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https://www.readbyqxmd.com/read/29912569/overview-of-treatment-guidelines-and-clinical-practical-guidelines-that-recommend-the-use-of-acupuncture-a-bibliometric-analysis
#1
Stephen Birch, Myeong Soo Lee, Terje Alraek, Tae-Hun Kim
INTRODUCTION: As positive evidence emerges for the use of an intervention to treat a health problem, the intervention gradually becomes incorporated into treatment guidelines (TGs) or clinical practice guidelines (CPGs) that are related to that health problem. To assess whether this general hypothesis can apply to acupuncture, 96 health problems were identified for which positive conclusions in systematic reviews and meta-analyses regarding the effectiveness of acupuncture have been made and then searched for TGs or CPGs that have recommended the use of acupuncture...
June 18, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29910658/clinical-practice-guidelines-in-breast-cancer
#2
REVIEW
N Kumar Tyagi, S Dhesy-Thind
Background: A number of clinical practice guidelines (cpgs) concerning breast cancer (bca) screening and management are available. Here, we review the strengths and weaknesses of cpgs from various professional organizations and consensus groups with respect to their methodologic quality, recommendations, and implementability. Methods: Guidelines from four groups were reviewed with respect to two clinical scenarios: adjuvant ovarian function suppression (ofs) in premenopausal women with early-stage estrogen receptor-positive bca, and use of sentinel lymph node biopsy (slnb) after neoadjuvant chemotherapy (nac) for locally advanced bca...
June 2018: Current Oncology
https://www.readbyqxmd.com/read/29910605/role-of-etelcalcetide-in-the-management-of-secondary-hyperparathyroidism-in-hemodialysis-patients-a-review-on-current-data-and-place-in-therapy
#3
REVIEW
Claudia Friedl, Emanuel Zitt
Secondary hyperparathyroidism (sHPT) is a frequently occurring severe complication of advanced kidney disease. Its clinical consequences include extraskeletal vascular and valvular calcifications, changes in bone metabolism resulting in renal osteodystrophy, and an increased risk of cardiovascular morbidity and mortality. Calcimimetics are a cornerstone of parathyroid hormone (PTH)-lowering therapy, as confirmed by the recently updated 2017 Kidney Disease: Improving Global Outcomes chronic kidney disease - mineral and bone disorder clinical practice guidelines...
2018: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/29907358/anticoagulant-treatment-of-medical-patients-with-complex-clinical-conditions
#4
F Ruiz-Ruiz, F J Medrano, J M Santos-Lozano, P Rodríguez-Torres, A Navarro-Puerto, E J Calderón
There is scarce available information on the treatment or prophylaxis with anticoagulant drugs of outpatients with medical diseases and complex clinical conditions. There are no clinical practice guidelines and/or specific recommendations for this patient subgroup, which are frequently treated by internists. Complex clinical conditions are those in which, due to comorbidity, age, vital prognosis or multiple treatment with drugs, a clinical situation arises of disease-disease, disease-drug or drug-drug interactions that is not included within the scenarios that commonly generate the scientific evidence...
June 12, 2018: Revista Clínica Española
https://www.readbyqxmd.com/read/29905821/corrigendum-for-endocrine-treatment-of-gender-dysphoric-gender-incongruent-persons-an-endocrine-society-clinical-practice-guideline
#5
(no author information available yet)
No abstract text is available yet for this article.
June 13, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29905515/diagnosis-of-primary-ciliary-dyskinesia-an-official-american-thoracic-society-clinical-practice-guideline
#6
Adam J Shapiro, Stephanie D Davis, Deepika Polineni, Michele Manion, Margaret Rosenfeld, Sharon D Dell, Mark A Chilvers, Thomas W Ferkol, Maimoona A Zariwala, Scott D Sagel, Maureen Josephson, Lucy Morgan, Ozge Yilmaz, Kenneth N Olivier, Carlos Milla, Jessica E Pittman, M Leigh Anne Daniels, Marcus Herbert Jones, Ibrahim A Janahi, Stephanie M Ware, Sam J Daniel, Matthew L Cooper, Lawrence M Nogee, Billy Anton, Tori Eastvold, Lynn Ehrne, Elena Guadagno, Michael R Knowles, Margaret W Leigh, Valery Lavergne
BACKGROUND: This document presents the American Thoracic Society clinical practice guidelines for the diagnosis of primary ciliary dyskinesia (PCD). TARGET AUDIENCE: Clinicians investigating adult and pediatric patients for possible PCD. METHODS: Systematic reviews and, when appropriate, meta-analyses were conducted to summarize all available evidence pertinent to our clinical questions. Evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach for diagnosis and discussed by a multidisciplinary panel with expertise in PCD...
June 15, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29903039/adapting-clinical-practice-guidelines-for-diabetic-retinopathy-in-kenya-process-and-outputs
#7
Nyawira Mwangi, Muchai Gachago, Michael Gichangi, Stephen Gichuhi, Kibata Githeko, Atieno Jalango, Jefitha Karimurio, Joseph Kibachio, Lawrence Muthami, Nancy Ngugi, Carmichael Nduri, Patrick Nyaga, Joseph Nyamori, Alain Nazaire Mbongo Zindamoyen, Covadonga Bascaran, Allen Foster
BACKGROUND: The use of clinical practice guidelines envisages augmenting quality and best practice in clinical outcomes. Generic guidelines that are not adapted for local use often fail to produce these outcomes. Adaptation is a systematic and rigorous process that should maintain the quality and validity of the guideline, while making it more usable by the targeted users. Diverse skills are required for the task of adaptation. Although adapting a guideline is not a guarantee that it will be implemented, adaptation may improve acceptance and adherence to its recommendations...
June 15, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29901487/a-core-set-of-outcome-measures-for-adults-with-neurologic-conditions-undergoing-rehabilitation-a-clinical-practice-guideline
#8
Jennifer L Moore, Kirsten Potter, Kathleen Blankshain, Sandra L Kaplan, Linda C OʼDwyer, Jane E Sullivan
BACKGROUND: Use of outcome measures (OMs) in adult neurologic physical therapy is essential for monitoring changes in a patient's status over time, quantifying observations and patient-reported function, enhancing communication, and increasing the efficiency of patient care. OMs also provide a mechanism to compare patient and organizational outcomes, examine intervention effectiveness, and generate new knowledge. This clinical practice guideline (CPG) examined the literature related to OMs of balance, gait, transfers, and patient-stated goals to identify a core set of OMs for use across adults with neurologic conditions and practice settings...
June 12, 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29901241/evaluation-of-all-african-clinical-practice-guidelines-for-hypertension-quality-and-opportunities-for-improvement
#9
Patrick Mbah Okwen, Irene Maweu, Karen Grimmer, Janine Margarita Dizon
RATIONALE, AIMS, AND OBJECTIVES: Good-quality clinical practice guidelines (CPGs) provide recommendations based on current best-evidence summaries. Hypertension is a prevalent noncommunicable disease in Africa, with disastrous sequelae (stroke, heart, and kidney disease). Its effective management relies on good quality, current, locally relevant evidence. This paper reports on an all African review of the guidance documents currently informing hypertension management. METHODS: Attempts were made to contact 62 African countries for formal guidance documents used nationally to inform diagnosis and management of hypertension...
June 14, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29898858/current-evidence-on-the-potential-therapeutic-applications-of-transcranial-magnetic-stimulation-in-multiple-sclerosis-a-systematic-review-of-the-literature
#10
M León Ruiz, M Sospedra, S Arce Arce, J Tejeiro-Martínez, J Benito-León
INTRODUCTION: A growing number of studies have evaluated the effects of transcranial magnetic stimulation (TMS) for the symptomatic treatment of multiple sclerosis (MS). METHODS: We performed a PubMed search for articles, recent books, and recommendations from the most relevant clinical practice guidelines and scientific societies regarding the use of TMS as symptomatic treatment in MS. CONCLUSIONS: Excitatory electromagnetic pulses applied to the affected cerebral hemisphere allow us to optimise functional brain activity, including the transmission of nerve impulses through the demyelinated corticospinal pathway...
June 10, 2018: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29896556/are-patients-being-evaluated-for-periprosthetic-joint-infection-prior-to-referral-to-a-tertiary-care-center
#11
Matthew W Tetreault, Kenneth A Estrera, Erdan Kayupov, Caroline Brander, Craig J Della Valle
Background: Patients with a painful or failed total joint arthroplasties should be evaluated for periprosthetic joint infection (PJI). The purpose of this study is to determine if patients referred to a tertiary care center had been evaluated for PJI according to the American Academy of Orthopaedic Surgeons (AAOS) clinical practice guidelines. Methods: One hundred thirteen patients with painful hip (43) or knee (70) arthroplasties were referred to a single provider by orthopaedic surgeons outside our practice between 2012 and 2014...
June 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29895740/kids-safe-and-smokefree-kiss-multilevel-intervention-to-reduce-child-tobacco-smoke-exposure-long-term-results-of-a-randomized-controlled-trial
#12
Stephen J Lepore, Bradley N Collins, Donna L Coffman, Jonathan P Winickoff, Uma S Nair, Beth Moughan, Tyra Bryant-Stephens, Daniel Taylor, David Fleece, Melissa Godfrey
BACKGROUND: Pediatricians following clinical practice guidelines for tobacco intervention (“Ask, Advise, and Refer” [AAR]) can motivate parents to reduce child tobacco smoke exposure (TSE). However, brief clinic interventions are unable to provide the more intensive, evidence-based behavioral treatments that facilitate the knowledge, skills, and confidence that parents need to both reduce child TSE and quit smoking. We hypothesized that a multilevel treatment model integrating pediatric clinic-level AAR with individual-level, telephone counseling would promote greater long-term (12-month) child TSE reduction and parent smoking cessation than clinic-level AAR alone...
June 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29893656/receipt-and-targeting-of-evidence-based-psychosocial-interventions-for-people-living-with-psychoses-findings-from-the-second-australian-national-survey-of-psychosis
#13
C Harvey, J Lewis, J Farhall
AIMS: Clinical Practice Guidelines (CPGs) recommend evidence-based psychosocial interventions (EBPIs) to improve consumer recovery; however, availability appears limited. We describe receipt of six EBPIs, reported by people with psychoses, and associations with service and consumer characteristics, including indicators of need (eligibility) and benefit (suitability). METHODS: Participants in the 2010 Australian national survey of psychosis (n = 1825) were interviewed to assess demographic, functional, mental and physical health characteristics and service use in the previous year...
June 12, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29891821/adherence-to-european-clinical-practice-guidelines-for-secondary-prevention-of-cardiovascular-disease-a-cohort-study
#14
Josep Maria Pepió Vilaubí, Domingo Orozco-Beltrán, Alessandra Queiroga Gonçalves, Dolors Rodriguez Cumplido, Carina Aguilar Martin, Adriana Lopez-Pineda, Vicente F Gil-Guillen, Jose A Quesada, Concepcion Carratala-Munuera
To provide a better understanding of the actions taken within health systems and their results, this study aims to assess clinicians’ adherence to clinical practice guidelines regarding recommended treatments in patients with cardiovascular disease in primary care settings, and to determine the associated factors. We conducted an ambispective cohort study in 21 primary care centres in 8 Spanish regions. Patients diagnosed with coronary heart disease, stroke and/or peripheral arterial disease were included...
June 11, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29891526/merkel-cell-carcinoma-version-1-2018-nccn-clinical-practice-guidelines-in-oncology
#15
Christopher K Bichakjian, Thomas Olencki, Sumaira Z Aasi, Murad Alam, James S Andersen, Rachel Blitzblau, Glen M Bowen, Carlo M Contreras, Gregory A Daniels, Roy Decker, Jeffrey M Farma, Kris Fisher, Brian Gastman, Karthik Ghosh, Roy C Grekin, Kenneth Grossman, Alan L Ho, Karl D Lewis, Manisha Loss, Daniel D Lydiatt, Jane Messina, Kishwer S Nehal, Paul Nghiem, Igor Puzanov, Chrysalyne D Schmults, Ashok R Shaha, Valencia Thomas, Yaohui G Xu, John A Zic, Karin G Hoffmann, Anita M Engh
This selection from the NCCN Guidelines for Merkel Cell Carcinoma (MCC) focuses on areas impacted by recently emerging data, including sections describing MCC risk factors, diagnosis, workup, follow-up, and management of advanced disease with radiation and systemic therapy. Included in these sections are discussion of the new recommendations for use of Merkel cell polyomavirus as a biomarker and new recommendations for use of checkpoint immunotherapies to treat metastatic or unresectable disease. The next update of the complete version of the NCCN Guidelines for MCC will include more detailed information about elements of pathology and addresses additional aspects of management of MCC, including surgical management of the primary tumor and draining nodal basin, radiation therapy as primary treatment, and management of recurrence...
June 2018: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29891222/approach-of-clinicians-to-candiduria-and-related-outcome-in-the-elderly
#16
L García-Agudo, M Rodríguez-Iglesias, R Carranza-González
OBJECTIVE: Candiduria is increasingly frequent in hospitalized debilitated patients. We aimed to evaluate the approach of clinicians to candiduria in the oldest old, and its effect on clearance and mortality. MATERIAL AND METHODS: An observational study without intervention was carried out during 2012 and 2013 in three Spanish hospitals over patients with nosocomial candiduria aged 80 and over. Following a diagnostic algorithm, we assessed the appropriateness of antifungal therapy and analyzed the impact of the clinical approach (antifungal therapy, antibiotics discontinuation and catheter removal or replacement) on the outcome (mortality at 60 days and resolution, persistence or recurrence of candiduria)...
June 8, 2018: Journal de Mycologie Médicale
https://www.readbyqxmd.com/read/29891180/clinical-practice-guidelines-for-the-treatment-of-primary-liver-cancer-with-integrative-traditional-chinese-and-western-medicine
#17
Chang-Quan Ling, Jia Fan, Hong-Sheng Lin, Feng Shen, Zhen-Ye Xu, Li-Zhu Lin, Shu-Kui Qin, Wei-Ping Zhou, Xiao-Feng Zhai, Bai Li, Qing-Hui Zhou
Traditional Chinese medicine (TCM) is an important part of the treatment of primary liver cancer (PLC) in China; however, the current instructions for the integrative use of traditional Chinese and Western medicine for PLC are mostly based on expert opinion. There is no evidence-based guideline for clinical practice in this field. Therefore, the Shanghai Association of Chinese Integrative Medicine has established a multidisciplinary working group to develop this guideline, which focuses on the most important questions about the use of TCM during PLC treatment...
May 17, 2018: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29890563/-psychosomatics-in-gastroenterology-statement-of-the-work-group-for-psychosomatics-in-gastroenterology-of-the-german-society-of-gastroenterology-digestive-and-metabolic-diseases-dgvs
#18
Peter Gunther Auer, Paul Enck, Winfried Häuser, Andreas Stengel, Martin Storr, Jost Langhorst
The Association Psychosomatics in Gastroenterology of the DGVS aims to sharpen the profile of psychosomatic proportions in diagnostics, differential diagnostics and therapy of gastroenterological diseases, increasingly establish psychosomatic aspects in further education and clinical practice guidelines, deepen the cooperation with psychosomatic societies and strengthen the job satisfaction and mental health of gastroenterologists in Germany.
June 2018: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29889938/association-of-gestational-diabetes-and-type-2-diabetes-exposure-in-utero-with-the-development-of-type-2-diabetes-in-first-nations-and-non-first-nations-offspring
#19
Brandy A Wicklow, Elizabeth A C Sellers, Atul K Sharma, Kristine Kroeker, Nathan C Nickel, Wanda Philips-Beck, Garry X Shen
Importance: Type 2 diabetes is increasing worldwide, disproportionately affecting First Nations (FN) people. Identifying early-life determinants of type 2 diabetes is important to address the intergenerational burden of illness. Objective: To investigate the association of in utero exposure to gestational diabetes and type 2 diabetes, stratified by FN status, with the development of type 2 diabetes in offspring. Design, Setting, and Participants: This cohort study was derived from the linkage of a pediatric diabetes clinical database and a population-based research data repository in Manitoba, Canada...
June 11, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29889605/integrative-therapies-during-and-after-breast-cancer-treatment-asco-endorsement-of-the-sio-clinical-practice-guideline
#20
Gary H Lyman, Heather Greenlee, Kari Bohlke, Ting Bao, Angela M DeMichele, Gary E Deng, Judith M Fouladbakhsh, Brigitte Gil, Dawn L Hershman, Sami Mansfield, Dawn M Mussallem, Karen M Mustian, Erin Price, Susan Rafte, Lorenzo Cohen
Purpose The Society for Integrative Oncology (SIO) produced an evidence-based guideline on use of integrative therapies during and after breast cancer treatment that was determined to be relevant to the American Society of Clinical Oncology (ASCO) membership. ASCO considered the guideline for endorsement. Methods The SIO guideline addressed the use of integrative therapies for the management of symptoms and adverse effects, such as anxiety and stress, mood disorders, fatigue, quality of life, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance...
June 11, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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