Diagnosis and management of polycystic ovarian syndrome - CMAJ
Jan 29, 2024 · Box 1: Evidence used in this review. We drew on the international guideline on the management of polycystic ovarian syndrome (PCOS) published by the European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine in 2023 and the hirsutism guideline published by the Endocrine Society in 2018.1, 3, 7 We also searched articles in PubMed from 2018–2023 ...
Management of patients after coronary artery bypass grafting
May 10, 2021 · KEY POINTS About 15 000 people in Canada undergo coronary artery bypass grafting (CABG) surgery each year.[1][1] According to the 2019 Canadian Institute for Health Information Cardiac Care Quality Indicators Report, 9.4% of these patients are urgently readmitted to hospital within 30 days of CABG
Diagnosis and management of postural orthostatic tachycardia …
Mar 14, 2022 · Diagnostic criteria for postural orthostatic tachycardia syndrome. Sustained heart rate increase of ≥ 30 beats/min (or ≥ 40 beats/min if patient is aged 12–19 yr) within 10 minutes of upright posture. Absence of significant orthostatic hypotension (magnitude of blood pressure drop ≥ 20/10 mm Hg).
Clinical practice guideline for management of osteoporosis and …
Oct 10, 2023 · Background: In Canada, more than 2 million people live with osteoporosis, a disease that increases the risk for fractures, which result in excess mortality and morbidity, decreased quality of life and loss of autonomy. This guideline update is intended to assist Canadian health care professionals in the delivery of care to optimize skeletal health and prevent fractures in postmenopausal ...
Obesity in adults: a clinical practice guideline | CMAJ
Aug 4, 2020 · Decreased food intake and increased physical activity lead to a negative energy balance and trigger a cascade of metabolic and neurohormonal adaptive mechanisms.25, 26 Therapies that target these alterations in neurohormonal mechanisms can become effective tools in the long-term management of obesity.27 Novel approaches to diagnose and assess obesity in clinical practice have been proposed.11 ...
A pragmatic approach to the management of menopause - CMAJ
May 15, 2023 · What is the prevalence and impact of menopausal symptoms? The median age of menopause is 51 years, which has remained consistent over the last century, despite a trend toward an earlier age of menarche.1, 2 “Symptoms of menopause often start during the perimenopausal period, even as early as 10 years before the last menstrual period.1, 3 Globally, 1.0%–3.7% of women experience premature ...
Polymyalgia rheumatica | CMAJ
Nov 22, 2021 · Polymyalgia rheumatica is the second most prevalent systemic rheumatological disease in adults. Lifetime risk is 2.4% for women and 1.7% for men, with incidence rising from age 50 to 80 years.[1][1] Polymyalgia rheumatica is characterized by acute-onset bilateral shoulder pain with morning
Meningitis B vaccination | CMAJ
Sep 16, 2024 · Those aged 2–5 months receive 3 doses of 4CMenB and those aged 6–11 months receive 2 doses, with an additional dose between the ages of 12 and 23 months; doses should be administered 8 weeks apart. 3 Children aged 12 months to 9 years receive 2 doses of 4CMenB at least 8 weeks apart. 3 Those aged 10 years or older receive 2 doses of 4CMenB ...
An approach to treating older adults with chronic kidney disease
May 1, 2023 · Chronic kidney disease in patients older than 65 years 4 is defined by an estimated glomerular filtration rate (eGFR) of less than 60 mL/min/m 2. 4 However, a physiologic decline in GFR of about 8 mL/min per decade begins around the fourth decade of life. 5 Physiologic CKD usually does not lead to end-stage kidney disease (ESKD), which is ...
Management of acne: Canadian clinical practice guideline - CMAJ
Feb 2, 2016 · Guideline development. We developed this guideline in accordance with the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument18 and the ADAPTE framework19 for guideline adaptation.. In a systematic review of clinical practice guidelines on the management of acne published from 2007 to 2013,20 we identified and reviewed five guidelines.