report It

 

National Osteoporosis Society Position Statement on Hormone Replacement Therapy for the Treatment and Prevention of Osteoporosis

Source: nos.org.uk
Clinical Resource: Position Statement
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Last Checked: 08/05/13 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Osteoporosis and the Prevention of Fragility Fractures

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 18/05/15 Link Error: Report It

 

Osteoporosis Online

These courses encompass information from the causes and diagnosis of osteoporosis through to a review of treatment strategies. Advice on overcoming barriers to improved care is provided. The target audience of this programme is qualified physicians in secondary care and specialist primary care.

Course 1: Understanding bone metabolism
Course 2: Risk assessment and diagnostic techniques
Course 3: Management strategies for osteoporosis
Course 4: Fracture healing and osteoporosis

Source: iofbonehealth.org
Clinical Resource: e-Learning
Register to Access Content: Yes - registration is FREE

Last Checked: 24/04/15 Link Error: Report It

 

National Osteoporosis Foundation's Clinician’s Guide to Prevention and Treatment of Osteoporosis

The Clinician’s Guide to Prevention and Treatment of Osteoporosis was developed by an expert committee of the National Osteoporosis Foundation (NOF) in collaboration with a multispecialty council of medical experts in the field of bone health convened by NOF.

This Guide offers concise recommendations regarding prevention, risk assessment, diagnosis, and treatment of osteoporosis in postmenopausal women and men age 50 and older. It includes indications for bone densitometry and fracture risk thresholds for intervention with pharmacologic agents.

Source: nof.org
Clinical Resource: Guide
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Last Checked: 20/08/15 Link Error: Report It

 

Osteoporosis Update

Osteoporosis Update provides the most current, reliable information to support general practitioners and other health professionals involved in the daily clinical management of osteoporosis.

Source: osteoporosis.ca
Clinical Resource: Periodical
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Last Checked: 08/05/13 Link Error: Report It

 

Osteoporosis Resources for Primary Care

Osteoporosis Resources for Primary Care is a joint initiative of the National Osteoporosis Society and the Royal College of General Practitioners.

It seeks to provide GPs, Practice Nurses and other health professionals in the practice team with the clear, concise information they need to effectively manage osteoporosis and reduce fracture risk in older people.

Source: osteoporosis-resources.org.uk
Clinical Resource: Guide
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Last Checked: 08/05/13 Link Error: Report It

 

Nutriceuticals: Over-the-Counter Products and Osteoporosis

Upon completion of this CE material, the participant should be able to:

  • Describe the impact of dietary calcium and vitamin D on bone health.
  • Teach patients how to calculate the amount of calcium in their diets.
  • List the nutriceuticals that may have potential, but unproven, benefit to bone.
  • Explain the effect of dietary phosphorus on bone (both excess and deficient).
  • Elicit information on nutriceutical use from patients and advise them regarding effectiveness.
Source: nof.org
Clinical Resource: Update
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Last Checked: 20/08/15 Link Error: Report It

 

 

The role of calcium and vitamin D in the management of osteoporosis

The role of calcium and vitamin D supplementation in the treatment of osteoporosis has been extensively studied. The aim of this paper was to reach, where possible, consensus views on five key questions relating to calcium and vitamin D supplementation in the management of osteoporosis.

Source: esceo.org
Clinical Resource: Paper
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Last Checked: 20/08/15 Link Error: Report It

 

Is there a suitable vitamin D product for a patient with a peanut or soya allergy?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

A document has been written which lists the available products for treating vitamin D deficiency and insufficiency, including cost, licensing status, and risk category.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Guidance for the Management of Breast Cancer Treatment-Induced Bone Loss

Reviewed and supported by the National Osteoporosis Society (NOS), the National Cancer Research Institute (NCRI) Breast Cancer Study Group and the International Osteoporosis Foundation (IOF)

Source: nos.org.uk
Clinical Resource: Consensus Position Statement
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Last Checked: 08/05/13 Link Error: Report It

 

Management of post-menopausal osteoporosis

This bulletin focuses on the pharmacological management of patients with post-menopausal osteoporosis - both those with clinically evident disease (e.g. prior osteoporotic fracture) and those who are identified as being at high-risk of fracture.

Source: wemerec.org
Clinical Resource: Medicines Resource Centre Bulletin
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Last Checked: 08/05/13 Link Error: Report It

 

Osteoporosis and Chronic Kidney Disease

This issue of “Osteoporosis Clinical Updates” provides tools and suggestions for identifying those CKD patients who would benefit from treatment for osteoporosis in a general practice setting and who would be better served by referral to a specialist with experience in renal-related bone disease.

Source: nof.org
Clinical Resource: Update
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Last Checked: 20/08/15 Link Error: Report It

 

Bisphosphonate prescribing in chronic kidney disease

Bone disease is commonly associated with chronic kidney disease (CKD), and the prevalence of skeletal abnormalities in those with end-stage renal disease approaches 100%. While renal osteodystrophy is the collective term for various types of uraemia-related bone remodelling, including hyperparathyroid bone disease, adynamic bone disease and osteomalacia, persons with CKD can also develop osteoporosis.

Source: rcpe.ac.uk
Clinical Resource: Journal Article
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Last Checked: 17/02/14 Link Error: Report It

 

Bisphosphonate Therapy: To Stop or Not to Stop?

Bisphosphonate therapy is now the mainstay of treatment for patients with primary and secondary forms of osteoporosis. This class of drugs has earned this role because of multiple studies documenting the reduction in the incidence of vertebral and other fragility fractures in older women with osteoporosis at moderate to high fracture risk and the prevention of bone loss in many other medical conditions with bisphosphonate therapy. After beginning therapy, clinicians then confront the question of how long therapy should be continued.

Source: sbdens.org.br
Clinical Resource: Publication
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Last Checked: 08/05/13 Link Error: Report It

 

Q: Can patients take a drug holiday when using bisphosphonates for osteoporosis?

A. The bisphosphonates (alendronate, risedronate, and ibandronate) play an important role in the treatment and prevention of osteoporosis. Intravenous bisphosphonates (pamidronate and zoledronic acid) are also commonly used in the management of hypercalcemia associated with malignancy and in multiple myeloma. Although generally well tolerated, the long-term effect of these drugs on bone turnover has come into question.

Source: duq.edu
Clinical Resource: Pharmaceutical Information Centre Publication
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Last Checked: 08/05/13 Link Error: Report It

 

Bisphosphonates: Forever or Five Years and stop?

Clinical Question: Can patients with osteoporosis who have been on bisphosphonates for 5 years discontinue treatment without increasing future fracture risk?

Source: acfp.ca
Clinical Resource: Article
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Last Checked: 21/08/15 Link Error: Report It

 

Stopping medicines - bisphosphonates in postmenopausal osteoporosis

There has recently been considerable debate surrounding the required duration of treatment with bisphosphonates to produce the optimal antifracture activity without subjecting the patient to unnecessary treatment and its possible attendent adverse effects.

Source: wemerec.org
Clinical Resource: Medicines Resource Centre E-Note
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Last Checked: 08/05/13 Link Error: Report It

 

Update on Drug-Induced Osteoporosis (DIO)

Many commonly prescribed drugs are known to cause bone loss. The aim of this newsletter is to review drugs associated with osteoporosis (OP), the frequency of occurrence, prevention and management.

Source: usask.ca
Clinical Resource: Drug Information Service Newsletter
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Last Checked: 11/05/15 Link Error: Report It

 

The Pituitary Foundation
Pituitary Disease Factfile

As pituitary disease is relatively rare in the UK, a GP may only see one or two patients with the condition through his or her career.

Symptoms suffered by patients are wide-ranging and non-specific, and may not be recognised for some years. The GP Factfile aims to aid diagnostic skills and the shared after-care of patients.

Contents and Introduction

Introduction
A Guide to Pituitary Apoplexy
Non-functioning pituitary tumours
Acromegaly
Cushing’s disease
Hyperprolactinaemia
Hypopituitarism
Craniopharyngioma
Diabetes insipidus
Pituitary surgery
Radiotherapy
Hormone replacement therapy
Hypogonadism
Psychological Issues
Referrals – Who and When to refer
Resource list

Source: pituitary.org.uk
Clinical Resource: Factsheets
Register to Access Content: Yes - registration is FREE

Last Checked: 31/05/13 Link Error: Report It

 

Neuroendocrine Clinical Center

The Neuroendocrine Clinical Center - A multidisciplinary approach to patients with pituitary and hypothalamic disorders. Including the Neuroendocrine Center Bulletin; A newsletter with information regarding pituitary tumors. Information on acromegaly, Cushing's disease or syndrome, prolactinoma, chromophobe or nonfunctioning pituitary adenoma, and thyrotroph adenomas.

Source: pituitary.mgh.harvard.edu
Clinical Resource: Various
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Last Checked: 08/05/13 Link Error: Report It

 

Contraceptive Options for Women with Prolactinoma
Faculty of Sexual & Reproductive Healthcare

Source: fsrh.org
Clinical Resource: Statement
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Last Checked: 10/06/15 Link Error: Report It

 

Diagnosing Addison's: a guide for GPs

This leaflet, Diagnosing Addison's, outlines the role of the GP in the early detection of Addison's. It has been developed for the Addison's Disease Self Help Group by our Clinical Advisory Panel and covers:

  1. Symptoms and clinical signs
  2. GP role in urgent admissions
  3. GP role in patient screening
  4. Primary care investigations
  5. Referral to a secondary specialist
  6. The differential diagnosis
  7. Associated endocrine conditions
  8. Potential pitfalls
  9. Worst outcomes if missed
  10. Epidemiology
  11. Key questions for the GP
  12. GP follow-up
Source: addisons.org.uk
Clinical Resource: Leaflet
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Last Checked: 08/05/13 Link Error: Report It

 

Caring for the Addison's patient: Information for GPs

The leaflet outlines the role of the GP in managing Addison’s disease at each stage in the patient lifecycle from diagnosis to old age. It is two A4 sides long and covers:

  1. Diagnosis
  2. Medication management
  3. Patient education for emergency prevention
  4. Emergency treatment
  5. Monitoring for 'Addison's Plus'
  6. Care in special circumstances
Source: addisons.org.uk
Clinical Resource: Leaflet
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Last Checked: 08/05/13 Link Error: Report It

 

Glucocorticoid Medication Requirements for Surgery and Dentistry

The surgical guidelines have been developed for the Addison's Disease Self Help Group by our Clinical Advisory Panel.

These guidelines:

a. List the ten main types of surgical procedure, each requiring a different level of peri-operative steroid cover

b. Specify the glucocorticoid medication and post-operative treatment requirements for each type of procedure in an easy-to-read table

c. Bring together on the timing and the most efficient route for administration of steroid cover during the stress of surgical procedures.

d. Suggest a risk-free level of steroid cover, that should be sufficient for a patient with additional health complications.

Source: addisons.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Steroid Stress Dosing
How to negotiate the use of glucocorticoids

Adrenal response to stress can vary broadly from patient to patient. For hospitalists, the challenge is predicting patients’ cortisol needs.

Source: the-hospitalist.org
Clinical Resource: Article
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Last Checked: 08/05/13 Link Error: Report It

 

Guideline for Perioperative Steroid Replacement
Royal Cornwall Hospitals NHS Trust

The purpose of this guideline is to provide a framework for the safe management of patients in the peri-operative period who have been prescribed steroid medications.

Source: rcht.nhs.uk
Clinical Resource: Guideline
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Last Checked: 22/11/13 Link Error: Report It

 

Psychiatric Adverse Effects of Corticosteroids

This review offers an approach to identifying and managing corticosteroid-induced psychiatric syndromes based on the type of symptoms and anticipated duration of corticosteroid treatment.

Source: mayoclinicproceedings.org
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

Glucocorticoid-induced hyperglycaemia

Glucocorticoids such as prednisolone and hydrocortisone have long been known to increase blood glucose levels. They do not seem to interfere with glucose uptake by the cell, but probably interfere with one or more of the intracellular mechanisms of glucose metabolism or insulin resistance.

Source: auspharmlist.net.au
Clinical Resource: Pharmacy E-Bulletin
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Last Checked: 08/05/13 Link Error: Report It

 

Royal College of Physicians Glucocorticoid guidelines 2002

This document presents evidence-based guidelines for the management of glucocorticoidinduced osteoporosis.

Source: nos.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Corticosteroid-Induced Osteoporosis: Prevention and Treatment

Corticosteroids are widely used in primary care. The main conditions requiring them include rheumatoid arthritis, polymyalgia rheumatica, inflammatory bowel disease and asthma/chronic obstructive airways disease, and around 0.5% of the UK adult population currently take oral corticosteroids. Although therapeutically effective, their long-term use is associated with considerable morbidity and possibly also premature mortality, for example through accelerated atherosclerosis. In the locomotor system, however, the principal steroid complication is the development of osteoporosis.

Source: arthritisresearchuk.org
Clinical Resource: Report
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Last Checked: 08/05/13 Link Error: Report It

 

Is there any evidence to support the use of enteric coated (EC) over uncoated prednisolone tablets?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

As the debate continues about whether the EC formulation provides gastro-protection compared with the uncoated tablets, in addition to the cost differential of the two products (three-fold difference at time of writing based on Drug Tariff June 2013), a summary of the findings of the DTB and an update of the literature with a focus on the implications of switching formulations are presented

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Guidelines on the management of sexual problems in men: the role of androgens

A statement produced by:

British Society for Sexual Medicine

In association with:

British Association for Sexual Health and HIV
British Association of Urological Surgeons
British Fertility Society
British Menopause Society
Royal College of Pathologists
Royal College of Physicians
Society for Endocrinology

Source: bssm.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Guidelines on the management of sexual problems in women: the role of androgens

A statement produced by:

British Society for Sexual Medicine

In association with:

British Association for Sexual Health and HIV
British Association of Urological Surgeons
British Fertility Society
British Menopause Society
Royal College of Pathologists
Royal College of Physicians
Society for Endocrinology

Source: bssm.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Hirsutism: Evaluation and Treatment

This document has been reviewed by the Reproductive Endocrinology Infertility Committee and approved by Executive and Council of the Society of Obstetricians and Gynaecologists of Canada.

Source: sogc.org
Clinical Resource: Guideline
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Last Checked: 19/10/15 Link Error: Report It

 

European Association for the Study of Obesity Guidelines

Source: easo.org
Clinical Resource: Guidelines
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Last Checked: 21/08/15 Link Error: Report It

 

Obesity Society Position Statements

Source: obesity.org
Clinical Resource: Position Statements
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Last Checked: 08/05/13 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Obesity

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 18/05/15 Link Error: Report It

 

The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

This Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults was developed cooperatively by the North American Association for the Study of Obesity (NAASO) and the National Heart, Lung, and Blood Institute (NHLBI).

Source: obesity.org
Clinical Resource: Publication
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Last Checked: 08/05/13 Link Error: Report It

 

2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children

Source: cmaj.ca
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

National Obesity Forum
Health Professionals Homepage

Resources and training to support healthcare professionals

Source: nationalobesityforum.org.uk
Clinical Resource: Various
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Last Checked: 08/05/13 Link Error: Report It

 

Obesity

The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.

Source: webarchive.org.uk
Clinical Resource: e-Learning
Register to Access Content: No

Last Checked: 24/04/15 Link Error: Report It

 

Atypical Antipsychotics and Metabolic Abnormalities

This article will focus on the type of metabolic abnormalities that can be associated with AAPs as well as recommended monitoring and management strategies.

Source: oregonstate.edu
Clinical Resource: Newsletter
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Last Checked: 19/08/15 Link Error: Report It

 

The Drug Database for Acute Porphyria

The database contains expert assessments of the potential of drugs to provoke attacks of acute porphyria. The database provides guidance based on a very careful evaluation of international clinical experience, published case reports, previously published drug lists, and theoretical considerations.

Source: drugs-porphyria.org
Clinical Resource: Database
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Last Checked: 08/05/13 Link Error: Report It

 

European Porphyria Initiative

For healthcare professionals

  • The Porphyrias
  • Laboratory diagnosis
  • Investigating the family
  • Treatment
  • Pain Management

Drugs and acute porphyrias

  • Background information
  • How to use the information?
  • Common prescribing problems
  • Selecting a drug
Source: porphyria-europe.com
Clinical Resource: Various
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Last Checked: 08/05/13 Link Error: Report It

 

Porphyria South Africa
Porphyria for Professionals

These pages are written in the detail and using the terminology required for doctors and other health professionals. A full explanation of porphyria is given, as well as practical details of diagnosis and management.

You will also find a range of useful additional information difficult to source elsewhere, such as guidelines for the management of specific diseases in the presence of porphyria, on ordering haem arginate, on pregnancy and delivery and so on.

Source: porphyria.uct.ac.za
Clinical Resource: Various
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Last Checked: 20/08/15 Link Error: Report It

 

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