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Total Results: 598 records

Showing results for "clinical judgment".

141. Executive Summary: Systematic Review_Implementing Recommended Mental Health and Substance Use Screening and Counseling Interventions in Primary Care Settings for Children and Adolescents (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/screening-counseling-interventions-executive-summary.pdf
     April 01, 2025 - Points • Few studies (n=11) meeting inclusion criteria evaluated strategies to implement clinical … Additionally, the 11 included studies failed to assess the acceptability or feasibility of the clinical … Clinical interventions of included studies focused on screening and brief intervention for depression … Summary of effects of implementation strategies Clinical Intervention Implementation Strategy … involves multifaceted strategies and wide arrays of outcomes that require significant application of judgment

142. Multiple-Sclerosis Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/multiple-sclerosis_executive.pdf
     April 01, 2015 - of-bias assessments and, when needed, a third investigator was consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. … Currently, clinical judgment and EDSS changes or an EDSS score of 6 or 7 are generally used. … Defining the clinical course of multiple sclerosis: the 2013 revisions. … Opt-Up Program and Clinical Study. www.acceleratedcure.org/impact/opt-up- program-and-clinical-study

143. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
     October 13, 2021 - judgment, surgical status, or biometrics. … judgment, or surrogate... … (suggest including clinical judgment here.) Thank you for the comment. … As suggested, we included “clinical judgment” as a reason for initiating parenteral or enteral nutrition … practice to determine clinical effectiveness.

144. Diagnosis and Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-fatigue_executive.pdf
     July 01, 2016 - feel stigmatized by their diagnosis in terms of financial stability, work opportunities, perceived judgments … system.38,39,41-43 Two studies indicated that medical trainees and mental health practitioners make judgments … ME/CFS: A Primer for Clinical Practitioners. … -- a clinical cohort study. Eur J Clin Invest. 2013;43(3):302-8. PMID: 23397955. 18. … Diagnosis of psychiatric disorder in clinical evaluation of chronic fatigue syndrome.

145. Research Protocol: Clostridium difficile Infection Update (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-difficile-update_research-protocol.pdf
     December 23, 2014 - When the two investigators disagree, a third party will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. … Current opinion in clinical nutrition and metabolic care 2003; Jan;6(1):49-54. … Clinical recognition and diagnosis of Clostridium difficile infection. … Placebo-- efficacy and adverse effects in controlled clinical trials.

146. Disposition of Comments Report for Biologic and Nonbiologic Systemic Agents and Phottherapy for Treatment of Chronic Plaque Psoriasis (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/psoriasis-chronic_disposition-comments.pdf
     November 27, 2012 - Without having reviewed the literature on within class comparisons, we are not in a position to make judgments … Without having reviewed the literature on within class comparisons, we are not in a position to make judgments … The outcome measures cover the main clinical and patient reported endpoints used in psoriasis clinical … For clinical decision- making, nothing really new is described but again this is due to the lack of … of the challenges of conducting clinical research in this field and the limitations in the literature

147. Abnormal-Uterine-Bleeding Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/abnormal-uterine-bleeding_research-protocol.pdf
     November 21, 2011 - We will make these judgments for each of the main Key Questions related to specific outcomes as appropriate … Relevant information will be systematically abstracted and we will report judgments about major limitations … Clinical gynecologic endocrinology and infertility. 8th ed. … NICE Clinical Guideline CG44. London: Institute for Health and Clinical Excellence; 2007. 27. … Clinical outcome of levonorgestrel intra-uterine system in idiopathic menorrhagia.

148. Colorectal-Surgery-Preparation Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-surgery-preparation_research-protocol.pdf
     March 26, 2013 - Judgment on the potential for selective outcome reporting bias will be based on reporting patterns for … in this assessment, we will explicitly present all operational decisions and the rationale for our judgment … National Institute for Health and Clinical Excellence. … Clinical Guideline No. 74. … Meta-analysis in clinical trials. Control Clin Trials 1986 Sep;7(3):177-88. PMID: 3802833. 30.

149. Patient-Centered-Medical-Home Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-centered-medical-home_executive.pdf
     July 01, 2012 - Clinical outcomes: a. Health status b. Laboratory tests c. Mortality 5. … Clinical outcomes e. Economic outcomes No outcomes of interest reported. 7 Table A. … (2) applied predefined criteria for quality and critical appraisal, and (3) arrived at a summary judgment … To indicate the summary judgment of the quality of the individual studies, we used the summary ratings … Current evidence is insufficient to determine effects on clinical and most economic outcomes.

150. S50 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/s50.pdf
     October 01, 2007 - As a clinical research method, PBE-CPI embraces all 4 elements of practical clinical trials (PCTs) for … Subsequently, the clinical teams helped with data analyses. … In everyday practice, patients are assigned to different treatments based on the provider’s medical judgment … data rather than clinical opinion. … Practical clinical trials: increasing the value of clinical research for decision making in clinical

151. Wheeled Mobility (Wheelchair) Service Delivery (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
     January 01, 2012 - Cord Injury Clinical Practice Guideline of "Upper Limb Preservation", VA clinical and prescription guidelines … judgment of a medical professional in the selection of appropriate equipment specifications or features … Do the decision makers apply professional judgment in the review process or rely solely on decision … judgment of the professional involved. … Professional clinical judgment, rationale, and consensus should not be undermined in instances where

152. Evidence-based Practice Center Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/ongoing-studies-evidence_research.pdf
     December 01, 2010 - This report is not intended to be a substitute for the application of scientific judgment. … available information regarding ongoing studies should be efficiently identifiable and sufficient to allow judgment … A judgment about the significance of the impact of such changes on the results of the studies was difficult … Australian New Zealand Clinical Trials Registry, German Clinical Trials Register): 5b. … Trials AIDS Clinical Trials Group http://www.aactg.org/ Centre for Clinical Trials, Clinical Trials

153. Disposition of Comments Report for Otitis Media With Effusion (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/ear-infection_disposition-comments.pdf
     May 04, 2013 - of incorporating others' reviews: even if the methods are exquisite, there is a reliance upon the judgment … watchful waiting are of major concern in clinical decision-making. … Ratio of secondary to primary sources too high in Introduction for my judgment. … Thus, we did all analyses qualitatively, based on our reasoned judgment of similarities in measurement … otitis media commonly supervene in children with OME; should not be a reason for exclusion in my judgment

154. Arcia-notes-Teresa (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/arcia-presentation.pdf
     October 08, 2025 - Most of the people gave the consent to have their survey data  linked to their clinical  data   … identify the value and   then  compare it to reference ranges and   then  make some sort of judgment … to go next, but one possibility is definitely to study the effect of this kind  of platform on  clinical … could analyze the log files as people are using the tool, could  use their usage patterns to inform clinical

155. Evidence-based Practice Center Systematic Review Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-brain-injury_research-protocol.pdf
     December 09, 2009 - the traumatic brain injury or other patient factors influence the probability of developing incident clinical … depression Timing: Depression must occur after a traumatic brain injury Settings: Any clinical … AND #2 #4 #3 AND Exclude MEDLINE Records #5 #4 AND Limit to English Language; Publication Type: Clinical … We will make these judgments for each of the main key questions and any subquestions, if appropriate … Clinical practice guideline and recommendations.

156. Version 2_Risk of Reinfection From SARS-CoV-2 -- An Update of an Antibody Response Following SARS-CoV-2 Infection and Implications for Immunity: A Living Rapid Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/version-2-risk-of-reinfection-from-SARSCoV2_0.pdf
     December 31, 2022 - In our judgment, all included studies employed reasonable time separations between assessments and … In this situation, a priori judgments about the risk of bias are suspect due to the novel nature of … In our judgment, variation in these features of study design and conduct did not have a substantive … This report is not intended to be a substitute for the application of clinical judgment. … clinical study.

157. Research Protocol: Improving Cultural Competence To Reduce Health Disparities for Priority Populations (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/cultural-competence_research-protocol.pdf
     July 09, 2014 - When the two investigators disagree, a third party will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. … clinical  trials  as  topic/   48   or/33-­‐47   49   (clinical  adj  trial$).tw. …  trial/   39   clinical  trial,  phase  i.pt.   40   clinical  trial,  phase   …  trial/   39   clinical  trial,  phase  i.pt.   40   clinical  trial,  phase  

158. Disposition of Comments_Blood-Based Tests for Multiple Cancer Screening: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cell-free-dna-disposition-comments.pdf
     May 14, 2025 - As for clinical utility, I might suggest even stronger language that the determination of clinical … should consider the likely influence of sponsor bias on selective outcome reporting, but when these judgments … from clinical practice. … Finally, existing recommendations for current SOC screening tests are based on judgments that the … The evidence from empirical studies is not yet available to make definitive judgments about benefits

159. Fecal-Incontinence Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/fecal-incontinence_research-protocol.pdf
     November 30, 2014 - consultation between the two reviewers, a third investigator will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. … trial/ (486017) 39 clinical trial, phase i.pt. (13981) 40 clinical trial, phase ii.pt. (22475) … 41 clinical trial, phase iii.pt. (8783) 42 clinical trial, phase iv.pt. (921) Source: www.effectivehealthcare.ahrq.gov … trial.pt. (486017) 47 exp Clinical trials as topic/ (278463) 48 or/33-47 (1017339) 49 (clinical

160. Guidance for the Conduct and Reporting of Modeling and Simulation Studies in the Context of Health Technology Assessment (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/decision-models-guidance_methods.pdf
     October 01, 2016 - This report is not intended to be a substitute for the application of clinical judgment. … We provide the rationale for each recommendation, supportive evidence, or best judgment where adequate … Although the final version of the guidance reflects the authors’ best judgment and is not the product … May be obtained through empirical investigation, systematic elicitation of opinion, or best judgment … completed studies found through a nonsystematic approach, stakeholder panel opinions, and domain expert judgments