Clinical Practice Guidelines - Adult Physical Health

Sandhills Center periodically reviews and adopts new evidence-based clinical practice and preventive health guidelines developed and published by peer-reviewed sources, as well as organizations such as the U.S. Centers for Disease Control and Prevention (CDC). These guidelines are reviewed and published here under the direction of our medical team and approved by the Sandhills Center Quality Management Committee. This page is currently under construction. Additional links and CPGs will be added.

CARDIOLOGY

• Hypertension - 2020
• Hypertention International CPG
• Coronary Artery Disease - 2019
• Heart Failure - 2022
• Aortic Disease - 2022
• Chest Pain - 2022
• Hypertrophic Cardiomyopathy - 2020
• Primary Prevention of Coronary Artery Disease - 2019
• Atrial Fibrillation - 2019
• Pulmonary Embolism - 2020
• Antithrombotic Therapy - 2016

PULMONARY

• Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease - 2020 
• 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. Annals of Internal Medicine - 2011
• Asthma - 2020
• Asthma Management Guidelines Focused Update - 2020

NEUROLOGY

• Headaches - 2021
• Stroke Prevention - 2022
• Disorders of Consciousness - 2018
• Evaluation of Seizures in Adults - 2015
• Dopaminergic Treatment for Early Parkinson's Disease - 2021
• Current Pharmacologic Treatment of Dementia: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians - 2008

PAIN

• Low Back Pain - 2017
• Updated CDC Guidelines on Opioid Prescribing - 2022
• Diagnostic Imaging for Low Back Pain: Advice for High-value Health Care from the American College of Physicians - Annuals of Internal Medicine - 2011
• Noninvasive Treatments for Acute, Subacute and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians, Annals of Internal Medicine - 2017

PALLIATIVE CARE

• Palliative Care - 2018

RHEUMATOLOGY

• Rheumatoid Arthritis and Other Rheumatologic Disorders
• Gout - 2020
• Indications for Total Hip and Knee Replacement Guidelines - 2023
• Integrative Rheumatoid Arthritis Treatment - 2022
• Interstitial Lung Disease - 2023
• Juvenile Idiopathic Arthritis - 2021
• Lyme Disease - 2020
• Osteoarthritis - 2019
• Perioperative Management - 2022
• PMR - 2015
• Psoriatic Arthritis - 2018
• Reproductive Health in Rheumatic Diseases - 2020
• Rheumatoid Arthritis - 2021
• Vaccinations in Patients with Rheumatologic Illness - 2022
• Vasculitis - 2021
• Axial Spondyloarthritis - 2019
• Glucocorticoid-Induced Osteoporosis - 2017, updated 2022

ENDOCRINOLOGY

• Endocrinology CPGs Year-by-Year
  • Pharmacological Management of Obesity - 2016
  • Pediatric Obesity - 2017
  • Congenital Adrenal Hyperplasia Guideline Resources - 2018
  • Primary Aldosteronism - 2016
  • Primary Adrenal Insufficiency 
  • Diagnosis of Cushing Syndrome
  • Treatment of Cushing Syndrome - 2008
  • Pheochromocytoma and Paraganglioma
  • Osteoporosis in Post-Menopausal Women - 2020
  • Paget's Disease of Bone - 2018
  • Osteoporosis in Men - 2012
  • Lipid Management - 2020
  • Metabolic Risk - 2019
  • Hypertriglyceridemia - 2012
  • Inpatient Hypertriglyceridemia Guideline Resources - 2022
  • Diabetes in Older Adults - 2019
  • Diabetes Technology - 2016
  • Adult Hypoglycemic Disorders - 2009
  • Disorders in Survivors of Childhood Cancer - 2018
  • Hirsutism 
  • American Diabetes Association (ADA) Standards of Medical Care in Diabetes - 2021
  • American Association of Clinical Endocrinology (AACE) Comprehensive Type 2 Diabetes Management Algorithm - 2020 - PDF 

SEXUALLY TRANSMITTED DISEASES (STDs)

• Screening for Chlamydia and Gonorrhea: U.S. Preventative Services Task Force, Final Recommendation - 2021

HIV/AIDS

Clinical Care Guidelines and Resources for the care and treatment of people living with HIV, US Department of Health and Human Services/Health Resources & Services Administration - 2022 

UTIs

• Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria - 2019, update by the Infectious Diseases Society of America (IDSA)
• Urinary Tract Infection (Catheter-Associated): Antimicrobial Prescribing, National Institute for Health and Care Excellence - 2018
• Urinary Tract Infection in Under 16s: Diagnosis and Management, National Institute for Health and Care Excellence - Updated 2018
• Urinary Tract Infection (Lower): Antimicrobial Prescribing, National Institute for Health and Care Excellence - 2018
• Urinary Tract Infection (Recurrent): Antimicrobial Prescribing, National Institute for Health and Care Excellence - 2018

C. DIFF

• Clinical Practice Guideline: 2021 Focused Update Guidelines on Management of Clostridioides difficile Infection in Adults,  Infectious Diseases Society of America (IDSA) Society for Healthcare Epidemiology of America (SHEA) - 2021
• Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the IDSA and SHEA Infectious Diseases Society of America Society for Healthcare Epidemiology of America - 2017

BENIGN PROSTATIC HYPERPLASIA

• Benign Prostatic Hyperplasia, updated 2021

PERINATAL CARE

• Guidelines for Perinatal Care, 8th Edition, American Academy of Pediatrics and American College of Obstetrics and Gynecology - 2017
• Safe Prevention of the Primary Cesarean Delivery, American College of Obstetricians and Gynecologists - 2014 

SICKLE CELL

• Sickle Cell Disease, Recommendations - last reviewed 2020

TOBACCO CESSATION

• Smoking Cessation During Pregnancy, ACOG Committee Opinion - 2017
• Treating Tobacco Use and Dependence, US Department of Health and Human Services, updated 2018
• Extinguishing the Tobacco Epidemic in California, CDC - 2018 - PDF

VIOLENCE/ABUSE

• Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults, Journal of the American Medical Association - 2018

PREVENTIVE GUIDELINES

• Preventive Guidelines (Adolescents) - PDF
• Vaccine Schedule 0-18 years - PDF - 2022
• Recommendations for Preventive Pediatric Health Care, Bright Futures/American Academy of Pediatrics (AAP) - PDF - 2021
• American Academy of Pediatric Dentistry, Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment of Infants, Children, and Adolescents - PDF - 2018

PEDIATRICS

• Management of Hyperbilirubinemia in Infants Greater than 35 Weeks Gestational Age - 2022   
• Evaluation and Management of Febrile Illness in Well-Appearing Infants 8-60 days old
• Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents - 2018   
• Management of Hemangiomas - 2019
• IV Fluids in Children - 2018
• High Blood Pressure in Children and Adolescents - 2017
• Unexplained Events in Healthy-Appearing Infants 
• Diagnosis, Management and Treatment of Bronchiolitis   
• Diagnosis, Treatment and Management of Bacterial Sinusitis in Children, age 1-18 y
• Diagnosis and Management of Acute Otitis Media
• Diagnosis and Treatment of Obstructive Sleep Apnea in Childhood
• Evaluation of Non-Febrile Seizure in Childhood - 2000, updated 2020
• Hypertension Screening in Children and Adolescents
• Management of Newly-Diagnosed Type 2 Diabetes Mellitus in Children and Adolescents - 2013
• Urinary Tract Infection (UTI) in Infants Less than 24 Months

19 YEARS AND OLDER PREVENTION RECOMMENDATIONS

• U.S. Preventive Services Task Force (USPSTF) Grade A and B Recommendations 
• Recommended Immunization Schedule for Adults Aged 19 Years or Older, U.S. Centers for Disease Control and Prevention - 2022 - PDF
• American Cancer Society Recommendations for the Early Detection of Breast Cancer - 2022  
• ACG Clinical Guidelines: Colorectal Cancer Screening - 2021