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 …
Apolipoprotein B in cardiovascular risk assessment | CMAJ
Aug 28, 2023 · Apolipoprotein (apo) B measurement is a recommended alternative to low-density lipoprotein cholesterol (LDL-C) The 2021 Canadian Cardiovascular Society guideline on dyslipidemia recommends that physicians may use levels of either non-high-density lipoprotein cholesterol (HDL-C) or apo B instead of LDL-C for screening and targets of treatment.1 Non …
Postinfectious cough in adults - CMAJ
Feb 12, 2024 · Postinfectious cough affects 11%–25% of adults after a respiratory infection. Postinfectious cough is defined as a subacute cough, with symptoms lasting between 3 and 8 weeks. 1 The preceding infection triggers an inflammatory cascade, increasing bronchial sensitivity and mucus production, while reducing mucus clearance. 1.
A pragmatic approach to the management of menopause - CMAJ
May 15, 2023 · A pragmatic approach to the management of menopause. Menopausal symptoms can occur for as long as 10 years before the last menstrual period and are associated with substantial morbidity and negative impacts on quality of life. Menopausal hormone therapy is indicated as first-line treatment of vasomotor symptoms, and is a safe treatment option ...
Hyperferritinemia - CMAJ
Oct 4, 2021 · Ferritin is a cellular iron storage protein and an acute phase reactant. Clinicians obtain ferritin levels when they suspect iron deficiency or overload; they may also obtain ferritin levels during the work-up of some hematologic or autoimmune conditions.1 – 4 Levels may be elevated in many chronic conditions or during acute illness, which can confound …
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.
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 …
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
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 …
Polymyalgia rheumatica | CMAJ
Nov 22, 2021 · Polymyalgia rheumatica is a common inflammatory disorder that affects older patients. 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. Taking a thorough patient history is critically important, as ...