UpToDate Patient and Member Engagement Program Updates and Enhancements - February 2025

The following programs have been released on February 26, 2025. Click here to preview all the programs in this release.
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New Programs

Sleeve Gastrectomy: Basics

Program Code: 46747
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over information about the anatomy of the digestive system as it relates to sleeve gastrectomy surgery.
Sleeve Gastrectomy: Your Decision

Program Code: 46748
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over information that is important to understand before deciding to have a sleeve gastrectomy surgery.
Sleeve Gastrectomy: Before Your Surgery

Program Code: 46749
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over preparing for a sleeve gastrectomy surgery.
Sleeve Gastrectomy: Recovery

Program Code: 46750
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over what to expect when recovering from a sleeve gastrectomy surgery.
Sleeve Gastrectomy: Life After Surgery

Program Code: 46751
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the changes to diet you can expect after recovering from a sleeve gastrectomy surgery.
Sleeve Gastrectomy: Risks and Benefits

Program Code: 46752
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the risks of a sleeve gastrectomy surgery.
Sleeve Gastrectomy: Alternatives

Program Code: 46753
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the alternatives to a sleeve gastrectomy surgery.
Healthy Lifestyle Choices for Bone Health: Overview

Program Code: 46380
Subscriptions: UpToDate Health, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over how to prevent bone loss. It describes a bone-healthy lifestyle to keep bones strong, including diet and exercise.
Bone Mineral Density Test

Program Code: 46381
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over bone mineral density testing, including a DXA scan and the Fracture Risk Assessment Tool (or FRAX).
Magnetic Resonance Imaging (MRI): Before Your MRI

Program Code: 46896
Subscriptions: UpToDate Safety, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video provides an overview of how to prepare for a magnetic resonance imaging (MRI).
Magnetic Resonance Imaging (MRI): During Your MRI

Program Code: 46897
Subscriptions: UpToDate Safety, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video provides an overview of what to expect during and after a magnetic resonance imaging (MRI), including tips for dealing with the small space and a sample of what the scan may sound like.
What is Magnetic Resonance Imaging (MRI)?: Overview

Program Code: 46898
Subscriptions: UpToDate Safety, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video provides an overview of magnetic resonance imaging (MRI), including: what an MRI machine looks like.
How to Use a Pen Injector: Overview

Program Code: 47036
Subscriptions: UpToDate Safety, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over how to administer medicine using a pen injector.
Stress Test (Nuclear): What It Is

Program Code: 48055
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program explains what a nuclear stress test is and general reasons it may be done.
Stress Test (Nuclear): Before Your Test

Program Code: 48056
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program explains how to prepare for a nuclear stress test.
Stress Test (Nuclear): After Your Test

Program Code: 48057
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program reviews what to expect after a nuclear stress test.
Stress Test (Nuclear): Risks

Program Code: 48058
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program explains the risks of a nuclear stress test.
Stress Test (Nuclear): Alternatives

Program Code: 48059
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program reviews alternatives to a nuclear stress test.
Blood Sugar Emergencies for Type 1 Diabetes: When You Are At Risk

Program Code: 48060
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This program explains when someone with type 1 diabetes may be at risk for a blood sugar emergency.
Atrial Fibrillation: Other Medical Problems

Program Code: 47406
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over what problems atrial fibrillation may cause (for example, stroke).
Atrial Fibrillation: Treatments

Program Code: 47407
Subscriptions: UpToDate Health, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over common treatments for atrial fibrillation.
Living with Atrial Fibrillation: Overview

Program Code: 47405
Subscriptions: UpToDate Health, UpToDate Educate, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over what things you need to do when living with atrial fibrillation, and when to call your doctor or get emergency help.
Breast Reduction: Your Body

Program Code: 47539
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the anatomy of the breast important for breast reduction surgery.
Breast Reduction: Before Your Surgery

Program Code: 47540
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over what to know before breast reduction surgery.
Breast Reduction: Recovery

Program Code: 47541
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over what to know about recovering from a breast reduction surgery.
Breast Reduction: Risks and Benefits

Program Code: 47542
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the risks of breast reduction surgery.
Breast Reduction: Alternatives

Program Code: 47543
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage
Release Notes:

  • This video goes over the alternatives to breast reduction surgery.

Updated Programs

Anticoagulants for PE

Program Code:  922
Subscriptions: UpToDate Safety, UpToDate Engage, Faith-Based UpToDate Engage

Main Changes:

  • Harmonized content with UpToDate
    • 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 of 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 Pulmonary Embolism (PE)?: Overview (32490)
Anticoagulants for DVT

Program Code: 921

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

Main changes:

  • Harmonized content with UpToDate
    • 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
    • Minor language revisions to 'Risks’
    • 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 DVT?: Overview (31951)
Sleeve Gastrectomy

Program Code: 170

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

Main changes:

  • Updated language clarify overall excess weight loss estimations and to reflect current practice for mental health support around and after bariatric surgery.


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

  • What Happens During a Sleeve Gastrectomy?: Overview (32109)
Preventing Low Bone Mass and Osteoporosis

Program Code: 25141

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

Main changes:

  • Harmonized with UpToDate
    • Honed in on target audience to be those at or near menopause (although it can work for anyone who may need content)
    • Made ideas around bone mass/density more clear
    • Added some screening factors from Screening for osteoporosis in postmenopausal women and men
    • Harmonized meds to align with UpToDate, Drugs that affect bone metabolism
    • Removed caffeine from things to avoid list
  • Moving Bone Mineral Density Test to its own, stand-alone program since it isn’t “prevention”
  • 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:

  • Bone Density and Bone Loss: Overview (31865)
  • Your Bones: Overview (31863)
Magnetic Resonance Imaging (MRI)

Program Code: 24020

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

Main changes:

  • Harmonized content with UpToDate
    • Replaced MRI scan with MRI exam throughout for patient comprehension of the procedure
    • Removed optional section on tips to manage claustrophobia, as very small percentage of patients have this difficulty with MRI
  • Added lines around MRI findings being available to share with doctor via CD
  • Removed lines around clothing patients may wear for MRI
  • Updated for DE&I and accessibility considerations
  • Updated for standard language and style
Planning a Stem Cell Transplant

Program Code: 33168

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

Main changes:

  • Removed artwork of cat
  • Added language around possibility of being unable to work for a time after transplant
Stress Test (Nuclear)

Program Code:  21294
Subscriptions: UpToDate Prep, UpToDate Engage, Faith-Based UpToDate Engage

Main Changes:

  • Removed specific language about exercise machines and clarifying language around one versus two scans


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

  • What Happens During a Nuclear Stress Test?: Overview (32544)
Blood Sugar Emergencies for Type 1 Diabetes

Program Code: 29480

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

Main changes:

  • Updated definitions of hypoglycemia and hyperglycemia and clarified language about glucagon.


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

  • Low Blood Sugar in Type 1 Diabetes: Overview (31683)
  • High Blood Sugar in Type 1 Diabetes: Overview (31657)
Atrial Fibrillation

Program Code: 491

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

Main changes:

  • Updated anticoagulants medicines


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

  • What Is Atrial Fibrillation?: Overview (31956)
Breast Reduction

Program Code: 103

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

Main changes:

  • Program was updated to clarify the following:
    • Insurance requirements may factor into how much breast tissue should be removed
    • Women will go home wearing a support bra (it's not just "likely" this will happen)
    • Women develop scaps differently just due to individual variation
    • Massaging breasts after surgery is not always recommended, and it is not recommended until wounds have healed


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

  • Managing Expectations After Breast Reduction Surgery: Overview (32413)
  • What Happens During a Breast Reduction Surgery?: Overview (32412)
Program Name Change:  Preventing Low Bone Mass and Osteoporosis

Program Code: 25141

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

Previous title: Bone Health: Keeping Your Bones Strong

Retired Programs

As we continuously review our content, we have made the decision to retire the following UpToDate Patient Engagement programs on February 26, 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 February 26, 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:

For all Lap-Band and Gastric Banding programs:

  • 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).
For Breast Augmentation Programs:
  • The Breast Augmentation with Silicone Gel-Filled Implants and Breast Augmentation with Saline-Filled Implants programs were combined during the last update.
For Medication History - Provider Programs:
  • The Medication History - Provider (154) program's purpose is to educate providers on how to take a proper medical history; therefore, it does not fit with our patient education library