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Calls for 24-hour blood pressure monitoring, in radical update to NICE guidelines
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Patients suspected of having hypertension should be sent home and told to wear a monitor for 24 hours, rather than having their blood pressure checked in the clinic, says NICE. 24-hour ambulatory blood pressure monitoring should now be used to make a primary diagnosis of hypertension.
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NICE recommends drug for the treatment of ankylosing spondylitis
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NICE has recommended the use of golimumab (Simponi) as a treatment option for ankylosing spondylitis in specific circumstances, in final guidance out today. Golimumab now joins adalimumab and etanercept as NICE-recommended treatment options for patients with ankylosing spondylitis.
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NICE advice could help in drive to cut medicines wastage
Following NICE's advice on medicines adherence could help in the battle against medicine wastage, which is costing the NHS £300 million each year. The Department of Health has launched an initiative to improve medicine use and cut wastage, as part of the drive to help the NHS make up to£20 billion of efficiency savings by 2015.
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Over half of stroke patients admitted directly to specialist units
Over half of all patients with suspected stroke were admitted directly to a specialist acute stroke unit and assessed for thrombolysis, in line with NICE's stroke quality standard, latest figures reveal. Published by the Royal College of Physicians, the figures look in detail at how hospitals in England performed on a series of 12 indicators covering the first 72 hours of stroke care.
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A suite of support tools now available for stable angina guidance
NICE has developed a baseline assessment tool, costing statement, clinical audit tool, factsheet and slide set to help with the implementation of the stable angina guidelines.
An interactive chest pain algorithm has also been produced, which brings together the stable angina guideline with the existing NICE guidelines on chest pain and unstable angina.
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NICE has opened an engagement exercise to inform the development of a library of NHS healthcare topics, which will decide new quality standards. This engagement exercise is a good opportunity for healthcare professionals and patients to put forward their ideas for quality standards.
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Have your say on preliminary recommendations on the use of dabigatran etexilate for the prevention of stroke and systemic embolism in people with atrial fibrillation. The Committee is minded not to recommend the drug and has requested further information about the licensed regimen.
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