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Guidelines

Guidelines

Clinical Guidelines and Recommendations from the American College of Physicians

ACP's goal is to provide clinicians with recommendations based on the best available evidence; to inform clinicians of when there is no evidence; and finally, to help clinicians deliver the best health care possible.

ACP develops several different types of clinical recommendations: Clinical Practice Guidelines, Clinical Guidance Statements, Best Practice Advice, and High Value Care Advice.

Comparative Guideline Tables

Succinct summaries of recommendations from US and international organizations regarding controversial topics in screening, prevention, and management.

Anemia in Patients with Heart Disease

Current Guidelines

Guideline:

Treatment of Anemia in Patients With Heart Disease: A Clinical Practice Guideline From the American College of Physicians (2013)
Full text

Evidence Review:

Treatment of Anemia in Patients With Heart Disease: A Systematic Review (2013)
Full text

Patient Materials

Treatment of Anemia in Patients With Heart Disease: A Clinical Practice Guideline From the American College of Physicians (2013)
Summary for Patients

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Appropriate Antibiotic Use

High Value Care Advice

Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention (2016)
Full text

Patient Materials

Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention (2016)
Summary for Patients

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Cardiac Screening

High Value Care Advice

Cardiac Screening With Electrocardiography, Stress Echocardiography, or Myocardial Perfusion Imaging: Advice for High-Value Care From the American College of Physicians (2015)
Full text

Patient Materials

Cardiac Screening With Electrocardiography, Stress Echocardiography, or Myocardial Perfusion Imaging: Advice for High-Value Care From the American College of Physicians (2015)
Summary for Patients

More Patient Resources

Cervical Cancer Screening

Best Practice Advice

Cervical Cancer Screening in Average Risk Women: Best Practice Advice from the Clinical Guidelines Committee of the American College of Physicians (2015)
Full text

Patient Materials

Cervical Cancer Screening in Average Risk Women: Best Practice Advice from the Clinical Guidelines Committee of the American College of Physicians (2015)
Summary for Patients

More Patient Resources

Chronic Kidney Disease

Current Guidelines

Guideline:

Screening, Monitoring, and Treatment of Stage 1-3 Chronic Kidney Disease: A Clinical Practice Guideline from the American College of Physicians (2013)
Full text

Patient Materials

Screening, Monitoring, and Treatment of Stage 1-3 Chronic Kidney Disease: A Clinical Practice Guideline from the American College of Physicians (2013)
Summary for Patients

More Patient Resources

Colorectal Cancer Screening

Guidance Statements

Screening for Colorectal Cancer: A Guidance Statement from the American College of Physicians
Full Text | Video

Patient Materials

Screening for Colorectal Cancer: A Guidance Statement from the American College of Physicians
Summary for Patients | Video

More Patient Resources

COPD

Current Guidelines

Guideline:

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society (2011)
Full text | Video

Patient Materials

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society (2011)
Summary for Patients | Video

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Delivery of High Value Care

Best Practice Advice

High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions (2011)
Full text (13Mb)

Patient Materials

High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions (2011)
Summary for Patients

Depression

Current Guidelines

Guideline:

Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice Guideline From the American College of Physicians (2016)
Full text | Video

Evidence Review:

Comparative Benefits and Harms of Antidepressants, Psychological, Complementary, and Exercise Treatments for Major Depression: A Systematic Review and Meta-analysis (2016)
Full text

Patient Materials

Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice Guideline From the American College of Physicians (2016)
Summary for Patients | Video

More Patient Resources

Diabetes

Current Guidelines

Guideline:

Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline from the American College of Physicians (2012)
Full text

Patient Materials

Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline from the American College of Physicians (2012)
Summary for Patients

More Patient Resources

End of Life Care

High Value Care Advice

Communication About Serious Illness Care Goals: A Review and Synthesis of Best Practices (2014)
Abstract

Patient Materials

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Evaluation of Pulmonary Embolism

Best Practice Advice

Evaluation of Patients With Suspected Acute Pulmonary Embolism: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians (2015)
Full Text

Generic Medications

Best Practice Advice

Improving Adherence to Therapy and Clinical Outcomes While Containing Costs: Opportunities From the Greater Use of Generic Medications: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians (2015)
Full Text

Patient Materials

Patient Summary

GERD

Best Practice Advice

Upper Endoscopy for Gastroesophageal Reflux: Best Practice Advice from the American College of Physicians (2012)
Full text | Video

Patient Materials

Upper Endoscopy for Gastroesophageal Reflux: Best Practice Advice from the American College of Physicians (2012)
Summary for Patients | Video

More Patient Resources

Hematuria

High Value Care Advice

Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians (2016)
Full text

Patient Materials

Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians (2016)
Summary for Patients

More Patient Resources

Inpatient Glycemic Control

Best Practice Advice

Inpatient Glycemic Control: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians (2013)
Full text | News Release

Patient Materials

Patient Resources

Insomnia

Current Guidelines

Guideline:

Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians (2016)
Full text

Evidence Review:

Pharmacologic Treatment of Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians (2016)
Full text

Patient Materials

Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians (2016)
Summary for Patients

More Patient Resources

Nephrolithiasis

Current Guidelines

Guideline:

Dietary and Pharmacologic Management to Prevent Recurrent Nephrolithiasis in Adults (2014)
Full text

Evidence Review:

Medical Management to Prevent Recurrent Nephrolithiasis in Adults (2013)
Full text

Patient Materials

Dietary and Pharmacologic Management to Prevent Recurrent Nephrolithiasis in Adults (2014)
Summary for Patients

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Obstructive Sleep Apnea

Current Guidelines

Guideline:

Management of Obstructive Sleep Apnea in Adults (2013)
Full text | Video

Guideline:

Diagnosis of Obstructive Sleep Apnea in Adults (2014)
Full text | Video

Patient Materials

Patient Resources

Pressure Ulcers

Current Guidelines

Guideline:

Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians (2015)
Full text

Guideline:

Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians (2015)
Full text

Evidence Review:

Pressure Ulcer Treatment Strategies: A Systematic Comparative Effectiveness Review (2013)
Full text

Patient Materials

Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians (2015)
Summary for Patients

Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians (2015)
Summary for Patients

Screening for Cancer

High Value Care Advice

Screening for Cancer: Advice for High-Value Care From the American College of Physicians (2015)
Full text

A Value Framework for Cancer Screening: Advice for High-Value Care From the American College of Physicians (2015)
Full text

Patient Materials

Screening for Cancer: Advice for High-Value Care From the American College of Physicians (2015)
Summary for Patients

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Screening Pelvic Examination

Current Guidelines

Guideline:

Screening Pelvic Examination in Adult Women (2014)
Full text

Evidence Review:

Screening Pelvic Examinations in Asymptomatic, Average-Risk Adult Women
Full text

Patient Materials

Screening Pelvic Examination in Adult Women (2014)
Summary for Patients

More Patient Resources

Screening for Prostate Cancer

Guidance Statements

Guidance Statement: Screening for Prostate Cancer: A Guidance Statement from the American College of Physicians
Full text | Video

Patient Materials

Guidance Statement: Screening for Prostate Cancer: A Guidance Statement from the American College of Physicians
Summary for Patients | Video

More Patient Resources

Stable Ischemic Heart Disease

Current Guidelines

Guideline:

Diagnosis of Patients With Stable Ischemic Heart Disease: Executive Summary of a Clinical Practice Guideline for Primary Care From the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons (2012)
Full text | Video

Guideline:

Management of Patients With Stable Ischemic Heart Disease: Executive Summary of a Clinical Practice Guideline From the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons (2012)
Full text | Video

Patient Materials

Diagnosis of Patients With Stable Ischemic Heart Disease: Executive Summary of a Clinical Practice Guideline for Primary Care From the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons (2012)
Summary for Patients | Video

Management of Patients With Stable Ischemic Heart Disease: Executive Summary of a Clinical Practice Guideline From the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons (2012)
Summary for Patients | Video

More Patient Resources

Urinary Incontinence

Current Guidelines

Guideline:

Nonsurgical Management of Urinary Incontinence in Women (2014)
Full text

Evidence Review:

Benefits and Harms of Pharmacologic Treatment for Urinary Incontinence in Women (2012)
Full text

Patient Materials

Nonsurgical Management of Urinary Incontinence in Women (2014)
Summary for Patients

More Patient Resources

Venous Thromboembolism

Current Guidelines

Guideline:

Venous Thromboembolism Prophylaxis in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians
Full text | Video

Evidence Review:

Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients and Those With Stroke: A Background Review for an American College of Physicians Clinical Practice Guideline
Full text

Patient Materials

Venous Thromboembolism Prophylaxis in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians
Summary for Patients | Video

More Patient Resources

For more screening and preventive care guidelines, the ACP recommends visiting the United States Preventive Services Task Force (USPSTF) and the Canadian Task Force on Preventive Health Care websites. For HIV Screening and related guidelines, the ACP recommends the Centers for Disease Control and Prevention (CDC).

Requests for bulk reprints (minimum, 100 copies) of all guidelines published in Annals of Internal Medicine may be made to Helen Canavan, via phone at 215-351-2842 or via email at hcanavan@acponline.org.