Acute Low Back Pain

Endorsed Guideline:
Australian Acute Musculoskeletal Pain Group. (2003). Evidence-based management of acute musculoskeletal pain. Acute low back pain: Chapter 4, pages 25-62. Process report: Chapter 9, pages 183-188.

Supplementary Document:
Australian Acute Musculoskeletal Pain Group. (2004). Evidence-based management of acute musculoskeletal pain: A guide for clinicians.

Date Endorsed: June 2007
Stale Date: June 2010
Rating (out of 4):


Anemia Screening

Endorsed Guideline:
U.S. Preventive Services Task Force. (2006, May). Recommendation statement: Screening for iron deficiency anemia: Including iron supplementation for children and pregnant women. Publication No. AHRQ 06-0589. Agency for Healthcare Research and Quality. Retrieved October 11, 2007 from: http://www.ahrq.gov/clinic/uspstf06/ironsc/ironscr.pdf

Supplementary Document:
U.S. Preventive Services Task Force. (2006, April). Screening for iron deficiency anemia in childhood and pregnancy: Update of the 1996 U.S. Preventive Task Force Review. Publication No. AHRQ 06-0590. Agency for Healthcare Research and Quality. Retrieved October 26, 2007 from: http://www.ahrq.gov/clinic/uspstf06/ironsc/ironscrev.pdf

Date Endorsed: May 2007
Stale Date: May 2010
Rating (out of 4):

Additionally Endorsed Guideline:
Prodigy Guidance. (2005, July). Anaemia: Iron deficiency. Retrieved October 11, 2007 from: http://cks.library.nhs.uk/anaemia_iron_deficiency/view_whole_guidance

Supplementary Document:
Prodigy. (2006). Guidance development and Guidance review.

Date Endorsed: May 2007
Stale Date: May 2010
Rating (out of 4):


Anemia

Prodigy Guidance. (2005, July). Anaemia: Iron deficiency. Retrieved October 11, 2007 from: http://cks.library.nhs.uk/anaemia_iron_deficiency/view_whole_guidance

Supplementary Document:
Prodigy. (2006). Guidance development and Guidance review.

Date Endorsed: May 2007
Stale Date: May 2010
Rating (out of 4):

Additionally Endorsed Guideline:
U.S. Preventive Services Task Force. (2006, May). Recommendation statement: Screening for iron deficiency anemia: Including iron supplementation for children and pregnant women. Publication No. AHRQ 06-0589. Agency for Healthcare Research and Quality. Retrieved October 11, 2007 from: http://www.ahrq.gov/clinic/uspstf06/ironsc/ironscr.pdf

Supplementary Document:
U.S. Preventive Services Task Force. (2006, April). Screening for iron deficiency anemia in childhood and pregnancy: Update of the 1996 U.S. Preventive Task Force Review. Publication No. AHRQ 06-0590. Agency for Healthcare Research and Quality. Retrieved October 26, 2007 from: http://www.ahrq.gov/clinic/uspstf06/ironsc/ironscrev.pdf

Date Endorsed: May 2007
Stale Date: May 2010
Rating (out of 4):


Anxiety

Endorsed Guideline:
Canadian Psychiatric Association. (2006, July). Clinical practice guidelines: Management of anxiety disorders. The Canadian Journal of Psychiatry, 51(Suppl 2). Retrieved October 11, 2007 from: http://ww1.cpa-apc.org:8080/Publications/CJP/supplements/july2006/anxiety_guidelines_2006.pdf

Date Endorsed: September 2007
Stale Date: September 2010
Rating (out of 4):


Asthma: Adults

Endorsed Guideline:
Lemiere, C., Bai, T., Balter, M., Bayliff, C., Becker, A., Boulet, L.P. et al. (2004, May/June). Adult asthma consensus guidelines update 2003. Canadian Respiratory Journal, 11(Suppl A), 9A-33A. Retrieved January 24, 2007 from: http://www.asthme-quebec.ca/pdf/Consensus_asthme_2004_fr_eng.pdf

Endorsement Note: This guideline was released by guideline developers as an update to its previous guideline and as such was also reviewed and endorsed by the GAC as an update to the existing GAC endorsed guideline. Please note that a new literature search was not conducted on this topic at this time.

Supplementary Document:
Boulet, L., Becker, A., Berube, D., Beveridge, R., Ernst, P. on behalf of the Canadian Asthma Consensus Group (1999). Canadian asthma consensus report, 1999. Canadian Medical Association Journal, 161(11 Suppl), S1-S62.

Date Endorsed: January 2008
Stale Date: January 2009
Rating (out of 4):


Carpal Tunnel Syndrome

Endorsed Guideline:
Agency for Healthcare Research and Quality. (2002, October). Diagnosis and treatment of worker-related musculoskeletal disorders of the upper extremity: Summary. AHRQ Evidence Report/Technology Assessment No. 62. Retrieved October 11, 2007 from: http://www.ahrq.gov/clinic/epcsums/musclsum.pdf

Additionally Endorsed Guideline:
Hayward, A.C., Bradley, M.J., & Burke, F.D. (2002). Primary care referral protocol for carpal tunnel syndrome. Postgraduate Medical Journal, 78,149-152.

Date Endorsed: October 2005
Stale Date: October 2008
Rating (out of 4):


Colecystectomy

Endorsed Guideline:
Bongala, D.S. Jr., Santos, R.M.F., Panaligan, M.M., de los Santos, N.C., Rigor, M., D, Brillantes, M. et al. (2004, March). Evidence-based clinical practice guidelines on the diagnosis and treatment of cholecystitis. Retrieved December 12, 2007 from: http://www.pcs.org.ph/docs/EBCPG.doc

Date Endorsed: December 2007
Stale Date: December 2010
Rating (out of 4):


Community Acquired Pneumonia

Endorsed Guideline:
Institute for Clinical Systems Improvement (ICSI). (2006, May). ICSI health care guideline: Community-acquired pneumonia in adults. Retrieved April 8, 2008 from: http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/respiratory/
pneumonia_community-acquired/pneumonia__community-acquired__3.html

Supplementary Document:
Institute for Clinical Systems Improvement ICSI. (n.d.) Document development policy and conflict of interest policy.

Date Endorsed: March 2008
Stale Date: March 2011
Rating (out of 4):


Prevention of Infective Endocarditis

Endorsed Guideline:
Wilson, W., Taubert, K.A., Gewitz, M., Lockhart, P.B., Baddour, L.M., Levison, M. et al. (2007, October 19). Prevention of infective endocarditis: Guidelines from the American Heart Association. Circulation, 116(15), 1736-1754. Retrieved January 24, 2008 from: http://circ.ahajournals.org/cgi/reprint/116/15/1736

Date Endorsed: January 2008
Stale Date: January 2011
Rating (out of 4):


Incontinence

Endorsed Guideline:
The Canadian Continence Foundation. (2000). Clinical practice guidelines for adults. Retrieved October 18, 2007 from: http://www.continence-fdn.ca/health-profs/clinicalpractice.html

Supplementary Document:
Borrie, M.J., Valiquette, L. (2002, January). Managing adults with urinary incontinence. Clinical practice guidelines. Canadian Family Physician 48, 114, 116.

Date Endorsed: March 2007
Stale Date: March 2010
Rating (out of 4):


Migraine Management in Adults and Adolescents

Endorsed Guideline:
Institute for Clinical Systems Improvement (ICSI). (2007, January). Diagnosis and Treatment of Headache, 8th edition. Retrieved October 18, 2007 from: http://www.icsi.org/headache/headache__diagnosis_and_treatment_of_2609.html

Supplementary Document:
Institute for Clinical Systems Improvement. (n.d.) Document development process and conflict of interest policy.

Date Endorsed: August 2007
Stale Date: August 2010
Rating (out of 4):


Migraine Management in Children

Endorsed Guideline:
Lewis, D., Ashwal, S., Hershey, A., Hirtz, D., Yonker, M., & Silberstein, S. (2004). Practice parameter: Pharmacological treatment of migraine headache in children and adolescents. Report of the American Academy of Neurology Quality Society Standards Subcommittee and the Practice Committee of the Child Neurology. Neurology, 63, 2215-2224. Retrieved October 18, 2007 from: http://www.neurology.org/cgi/reprint/63/12/2215.pdf

Date Endorsed: August 2007
Stale Date: August 2010
Rating (out of 4):


Osteoarthritis & Rheumatoid Arthritis: Management of Pain

Please Note:
The Committee assigned this guideline a 2 apple rating because of concerns that, because of its age, it may not reflect the latest evidence (particularly regarding the use of Glucosamine and COX-2 Inhibitors). As well, the timeline for early referral to a rheumatologist for DMARD therapy may not be appropriate in Ontario.

Endorsed Guideline:
American Pain Society (APS). (2002). Guideline for the management of pain in osteoarthritis, rheumatoid arthritis and juvenile chronic arthritis, 2nd ed.

Date Endorsed: June 2007
Stale Date: June 2010
Rating (out of 4):

Additionally Endorsed Guideline:
SIGN. (2000, December, update October, 2004). Management of Early Rheumatoid Arthritis. SIGN Publication No. 48. Retrieved October 18, 2007 from: http://www.sign.ac.uk/guidelines/fulltext/48/index.html

Supplementary Document:
Scottish Intercollegiate Guidelines Network (SIGN). (2004, May). SIGN 50: A guideline developer’s handbook. Retrieved October 26, 2007 from: http://www.sign.ac.uk/guidelines/fulltext/50/index.html

Date Endorsed: June 2007
Stale Date: June 2010
Rating (out of 4):


Osteoporosis

Endorsed Guideline:
Brown, J.P & Fortier, M. (2006, February). Canadian consensus conference on osteoporosis: 2006 update. SOGC Clinical Practice Guideline No 172. Journal of Obstetrics and Gynaecology Canada (JOGC), S95-S112. Retrieved October 18, 2007 from: http://www.sogc.org/guidelines/public/172E-CONS-February2006.pdf

Date Endorsed: May 2007
Stale Date: May 2010
Rating (out of 4):


Pelvic Ultrasound: Indications

Endorsed Guideline:
Society of Obstetricians and Gynaecologists of Canada (SOGC). (1994, October). Guidelines for the performance of ultrasound examination in obstetrics and gynaecology. SOGC Policy Statement 30.

Date Endorsed: August 2002
Stale Date:
August 2007
Rating (out of 4):

Endorsement Note:
This endorsed guideline only scored "two apples" but is considered to be the most comprehensive guideline assessed on the topic to date by the GAC. The GAC will continue to monitor the literature for better guideline in ultrasonography.


Radiography: Ankle Injuries

Endorsed Guideline:
Stiell, I.G., McKnight, R.D., Greenberg, G.H., McDowell, I., Nair, R.C., Wells, G.A., et al. (1994). Implementation of the Ottawa ankle rules. Journal of the American Medical Association, 271, 827-832. Retrieved October 11, 2007 from: http://www.ohri.ca/emerg/cdr/cdr_ankle_rule_flash.html

Date Endorsed: June 2007
Stale Date: June 2010
Rating (out of 4):


Radiography: Knee Injuries

Endorsed Guideline:
Stiell, I.G., Wells, G.A., Hoag, R.H., Sivilotti, M.L.A, Cacciotti, T.F., Verbeek, P.R. et al. (1997, December). Implementation of the Ottawa knee rule for the use of radiology in acute knee injuries. Journal of the American Medical Association, 278(23), 2075-2079.

Date Endorsed: August 2007
Stale Date: August 2010
Rating (out of 4):


Rheumatoid Arthritis: Management

Note:
The Committee assigned this guideline a 2 apple rating because of concerns that, because of its age, it may not reflect the latest evidence (particularly regarding the use of Glucosamine and COX-2 Inhibitors). As well, the timeline for early referral to a rheumatologist for DMARD therapy may not be appropriate in Ontario.

Endorsed Guideline:
SIGN. (2000, December, update October, 2004). Management of Early Rheumatoid Arthritis. SIGN Publication No. 48. Retrieved October 18, 2007 from: http://www.sign.ac.uk/guidelines/fulltext/48/index.html

Supplementary Document:
Scottish Intercollegiate Guidelines Network (SIGN). (2004, May). SIGN 50: A guideline developer’s handbook. Retrieved October 26, 2007 from: http://www.sign.ac.uk/guidelines/fulltext/50/index.html

Date Endorsed: June 2007
Stale Date: June 2010
Rating (out of 4):


ST Elevation Myocardial Infarctions (STEMI)

Endorsed Guideline:
American College of Cardiology and the American Heart Association. (2004). ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). Retrieved October 11, 2007 from: http://www.americanheart.org/downloadable/heart/1090338315100STEMIFinalFinalforposting.pdf

Supplementary Documents:
Armstrong, P.W., Bogaty, P., Buller, C.E., Dorian, P. & O'Neill, B.J. (2004, September). The 2004 ACC/AHA Guidelines: A perspective and adaptation for Canada by the Canadian Cardiovascular Society Working Group. Canadian Journal of Cardiology, 20(11), 1075-1079.

ACC/AHA Task Force on Practice Guidelines. (n.d.) Manual for ACC/AHA guideline writing committees: Methodologies and policies from the ACC/AHA Task Force on Practice Guidelines. Retrieved October 11, 2007 from: http://circ.ahajournals.org/manual/index.shtml

Date Endorsed: November 2006
Stale Date: November 2009
Rating (out of 4):


Skin Cancer Screening

Endorsed Guideline:
Institute for Clinical Systems Improvement (ICSI). (2007, October). Preventive services in adults. Retrieved April 8, 2008 from: http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/
preventive_health_maintenance/preventive_services_for_adults/preventive_services_for_adults__11.html

Note: the GAC focused only on the sections that address skin cancer screening, particularly pages 1, 4 and 47.

Supplementary Document:
Institute for Clinical Systems Improvement (ICSI). (n.d.). Document development process and conflict of interest.

Date Endorsed: March 2008
Stale Date: March 2011
Rating (out of 4):

Additionally Endorsed Guideline:
Institute for Clinical Systems Improvement (ICSI). (2007, October). Preventive services for children and adolescents. Retrieved April 8, 2008 from: http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/
preventive_health_maintenance/preventive_services_for_children__guideline_/preventive_services_for_children_and_adolescents_762.html

Note: the GAC focused only on the sections that addressed skin cancer screening, particularly pages 1, 4 and 39.

Supplementary Document:
Institute for Clinical Systems Improvement (ICSI). (n.d.). Document development process and conflict of interest.

Date Endorsed: March 2008
Stale Date: March 2011
Rating (out of 4):


Smoking Cessation

Endorsed Guideline:
Registered Nurses Association of Ontario (RNAO). (2003, October). Integrating smoking cessation into daily nursing practice. Retrieved October 26, 2007 from: http://www.rnao.org/bestpractices/PDF/BPG_smoking_cessation.pdf

Date Endorsed: October 2007
Stale Date: October 2010
Rating (out of 4):


Stable Angina

Endorsed Guideline:
Snow, V., Barry, P., Fihn, S.D., Gibbons, R.J., Owens, D.K., Williams, S.V. et al. (The ACP/ACC Chronic Stable Angina Panel). (2004, July 6). Evaluation of primary care patients with chronic stable angina: Guidelines from the American College of Physicians. Annals of Internal Medicine, 141(1), 57-64. Retrieved October 11, 2007 from www.annals.org/cgi/content/full/141/1/57

Supplementary Document(s):
Snow, V., Barry, P., Fihn, S.D., Gibbons, R.J., Owens, D.K., Williams, S.V. et al. (The ACP/ACC Chronic Stable Angina Panel). (2004, October 5). Primary care management of chronic stable angina and asymptomatic suspected or known coronary artery disease: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 141(7), 562-567. Retrieved October 11, 2007 from: http://www.annals.org/cgi/content/full/141/7/562

American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (2002). ACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina—Summary Article: A report of the American College of Cardiology/American Heart Association Task Force on PracticeGuidelines (Committee to Update the 1999 Guidelines for the Management of Patients With Chronic Stable Angina). Retrieved October 11, 2007 from: http://circ.ahajournals.org/cgi/reprint/107/1/149

American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (2002). ACC/AHA 2002 guideline update for the management of patients With chronic stable angina: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for the Management of Patients With Chronic Stable Angina). Retrieved October 11, 2007 from: http://www.americanheart.org/downloadable/heart/1044991838085StableAnginaNewFigs .pdf

Date Endorsed: June 2006
Stale Date: June 2009
Rating (out of 4):


Stroke

Endorsed Guideline:
Ontario Heart and Stroke Foundation. (2003). Best practice guidelines for stroke care.

Date Endorsed: September 2004
Stale Date: September 2007

Rating (out of 4):


Page last updated May 3, 2010