UpToDate Patient and Member Engagement Program Updates and Enhancements - July 2024

Substance Use Disorders

Program Code: 44714
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

• This video aims to increase a person's awareness of their current substance use and provide some tips for cutting down or stopping use if desired. It reviews the biology of substance use, signs of a substance use disorder, how to identify and avoid triggers, how to cope with cravings and symptoms of withdrawal, and the types of professional help that are available.

Transurethral Resection or Ablation of the Prostate

Program Code: 125
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage

Main Changes:

• Correcting name of transurethral ablation vaporization of the prostate
• Adding robotic prostatectomy and minimally invasive procedures to alternatives
• Added new standard language throughout program
• Updated program to improve inclusivity and accessibility

These updates have also been applied to the following UpToDate Educate programs:

• Common Problems with the Prostate: Overview (32415)
• What Happens During a Transurethral Resection or Ablation of The Prostate?: Overview (32414)

Breast Reconstruction Options After Complete Mastectomy

Program Code: 117
Subscriptions: UpToDate Decide, UpToDate Engage, Faith-Based UpToDate Engage

Main Changes:

• Adjusting implant language because over-the-muscle is more common
• Adding information to account for delayed-immediate reconstruction
• Added new standard language throughout program
• Updated program to improve inclusivity and accessibility

Breast Augmentation with Saline or Silicone-Filled Implants

Program Code: 43

Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage

Main changes:

• Harmonized content with UTD/CDI
  
• Updated content with AMR feedback
  
• Combined silicone-filled and saline-filled implants into one program focused on aesthetic breast augmentation
  
• Included mention of the breast implant checklist
  
• Provided information about BIA-ALCL in the expectations chapter
  
• Updated to modernize language
  
• Incorporated UpToDate Patient Engagement standard language for Before, After, and Risk chapters
  
• Reorganized and combined risks specific to breast augmentation surgery in light of combining programs and utilizing standard/general surgical risks
  
• Updates to improve inclusivity
  
• Language is gender neutral
  
• Updated to improve accessibility
  

These updates have also been applied to the following UpToDate Educate programs:

• What Happens During a Breast Augmentation With Saline or Silicone-Filled Implants?: Overview (32464)
  
• Managing Expectations After Breast Augmentation Surgery: Overview (32465)
  

Carotid Endarterectomy

Program Code: 494

Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage

Main changes:

• Harmonized content with UTD
• Added difficulty breathing to After Procedure section list of when to contact care team
• Included BE FAST stroke/TIA identifying acronym
• Clarified risk of infection, need to remove/replace patch used if patch material is involved in infection
• Added language on eversion technique in procedure section
• Updated signs of stroke to align with Preventing Stroke and TIA program
• Updated for UpToDate Patient Engagement standard language
• Updated for inclusivity and accessibility considerations

These updates have also been applied to the following UpToDate Educate programs:

• Carotid Artery Blockage and Risk of Stroke: Overview (32420)
• What Happens During a Carotid Endarterectomy?: Overview (32421)

Palliative Care

Program Code: 3988

Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage

Main changes:

• Harmonized with UpToDate
• Changed how we talk about palliative care to be more concise and put true definition in the very beginning: focus on people with serious illness, treat symptoms (vs just pain), and help with comfort along with other care
• No longer refer to hospice as a type of palliative care; ensure they are differentiated
• Made less gendered
• Updated language to current editorial style

These updates have also been applied to the following UpToDate Educate programs:

• What Is Palliative Care?: Overview (32436)

Lumpectomy for Malignancy

Program Code: 71

Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage

Main changes:

• Harmonized with UpToDate
• Moved sentinel node biopsy run up to beginning of procedure run
• Removed specifics around the “margin” since it’s for invasive cancer
• Added hormone therapy as something patients may have after surgery
• Harmonized with recently updated breast cancer programs like “Breast Cancer (Early-Stage, Invasive): Surgical Treatment Options”, “Mastectomy for breast cancer” and “Early-Stage Breast Cancer Systemic Treatment Options” for consistency
• Updated with new, standard “before your procedure”, “after your procedure” and “risks” language
• Made less gendered and updated for accessibility considerations throughout
• Updated language to current editorial style

These updates have also been applied to the following UpToDate Educate programs:

• Breast Cancer: Overview (32217)
• What Happens During a Breast Lumpectomy?: Overview (32216)