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

Cystoscopy (Female Anatomy)

Program Code: 29020

Main changes:

• Split the program into 2 with anatomy-specific language and artwork
• Improved inclusivity and brevity

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

• Why have a Cystoscopy (Female)?: Overview (325526)
• What Happens During a Cystoscopy (Female)?: Overview (32527)

In addition to the above updates, five new Short-form videos have been released:

• Cystoscopy (Female): Your Body (48715)
• Cystoscopy (Female): Before Your Procedure (48716)
• Cystoscopy (Female): After Your Procedure (48717)
• Cystoscopy (Female): Risks and Benefits (48718)
• Cystoscopy (Female): Alternatives (48719)

Penile Implant (3 Piece Inflatable) Surgery

Program Code: 564

Main changes:

• Updated language to match current style and standards, improved our description of erectile dysfunction, and added new art.

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

• Erectile Dysfunction (ED) and Penile Implants: Overview (32498)
• What Happens During a Penile Implant (3 Piece Inflatable) Procedure?: Overview (32497)

Ostomy (Ileostomy, Colostomy): Living With

Program Code: 24032

Main changes:

• Updated to current editorial standards including DEI/ADA updates
• Edited information around extended-release medicines
• Removed statement about drinking too much water at once causing diarrhea

Diabetes - Why Your Medicines Matter

Program Code: 215

Main changes:

• Changed name from “Diabetes Alert – Missed Prescription”
• Updated for standard language

Depression

Program Code: 116

Main changes:

• Overhauled program to new reflect UpToDate Patient Engagement's new look and feel
• Modernized art style and animations
• Shortened program length to retain patient engagement
• Old length: 30 min.
• New length: 10 min.
• Updated the program goal to focus on bridging the transition of care between PCP referrals and mental health professionals
• Pared content down to eliminate any repetition/make more streamlined.
• In the interest of shortening the program, removed the following information:
• Information about the different types of depression, including major depression, persistent depressive disorder, SAD, adjustment disorder, postpartum depression, and bipolar disorder
• Removed information reviewing specific types of therapy, including CBT, interpersonal therapy, and psychodynamic therapy. This content made the program longer and isn’t necessary to provide to patients at this touchpoint.
• Signs of substance use disorder
• Information about alcohol and depression
• Harmonized content with UpToDate
• Harmonized signs and symptoms of depression with UpToDate and based on DSM-5 criteria
• Updated based on accessibility considerations

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

• What Is Depression?: Overview (32671)

In additional to the above updates, four new Short-form videos have been released:

• Depression: What causes it? (49130)
• Depression: Psychotherapy treatment (49131)
• Depression: Medicines (49132)
• Depression: Other treatment options (49133)

Diabetes Alert - High Blood Pressure

Program Code: 214

Main changes:

• Harmonized content with UpToDate
• Discuss treatment strategy differences between elevated and high blood pressure ranges
• Harmonized blood pressure emergency symptoms with UpToDate Patient Education
• Added some guidance to help improve accuracy when taking blood pressure at home
• Updated content with AMR feedback
• Increased focus informational nature of the video and decreased emphasis on calling to make an appointment
• Added some additional information on sodium in the diet

Catheter Ablation to Treat A Fib (Atrial Fibrillation)

Program Code: 517

Main changes:

• Language style updates were made to improve clarity, accessibility, and readability, including simplifying medical jargon, making the text more gender-neutral, and aligning the language with UpToDate standards.
• Several sections have been removed or revised to focus more specifically on procedure-related information.

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

• What Happens During a Catheter Ablation for Atrial Fibrillation (AF)?: Overview (32237)

Ostomy (Ileostomy, Colostomy): Care

Program Code: 24019

Main changes:

• Updated to most recent language style and to include additional tips for managing leaks and ensuring a good seal around the stoma

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

• What Is an Ostomy?: Overview (32425)

Breast Biopsy: Surgical

Program Code: 24030

Main changes:

• Harmonized content with UpToDate
• Added lines of RSL and ROLL localization methods
• Included seroma as a risk following surgical biopsy
• Emphasized that surgical biopsies are not an alternative to needle biopsies. Removed needle biopsy procedure lines
• Included lines to clarify the difference between cysts and fibroadenomas, per AMR
• Added lines on BIRAD score for patient expectation setting, per AMR
• Rearranged several lines for better content flow
• Revised for accessibility considerations

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

• What Happens During a Surgical Breast Biopsy?: Overview (32235)

In addition to the above updates, five new associated Short-form videos have been released:

• Breast Biopsy Surgical: What is it? (49766)
• Breast Biopsy Surgical: Before Your Biopsy (49767)
• Breast Biopsy Surgical: After Your Biopsy (49768)
• Breast Biopsy Surgical: Risks (49769)
• Breast Biopsy Surgical: Alternatives (49770)

Before surgery: lowering risk of surgical site infection

Program Code: 24045

Main changes:

• Clarified how you may get the special soaps and wipes
• Other changes based on clinical review

Program Name Change:  Trial of Labor After Cesarean Birth (TOLAC)