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Total Results: 598 records

Showing results for "clinical judgment".

401. Pharmacologic and Non-pharmacologic Therapies in Adult Patients with Acute Exacerbation of COPD: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-research-protocol.pdf
     April 11, 2018 - for each comparison and for each outcome: data source, effect size, SOE rating; and rationale for judgments … Clinical outcomes and cost analysis of exacerbations in chronic obstructive pulmonary disease. … Clinical Investigation. 2015 01 Feb;5(2):189-204. doi: http://dx.doi.org/10.4155/cli.14.113. … Chronic obstructive pulmonary disease exacerbations: latest evidence and clinical implications. … Meta-analysis in clinical trials. Controlled clinical trials. 1986 Sep;7(3):177-88.

402. Methods Research Report: Creating Efficiencies in the Extraction of Data From Randomized Trials (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-creating-efficiencies-extraction-data.pdf
     August 01, 2021 - This report is not intended to be a substitute for the application of clinical judgment. … Although human reviewer judgment is imperfect,16 dual independent extraction is recommended by leaders … The findings may also not be generalizable to randomized trials in specific clinical areas. … RobotReviewer: evaluation of a system for automatically assessing bias in clinical trials. … ExaCT: automatic extraction of clinical trial characteristics from journal publications.

403. Systematic Review Update: Noninvasive Nonpharmacologic Treatment for Chronic Pain (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonpharm-treatment-chronic-pain-protocol.pdf
     December 11, 2018 - The clinical relevance of effects classified as small/slight might vary for individual patients depending … quantitative synthesis will depend on trial size, the number and completeness of reported outcomes, and a judgment … As a qualitative assessment, clinical trial registries will be searched for unpublished studies and … Technical Experts Technical Experts constitute a multi-disciplinary group of clinical, content, and … Because of their unique clinical or content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

404. Dental Care for People With Hemophilia: A Rapid Response Literature Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemophilia-dental-rapid-response.pdf
     July 01, 2024 - The clinical subject matter expert reviewed the final report to ensure accurate clinical contextualization … Hemophilia A and B: molecular and clinical similarities and differences. … Systematic reviews: synthesis of best evidence for clinical decisions. … This report is not intended to be a substitute for the application of clinical judgment. … International Journal of Clinical Pediatric Dentistry, 6(3), 217.

405. Disposition of Comments for CER 158 Diagnosis of Gout (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/gout-diagnosis-disposition-160727.pdf
     February 24, 2016 - Clearly delineate each clinical scenario that your report covers. 2. … However, it is beyond the scope of the report to devise a set of detailed scenarios and solicit expert judgment … term clinical outcomes and the presence of any adverse events. … We agree "clinical utility" was an inappropriate choice of words. … We changed "these tests" to "5 clinical algorithms."

406. Association Between Outcomes and Dental Services in People Receiving Treatments That Cause Medication-Related Osteonecrosis of the Jaw: A Rapid Response Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/dental-jaw-rapid-response.pdf
     May 01, 2025 - This report is not intended to be a substitute for the application of clinical judgment. … Additionally, we consulted our clinical subject matter experts (SMEs) for relevant clinical practice … within the clinical community were missed and to identify publications that lacked clinical applicability … clinical practice guidelines. … The clinical SME reviewed the final report to ensure accurate clinical contextualization of any findings

407. Community-Based Participatory Research: Lessons for Stakeholder Engagement in Patient-Centered Outcomes Research (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/lessons-transcript.pdf
     October 08, 2025 - Often we do research which is on communities or sometimes in community settings in clinical practice … How to think about what does it mean to be doing it within this context, this clinical context or even … Clinical program was in fact a collaborative development among NorthShore Community Health Department … First it actively solicitous knowledge, experience, judgment and values of the people that participate … At the top of the slide is the traditional approach to clinical research where patient representatives

408. Gout Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/gout_executive.pdf
     March 01, 2016 - Identify the existing systematic reviews and make a judgment about relevancy for the KQs, the end date … • Clinical expertise with febuxostat is less than with allopurinol. … Implications for Clinical and Policy Decisionmaking The implications of this review for clinical decision … Chinese Journal of Clinical Nutrition. 2012 August;20(4):210-4. … Clinical and Translational Allergy. 2014 18;4 SUPPL. 3:2. 89.

409. Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/thromboembolism-update-disposition.pdf
     June 22, 2017 - The authors correctly point out that post-phlebitic syndrome can be a significant clinical problem … The current systematic review includes clinical and patient-centered outcomes. … We would emphasize that there is no evidence that asymptomatic DVTs have any clinical significance … practice because of their lack of clinical relevance. … we relied on studies to define the outcomes of interest and that we sometimes needed to use our judgment

410. Disposition of Comments Report for Methods for Insulin Delivery and Glucose Monitoring (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/insulin-blood-sugar-2010_disposition-comments.pdf
     January 01, 2010 - We have added the following statement to the "Future Research" section regarding clinical outcomes: … A significant emphasis is given randomized clinical trials. … interpretation of these observational studies requires weighing of all available evidence, tempered by judgment … This is described more fully in the clinical literature referenced as an attachment. … All the clinical trials identified using rtCGM included concomitant SMBG for calibration.

411. Systematic Review of Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/breastfeeding_research-protocol.pdf
     January 01, 2020 - association between breastfeeding and better health outcomes for both infants and mothers.1-3 Multiple clinical … a particular outcome, we will assess whether newly identified primary studies are likely to change judgments … If clinical heterogeneity can be narrowed down to a small number of promising factors, we will consider … Technical Exper ts 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

412. Treatment Strategies for Women With Coronary Artery Disease: Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment-future_research.pdf
     February 01, 2013 - This report is not intended to be a substitute for the application of scientific judgment. … Sex, clinical presentation, and outcome in patients with acute coronary syndromes. … Future clinical trials to determine long-term clinical outcomes for different presentations of CAD and … It would be difficult to design clinical trials to compare the influence of these different clinical … Sex, clinical presentation, and outcome in patients with acute coronary syndromes.

413. Methods Research Report Improving Access To And Usability of Systematic Review Data for Health Systems Guideline Development (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-health-systems-guidelines-development.pdf
     February 01, 2019 - 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 … Our primary health system partner was Elizabeth Crabtree, Ph.D., M.P.H., the OHSU Director of Clinical … Tableau is used by many health systems to monitor and improve patient care and clinical efficiencies … A member of the OHSU Clinical Integration and Evidence-based Practice staff noted a benefit to using

414. Future Research Needs for Diagnosis of Obstructive Sleep Apnea (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/sleep-apnea-diagnosis-future_research.pdf
     February 01, 2012 - This report is not intended to be a substitute for the application of scientific judgment. … What is the prognostic accuracy of clinical prediction rules to predict clinical outcomes? … What is the prognostic accuracy of clinical prediction rules (CPRs) to predict clinical outcomes? … to predict clinical outcomes? … Incorporates issues around both clinical benefits and potential clinical harms 2f.

415. Whole-Body Vibration Therapy for Osteoporosis (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-vibration-therapy_technical-brief.pdf
     January 01, 2020 - This report is not intended to be a substitute for the application of clinical judgment. … How are treatment sessions in clinical settings billed? c. What is the current U.S. … Clinical Physiology & Functional Imaging 2007 Jul; 27(4):242-8. 46. … Clinical Physiology & Functional Imaging 2002 Mar; 22(2):145- 52. 54. … Clinical Rehabilitation 2008 May; 22(5):387-94. 72. Pitukcheewanont P, Safani D.

416. Nppv-Respiratory-Failure Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_executive.pdf
     July 01, 2012 - Based on their clinical and methodological expertise, a pair of researchers was assigned to abstract … To indicate the summary judgment of the quality of the individual studies, we used the summary ratings … Optimal information size and considerations of whether the confidence interval crossed the clinical … of clinicians, or the use of clinical protocols. … • With the exception of the clinical setting in studies that compared NPPV with usual supportive

417. Diabetes Mellitus (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/07_diabetes_potential_high_impact_2012-12-10.pdf
     January 01, 2012 - However, targets are individualized according to clinician judgment about the optimal goal for a specific … becoming appropriately available in the clinical setting. … (PRI, Clinical). Horizon Scanning Structured Comment Form. … Clinical program updates. … (PRI, Clinical). Horizon Scanning Structured Comment Form.

418. Trauma-Interventions-Maltreatment-Child Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_executive.pdf
     April 01, 2013 - The second review in the series focuses on clinical interventions with children exposed to traumatic … Third, systems- or service-delivery level approaches were excluded so as to focus on “clinical- level … Our intent was threefold: (1) to reduce the noise of clinical heterogeneity that currently undermines … To ensure clinical relevancy, we limited searches to publications from 1990 and later. … It is important to note that low or insufficient strength of evidence is not equivalent to a judgment

419. Breastfeeding and Health Outcomes for Infants and Children (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-protocol.pdf
     February 01, 2023 - studies and studies with observational follow-up of health outcomes from randomized or non-randomized clinical … we will abstract general characteristics of the study (e.g., author, year, study design, purpose); clinical … each outcome using the approach described in the AHRQ Methods Guide.43, 53, 54 We will abstract SOE 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

420. Making Healthcare Safer IV Rapid Response_Active Surveillance Culturing of Clostridioides difficile and Multidrug-Resistant Organisms: Methicillin-Resistant Staphylococcus aureus, Carbapenem-Resistant Enterobacterales, and Candida auris (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
     May 01, 2024 - , questions remain about the cost and effectiveness of specific surveillance strategies in reducing clinical … isolates susceptibility results and incidence-based rates from clinical cultures or clinical infection … Clinical infectious diseases. 2021;72(11):1879-87. doi: 10.1093/cid/ciaa731. … This report is not intended to be a substitute for the application of clinical judgment. … Holding firm: Use of clinical correlation to improve Clostridioides difficile testing.