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New Topics and Topic Updates

New Topics and Topic Updates

What's New in the Healthwise® Knowledgebase

Version 10.1

April 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 Decision Points
  • 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, Interactive Health Tool, and Online Form 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 Decision Points

New Health and Disease Topics

  • Partner Support During Pregnancy : This new topic explains the importance of partners supporting each other during pregnancy. It describes what you can do to help a pregnant partner, including handling chores and offering emotional support. It also discusses a partner's need for self-care and support during pregnancy.

Enhanced Content

  • Kegel Exercises : The topic now includes more detailed instructions for these exercises. It also includes the instruction to see a doctor if you don't notice improvement after 3 or 4 months.

Other enhancements

  • The Other Places to Get Help section of the Healthwise Knowledgebase has a new look. We now offer a more streamlined list of one or two organizations and their Web addresses. We have removed extra data that was no longer useful or relevant. This change comes after careful consideration of how people use the Internet and of our own usage statistics. Our criteria for evaluating and including reputable organizations will remain the same. We will continue to select the best, most applicable outside sources for consumers who want to learn more about their condition.

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.

  • Click here to view an Actionset. Diabetes: Giving Yourself an Insulin Shot : We added information about safe injections with an insulin pen.
  • Click here to view an Actionset. High Blood Pressure: Checking Your Blood Pressure at Home : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Click here to view an Actionset. High Blood Pressure: Using the DASH Diet : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.

Cardiovascular disease prevention: In the following Actionsets, we revised the information about cardiovascular risk screening, lifestyle management, and cholesterol treatment options based on the 2013 cardiovascular disease prevention guidelines from the American College of Cardiology and the American Heart Association.

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.

Cardiovascular disease prevention: In the following Decision Points, we revised the information about cardiovascular risk screening, lifestyle management, and cholesterol treatment options based on the 2013 cardiovascular disease prevention guidelines from the American College of Cardiology and the American Heart Association.

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.

  • Allergic Rhinitis :
    • Medications: We added corticosteroid nasal spray to the list of over-the-counter medicine examples.
  • Anticholinergics for Chronic Obstructive Pulmonary Disease (COPD) : In Examples, we added the new combination medicine Anoro Ellipta.
  • Antidepressants for Hot Flashes : We now say that antidepressants are often prescribed in lower-than-normal doses for menopause symptoms.
  • Asperger's Syndrome : We updated this topic to reflect DSM-5 diagnostic changes.
  • Autism : We updated this topic to reflect DSM-5 diagnostic changes.
  • Avian Influenza (Bird Flu) : Under "How can bird flu be prevented?" we updated information about the avian influenza vaccine based on the FDA approval of a new vaccine for bird flu.
  • Beta2-Agonists for Chronic Obstructive Pulmonary Disease (COPD) : In Examples, we added the new combination medicines Anoro Ellipta and Breo Ellipta.
  • Blood Pressure Screening : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Breast Cancer: Hormone Therapy for Breast Cancer : We now include anastrozole with medicines that may help prevent breast cancer in women who are at high risk.
  • Colds : We now mention steroid nasal spray medicine for relief of a stuffy nose.
  • Colorectal Cancer :
    • Exams and Tests: We now say that before your doctor recommends a treatment plan, you may also have genetic tests to look for gene changes (mutations) that can occur with colorectal cancer.
  • Corticosteroids for Chronic Obstructive Pulmonary Disease (COPD) : In Examples, we added the new combination medicine Breo Ellipta.
  • Diabetes: Tests to Watch for Complications : To be consistent with the 2014 ADA Standards of Medical Care, we now say that preventive eye exams might occur less often if the screening exam results are normal.
  • Diabetic Nephropathy : To be consistent with the 2014 ADA Standards of Medical Care, we removed the terms microalbumin and macroalbumin.
  • Diabetic Retinopathy : To be consistent with the 2014 ADA Standards of Medical Care, we now say that preventive eye exams might occur less often if the screening exam results are normal.
  • Fluoride During Childhood : We now say that if your child has a high risk of getting cavities, your dentist may recommend additional sources of fluoride. These include supplements or a gel or varnish that the dentist would apply to your child's teeth.
  • Food Allergies :
    • Treatment Overview: We now talk about oral immunotherapy as a new treatment being studied.
  • Gestational Diabetes : We now say the USPSTF recommends screening for gestational diabetes. We include two screening methods based on the 2014 ADA Standards of Medical Care.
  • Hay Fever and Other Seasonal Allergies : We now say that over-the-counter steroid nasal spray medicine (such as Nasacort) can help relieve both a stuffy nose and red, itchy, watery eyes.
  • Health Screening: Finding Health Problems Early :
    • Screening, Adult Men: We added prostate cancer screening recommendations from the American Cancer Society and the American Urological Association.
  • Heat Rash : We revised information on the use of lotions or ointments for heat rash, because these products can irritate the condition.
  • Hiccups : We removed the information on breathing into a paper bag to get rid of hiccups, because other methods may be more effective.
  • High Blood Pressure : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • High Blood Pressure in African Americans : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • High Blood Pressure Treatment Guidelines : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Hormone Therapy for Prostate Cancer (Androgen Deprivation Therapy, or ADT) : We replaced MDV3100 with Xtandi in the bullet on androgen inhibitors.
  • Hysterectomy : We added information about laparoendoscopic single-site surgery (LESS) and robot-assisted laparoscopic hysterectomy.
  • Implantable Cardioverter-Defibrillator (ICD) : We added information about ICD deactivation.
  • Mitral Valve Regurgitation :
    • Surgery: We added that a transcatheter device to repair the valve might be an option for some people.
  • Mitral Valve Regurgitation: Repair or Replace the Valve? : We added that a transcatheter device to repair the valve might be an option for some people.
  • Mitral Valve Replacement Surgery : We added that a transcatheter device to repair the valve might be an option for some people.
  • Nonprescription Medicines and Products :
  • Normal Menstrual Cycle : We included menstrual cups with products that are used to manage menstrual bleeding.
  • Oral Cancer : We now say that oral cancer may also be called oral cavity cancer or oropharyngeal cancer.
  • Over-the-Counter Medicines for Allergies : We now mention steroid nasal spray medicine (such as Nasacort) for relief of a stuffy nose and red, itchy, watery eyes.
  • Pancreatic Cancer :
  • Peyronie's Disease : We now include collagenase clostridium histolyticum (CCH) as a medicine that may be injected directly into the scar tissue. We say that CCH, which has the brand name Xiaflex, appears to break down the buildup of collagen that causes the curve in the penis.
  • Prehypertension : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Prostate Cancer, Advanced or Metastatic :
    • Treatment Overview: Under "Treatment for metastatic prostate cancer," we say that when hormone treatments no longer keep the cancer from growing, it is called castrate-resistant prostate cancer (CRPC). We also say that treatments used may include chemotherapy, immunotherapy, and medicines like enzalutamide.
    • Medications: We now list medicines used to treat CRPC and include abiraterone, cabazitaxel, enzalutamide, and sipuleucel-T. Under "Pain-relief and appetite-stimulant drugs," we also include radium-223 (Xofigo) in the bullet on radioactive drugs.
  • Screening for Gestational Diabetes : We now say the USPSTF recommends screening for gestational diabetes.
  • Secondary High Blood Pressure : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Short-Acting Beta2-Agonists for Quick Relief of Asthma Symptoms : We removed Maxair, because this CFC inhaler is no longer on the market.
  • Sinusitis: Over-the-Counter Medicines : We now mention steroid nasal spray medicine (such as Nasacort) for relief of a stuffy nose.
  • Sleep Apnea :
    • Home Treatment: We now say to talk to your doctor if you are sleepy during the day and this gets in the way of the normal things you do. It's important that you don't drive or operate machinery while you are drowsy.
  • Storing Insulin and Prefilling Syringes : We added information about safe injections with an insulin pen.
  • Terrorism and Other Public Health Threats :
    • Air Contamination: Under "What you can do," we updated information about the avian influenza vaccine based on the FDA approval of a new vaccine for bird flu.
  • Type 1 Diabetes : To be consistent with the 2014 ADA Standards of Medical Care, we now say that preventive eye exams might occur less often if the screening exam results are normal.
  • Type 1 Diabetes: Children Living With the Disease : To be consistent with the 2014 ADA Standards of Medical Care, we now say that preventive eye exams might occur less often if the screening exam results are normal.
  • Type 2 Diabetes : To be consistent with the 2014 ADA Standards of Medical Care, we now say that preventive eye exams might occur less often if the screening exam results are normal.
  • Vaccine Information Statements : We now link to the updated vaccine information statements for Haemophilus influenzae type b (Hib), Japanese encephalitis, and tetanus and diphtheria (Td).

Cardiovascular disease prevention: In the following topics, we revised the information about cardiovascular risk screening, lifestyle management, and cholesterol treatment options based on the 2013 cardiovascular disease prevention guidelines from the American College of Cardiology and the American Heart Association.

Illustration, Interactive Health Tool, and Online Form 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.

Online form updates

These online forms have been updated for this release.

Cardiovascular disease prevention: In the following online form, we revised the information about cardiovascular risk screening, lifestyle management, and cholesterol treatment options based on the 2013 cardiovascular disease prevention guidelines from the American College of Cardiology and the American Heart Association.

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.

  • Albumin Urine Test : We removed the term microalbumin to be consistent with the 2014 American Diabetes Association Standards of Medical Care.
  • Gonorrhea Test : We added that men who have sex with men are at higher risk of a gonorrhea infection.
  • Home Blood Pressure Test : We revised information about blood pressure goals and treatment based on the evidence-based guideline for the management of high blood pressure in adults from the panel members appointed to the Eighth Joint National Committee (JNC 8) and based on the clinical practice guidelines for the management of hypertension in the community from the American Society of Hypertension and the International Society of Hypertension.
  • Infertility Tests : We removed postcoital test and endometrial biopsy since they are no longer recommended by the American Society for Reproductive Medicine (ASRM) as tests for the diagnostic evaluation of female infertility. We added general information about antral follicle count.
  • Oral Glucose Tolerance Test : We include two screening methods for gestational diabetes to be consistent with the 2014 American Diabetes Association Standards of Medical Care.

Cardiovascular disease prevention: In the following Medical Test Topics, we revised the information about cardiovascular risk screening, lifestyle management, and cholesterol treatment options based on the 2013 cardiovascular disease prevention guidelines from the American College of Cardiology and the American Heart Association.

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.

  • Allergic Rhinitis Medicines and Children has been removed. You can find the content in Allergic Rhinitis.
  • Postcoital Test has been removed. You can find related content in Infertility Tests.
  • Preterm Labor (Focus) has been removed. You can find the content in Preterm Labor (Special).
  • Venogram has been removed. You can find the content in Doppler Ultrasound.

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 other 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.

The drug details archived this quarter and their replacement topics are listed below.

  • Acyclovir for Encephalitis has been removed. You can find related content in Encephalitis.
  • Anticonvulsants, Benzodiazepines, Dopamine Precursors and Agonists, and Opiate Pain Relievers for Restless Legs Syndrome have been removed. You can find related content in Restless Legs Syndrome.
  • Benzodiazepines, Carbamazepine, Ethosuximide, Felbamate, Gabapentin, Lamotrigine, Levetiracetam, Oxcarbazepine, Phenobarbital, Phenytoin, Tiagabine, Topiramate, Valproate, and Zonisamide for Epilepsy have been removed. You can find related content in Epilepsy.
  • Benzyl Alcohol, Malathion, Permethrin, and Pyrethrins and Piperonyl Butoxide for Head Lice have been removed. You can find related content in Lice.
  • Calcipotriene, Corticosteroids, Cyclosporine, Methotrexate, Psoralen and UVA Light Therapy (PUVA), Retinoids, and Tars for Psoriasis have been removed. You can find related content in Psoriasis.
  • Calcium Channel Blockers, Ergotamines, High-Flow Oxygen Inhalation Therapy, Lithium, and Triptans for Cluster Headaches have been removed. You can find related content in Medicines for Cluster Headaches.
  • Chloroquine, Doxycycline, Malarone, Mefloquine, Primaquine, Quinidine, and Quinine for Malaria have been removed. You can find related content in Malaria.
  • Finasteride and Minoxidil for Male Hair Loss have been removed. You can find related content in Hair Loss.
  • Nonprescription Topical Antifungals, Prescription Oral Antifungals, and Prescription Topical Antifungals for Athlete's Foot have been removed. You can find related content in Athlete's Foot.
  • Oral Antifungal Medicine and Topical Antifungal Medicine for Fungal Nail Infections have been removed. You can find related content in Fungal Nail Infections.
  • Oral Antihistamines, Oral Corticosteroids, Topical Calcineurin Inhibitors, and Topical Corticosteroids for Atopic Dermatitis have been removed. You can find related content in Atopic Dermatitis.

Medical Guideline Reviews

The following medical guidelines have been reviewed to ensure Healthwise content is accurate, consistent, and helpful to consumers.

  • American College of Cardiology/American Heart Association (2013). Guideline on the assessment of cardiovascular risk.
  • American College of Cardiology/American Heart Association (2013). Guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults.
  • American Diabetes Association (2014). Standards of Medical Care in Diabetes—2014.
  • American Heart Association/American College of Cardiology (2013). Guideline on lifestyle management to reduce cardiovascular risk.
  • American Society of Hypertension/International Society of Hypertension (2013). Clinical practice guidelines for the management of hypertension in the community.
  • Centers for Disease Control and Prevention (2014). Advisory Committee on Immunization Practices recommended immunization schedule for adults aged 19 years or older—United States, 2014.
  • Centers for Disease Control and Prevention (2014). Advisory Committee on Immunization Practices recommended immunization schedules for persons aged 0 through 18 years—United States, 2014.
  • Report from the panel members appointed to the Eighth Joint National Committee (JNC 8) (2013). Evidence-based guideline for the management of high blood pressure in adults.

What's Next

New topics

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

  • Effect of over-the-counter medicines on high blood pressure
  • Hospice care and palliative care
  • Keloids

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