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Showing results for "difficult".

121. Disposition of Comments for Comparative Effectiveness Review 133 Transitional Care Interventions To Prevent Readmissions for People With Heart Failure (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_disposition-comments.pdf
     May 27, 2014 - Cost is a difficult outcome to include (and interpret) without doing a formal cost-effective analysis … It is difficult to know whether this is a major limitation, but it must be listed as one. … Thank you. 118 TEP Reviewer 5 Methods The categorization of complex interventions is difficult and … While valuable it remains confusing and too “listy/wordy” making it difficult to get a “bottom line” … Dissemination is difficult to speculate on.

122. Long-Term Care for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/long-term-care-adults/research
     December 01, 2019 - and how the delivery of LTC through HCBS versus NHs affects outcome trajectories of older adults is difficult

123. Screening and Treatment of Subclinical Hypothyroidism or Hyperthyroidism | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/hypothyroidism-hyperthyroidism-screening-treatment/research
     December 01, 2019 - The lack of any formal data on the harms of treatment makes it difficult to balance the benefits against

124. Disposition of Comments Report for Evaluation and Treatment of Tinnitus (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/tinnitus_disposition-comments.pdf
     August 23, 2013 - Although CBT is somewhat difficult to define, it is important to acknowledge that CBT is not one form … As such, even if it is difficult it still poses a risk of bias. … Given the tremendous overlap and unwillingness to separate the entities it is difficult to determine … We agree that the topic is complicated by co- morbidities and that it is difficult to parse out the … General Comments The first key question is difficult to understand and the utility of the question

125. Disposition of Comments for CER 165 Fecal Incontinence (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/fecal-incontinence_disposition-comments.pdf
     March 21, 2016 - I would suggest making some statement to the fact that etiology may be difficult, but at least some … The etiologies for FI are not presented clearly in this review which makes this question difficult to … FI estimates are difficult because each author used a different definition of FI. … Of course without the baseline either of these statements are difficult to interpret. … I find it difficult to see how this will be relevant for policy decisions.

126. Evidence-based Practice Center Systematic Review Protocol (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/treatment-resistant-depression_disposition-comments.pdf
     September 01, 2011 - Particularly difficult to determine timelines, which for some nonpharmacological treatments may be a … It was particularly difficult to know whether the distinction between Tiers 2 and 3 (which appear to … I understood the logic in the approach but it was difficult to appreciate how the results of this section … We have modified this statement to note that standardization had been difficult while the protocol … Peer Reviewer #11 Clarity and Usability It is well organized, but may be a bit difficult to use

127. Making Healthcare Safer IV | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/collections/making-healthcare-safer-IV
     April 01, 2025 - patient safety research, patient safety resources, and accrediting body standards makes it increasingly difficult

128. Evaluation of Dietary Protein and Amino Acid Requirements: A Systematic Review | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/dietary-protein-intake/research
     November 01, 2024 - and/or methods to calculate the estimate requirements were used, making comparisons between studies difficult

129. Assessing the Risk of Bias in Systematic Reviews of Health Care Interventions | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/methods-bias-update/methods
     August 01, 2019 - subjective outcomes) are not blinded. 4,6 The influence on estimates of effect can be inconsistent and difficult

130. Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/pelvic-pain/research
     March 01, 2020 - Similarly, understanding comorbidity prevalence with CPP is difficult, as conditions may be considered

131. Disposition of Comments Report for Imaging Techniques for the Diagnosis and Staging of Hepatocellular Carcinoma (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/liver-cancer_disposition-comments.pdf
     October 23, 2014 - Early HCC (1-2cm) can be difficult to find by pathology correlation even if the location of the tumor … It is difficult, possibly impossible, to determine to what extent this limits applicability of the literature … We felt addition of references would make the table difficult to read. … the different reference standards, intermediate outcomes, patient outcomes and adverse effects are difficult … To make a document with equal appeal across this broad spectrum of people is difficult I believe.

132. Disposition of Comments Report for Oral Contraceptive Use for the Primary Prevention of Ovarian Cancer (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cancer-ovarian-contraceptives_disposition-comments.pdf
     June 07, 2013 - It is difficult to determine how decisions were made. … Length constraints for the Executive Summary make it difficult to include every finding from the main … Overall Benefits and Harms of OCs Figures 53-77 are difficult to understand. … Some suggestions such as the standardization of categories might be difficult to implement. … It is difficult as a reader to understand.

133. Personal Health Records | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/health-topics/personal-health-records?page=1
     May 23, 2013 - Investing in Deliberation: Defining and Developing Decision Support Interventions for People Facing Difficult

134. Identification of Future Research Needs in the Comparative Management of Uterine Fibroid Disease | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/uterine-fibroids-2010/research
     September 01, 2019 - about the comparative effectiveness of different treatments and appropriate clinical approaches to difficult … to draw conclusions about the relative benefits, harms, or costs of the available choices, making it difficult

135. Standardized Library of Atrial Fibrillation Outcome Measures (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-afib.pdf
     November 15, 2018 - This variation reduces the utility of registries, making it difficult to compare, link, and aggregate … It is possible within an EHR setting to identify that an event occurred, but it is difficult and often … Second, it is difficult to determine whether a complication is ‘major,’ as defined in the major complications

136. 8 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-guidance-harms_methods.pdf
     November 01, 2008 - development of Comparative Effectiveness Reviews and describes recommended approaches for addressing difficult … it is important for CERs to address both benefits and harms. 2 However, assessing harms can be difficult … benefits from favorable to unfavorable for several drugs. 19 Data from unpublished trials can be difficult … 45 In addition, because such studies lack control groups, evaluating effects of confounding is difficult … when harms data are well described, an important limitation of uncontrolled studies is that it is difficult

137. 8 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/methodsguide_chou_assessing_harms_when_comparing.pdf
     November 01, 2008 - development of Comparative Effectiveness Reviews and describes recommended approaches for addressing difficult … it is important for CERs to address both benefits and harms. 2 However, assessing harms can be difficult … benefits from favorable to unfavorable for several drugs. 19 Data from unpublished trials can be difficult … 45 In addition, because such studies lack control groups, evaluating effects of confounding is difficult … when harms data are well described, an important limitation of uncontrolled studies is that it is difficult

138. Assessing Harms when Comparing Medical Interventions | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/methods-guidance-harms/methods
     May 01, 2020 - development of Comparative Effectiveness Reviews and describes recommended approaches for addressing difficult … benefits from favorable to unfavorable for several drugs. 19 Data from unpublished trials can be difficult … treatment. 29 , 33 Although cross-sectional studies have features in common with cohort studies, it is difficult … trials. 41 However, case reports are usually considered to be hypothesis generating because it is difficult … Even when harms data are well described, an important limitation of uncontrolled studies is that it is difficult

139. A Prospective Comparison of Evidence Synthesis Search Strategies Developed With and Without Text-Mining Tools (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-results-search-strategies-developed-with-without-text-mining-tools.pdf
     March 01, 2021 - Comment: It was difficult to determine how representative the known citations were of the topic area … I found it difficult to determine cut-off threshold for occurrence (selected 4 and did not look below … I found it difficult (as per note on PubReMiner above) to determine cut-off threshold for occurrence … Difficult to determine when a phrase search for a term should be used instead of a single term (i.e. … It was difficult to determine how representative the known citations were of the topic area.

140. Disposition of Comments Report for Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Artery Stenting (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/coronary-artery-stenting_disposition-comments.pdf
     February 26, 2013 - I do feel that it misses some of the very difficult CASE SPECIFIC issues an interventional cardiologist … Some difficult case-specific issues that are faced in routine clinical practice can be underrepresented … future CER reports will incorporate such decision- analytical frameworks to guide clinicians on very difficult … reports will need to incorporate such decision- analytical frameworks to guide clinicians on very difficult … As such not interchangeable and difficult to compare and head the head study. Thank you.