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New Topics and Topic Updates

New Topics and Topic Updates

What's New in the Healthwise® Knowledgebase

Version 10.2

July 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
  • Actionset Updates
  • Decision Point Updates
  • Health and Disease Topic Updates
  • Illustration 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

New Health and Disease Topics

Enhanced Content

  • Click here to view a Decision Point. Abnormal Uterine Bleeding: Should I Have a Hysterectomy? : This topic, which originally discussed the pros and cons of hormone medicines for abnormal uterine bleeding, now compares the pros and cons of hysterectomy with those of more conservative treatments, including hormone medicine.
  • Lung Cancer Screening : This topic explains screening guidelines for lung cancer, including for whom low-dose CT-scan screening is recommended. We have updated the recommended ages for screening and have added other information from the latest guidelines for lung cancer screening.
  • Rehabilitation Programs for Multiple Sclerosis : This topic is no longer in an Actionset format. It has been rewritten in plain language that is easy to understand. Our plain-language content has a reading level of 6th- to 8th-grade or lower.
  • Understanding Health Insurance : We added brief information about the Affordable Care Act and provided Web resources for the ACA.

We have updated the language about palliative care in the following documents:

We revised the following documents to help readers focus on the key points for the specific health issue. Also, we verified that the content is written in plain language and is at or below a 6th- to 8th-grade reading level.

New NCI Topics

Refer to Tech Docs for a complete list of new National Cancer Institute content.

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.

New Aisle 7 (CAM) Content

Refer to Tech Docs for a complete list of new Aisle 7 (CAM) content.

Actionset Updates

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.

Decision Point Updates

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.

  • Click here to view a Decision Point. Atrial Fibrillation: Which Anticoagulant Should I Take to Prevent Stroke? : In Get the Facts under "How are these medicines different?" we added that the newer oral anticoagulants have a lower risk of intracranial bleeding compared with warfarin.
  • Click here to view a Decision Point. Breast Cancer Risk: Should I Have a BRCA Gene Test? : In Get the Facts under "How do you know if you have a strong family history of breast or ovarian cancer?" we revised our risk information to reflect the updated 2013 U.S. Preventive Services Task Force guideline on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women.
  • Click here to view a Decision Point. Breast Cancer: What Should I Do if I'm at High Risk? : In Get the Facts under "How do you know if you are at high risk for breast cancer?" we revised our risk information to reflect the updated 2013 U.S. Preventive Services Task Force guideline on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women.
  • Click here to view a Decision Point. Diabetes: Should I Get an Insulin Pump? : In Get the Facts, we added information about new types of insulin pumps and new features, including the insulin pump patch and pumps that monitor blood sugar.
  • Click here to view a Decision Point. Hepatitis C: Should I Take Antiviral Medicine? :
    • Get the Facts: We updated the key points to reflect the new successful treatments for hepatitis C. Under "What medicines are used to treat hepatitis C?" we added the new medicines simeprevir and sofosbuvir to the discussion of medicines used to treat hepatitis C. Under "Who should take antiviral medicines for hepatitis C?" we removed information that was becoming outdated and added "The medicines used in the past to treat hepatitis C were not always very effective, especially for infection with genotype 1. However, new medicines are available that are much more effective and have fewer side effects. So people who may not have been treated before are being treated successfully now." We will update this section again when treatment recommendations are released. Under "How well do antiviral medicines work?" we added information about the effectiveness of treatment using sofosbuvir.
    • Compare Your Options: Under "What is usually involved?" for taking antiviral medicine, we changed "You take shots and pills for 6 months to a year" to "You take medicine for 12 weeks to a year" to reflect the new treatments for hepatitis C. And under "What else do you need to make your decision?" we updated the questions and answers of the quiz to reflect the new, more successful treatments for hepatitis C.
  • Click here to view a Decision Point. Multiple Sclerosis: Should I Start Taking Medicines for MS? : In Get the Facts, under What if you don't take MS medicines? we added information about alternative therapy, with a note to talk to your doctor before trying it.

Health and Disease Topic Updates

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.

Illustration Updates

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.

Medical Test Topic Updates

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.

  • Breast Cancer (BRCA) Gene Test :
    • Test Overview: We revised our risk information to reflect the updated 2013 U.S. Preventive Services Task Force guideline on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women.
  • Chlamydia Tests : We revised the list of tests used for chlamydia screening to reflect the updated CDC recommendation to use Nucleic acid amplification tests (NAATs) as the primary screening test.
  • Gonorrhea Tests : We revised the list of tests used for gonorrhea screening to reflect the updated CDC recommendation to use Nucleic acid amplification tests (NAATs) as the primary screening test.

Symptom Topic Updates

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.

NCI Topic Updates

Refer to Tech Docs for a complete list of updated National Cancer Institute content.

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.

Aisle 7 (CAM) Content Updates

Refer to Tech Docs for a complete list of updated Aisle 7 (CAM) content.

Topic Title Changes and Topic Replacements

Topic title changes

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.

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.

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 Heart Association/American Stroke Association (2014). Guidelines for the prevention of stroke in women.
  • American Heart Association/American College of Cardiology/Heart Rhythm Society (2014). Guideline for the management of patients with atrial fibrillation.
  • U.S. Preventive Services Task Force (2013). Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women.
  • U.S. Preventive Services Task Force (2013). Screening for peripheral arterial disease and cardiovascular disease risk assessment with the ankle-brachial index in adults.
  • U.S. Preventive Services Task Force (2014). Vitamin, mineral, and multivitamin supplements for the primary prevention of cardiovascular disease and cancer.
  • Wilderness Medical Society (2014). Practice guidelines for the prevention and treatment of heat-related illness.

What's Next

New topics

Topics on the following subjects are in development and are expected to release within the next six months:

  • Diabetes: How Your Treatment Can Change As You Get Older
  • Neutropenia: Preventing Infections
  • Spirituality and Your Health

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