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Total Results: 598 records

Showing results for "clinical judgment".

261. Integrating Health System Data With Systematic Reviews_Methods Research Report (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-integrating-health-system-data.pdf
     April 01, 2020 - This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … and harms/safety of a given clinical service, but rather, for example, understanding gaps in uptake … or use of a clinical service and questions and considerations of how best to implement a given clinical … Health technology assessment in Australia: a role for clinical registries?

262. CER 218 Disposition of Comments: Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-218-osteoporosis-disposition-comments.pdf
     April 23, 2019 - In a clinical trial all adverse events are collected without regard to the investigator’s assessment … However, the clinical question was what is the evidence for benefits and risks beyond 3 years. … Report highlights the clinical trial evidence on the subject. … While clinical trials are without a doubt the highest level of evidence, observational studies can … What is skeptical and what is unnecessarily skeptical is a subjective judgment.

263. EHC Protocol: Recurrent Nephrolithiasis in Adults and Children: Comparative Effectiveness of Preventive Medical Strategies (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stones-protocol.pdf
     September 24, 2024 - We will include unpublished evidence only if enough details are available to make a judgment about eligibility … Trial" [Publication Type] OR "Clinical Trial, Phase IV" [Publication Type] OR "Clinical Trial, Phase … Trial" [Publication Type] OR "Clinical Trial, Phase IV" [Publication Type] OR "Clinical Trial, Phase … Trial" [Publication Type] OR "Clinical Trial, Phase IV" [Publication Type] OR "Clinical Trial, Phase … Trial" [Publication Type] OR "Clinical Trial, Phase IV" [Publication Type] OR "Clinical Trial, Phase

264. Strategies to De-escalate Aggressive Behavior in Psychiatric Patients (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_disposition-comments.pdf
     July 14, 2016 - or policy judgments was well stated. … What are the meaningful clinical outcomes that should be included in studies and reports. … We agree with the clinical importance of using what is known and yet, it would be beyond the scope … That leads me to rate clinical meaningfulness as low. … We appreciate your thoughtful clinical recommendations.

265. The Effect of Dietary Digestible Carbohydrate Intake on Risk of Cardiovascular Disease (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/risk-cardiovascular-disease.pdf
     January 01, 2023 - for each comparison and for each outcome: data source, effect size, SOE rating; and rationale for judgments … Technical Experts Technical Experts constitute a multi-disciplinary group of clinical, content, and … Because of their unique clinical or content expertise, individuals are invited to serve as Technical … Reviewers Peer reviewers are invited to provide written comments on the draft report based on their clinical

266. Integrating Stakeholder Preferences in Comparative Effectiveness Research: Potential Uses of Multi-Criteria Decision Analysis Techniques (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/mcda_webinar_transcript2.pdf
     August 27, 2012 - It is very important to understand that AHP and MCDA techniques to help to improve judgment they start … analysis methods were developed in marketing and psychology and behavioral economics to imitate consumer judgment … Of course, you can use clinical evidence from clinical trial data so we can transform from large clinical … Preference data, finally, is to be used in conjunction with clinical data. … It is just clinical data that can't be directly observed.

267. Template for Reports Developed (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topic-nomination_methods.pdf
     November 01, 2012 - Incorporates issues around both clinical benefits and potential clinical harms 2f. … Represents important variation in clinical care, or controversy in what constitutes appropriate clinical … Determination of the clinical context or clinical logic has also been a challenge. … Clinical consultation is used to confirm a lack of evidence and the need to rely solely on clinical … judgment.

268. Antibiotics-Respiratory-Infection Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/antibiotics-respiratory-infection_executive.pdf
     January 01, 2016 - by at least one reviewer was obtained for further evaluation by two reviewers, with differences in judgment … However, by setting the outcomes out clearly, we hope to help decisionmakers form a judgment appropriate … Delayed Prescribing Versus Clinical Score. … These studies were not pooled because of clinical and methodological differences between studies. … National Institute for Health and Clinical Excellence.

269. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-options-summarizing.ppt
     June 01, 2012 - Consult content experts on a case-by-case basis to make judgments. … Examples of patient-relevant outcomes include history, future clinical events, and response to therapy … Application of linear regression procedures for method comparison studies in clinical chemistry, Part … sensitivity (Se) and specificity (Sp), ignoring imperfection of the reference standard but making qualitative judgments … their ability to predict patients’ history, risk propensity, or clinical profile.

270. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-options-summarizing.ppt
     June 01, 2012 - Consult content experts on a case-by-case basis to make judgments. … Examples of patient-relevant outcomes include history, future clinical events, and response to therapy … Application of linear regression procedures for method comparison studies in clinical chemistry, Part … sensitivity (Se) and specificity (Sp), ignoring imperfection of the reference standard but making qualitative judgments … their ability to predict patients’ history, risk propensity, or clinical profile.

271. Research White Paper - Assessing the Predictive Validity of Strength of Evidence Grades: A Meta-Epidemiological Study (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/grades-predictive-values_white-paper.pdf
     September 01, 2015 - This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … Clinical Meta-Research Methodologist and EBM Consultant Adjunct Professor, University of Ottawa … The challenging task for clinical and health policy decisionmakers is to balance considerations about … We relied on judgments of the Cochrane authors regarding risk of bias of individual trials.

272. Development of a Primary Care Guie for Implementing Evidence-Based Screening and Counseling for Unhealthy Alcohol Use With Epic-Based Electronic Health Record Tools: A Pilot Dissemination Project (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-unhealthy-alcohol-use-final.pdf
     September 01, 2018 - This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … Background Evidence reviews by EPCs are used by groups, such as clinical professional organizations, … healthcare organizations, and Federal agencies, to inform clinical practice guideline development … Division of General Medicine & Clinical Epidemiology.

273. Evidence-based Practice Center Systematic Review Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-kidney-disease-anemia-2011_research-protocol.pdf
     January 01, 2011 - In addition, we will consider the clarity and consistency in reporting as part of the overall judgment … KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Anemia in Chronic Kidney … Cooperative Multicenter EPO Clinical Trial Group. JAMA 1990 Feb 9;263(6):825-30. … NKF-K/DOQI Clinical Practice Guidelines for Anemia of Chronic Kidney Disease: update 2000. … Clinical aspects of iron use in the anemia of kidney disease.

274. Living Systematic Reviews: Examining Excluded Full-Text Articles To Better Understand the Evidence Base on Plant-Based Treatments for Chronic Pain | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/examining

275. Research Protocol for Interventions for Substance Use Disorders in Adolescents: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/suda-final-protocol.pdf
     October 02, 2018 - The planned systematic review (SR) will inform a Clinical Update and Clinical Practice Guideline to … We will explore the possibility of conducting a network meta-analysis of clinical outcomes to compare … For rare categorical outcomes (with observed prevalence <5%) we will not make such judgments, unless … Conversely, we will judge the evidence on “clinical equivalence” between two interventions based on … Journal of Clinical Child and Adolescent Psychology. in press. 16.

276. Stroke-Atrial-Fibrillation Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
     August 01, 2013 - Clinicians use the prothrombin time and INR as clinical tools to guide anticoagulation therapy. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … regarding applicability, with associated signaling questions to help with these bias and applicability judgments … For a clinical prediction rule, we assumed that a c-statistic <0.6 had no clinical value, 0.6–0.7 had … There is also a need for future studies in special populations and clinical scenarios.

277. User Engagement, Training, and Support for Conducting N-of-1 Trials (Chapter 6) | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/n-1-trials/research

278. Use of Observational Studies in Systematic Reviews of (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/methodsguidenorris_060420101.pdf
     June 01, 2010 - hDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON. … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … Second, existing reviews on related topics or consultation with clinical experts may also identify … designs of studies used in pharmacoepidemiology and in device and procedure registries can help inform judgments … Evaluating medication effects outside of clinical trials: new-user designs.

279. Use of Observational Studies in Systematic Reviews of (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-observational-studies_methods.pdf
     June 01, 2010 - hDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON. … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … Second, existing reviews on related topics or consultation with clinical experts may also identify … designs of studies used in pharmacoepidemiology and in device and procedure registries can help inform judgments … Evaluating medication effects outside of clinical trials: new-user designs.

280. White Paper: Living Systematic Reviews: Practical Considerations for Adapting Scope and Communicating the Evolving Evidence (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/scope-communicating-evolving-evidence-white-paper_0.pdf
     June 01, 2025 - This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … Human Services endorsement of any derivative products that may be developed from this report, such as clinical … Therefore, identifying new treatments for chronic pain that are effective and safe is an important clinical … Revisiting Review Scope The clinical, policy, and regulatory context in which living reviews are conducted