Blue Cross and Blue Shield of Texas (BCBSTX) uses the following national clinical practice guidelines to support our condition management program. Guideline dates reflect the most recent update from the sponsoring organization. All guidelines were reviewed by BCBSTX in 2008.

Asthma

• Expert Panel Report 3 (EPR 3): Guidelines for the Diagnosis and Management of Asthma (2007)

Chronic Obstructive Pulmonary Disease

• Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (2008)

Coronary Artery Disease

• 2007 Chronic Angina Focused Update of the ACC/AHA 2002 Guidelines for the Management of Patients With Chronic Stable Angina.
• ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: Full Text
• AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2006 Update: Endorsed by the National Heart, Lung, and Blood Institute
• Adult Treatment Program (ATP) III Full Report (2004)
• Managing Abnormal Blood Lipids: A Collaborative Approach (2005)
• Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women: 2007 Update
• Aspirin for the Prevention of Cardiovascular Disease:  U.S. Preventive Services Task Force Recommendation Statement.  Annals of Internal Medicine (2009)

• 2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults (2009)
• Adult Treatment Program (ATP) III Full Report 2004 Update
• Managing Abnormal Blood Lipids: A Collaborative Approach (2005)
• The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) Full Report (2004)
• Reference Card from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
  (JNC 7) (2003) 

Diabetes

• Primary Prevention of Cardiovascular Diseases in People With Diabetes Mellitus: A Scientific Statement From the American Heart Association and the American Diabetes Association (2006) 
• Adult Treatment Program (ATP) III Full Report 2004 Update
• The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) Full Report (2004)
• Reference Card from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) (2003)
• American Diabetes Association: Clinical Practice Recommendations (2008)

  Position Statements
  

  • Standards of Medical Care in Diabetes (2009)
  • Diagnosis and Classification of Diabetes Mellitus (2009)
  • National Standards for Diabetes Self-Management Education (2009)

Geriatrics

• Guidelines for Improving the Care of the Older Person with Diabetes Mellitus (2003) 
• Alcohol Use Disorders in Older Adults (2003), Pocket Guide
• Exercise Prescription for Older Adults With Osteoarthritis Pain: Consensus Practice Recommendations (2001)
• Guidelines Abstracted from The American Academy of Neurology Practice Parameters: Early Detection of Dementia (2002) 
• AGS/BGS/AAOS Guideline for the Prevention of Falls in Older Persons (2001)
• Guidelines Abstracted from the Guideline for the Prevention of Falls in Older Persons (2002)
• The AGS Guideline on the Management of Persistent Pain in Older Persons (2002)¹
• The Beers List: Criteria for Potentially Inappropriate Medication Use in Older Adults: Independent of Diagnoses or Conditions (2003)

¹ Continue to disregard any information in the AGS Guideline on the Management of Persistent Pain in Older Adults regarding the use of VIOXX (refecoxib). FDA notification on 09/30/04. The AGS Expert Panel on Persistent Pain has not updated its Guideline recommendations.

Hypertension

• The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) Full Report (2004)
• Reference Card from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) (2003)
• Adult Treatment Program (ATP) III Full Report 2004 Update
• Dietary Approaches to Prevent and Treat Hypertension (2006)

Lower Back Pain

• Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society (2007) 
• Nonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline (2007) 
• Medications for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline (2007) 
• American Psychiatric Association, Practice Guideline for the Treatment of Patients with Major Depressive Disorder (2005)

Metabolic Syndrome

• Diagnosis and Management of the Metabolic Syndrome (2005)
• ACC/AHA Diet and Lifestyle Recommendations: Revision (2006)
• Dietary Approaches to Prevent and Treat Hypertension (2006)
• Adult Treatment Program (ATP) III Full Report 2004 Update
• ACC/AHA Obesity and Cardiovascular Disease: Pathophysiology, Evaluation, and Effect of Weight Loss (2005) 
• Depression screening, US Preventive Services Task Force. (2002)

Weight Management Guidelines

• U.S. Preventive Services Task Force - Screening for Obesity in Adults (2003)
• Recommendations and Rationale - Screening for Obesity in Adults, U.S. Preventive Services Task Force (USPSTF) (2003)
• Summary of the Evidence - Screening and Interventions for Obesity in Adults (USPSTF) (2003)
• Department of Health and Human Services (HHS) and the Department of Agriculture (USDA) Dietary Guidelines for Americans 2005

Additional Guidelines

• Recommended Immunization Schedule for Persons Aged 1 – 6 Years – UNITED STATES (2009)
• Recommended Immunization Schedule for Persons Aged 7 – 18 Years – UNITED STATES (2009)
• Catch-up Immunization Schedule for Persons Aged 4 Months – 18 Years Who Start Late or Who Are More Than 1 Month Behind – UNITED STATES (2009) Recommended Immunization Schedule for Persons Aged 1 – 6 Years – UNITED STATES (2009)
• Recommended Adult Immunization Schedule, Advisory committee on Immunization Practices (CDC) (2008)
• U.S. Preventive Services Task Force - Screening for Obesity in Adults (2003)
• Helping Smokers Quit: A Guide for Clinicians (2008)
• Treating Tobacco Use and Dependence: 2008 Update
• Department of Health and Human Services (HHS) and the Department of Agriculture (USDA) Dietary Guidelines for Americans 2005

Depression

• Depression screening, US Preventive Services Task Force. (2002)
• American Psychiatric Association, Practice Guideline for the Treatment of Patients with Major Depressive Disorder (2005)
• American Psychiatric Association. Practice Guideline for the Assessment and Treatment of Participants with Suicidal Behaviors (2003)
• Institute for Clinical Systems Improvement (ICSI) Major Depression for Adults in Primary Care (2009)
• Using Second-Generation Antidepressants to Treat Depressive Disorders: A Clinical Practice Guideline from the American College of Physicians (2008)

Advance Care Planning

• Evidence for Improving Palliative Care at the End of Life: A Systematic Review. Annals of Internal Medicine.15 January 2008, Volume 148 Issue 2, Pages 147-159.
• Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline from the American College of Physicians. Annals of Internal Medicine. 15 January 2008, Volume 148 Issue 2, Pages 141-146.
• Goldstein N, Fischberg D. Update in Palliative Medicine. Annals of Internal Medicine. 2008;148:135-140. 
• Advanced Cancer and Palliative Care Treatment Guidelines for Patients - Version I, December 2003. National Comprehensive Cancer Network.
• The AGS Guideline on the Management of Persistent Pain in Older Persons (2002)²
• The Beers List: Criteria for Potentially Inappropriate Medication Use in Older Adults: Independent of Diagnoses or Conditions (2003)
• Depression screening, US Preventive Services Task Force. (2002)
• American Psychiatric Association, Practice Guideline for the Treatment of Patients with Major Depressive Disorder (2005)
• National Comprehensive Cancer Network and American Cancer Society. Cancer pain. Treatment guidelines for patients. (2005)
• National Consensus Project for Quality Palliative Care (2004). Clinical practice guidelines for quality palliative care.
• Education in Palliative and End-of-life Care, The EPEC Project
• Guideline for the Management of Cancer Pain in Adults and Children. American Pain Society (2005). (Printed booklet only).

² Continue to disregard any information in the AGS Guideline on the Management of Persistent Pain in Older Adults regarding the use of VIOXX (refecoxib). FDA notification on 09/30/04. The AGS Expert Panel on Persistent Pain has not updated its Guideline recommendations.

2008 LifeMasters, All Rights Reserved© Rev 7/08
List provided with permission of LifeMasters Supported SelfCare, Inc.