While grading the strength of recommendations and the quality of underlying evidence enhances the usefulness of clinical guidelines, the profusion of guideline grading systems undermines the value of the grading exercise. An American College of Chest Physicians (ACCP) task force formulated the criteria for a grading system to be utilized in all ACCP guidelines that included simplicity and trans...

The modern approach to cervical cancer prevention, characterized by use of cytology and multiple visits for diagnosis and treatment, has frequently proven challenging and unworkable in low-resource settings. Because of this, the Alliance for Cervical Cancer Prevention (ACCP) has made it a priority to investigate and assess alternative approaches, particularly the use of visual screening methods...

AIM The OA-1000 (Tomey, Japan) is a new optical biometer, which measures axial length (AL), anterior chamber depth (ACD), and central corneal thickness (CT) utilizing optical interference technology. The aim of this study was to prove the reproducibility which is considered fundamental for other clinical investigations. METHODS 55 healthy volunteers were enrolled in this study. For each measu...

The American College of Clinical Pharmacy (ACCP) Ambulatory Care Practice Research Network (PRN) considers the role of clinical pharmacists to be fundamental to the success of the Patient-Centered Medical Home (PCMH) model. Within the PCMH, pharmacists can improve the health of populations by participating in activities that optimize medication management. Multiple published articles support cl...

OBJECTIVES To assess the prevalence of venous thromboembolism (VTE) risk in acutely ill surgical and medical patients in selected acute care centres in the Arabian Gulf States, and to determine the proportion of at-risk patients who received effective prophylaxis in accordance with 2004 American College of Chest Physicians (ACCP) guidelines. MATERIALS AND METHODS Eight hospitals from 3 countr...

Approximately 775,000 hip and knee arthroplasties are performed yearly in the United States, with a dramatic increase expected. Patients having hip and knee arthroplasties are at high risk of developing a venous thromboembolism. The American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS) have updated guidelines, which outline new prophylactic strategie...

OBJECTIVE To define the terms "sepsis" and "organ failure" in a precise manner. DATA SOURCES Review of the medical literature and the use of expert testimony at a consensus conference. SETTING American College of Chest Physicians (ACCP) headquarters in Northbrook, IL. PARTICIPANTS Leadership members of ACCP/Society of Critical Care Medicine (SCCM). RESULTS An ACCP/SCCM Consensus Confere...

BACKGROUND Warfarin dramatically reduces the risk of stroke in patients with nonvalvular atrial fibrillation (NVAF) but increases the likelihood of bleeding. Accurately identifying patients who need anticoagulation is critical. We assessed the potential impact of prominent stroke risk classification schemes on this decision in a large sample of patients with NVAF. METHODS AND RESULTS We used ...

CHEST, 77: 4, APRIL 1980 to a reputable cessation clinic (previously evaluated by the medical profession) or by providing patienteducation aid.s directly or through local sources. The ACCP Committee on Smoking and Health has ouflined other measures which this College must undertake if we are to meet our responsibilities. In particular, the committee urges that we combat the increase of smoking ...