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https://www.readbyqxmd.com/read/29452223/grade-guidelines-19-assessing-the-certainty-of-evidence-describing-the-relative-importance-of-outcomes-or-values-and-preferences-risk-of-bias-and-indirectness
#1
Yuan Zhang, Pablo Alonso Coello, Gordon Guyatt, Juan Jose Yepes-Nunez, Elie A Akl, Glen Hazlewood, Hector Pardo-Hernandez, Itziar Etxeandia-Ikobaltzeta, Amir Qaseem, John W Williams, Peter Tugwell, Signe Flottorp, Yaping Chang, Yuqing Zhang, Reem A Mustafa, María Ximena Rojas, Holger J Schünemann
OBJECTIVE: The GRADE working group defines patient values and preferences as the relative importance patients place on the main health outcomes. We provide GRADE guidance for assessing the risk of bias and indirectness domains for certainty of evidence about the relative importance of outcomes. STUDY DESIGN AND SETTING: We applied the GRADE domains to rate the certainty of evidence in the importance of outcomes to several systematic reviews, iteratively reviewed draft guidance and consulted GRADE members and other stakeholders for feedback...
February 13, 2018: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29445521/a-method-for-co-creation-of-an-evidence-based-patient-workbook-to-address-alcohol-use-when-quitting-smoking-in-primary-care-a-case-study
#2
Nadia Minian, Aliya Noormohamed, Laurie Zawertailo, Dolly Baliunas, Norman Giesbrecht, Bernard Le Foll, Jürgen Rehm, Andriy Samokhvalov, Peter L Selby
Plain English summary: The purpose of this paper is to describe a patient engagement event designed to create an educational workbook with smokers who drink alcohol at harmful levels. The goal was to create a workbook that combined scientific evidence with patients' values, preferences, and needs. Fourteen adult smokers who drink alcohol were invited to the Centre for Addiction and Mental Health (CAMH) to take part in a four-hour event to help design the workbook with the CAMH research team...
2018: Research Involvement and Engagement
https://www.readbyqxmd.com/read/29441759/determinants-used-to-justify-the-strength-of-recommendations-among-korean-clinical-practice-guidelines
#3
Ein Soon Shin, Ji Eun Jang, Ji Yun Yeon, Da Sol Kim, Sung Goo Chang, Yoon Seong Lee
BACKGROUND: A standardized systematic approach to grade evidence and the strength of recommendations is important for guideline users to minimize bias and help interpret the most suitable decisions at the point of care. The study aims to identify and classify determinants used to make judgement for the strength of recommendations among 56 Korean clinical practice guidelines (CPGs), and explore strong recommendations based on low quality of evidence. METHODS: Determinants used in the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach among 34 CPGs which have reported both strength of recommendations and level of evidence were reviewed...
February 19, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29439340/implementation-of-an-occupational-therapy-program-for-alzheimer-s-disease-patients-in-france-patients-and-caregivers-perspectives
#4
Aline Corvol, Alix Netter, Arnaud Campeon, Dominique Somme
BACKGROUND: The French National Alzheimer Plan 2008-2012 created specialized Alzheimer teams, which provide up to 15 sessions of cognitive rehabilitation in the patient's home for 3 months. Sessions are conducted by an occupational therapist and a gerontological nursing assistant. OBJECTIVES: As the patient's experience is one determinant of successful implementation, we explored the usefulness of these teams as viewed by the patient and his or her main caregiver...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29431571/cross-cultural-adaptation-of-the-physician-orders-for-life-sustaining-treatment-form-to-brazil
#5
Vania F S Mayoral, Fernanda B Fukushima, Aniela M Rodrigues, Raissa P Carvalho, Larissa P Carvalho, Leandro A F V Pinheiro, Bertha F Polegato, Marcos F Minicucci, Rick Bassett, Alvin H Moss, Karl E Steinberg, Edison I O Vidal
BACKGROUND: The Physician Orders for Life-Sustaining Treatment (POLST) paradigm is considered one of the most important strategies to respect patients' values at the end of life in the United States. The cross-cultural adaptation of POLST entailed several methodological considerations, which may be informative for international researchers who may also consider bringing POLST to their countries as a means to promote care at the end of life that is consistent with patients' preferences...
February 12, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29426346/correction-to-implementing-goals-of-care-conversations-with-veterans-in-va-long-term-care-setting-a-mixed-methods-protocol
#6
Anne E Sales, Mary Ersek, Orna K Intrator, Cari Levy, Joan G Carpenter, Robert Hogikyan, Helen C Kales, Zach Landis-Lewis, Tobie Olsan, Susan C Miller, Marcos Montagnini, Vyjeyanthi S Periyakoil, Sheri Reder
The authors would like to correct errors in the original article [1] that may have lead readers to misinterpret the scope, evidence base and target population of VHA Handbook 1004.03 "Life-Sustaining Treatment (LST) Decisions: Eliciting, Documenting, and Honoring Patients' Values, Goals, and Preferences".
February 9, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29426007/how-do-patients-trade-off-surgeon-choice-and-waiting-times-for-total-joint-replacement-a-discrete-choice-experiment
#7
Deborah A Marshall, Ken Deal, Barbara Conner-Spady, Eric Bohm, Gillian Hawker, Lynda Loucks, Karen V MacDonald, Tom Noseworthy
OBJECTIVE: Patients face significant waiting times for hip and knee total joint replacement (TJR) in publicly funded healthcare systems. We aimed to assess how surgeon selection and reputation affect patients' willingness to wait for TJR. DESIGN: We assessed patient preferences using a discrete choice experiment questionnaire with 12 choice scenarios administered to patients referred for TJR. Based on qualitative research, pre- and pilot-testing, we characterized each scenario by five attributes: surgeon reputation, surgeon selection, waiting time to surgeon visit (initial consultation), waiting time to surgery, and travel time to hospital...
February 6, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29425548/ejection-fraction-as-related-to-basic-components-in-the-left-and-right-ventricular-volume-domains
#8
Peter L M Kerkhof, Peter M van de Ven, Byungwon Yoo, Richard A Peace, Guy R Heyndrickx, Neal Handly
BACKGROUND: Ejection fraction (EF) is commonly applied as a clinically relevant metric to assess ventricular function. The numerical value of EF depends on the interplay between end-systolic volume (ESV) and end-diastolic volume (EDV). Remarkably, the relative impact of the two constitutive components on EF received little attention. METHODS: Three patient groups not using beta-blockers were analyzed for a robust investigation into the relative contribution of ESV and EDV when assessing EF: cardiac patients (N=155) with left ventricular (LV) data obtained by biplane ventriculography, near-normals (N=276) by gated SPECT investigation, and an MRI-based post Fallot repair study including right ventricular (RV) data (N=124), besides LV...
March 15, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29422708/i-have-to-get-to-teach-counseling-now-what-a-personal-essay
#9
REVIEW
Sue T Hale
Faculty receiving the assignment to teach a course in counseling to Au.D. students often have limited background in teaching the requisite skills and knowledge associated with counseling. A period of self-reflection regarding transferable skills for counseling as well as guidance from colleagues may assist in developing core concepts for the content of the class. Theoretical underpinnings, understanding and respecting patient values, and listening and valuing are significant perspectives for students to develop as they approach the broad content of a counseling course...
February 2018: Seminars in Hearing
https://www.readbyqxmd.com/read/29410601/application-of-the-grade-approach-in-the-development-of-guidelines-and-recommendations-in-genomic-medicine
#10
Muhammad Rafiq, Stefania Boccia
A great deal of ambiguity exists in the development of guidelines for genomic applications used in clinical practice. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach has the potential to be applied in the guidelines and recommendations development process in genomics. Here, we discuss whether and how GRADE can be applied to address the challenges posed by the evidence-based guidelines and recommendations development process in genomics. To see how GRADE can complement to the current guidelines development in genomics, we compare and contrast GRADE with other approaches...
2018: Genomics Insights
https://www.readbyqxmd.com/read/29410246/how-to-accreditation-of-blood-cultures-proceedings-a-clinical-microbiology-approach-for-adding-value-to-patient-care
#11
REVIEW
Brigitte Lamy, Agnès Ferroni, Claes Henning, Christian Cattoen, Patrice Laudat
BACKGROUND: Quality assurance and quality management are driving forces for controlling blood culture best practices but should not be disconnected from the end-point target, i.e., patient value. AIMS: This article is intended to help microbiologists implement blood culture accreditation that is actually beneficial to patient management. SOURCES: Experience from a nationwide taskforce for promoting quality assurance and competence in clinical microbiology laboratories, guidelines on blood culture...
February 1, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29407495/identification-and-appraisal-of-outcome-measures-used-to-evaluate-hypodontia-care-a-systematic-review
#12
REVIEW
Sophy Barber, Hilary L Bekker, David Meads, Sue Pavitt, Balvinder Khambay
INTRODUCTION: Identification and appraisal of the outcome measures that have been used to evaluate hypodontia treatment and deliver services are essential for improving care. A lack of alignment between outcomes and patient values can limit the scope for patient-centered care. Our objectives were to identify and appraise the outcomes selected to evaluate hypodontia care. METHODS: Data sources included 10 electronic databases and grey literature, searched using terms for hypodontia and its treatment methods...
February 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29400005/optimizing-patient-care-and-outcomes-through-the-congenital-heart-center-of-the-21st-century
#13
Jeffery B Anderson, Devyani Chowdhury, Jean A Connor, Curt J Daniels, Craig E Fleishman, Michael Gaies, Jeffrey Jacobs, John Kugler, Nicolas Madsen, Robert H Beekman, Stacey Lihn, Kay Stewart-Huey, Robert Vincent, Robert Campbell
Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our pediatric cardiology field through collaboration is now realized, permitting us to define meaningful quality metrics and establish national benchmarks through multicenter efforts. In March 2016, the American College of Cardiology hosted the first Adult Congenital/Pediatric Cardiology Section Congenital Heart Community Day. This was an open participation meeting for clinicians, administrators, patients/parents to propose metrics that optimize patient care and outcomes for a state-of-the-art congenital heart center of the 21st century...
February 5, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/29395846/thymopoiesis-following-hsct-a-retrospective-review-comparing-interventions-for-agvhd-in-a-pediatric-cohort
#14
A M Flinn, C F Roberts, M A Slatter, R Skinner, H Robson, J Lawrence, J Guest, A R Gennery
Acute graft-versus-host disease (aGVHD) complicates allogeneic hematopoietic stem cell transplantation (HSCT), and is treated with topical and/or systemic corticosteroids. Systemic corticosteroids and aGVHD damage thymic tissue. We compared thymopoietic effect of topical steroid therapy, corticosteroids and extracorporeal photopheresis (ECP) in 102 pediatric allogeneic HSCT patients. We categorized patients into 4 groups: - no aGVHD, aGVHD treated with topical or systemic steroid, or ECP. Naïve CD4+CD45RA+CD27+ T-lymphocyte values at 3, 6, 9, 12months post-HSCT were recorded: for ECP patients, values were recorded at 3, 6, 9, 12months during ECP...
January 27, 2018: Clinical Immunology: the Official Journal of the Clinical Immunology Society
https://www.readbyqxmd.com/read/29383464/patient-centered-values-and-experiences-with-emergency-department-and-mental-health-crisis-care
#15
Kathleen C Thomas, Hillary Owino, Sana Ansari, Leslie Adams, Julianne M Cyr, Bradley N Gaynes, Seth W Glickman
Little is known about what patients value in psychiatric crisis services or how they compare community-based services with those received in the emergency department. Three focus groups (n = 27) were held of participants who had received psychiatric crisis services in emergency departments or a community mental health center. Participants described care experiences and preferences. Focus groups were audio recorded, transcribed, and coded using a value-based lens. Themes included appreciation for feeling respected, basic comforts, and shared decision-making as foundations of quality care...
January 30, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29379635/reducing-the-osteoporosis-treatment-gap-an-interview-with-ucb-s-pascale-richetta
#16
Pascale Richetta
Dr. Pascale Richetta is Executive Vice President and Head of the Bone Patient Value Unit at UCB (Brussels, Belgium). She joined UCB in 2016 following over 20 years' experience in the pharma and biotech industry. After completing her MD at the University of Poitiers (France), she spent time as vice president at Abbvie/Abbott and has also held positions at GlaxoSmithKline, Ipsen and Servier. Through the course of her career she acquired impressive commercial experience managing both traditional pharmaceuticals and complex biologics and her knowledge of markets around the world is key to helping UCB prepare for future product launches...
February 2018: Future Science OA
https://www.readbyqxmd.com/read/29375258/mid-long-term-results-of-manipulation-and-arthroscopic-release-in-frozen-shoulder
#17
Haluk Celik, Mustafa Faik Seckin, Mehmet Akif Akcal, Adnan Kara, Bekir Eray Kilinc, Senol Akman
Objective: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, we evaluated the efficacy of manipulation and arthroscopic release in cases of frozen shoulder which resisted conservative treatment. Methods: A total of 32 patients who underwent manipulation and arthroscopic capsular release in 34 shoulders were included in the study. The average follow-up period was 49.5 months (range: 24-90 months)...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29373836/patients-perceived-needs-of-healthcare-providers-for-low-back-pain-management-a-systematic-scoping-review
#18
REVIEW
Louisa Chou, Tom A Ranger, Waruna Peiris, Flavia M Cicuttini, Donna M Urquhart, Kaye Sullivan, Maheeka Seneviwickrama, Andrew M Briggs, Anita E Wluka
BACKGROUND: Optimal management of low back pain (LBP) involves patients' active participation in care, facilitated by positive interactions with their healthcare provider(s) (HCP). An understanding of patients' perceived needs regarding their HCP is, therefore, necessary to achieve such outcomes. Therefore, the aim is to review the existing literature regarding patients' perceived needs of HCP managing LBP. METHODS: A systematic scoping review was performed of publications in MEDLINE, EMBASE, CINAHL and PsycINFO (1990-2016)...
January 23, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29358246/eliciting-patient-values-and-preferences-to-inform-shared-decision-making-in-preventive-screening
#19
Eddy Lang, Neil R Bell, James A Dickinson, Roland Grad, Danielle Kasperavicius, Ainsley Elizabeth Moore, Harminder Singh, Guylène Thériault, Brenda J Wilson, Dawn Stacey
No abstract text is available yet for this article.
January 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29358243/patient-perspectives-exploring-patient-values-and-preferences
#20
Cathy Telfer
No abstract text is available yet for this article.
January 2018: Canadian Family Physician Médecin de Famille Canadien
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