More articles from Guidelines to Practice

  • Peripheral artery disease: Putting the updated 2024 AHA/ACC guideline into practice

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    Pavel Kibrik, DO, Enrico Prajiante Bertolino, MD, Sasan Partovi, MD, G. Jay Bishop, MD, Aravinda Nanjundappa, MD and Lee Kirksey, MD
    • Cleveland Clinic Journal of Medicine October 2026, 93 (10) 603-615;
    • DOI: https://doi.org/10.3949/ccjm.93a.25101
    • The new guideline, which updates the 2016 guideline, clarifies clinical terminology, applies trial evidence to pharmacotherapy and revascularization recommendations, and addresses equity and access to care.

  • When risks outweigh benefits: A review of the guideline on benzodiazepine tapering

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    Hannah Snyder, MD, David Streem, MD, Akhil Anand, MD and Adele C. Viguera, MD
    • Cleveland Clinic Journal of Medicine June 2026, 93 (6) 347-352;
    • DOI: https://doi.org/10.3949/ccjm.93a.25102
    • The new joint clinical practice guideline provides a framework for deciding when tapering is appropriate and for implementing safe, patient-centered discontinuation strategies.

  • Updated guidelines for pharmacologic treatment of perinatal depression: Understanding medication options

    Rebeca Ortiz Worthington, MD, MS, CLC, Zehra Aftab, MD, Nicole Leong, MD, MS and Jason Alexander, MD
    • Cleveland Clinic Journal of Medicine April 2026, 93 (4) 201-205;
    • DOI: https://doi.org/10.3949/ccjm.93a.25052
    • In a guideline update, the American College of Obstetricians and Gynecologists now recommends using pharmacotherapy to treat perinatal depression, with selective serotonin reuptake inhibitors as first-line medications.

  • Optimizing bowel preparation for colonoscopy: Updated consensus recommendations

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    Hussam Kawas, MD and Claire Beveridge, MD
    • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 169-175;
    • DOI: https://doi.org/10.3949/ccjm.93a.25086
    • Key updates in the 2025 guideline include simplifying dietary restrictions to low-residue foods for a single day before colonoscopy, preferring 2-L over 4-L preparation regimens, and universally recommending split-dose administration.

  • New atrial fibrillation guideline: Modify risk, control rhythm, prevent progression

    Laura A. Campbell, MD, Jessica P. Ammon, DO, Rachana Kombathula, MD, Naa’irah Muhammad, MD and Christopher D. Jackson, MD
    • Cleveland Clinic Journal of Medicine May 2025, 92 (5) 291-296;
    • DOI: https://doi.org/10.3949/ccjm.92a.24067
    • Key updates in the new American guideline include recommendations for aggressive lifestyle and risk-factor modifications, annual assessment of thromboembolic risk, and early rhythm control.

  • 2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?

    Steven L. Cohn, MD
    • Cleveland Clinic Journal of Medicine April 2025, 92 (4) 213-219;
    • DOI: https://doi.org/10.3949/ccjm.92a.24125
    • The author highlights key changes and recommendations of the new guideline, how they differ from previous and other society guidelines, and ongoing challenges and unresolved issues in perioperative care.

  • Hyperglycemic crises in adults: A look at the 2024 consensus report

    Paloma Rodriguez Alvarez, MD, Vicente T. San Martin, MD and Oscar L. Morey-Vargas, MD
    • Cleveland Clinic Journal of Medicine March 2025, 92 (3) 152-158;
    • DOI: https://doi.org/10.3949/ccjm.92a.24089
    • A new report introduces revised criteria for the diagnosis of diabetic ketoacidosis and hyperglycemic hyperosmolar state, as well as new recommendations for assessment, management, and prevention of these disorders.

  • Inpatient glycemic management in noncritically ill patients: Updated guidelines

    Michelle D. Lundholm, MD and Oscar L. Morey-Vargas, MD
    • Cleveland Clinic Journal of Medicine October 2023, 90 (10) 615-618;
    • DOI: https://doi.org/10.3949/ccjm.90a.23049
    • The guidelines include a role for newer diabetes technologies and nontraditional insulin and noninsulin therapies.

  • A new policy update on breastfeeding: What all clinicians need to know

    Heidi Szugye, DO, IBCLC, FAAP, Ali Murra, BS and Suet Kam Lam, MD, IBCLC, MPH, MS, FAAP
    • Cleveland Clinic Journal of Medicine August 2023, 90 (8) 469-473;
    • DOI: https://doi.org/10.3949/ccjm.90a.22099
    • An overview of current American Academy of Pediatrics policy, directed to clinicians of all disciplines who may interact with breastfeeding mothers and their babies.

  • Guidelines for the management of trigeminal neuralgia

    Mun Seng Chong, MBBS, MD, FRCP, Anish Bahra, MBChB, MD, FRCP and Joanna M. Zakrzewska, BDS, MB BChir, MD, FDSRCS, FFDRCSI, FFPM RCA, FHEA
    • Cleveland Clinic Journal of Medicine June 2023, 90 (6) 355-362;
    • DOI: https://doi.org/10.3949/ccjm.90a.22052
    • Care pathways for patients with trigeminal neuralgia vary widely. The most recent UK guidelines emphasize the need for evidence-based care plans for multidisciplinary management.

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