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This guideline covers optimising care for adults with multimorbidity (multiple long-term conditions) by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care. It aims to improve quality of life by promoting shared decisions based on what is important to each person in terms of treatments, health priorities, lifestyle and goals. The guideline sets out which people are most likely to benefit from an approach to care that takes account of multimorbidity, how they can be identified and what the care involves.
Bronchiectasis (non-cystic fibrosis), acute exacerbation: antimicrobial prescribing (NG117)
This guideline sets out an antimicrobial prescribing strategy for managing and preventing acute exacerbations of bronchiectasis (non-cystic fibrosis). It aims to optimise antibiotic use and reduce antibiotic resistance.
Virtual chromoendoscopy to assess colorectal polyps during colonoscopy (HTG438)
Evidence-based recommendations on virtual chromoendoscopy (VCE) using NBI, FICE or i-scan to assess colorectal polyps of 5 mm or less during colonoscopy.
people being missed who are at higher risk as a result of other factors that do not require access to intensive resources, such as...
Intrabeam radiotherapy system for adjuvant treatment of early breast cancer (TA501)
Evidence-based recommendations on using Intrabeam radiotherapy during breast-conserving surgery in adults.
guidelines recommend using goal-directed therapy for fluid management, but do not recommend a particular type of fluid. A randomised...
most settings in which violence takes place (such as emergency departments) do not have the facilities needed to contain people for...
important:- Most people with generalised anxiety disorder (GAD) in the UK do not receive evidence-based management and poor recognition...
pregnant women, people from lower socioeconomic backgrounds or people who do not speak English well: - What is the differential...
Pulmonary artery pressure technologies for remote monitoring of chronic heart failure (HTG769)
Evidence-based recommendation on the routine use of pulmonary artery pressure technologies for remote monitoring of chronic heart failure.
Evidence-based recommendations on 12 standard quality house dust mite sublingual lyophilisate (SQ-HDM SLIT; Acarizax) for treating allergic rhinitis and allergic asthma caused by house dust mites.
Evidence-based recommendations on erdafitinib (Balversa) for treating unresectable or metastatic urothelial cancer with FGFR3 alterations after a PD-1 or PD-L1 inhibitor in adults.
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Evidence-based recommendations on pembrolizumab (Keytruda) plus chemotherapy with or without bevacizumab for persistent, recurrent or metastatic cervical cancer in adults.
Abatacept, adalimumab, etanercept and tocilizumab for treating juvenile idiopathic arthritis (TA373)
Evidence-based recommendations on abatacept (Orencia), adalimumab (Humira), etanercept (Enbrel) and tocilizumab (RoActemra) for treating juvenile idiopathic arthritis in children, young people and adults.
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Apixaban for preventing venous thromboembolism after hip or knee replacement surgery (TA245)
Evidence-based recommendations on apixaban (Eliquis) for preventing venous thromboembolism after hip or knee replacement in adults.
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Sunitinib for the first-line treatment of advanced and/or metastatic renal cell carcinoma (TA169)
Evidence-based recommendations on sunitinib (Sutent) for untreated advanced or metastatic renal cell carcinoma in adults.
people, in particular those with severe problems and complex comorbidities, do not benefit from treatment and/or lose contact with...
applicable) Why this is important:- We know from qualitative work that patients do not always understand how to take strong opioids or...
repair of an AAA is not clear. There is good evidence that in most cases people do not need repair for aneurysms measuring smaller than...
and the avoidance of unnecessary investigations and treatments. In order to do this, a better understanding of the impact of adenomyosis...
Any explanatory notes(if applicable) Clinicians wishing to do percutaneous mechanical thrombectomy for acute iliofemoral DVT should:
Cytokine adsorption devices for treating respiratory failure in people with COVID-19 (MIB217)
NICE has developed a medtech innovation briefing (MIB) on cytokine adsorption devices for treating respiratory failure in people with COVID-19 .
AdenoPlus point-of-care test for diagnosing adenoviral conjunctivitis (MIB46)
NICE has developed a medtech innovation briefing (MIB) on the AdenoPlus point-of-care test for diagnosing adenoviral conjunctivitis
for prevention activities in groups at risk who are harder to reach or who do not present to services. The use of digital technology...
some adults, to guide management strategies on treatment combinations that do not include metformin. Randomised controlled trials are...
determine what proportion of people referred to drug misuse prevention services do not attend (or are not brought) to services. Source...
Dexcom G6 for real-time continuous glucose monitoring (MIB233)
NICE has developed a medtech innovation briefing (MIB) on Dexcom G6 for real-time continuous glucose monitoring .
trublood-prostate for triaging and diagnosing people with prostate cancer symptoms (MIB268)
NICE has developed a medtech innovation briefing (MIB) on trublood-prostate for triaging and diagnosing people with prostate cancer symptoms .
HTG EdgeSeq ALKPlus Assay EU for ALK status testing in non-small-cell lung cancer (MIB128)
NICE has developed a medtech innovation briefing (MIB) on HTG EdgeSeq ALKPlus Assay EU for ALK status testing in non-small-cell lung cancer .
people with social anxiety disorder never receive treatment; of those who do receive treatment many wait 10 years or more for it. This...
treatments are all reasonable clinical options, but noted that some people do not tolerate cholinesterase inhibitors well due to side...
What are the barriers that women experience to achieving blood glucose targets?
blood glucose targets, a proportion of women continue to find it difficult to do so. A number of factors could be involved, such as...
This quality standard covers recognising, assessing and managing coeliac disease in adults, young people and children. It describes high-quality care in priority areas for improvement.
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Sections for QS134
- Quality statements
- Quality statement 1: Serological testing for coeliac disease
- Quality statement 2: Referral to a specialist
- Quality statement 3: Endoscopic intestinal biopsy
- Quality statement 4: Advice about a gluten-free diet
- Quality statement 5: Annual review
- Update information
- About this quality standard
This quality standard covers parenteral nutrition (intravenous feeding) for babies born preterm, up to 28 days after their due birth date, and babies born at term, up to 28 days after their birth. It describes high-quality care in priority areas for improvement.
Healthy workplaces: improving employee mental and physical health and wellbeing (QS147)
This quality standard covers the health and wellbeing of all employees, including their mental health. It describes high-quality care in priority areas for improvement. It does not cover managing long-term sickness absence.
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Sections for QS147
Transition between inpatient mental health settings and community or care home settings (QS159)
This quality standard covers transitions for children, young people and adults between mental health hospitals and their own homes, care homes or other community settings. It includes the period before, during and after a person is admitted to, and discharged from, a mental health hospital. It describes high-quality care in priority areas for improvement.
Evidence-based recommendations on reducing the risk of transmission of Creutzfeldt–Jakob disease (CJD) from surgical instruments used for interventional procedures on high-risk tissues. These procedures on high-risk tissues are intradural surgery on the brain (including the pituitary gland) and spinal cord, neuroendoscopy, and surgery on the retina or optic nerve.
This document concerns the appeal process for the technology appraisal and highly specialised technologies programmes and provides an overview for organisations wishing to lodge an appeal
longer term survival. People with stable angina may be disadvantaged if they do not have tests to identify whether they have a higher...
research. Any explanatory notes(if applicable) Clinicians wishing to do radially emitting laser fibre treatment of an anal fistula...
outpatient rehabilitation services for patients with major trauma exist or, if they do exist, what barriers prevent people from using...
intravenous contrast (a trauma scan) to diagnose non‑bladder injuries. People who do not have injuries needing urgent treatment may then...
conditions, people from high-risk family backgrounds, and younger women who do not smoke (see section 3.12) patient perceptions of using...
Spectra Optia for automatic red blood cell exchange in people with sickle cell disease (HTG405)
Evidence-based recommendations on Spectra Optia for automated red blood cell exchange in people with sickle cell disease.
need similar support when returning to work. The recommendations therefore do not distinguish between supporting people returning from...
development of public services (Co-production in social care: what it is and how to do it, Social Care Institute for Excellence [SCIE]),...
intravenous contrast (a trauma scan) to diagnose non-bladder injuries. People who do not have injuries needing urgent treatment may then...
What is the best technique for delivering surfactant in a minimally invasive manner?
agreed to make a recommendation that reinforces this. In preterm babies who do not require invasive ventilation, there was evidence that...
pain relief is above 16 months.If radiofrequency denervation is repeated, we do not know whether the outcomes and duration of these...
risk of relapse when used long-term in people with bipolar disorder. Relapses do still occur and the response is usually to add another...