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Nice Guidelines

All articles tagged with #nice guidelines

Study finds NICE breast cancer criteria miss most young at-risk women
health20 days ago

Study finds NICE breast cancer criteria miss most young at-risk women

Cambridge and ICR researchers say NICE's current referral criteria miss up to 95% of women under 50 who will develop breast cancer within 10 years; a new risk model called Boadicea could identify eight times as many at-risk young women, most of whom have no family history. The findings argue for a broader risk assessment to enable earlier prevention or treatment, but NICE warns that there is not yet enough evidence to change guidelines and notes resource and feasibility concerns; calls for investment in family-history services.

Young women slipping through screening gaps prompts call for broader risk tools
health21 days ago

Young women slipping through screening gaps prompts call for broader risk tools

A Cambridge/Ireland study using the Boadicea risk calculator suggests NICE’s under-50 breast cancer screening criteria miss most at-risk women because they rely on family history; if all under-50s underwent risk assessment, about 26.5% would be flagged as above-average risk and referred for further testing—which would include roughly one-third of the women who develop cancer in the next decade—whereas current NICE guidelines would refer only about 1.4% of under-50s and miss most who develop disease. Experts caution that expanding referrals could raise workload and anxiety, and NICE says the evidence isn’t yet enough to change guidelines.

Home monitoring and personalized care: NICE updates high blood pressure guidelines
health5 months ago

Home monitoring and personalized care: NICE updates high blood pressure guidelines

NICE has updated guidance on diagnosing and treating high blood pressure, prioritizing home BP monitoring and individualized treatment. If the average of home readings is under 135/85 mmHg, you may not need treatment for several months; higher readings call for lifestyle changes (weight loss, more exercise, reduced salt and alcohol, stop smoking) and, if needed, medication. First-line drugs usually include ACE inhibitors/ARBs, calcium-channel blockers, or diuretics, with choice guided by age and ethnicity (CCB for those over 55 or Black individuals; ACEi/ARB for those under 55 or with diabetes). The target is a home BP under 135/85 (rising to under 145/85 for those over 80), along with follow-up investigations and ensured adherence.