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effectivehealthcare.ahrq.gov/sites/default/files/llewellyn-thomas.pdf
January 01, 2011 - o health
policy; health
economics; practice
guidelines;
o human
judgment and
decision … Source: Eisenberg
Center Conference Series 2011,
Differing Levels of Clinical Evidence: Exploring … Slide
29: V/P Elicitation as Clinical Skill: Research Issues in Clinical Education
• Broader Perspective … • What curricular models for integrating into clinical education? … • What teaching materials for different clinical professions /disciplines?
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topic-refinement_methods.pdf
January 01, 2013 - Decisions about integrating input from various sources require investigator judgment
in the application … The judgment and discretion
of individual investigators will always come into play. … Investigators must
apply judgment and discretion when planning and conducting the various phases of … Good Key Questions are formulated without judgments about the likelihood of the extant
literature to … Skilled
investigators must inevitably apply judgment and discretion in refining topics.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_executive.pdf
May 01, 2013 - judgment alone,
and/or usual care? … judgment, and one poor-
quality trial found no difference between use of the Braden
scale and clinical … judgment. … judgment alone. … judgment.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-update_research-protocol.pdf
May 07, 2010 - In addition, we will examine the clinical determinants
of these outcomes by sex, comorbidities, concurrent … Analytic Framework
Clinical Markers/Measures
•Blood pressure control
•Rate of use of a single agent … In general, the figure illustrates how ACEIs, ARBs, and direct
renin inhibitors may result in clinical … design, (2) apply predefined criteria for quality
and critical appraisal, and (3) arrive at a summary judgment … Improvement Programs,5 and
Systems to Rate the Strength of Scientific Evidence.6 To indicate the summary judgment
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_disposition-comments.pdf
November 24, 2014 - of Bias is the
agreed-upon methodology for AHRQ, and our Risk of Bias
Tables offer transparency of judgment … In our
judgment, these other future research suggestions are
encompassed by our statement that future … We have
mentioned in the discussion section other studies that may
inform judgments and we have added … endpoints in disguise since they are often
defined in infectious diseases trials as “clinicians’
judgments … explained, clearly identifying how the investigators defined
those outcomes (e.g., clinician judgment
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-prognostic_methods.pdf
July 01, 2012 - of patients, clinical practices, and prognostic groups? … Lacking such data, several suggestions have been made for assessing
studies to make judgments about … predictive model, or a prognostic test is compared to predictions made by other
methods, including the judgments … A
review of these types of studies would have limited clinical value. … Measuring the
accuracy of prognostic judgments in oncology.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypothyroidism-hyperthyroidism-screening-treatment_research-protocol.pdf
March 11, 2010 - judgment of the provider. … judgment of the provider.”
2. … ]) OR clinical trials[MeSH
Terms] OR clinical trial[Publication Type] OR random*[Title/Abstract] OR … Journal
of Clinical Endocrinology & Metabolism 2005;90:581-5.
7. … American Association of Clinical
Endocrinologists medical guidelines for clinical practice for the evaluation
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-urinary-retention_research-protocol.pdf
November 19, 2012 - cannot be reached through consultation, a third party will be consulted to reconcile the summary
judgment … No evidence is available or the body of evidence precludes judgment.
G. … trial/
(476450)
23 clinical trial, phase i.pt. (12809)
24 clinical trial, phase ii.pt. (20505)
25 … clinical trial, phase iii.pt. (7571)
26 clinical trial, phase iv.pt. (759)
27 controlled clinical … trial.pt. (476450)
31 exp Clinical Trials as topic/ (264416)
32 or/17-‐31
(949526)
33 (clinical
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ced-appendix-3.xlsx
June 24, 2022 - outcome(s) that is measured objectively rather than subject to clinical judgment
Grace 5.1 Design … The extent to that the results of a trial are applicable to other circumstances is often a matter of judgment … trials, or from patients having the medicine in clinical practice. … subject to clinical judgment
grace 5.1 Design_outcomes Choose primary outcomes that have been validated … The extent to that the results of a trial are applicable to other circumstances is often a matter of judgment
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/deliberative-methods-demonstration-executive-131125.pdf
November 01, 2013 - A clinical expert, who
was also a member of the research team, presented on comparative effectiveness … judgment, personal lived experiences, or common sense. … Patients’ personal preferences or doctors’ clinical judgment could supersede evidence. … that information and discussion may alter the views of
participants as they come to a more informed judgment … judgment, test
results, trial and error, and common sense.
-
effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-intro.ppt
June 01, 2012 - Improvement occurs by guiding the judgments of clinicians concerning disease state or treatment response … Context affects sensitivity, specificity, and the clinical implications of a particular test result. … Improvement occurs by guiding the judgments of clinicians concerning disease state or treatment response … Most of the published literature:
Fails to address the clinical impact of tests. … utility • Impact on mortality or morbidity
• Impact on clinician judgment about diagnosis/
prognosis
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-intro.ppt
June 01, 2012 - Improvement occurs by guiding the judgments of clinicians concerning disease state or treatment response … Context affects sensitivity, specificity, and the clinical implications of a particular test result. … Improvement occurs by guiding the judgments of clinicians concerning disease state or treatment response … Most of the published literature:
Fails to address the clinical impact of tests. … utility • Impact on mortality or morbidity
• Impact on clinician judgment about diagnosis/
prognosis
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholder-engagement_research.pdf
September 01, 2011 - 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 … Reflections On Science,
Judgment, And Value In Evidence-Based
Decision Making: A Conversation With … Boston, MA:
Institute for Clinical and Economic Review;
December 2009.
9. … Journal of Clinical Epidemiology
2010;63(5):484-90.
11.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-prevention-covid-surveillance-report.pdf
July 17, 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 … Human Services endorsement of any derivative products that may be
developed from this report, such as clinical
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-nitric-oxide_research-protocol.pdf
September 06, 2016 - Fractional Exhaled Nitric Oxide Clinical Utility in Asthma Management
Source: www.effectivehealthcare.ahrq.gov … However, the diagnosis remains clinical; there is no single
gold standard diagnostic test. … The Key Questions
KQ1: What is the clinical utility of FeNO measurements in the management of asthma … smallest difference patients
experience as an important effect) and use this value to help in making judgments … comparison and for each outcome: data source, effect size, strength of evidence
rating; and rationale for judgments
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-surveillance-2-report.pdf
October 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 … Human Services endorsement of any derivative products that may be
developed from this report, such as clinical
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-protocol.pdf
January 01, 2024 - This review will be utilized to inform a guideline by the American Society of
Clinical Oncology (ASCO … selection of the reported result
Each domain includes multiple signaling questions which inform the judgment … selection of the reported result
Each domain includes multiple signaling questions which inform the judgment … about whether a quantitative synthesis
is appropriate will be based on the number of studies, and our judgment … Journal of Clinical Oncology. 2023-01-10 2023;41(2):255-265.
doi:10.1200/jco.22.00686.
3.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-protocol-amended.pdf
February 07, 2025 - This review will be utilized to inform a guideline by the American Society of
Clinical Oncology (ASCO … selection of the reported result
Each domain includes multiple signaling questions which inform the judgment … selection of the reported result
Each domain includes multiple signaling questions which inform the judgment … about whether a quantitative synthesis
is appropriate will be based on the number of studies, and our judgment … Journal of Clinical Oncology. 2023-01-10 2023;41(2):255-265.
doi:10.1200/jco.22.00686.
3.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-principles_methods.pdf
August 01, 2009 - • Fully explore the clinical logic underlying the rationale for a service. … • Introduction of an editorial review process that provides for an independent judgment of
the adequacy … decisions are made and illuminate
disagreements about the clinical logic that underlie clinical controversies … judgment. … Practical
clinical trials: increasing the value of clinical
research for decision making in clinical
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-evidence-summary.pdf
October 01, 2021 - Poor control of chronic clinical conditions, particularly when coupled with functional
limitations, … experience
accessing healthcare services, chronic disease(s), nonmedical barriers to care, clinician
judgment