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Total Results: 598 records

Showing results for "clinical judgment".

281. MEDICAL MANAGEMENT OF CONGESTIVE HEART FAILURE AND THE EFFECTIVENESS OF ISOSORBIDE DINITRATE AND HYDRALAZINE (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/congestive-heart-failure-medicines_research.pdf
     March 01, 2010 - health care providers, patients, and policymakers seeking unbiased information about the outcomes, clinical … We used our clinical judgment and the distribution of the intervals between heart failure diagnosis … The absence of data on the clinical severity of HF and left ventricular function, potent predictors … A clinical trial of the angiotensin- converting-enzyme inhibitor trandolapril in patients with left … Clinical Guideline Number 11. AHCPR Publication No. 94-0612 ed.

282. Disposition of Comments for CER 157 Appendicitis (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/appendicitis_disposition-comments.pdf
     December 14, 2015 - Clinical presentation consistent with appendicitis? … We have used our best judgment to decide how to organize study-specific information. … We do not make clinical recommendations. … You always need a clinical diagnosis first. … the Discussion section, because strength of evidence assessment is based on unavoidably subjective judgments

283. Disposition of Comments for CER 208 Treatment for Bipolar Disorder in Adults A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-208-bipolar-adults-disposition-comments.pdf
     August 07, 2018 - The Prevention and Treatment of Missing Data in Clinical Trials. … In our judgment, studies with greater than 50 percent attrition are fatally flawed, unless the outcome … Journal of Clinical Psychiatry 2015; 76:1374–1384. Thank you for the comment. … The judgment of “high risk of bias” is surprising, given that not only was this Government- and not … trials that will differ from routine clinical practice.

284. The Role of Immunotherapy and the Management of Asthma: Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy_research-protocol.pdf
     September 14, 2016 - • Settings All KQs: o Clinical setting o Home setting • Study type KQ1 and KQ3: o … Judgments for each criterion will be reported as “Yes” (low risk of bias), “No” (high risk of bias), … Journal of Allergy and Clinical Immunology. 2007;120(5):1139-45. 8. Noon L. … Clinical practice guideline: Allergic rhinitis. … Journal of Allergy and Clinical Immunology. 2012;129(3):S1-S8. 34. Higgins J, Green S.

285. Disposition of Comments for Pulmonary Arterial Hypertension: Screening, Management, and Treatment (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_disposition-comments.pdf
     April 25, 2013 - Inclusion of the clinical classification table is important, but this is NOT the most up-to- date clinical … No issues with the methodology, but I defer judgment to other Reviewers who may have more expertise … to-head trials have not been conducted, and thus there is little possibility of being able to make judgments … to-head trials have not been conducted, and thus there is little possibility of being able to make judgments … Questions 1 and 2 address issues that are raised frequently in clinical practice and clinical trial

286. Disposition of Comments_Comparative Effectiveness Review No. 267: ADHD Diagnosis and Treatment in Children and Adolescents (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-267-adhd-disposition-comments.pdf
     March 25, 2024 - NeuroImage: Clinical. 2020 Jan 1;27:102311. … clinical significance? both? … apart from their potential use in clinical diagnosis. … Public Reviewer 3 General Please include a table detailing how the final judgments were made or include … The certainty section is unorganized and does not clearly state how the judgments were made.

287. Evidence Report on the (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/weight-loss-surgery_research-protocol.pdf
     December 14, 2010 - First, by using data from clinical trials and large cohort studies, evidence of benefits and harms of … For this review, we will use both this explicit scoring scheme and the global implicit judgment about … Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults … Technical Experts Technical Experts comprise a multi-disciplinary group of clinical, content, and … Because of their unique clinical or content expertise, individuals are invited to serve as Technical

288. Disposition of Comments for Efficacy and Safety of Screening for Postpartum Depression (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-postpartum-screening_disposition-comments.pdf
     May 01, 2013 - In clinical setting, a dominant philosophy has been, "Don't ask, don't tell." … The MINI could be used with EPDs for clinical dx. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … Using the framework for the review agreed upon by the Technical Expert Panel, our judgment was that … Our judgment is that there has not been an explicit consideration of the optimal sensitivity and specificity

289. Prognostic Tests (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-prognostic.ppt
     June 01, 2012 - , clinical practices, and prognostic groups? … Did the sample represent patients who would be tested in clinical practice? … Measuring the accuracy of prognostic judgments in oncology. J Clin Epidemiol 1997 Jan;50(1):21-9. … Clinical outcomes Clinical utility Prospective clinical validation Proof of concept None of the above … Measuring the accuracy of prognostic judgments in oncology. J Clin Epidemiol 1997 Jan;50(1):21-9.

290. Prognostic Tests (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-prognostic.ppt
     June 01, 2012 - , clinical practices, and prognostic groups? … Did the sample represent patients who would be tested in clinical practice? … Measuring the accuracy of prognostic judgments in oncology. J Clin Epidemiol 1997 Jan;50(1):21-9. … Clinical outcomes Clinical utility Prospective clinical validation Proof of concept None of the above … Measuring the accuracy of prognostic judgments in oncology. J Clin Epidemiol 1997 Jan;50(1):21-9.

291. Proposed Governance and Data Management Policy for the Systematic Review Data Repository (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/data-repository-reviews_white-paper.pdf
     September 01, 2012 - 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 … This report may be used, in whole or in part, as the basis for the development of clinical practice

292. Methods Research Report: Improving Health Systems' Access to High-Quality Evidence: AHRQ EPC 2018 Pilot Projects Summary (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-improving-health-systems-access.pdf
     August 01, 2019 - This report is not intended to be a substitute for the application of clinical judgment. … • Clinical practice pathway. … ” • Clinical practice pathway. … Clinical practice pathway Made evidence accessible in clinical workflow “In [four and a half months … Clinical practice pathway Platform limitations, integration with practice “The promise of clinical

293. Medical Therapies for Children With Autism Spectrum Disorder—An Updaterum Disorder--An Update (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/asd-medical-disposition.pdf
     May 26, 2017 - My main reservation, as indicated above, is that the clinical implications of the findings (i.e. … The report is of clinical relevance as many studies have highlighted the high rates of medication use … the potential for possible harm associated with most of the medications reviewed is clearly of high clinical … This is the other major database in addition to Clinical Trials.gov. … Almost all of the studies reviewed are noted to have "small" sample size, but the criteria for this judgment

294. Evidence-based Practice Center Systematic Review Protocol: Management of High-Need, High-Cost Patients: A Realist and Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/mgmt-hnhc-patients-protocol.pdf
     November 07, 2019 - How do criteria incorporate patient clinical characteristics? KQ 1b. … Our broader search will include both databases and gray literature sites, including Cochrane Clinical … As such, we will use RAMESES project standards to guide our judgments in quality appraisal tasks.29 … al.35 found tool-based approaches to be similar in the level of agreement to those using unprompted judgment … Technical Experts Technical Experts constitute a multidisciplinary group of clinical, content, and

295. Disposition of Comments for PCA3 Testing for the Diagnosis and Management of Prostate Cancer (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-test_disposition-comments.pdf
     April 01, 2013 - PR # 6 Methods Substantial amount of excluded studies: What type of design flaw lead to judgment that … verification bias, some patients would have had to undergo biopsy regardless of serum PSA level or clinician judgment … Is there any clinical relevance? … So clinical utility could not be addressed. … Is there any clinical relevance?

296. Chronic Kidney Disease Stages 1-3: Screening, Monitoring, and Treatment (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-disease-medicine_disposition-comments.pdf
     August 01, 2012 - Study Results, and World Health Organization’s Clinical Trials clinical trial registries; and (c) … If our judgment was that clinical heterogeneity of patient populations, interventions, and outcomes … is to make specific clinical recommendations or encourage specific clinical behavior. … performance measures will be required to exercise clinical judgment where there are gaps in the evidence … They also clarify few of the clinical issues faced in daily practice.

297. Maternal Morbidity and Mortality (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/mmm-draft-protocol-amendment.pdf
     February 02, 2022 - explain pronounced disparities in maternal outcomes have faced data source limitations, in part because clinical … Our review will include medical or clinical causes of maternal mortality and severe morbidity, and also … No evidence is available, or the body of evidence precludes judgment. … 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

298. Living Systematic Reviews: Practical Considerations for the Agency for Healthcare Research and Quality Evidence-based Practice Center Program (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/practical-considerations.pdf
     March 01, 2022 - 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 … independent peer reviewers, LSR teams need to include those with a high level of methodological and clinical

299. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-risk-bias.ppt
     June 01, 2012 - Two overarching questions for quality as “value for judgment making”: Are the results for the population … Background (2 of 3) In considering quality as “value for judgment making,” two overarching questions … These are: Spectrum bias Partial verification bias Clinical review bias Observer or instrument variation … Clinical review bias Availability of clinical data such as age, sex, and symptoms during interpretation … Criteria for rating quality of trials of tests with clinical outcomes should not be very different from

300. PowerPoint Presentation (ppt file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-risk-bias.ppt
     June 01, 2012 - Two overarching questions for quality as “value for judgment making”: Are the results for the population … Background (2 of 3) In considering quality as “value for judgment making,” two overarching questions … These are: Spectrum bias Partial verification bias Clinical review bias Observer or instrument variation … Clinical review bias Availability of clinical data such as age, sex, and symptoms during interpretation … Criteria for rating quality of trials of tests with clinical outcomes should not be very different from