Maternal and Fetal Effects of Mental Health Treatments in Pregnant and Breastfeeding Women: A System
This review addresses the risks and benefits of pharmacologic treatments for mental health conditions in women. It aims to aid patients and providers in decision making especially for women in whom non-pharmacologic treatment is ineffective.
Interventions for Substance Use Disorders in Adolescents: A Systematic Review | Effective Health Car
In 2015, in the United States, an estimated 1.3 million adolescents, aged 12 to 17, and 5.4 million young adults, aged 18 to 25, met diagnostic criteria for having a substance use disorder (SUD); the vast majority were untreated. Adolescents with SUD are at risk of experiencing a cascade of far-reaching adverse outcomes that often persist into adulthood, including sexually transmitted infections, unintended pregnancy, criminal involvement, school truancy, psychiatric disorders, and physical health problems. Adolescent substance use is associated with the leading causes of death in this age cohort: suicide, unintentional injury, and violence.
Pharmacologic Management of Acute Pain by EMS in the Prehospital Setting | Effective Health Care Pro
Appropriate management of acute pain is an integral part of patient management in the prehospital setting. The prevalence of pain specifically in the prehospital setting varies, with estimates ranging from 20–53%. Adequate pain relief is known to minimize the anxiety and cardiac complications associated with acute pain. However, as many as 43% of individuals have insufficient prehospital pain relief. Reasons for this have included fear of adverse events with analgesic administration, unwanted masking of underlying pathology, and provider indifference to pain complaints, amongst others. Under-treatment of pain in the prehospital setting paired with the recent focus on optimizing opioid exposure creates a need for clinicians to have a thorough understanding of pain assessment tools and the comparative effectiveness and safety of analgesics for prehospital acute pain management.
Diagnosis and Treatment of Clinical Alzheimer's-type Dementia (CATD) | Effective Health Care Program
Dementia is a clinical syndrome affecting about 10% of older U.S. adults in which an acquired cognitive deficit interferes with a person's independence in daily activities. It adversely affects patient quality of life, burdens caregivers, increases institutionalization, and is costly to families and society. Agitation, aggression and other behavioral and psychological symptoms in dementia (BPSD) are common, especially late in the disease course. These symptoms may imperil the safety of the patient and others, and often are highly distressing to caregivers. Most individuals with dementia have Alzheimer's disease (AD) as at least part of their underlying disease process.
Treatment of Acute Pain: An Evidence Map | Effective Health Care Program
Addressing the opioid epidemic in the United States is a key priority of the United States Department of Health and Human Services. This will require a thorough understanding pain treatment with both pharmacologic and nonpharmacologic interventions. The treatment of acute pain is a topic in need of an up-to-date overview of available evidence. This technical brief will provide an evidence map summarizing current research on acute pain treatments and prioritizing future research needs relevant to select acute pain conditions.
Manejo del insomnio | Effective Health Care Program
Manejo del insomnio Revisión de la investigación para adultos Consumer Summary October 30, 2017 Download PDF 1.9 MB ¿Es esta información apropiada par ...
Managing Gout | Effective Health Care Program
This summary will answer these questions:
What is gout?
How is gout diagnosed?
How is a gout attack treated?
What have researchers found about medicines to treat a gout attack?
What can I do to help prevent future gout attacks?
What have researchers found about medicines to help prevent future gout attacks?
What are possible side effects of medicines for gout?
What should I think about when deciding about gout treatment?
Mental Health Treatments in Pregnancy | Effective Health Care Program
Current Page Topic Timeline Mar. 1, 2018 Topic Suggestion Jul. 9, 2018 Draft Key Questions Mental Health Treatments in Pregnancy Key Questions Draft J ...
Nonopioid Pharmacologic Treatments for Chronic Pain | Effective Health Care Program
Chronic pain is typically defined as pain lasting at least 3 to 6 months or that which persists past the time for normal tissue healing. From a strictly biological perspective, pain is activation of the sensory nervous system’s nociceptive and hypothalamic-pituitary-adrenal axis. Adding to the complexity of chronic pain are its diverse origins and the subjective experience of a sufferer. Chronic pain can be the result of several issues ranging from a potential underlying medical condition or disease, to inflammation of injured tissue, to neuropathic pain where the patient’s central or peripheral nervous system is damaged. The manner in which pain is experienced is more than simply the biological output of an underlying issue. Attitudes, emotional disposition, and belief systems can shape the experience of pain. It is also heavily influenced by extrinsic psychosocial and socioeconomic factors and thus the biopsychosocial impact of chronic pain on the individual is as complex and varied as the disease itself. The physical deficits associated with chronic pain lead to increased medical costs, and reductions in function (disabilities) and quality of life. Psychological and social effects are also common and can manifest in a number of ways, including depression, anxiety, and an inability to fulfill social roles with family, friends, and employers. U.S.-based estimates find that nearly 50 million adults live with chronic pain, contributing to population morbidity and mortality and adding to the economic burden of the healthcare system. Annual healthcare costs due to chronic pain are estimated above $560 billion, with 2008 costs to federal and state governments alone reaching $99 billion.
Effective Health Care Program History | Effective Health Care Program
Effective Health Care Program History The Effective Health Care (EHC) Program was created from the Medicare Prescription Drug, Improvement, and Modern ...
Managing Insomnia Disorder | Effective Health Care Program
This information is right for you if:
Your health care professional said you have insomnia disorder (said "in-SOM-nee-ah"). Insomnia disorder is a long-term condition in which a person has trouble falling asleep or staying asleep, and the sleeping problem lasts at least 3 months. Insomnia disorder can last many years.
You are age 18 or older. This information is from research on adults.
Behavioral Programs To Help Manage Type 1 Diabetes | Effective Health Care Program
This summary is for you if your health care professional has said you have (or your child has) type 1 diabetes. This summary will tell you what researchers have found about behavioral programs to help manage type 1 diabetes. It does not cover specific treatments for diabetes.
Behavioral Programs To Help Manage Type 2 Diabetes | Effective Health Care Program
This summary is for you if your health care professional has said you have type 2 diabetes. This summary will tell you what researchers have found about behavioral programs to help manage type 2 diabetes. It does not cover specific treatments for diabetes.
Ácidos grasos omega-3 y la enfermedad cardiovascular | Effective Health Care Program
Ácidos grasos omega-3 y la enfermedad cardiovascular Revisión de la investigación para adultos Consumer Summary October 30, 2017 Download PDF 1.1 MB T ...
Tratamiento y prevención de infecciones por C. difficile | Effective Health Care Program
Tratamiento y prevención de infecciones por C. difficile Revisión de la investigación para adultos Consumer Summary October 30, 2017 Download PDF 2.7 ...
Omega-3 Fatty Acids and Cardiovascular Disease | Effective Health Care Program
You may have heard that omega-3 fatty acids (from certain foods and dietary supplements) are good for your heart. This summary will tell you what researchers have found about omega-3 fatty acids and cardiovascular disease (disease that affects the heart and blood vessels).
Former Projects | Effective Health Care Program
Former Projects Academic Detailing This project assembled teams that provided face-to-face education about the Agency for Healthcare Research and Qual ...
Opioid Treatments for Chronic Pain | Effective Health Care Program
Chronic pain, often defined as pain lasting longer than 3 to 6 months, or past the time of normal tissue healing, is common. The Centers for Disease Control and Prevention (CDC) estimates that 20.4 percent of U.S. adults in 2016 had chronic pain and 8.0 percent had high impact chronic pain. Chronic pain is associated with an annual cost conservatively estimated at $560 to $635 billion, is associated with impaired physical and mental functioning and reduced quality of life, and is the leading cause of disability. Chronic pain is associated with a variety of conditions and influenced by multiple biological, psychological, and social factors. Therefore, optimal approaches to the management of chronic pain should consider psychological and social factors as well as underlying biological mechanisms and physical manifestations of chronic pain (the “biopsychosocial” framework or perspective).
Treating and Preventing C. difficile Infections | Effective Health Care Program
This summary will answer these questions:
What is a C. difficile infection?
How is CDI treated?
What have researchers found about treatments for CDI?
What are possible side effects of treatments for CDI?
What can I do to help prevent CDI?
What should I think about when deciding on treatment for my CDI?
Noninvasive Treatments for Low Back Pain | Effective Health Care Program
What will this summary tell me?
This summary will answer these questions:
What is low back pain?
How is low back pain treated?
Nonmedicine treatments such as heat, exercise, and massage
What have researchers found about treatments for low back pain?
What are possible side effects of medicines to treat low back pain?
What should I discuss with my health care professional* about treating my low back pain?