New Programs
Program Code: 45589
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over information about caring for emotional health during or immediately after pregnancy. It covers the signs of postpartum depression and anxiety and when to seek help from your care team.
Program Code: 45590
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over information about caring for emotional health during or immediately after pregnancy. It covers tips to help manage emotional health, and how to set up a support network of family and friends.
Program Code: 43704
Subscriptions: UpToDate Prep, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over what an umbilical hernia is.
Program Code: 43705
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over what to expect before an umbilical hernia procedure.
Program Code: 43706
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over what to expect after the umbilical hernia procedure.
Program Code: 43707
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over the possible risks of an umbilical hernia procedure.
Program Code: 43708
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video goes over possible alternatives to an umbilical hernia repair procedure.
Program Code: 46444
Subscriptions: UpToDate Health, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video covers information about insulin and how it's used to manage diabetes.
Program Code: 46445
Subscriptions: UpToDate Health, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:
- This video reviews how to use a pen to inject insulin.
Updated Programs
Program Code: 28758
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Main Changes:
- Harmonized content with UpToDate/CDI
- Added language about Suicide and Crisis Lifeline
- Reorganized symptom list to group contact care team vs. seek emergency help symptoms
- Updated content with AMR feedback
- Added language about screening for intimate partner violence
- Updated program for inclusivity
Program Code: 9846
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Main changes:
- Removed details about the underlying condition to focus the program on getting the access
- Combined ‘Your body’ and ‘What is an access?’ sections
- Added standard language for ‘Before procedure’ and ‘After procedure’ sections
- Created ‘Life with a dialysis access’ section to pull information out of the ‘After procedure’ section
- Added the endovascular procedure to the ‘Your procedure’ section
- Minor language revisions to 'Risks’
- Reorganized risks to follow new standard language pattern and order
- Updates to improve inclusivity
- Gender-neutral language referring to clinicians
- Language to improve accessibility
- Medical art updates in the procedure section
These updates have also been applied to the following UpToDate Educate programs:
- What Happens During an AV Fistula or AV Graft Placement for Dialysis?: Overview (32205)
Program Code: 507
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Main changes:
- Harmonized content with UpToDate
- Added information about a TAP block as an option for anesthesia
- Added information about robotic repair surgery
- Separated out open repair, laparoscopic repair, and robot-assisted repair surgical methods to clarify the differences between the methods
- Deleted information about hernia belts or trusses in the alternatives section, as they are not considered effective alternatives.
- Updated program for inclusivity
- Added more diverse artwork
- Updated for accessibility
- Updated for gendered language
These updates have also been applied to the following UpToDate Educate programs:
- What Happens During an Umbilical Hernia Repair?: Overview (32223)
Program Code: 21299
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Main changes:
- Removing specific language about exercise bicycles in case they are not available
- Making language about clothing more general so it will not conflict with care team instructions
- Removing detailed language about coronary artery disease and focusing on the test
- Updating standard language
These updates have also been applied to the following UpToDate Educate programs:
- What Happens During a Stress Test With Possible Stress Echocardiogram?: Overview (32545)
Program Code: 9863
Subscriptions: UpToDate Safety, UpToDate Engage, Faith-Based UpToDate Engage
Main changes:
- UpToDate harmonization
- Changed title to include “Anti-clotting medicines” to be inclusive of both types of therapy, anticoagulants and antiplatelets
- Added brand name Lixiana® to edoxaban
- Added language on low molecular weight heparin
- Added language on direct oral anticoagulants
- Renamed “Other anticoagulants” section “Direct oral anticoagulants”
- Added language around at home monitoring for warfarin
- Replace language directly referring to joint replacement surgery with having a major surgery
- Updated for DE&I and accessibility considerations
- Updated for standard language and style
These updates have also been applied to the following UpToDate Educate programs:
- What Is a Blood Clot?: Overview (32225)
Program Code: 24028
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Main changes:
- Harmonized content with UpToDate
- Shortened and generalized the section discussing how insulin is used so it’s applicable to both type 1 and type 2 diabetes
- Added information about refillable pens
- Added that once a pen is primed, the number in the viewing area should return to zero
- Directs users to visit safeneedledisposal.org to find out what the specific rules are in their area
- Updated program for inclusivity
- Added more diverse artwork
- Updated for accessibility
- Updated for gendered language
- Shortened the overall program length
Program Code: 3967
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Main Changes:
- Updated based on the CDC's new guidelines for pneumonia vaccines
These updates have also been applied to the following UpToDate Educate programs:
- Pneumonia and Your Lungs: Overview (32209)
- Pneumonia: Recovering From Pneumonia (45174)
- Pneumonia: Prevention (45175)
Retired Programs
As we continuously review our content, we have made the decision to retire the following UpToDate Patient Engagement programs on January 29, 2025:
UpToDate Engage Programs:
- Lap-Band Surgery (63)
- Lap-Band Adjustments (93)
- Lap-Band First 4-6 weeks Post-op (94)
- Lap-Band 6 Months Post-op (97)
- Gastric Banding (Adjustable) (204)
- Breast Augmentation with Silicone Gel-Filled Implants (106)
- Medication History – Provider (154)
UpToDate Educate Programs:
- Lap-Band Surgery and Your Digestive System: Overview (32222)
- What Happens During Lap-Band Surgery?: Overview (32221)
- How Does Gastric Banding Work?: Overview (32243)
- What Happens During a Gastric Banding Procedure?: Overview (32244)
- What Happens During a Breast Augmentation with Silicone Gel-Filled Implants?: Overview (32513)
Please discontinue all retired program codes by January 29, 2025. We suggest the following program replacements:
Gastric Banding and Lap-Band programs:
- Replacement Program: Bariatric Informed Decision Making (105)
Breast Augmentation with Silicone Gel-Filled Implants (106):
- Replacement Program: Breast Augmentation with Silicone or Saline Filled Implants (43)
What Happens During a Breast Augmentation with Silicone Gel-Filled Implants?: Overview (32513):
- Replacement Program: What Happens During a Breast Augmentation With Saline or Silicone-Filled Implants?: Overview (32464)
Medication History - Provider (154):
- Replacement Program: Medication History- Patient (153)
Our rationale for this update:
- Supports harmonization efforts between clinical topics and patient education.
- Per UpToDate clinical topic, “Laparoscopic adjustable gastric banding (LAGB) is now infrequently performed, comprising about 1 percent of all bariatric procedures in the United States [23].”
- “Late (>30 days) complication rate is high (>25 percent) [84-89]. Almost 50 percent of patients will need surgical revision or removal of the band [90]”
- Guidelines from the American Society for Metabolic and Bariatric Surgery recommend Roux-en-Y gastric bypass (RYGP) and sleeve gastrectomy as the preferred procedures for bariatric surgery.
- From the American Society for Metabolic and Bariatric Surgery Consensus report 2024: Almost all bariatric surgeons on an expert panel disagreed with the statement: “Reversible procedures such as gastric banding are preferred to irreversible procedures like sleeve gastrectomy” (in sum; almost all bariatric surgeons on an expert panel agree that irreversible procedures like sleeve gastrectomy are preferable to gastric banding).