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Total Results: 1,316 records

Showing results for "difficult".

221. Evidence Report on the (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/c-diff-infections_research-protocol.pdf
     May 24, 2010 - staff will meet to discuss the results and progress to date; review cases that have been particularly difficult … The study may be missing information, making it difficult to assess limitations and potential problems … Renewed interest in a difficult disease: Clostridium difficile infections-- epidemiology and current

222. Disposition of Comments Report for Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/ankyloglossia_disposition-comments.pdf
     May 04, 2015 - While we agree that the tongue tip is most affected, defining the tip is difficult. … Ingrained motor patterns are difficult to change—think about transitioning from hunt and peck typing … TEP reviewer #2 Discussion / Conclusions Frenotomy is not a technically difficult procedure compared … We have revised the statement to note that frenotomy procedure itself is not technically difficult … Specifically, the questions to ask for neonates/infants are (a) nipple pain, (b) difficult latch, (c

223. Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Stenting: Future Research Needs (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/coronary-artery-stenting-future_research.pdf
     January 01, 2014 - RCTs are the optimal study design, but ethical and feasibility concerns can make this methodology difficult … use versus nonuse of FFR-guided angiography in patients with high-risk positive stress test may be difficult … long a followup, or if it would rely on information or data that is not yet available or would be difficult … However, the use of FFR depends on provider preference, which is subject to complex and difficult to … positive stress test, but an RCT comparing the use versus non-use of FFR-guided angiography may be difficult

224. Disposition of Comments Report for Recurrent Nephrolithiasis in Adults (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/kidney-stone-prevention_disposition-comments.pdf
     July 26, 2012 - It is difficult if not impossible to know how much if at all to attribute any difference in recurrence … Focusing on stone passage as an outcome will make RCTs difficult to perform as the number of subjects … As such, although clearly compelling, these data are difficult to collect to say the least. … Peer Reviewer #4 Figures I found the figures (3 through 12) a bit difficult to read. … In particular, it is difficult to attach anything other than “poor” to the Kocvara (1999) and Borghi

225. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
     June 01, 2013 - prolonged occlusion of the lower esophageal sphincter (LES) and reduced peristaltic activity, making it difficult … be less effective than laparoscopic surgery over the long term and revisional surgery might be difficult … prolonged occlusion of the lower esophageal sphincter (LES) and reduced peristaltic activity, making it difficult … it may not be as effective long term as laparoscopic surgery and that revisional surgery might be difficult … Health disparities: Two experts representing clinical perspectives stated that PN is difficult to administer

226. White Paper_Supplementing Systematic Review Findings With Healthcare System Data: Pilot Projects From the Agency for Healthcare Research and Quality Evidence-based Practice Center Program (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/pilot-projects-supplementing-white-paper.pdf
     December 01, 2024 - This can make it difficult to generalize or make decisions about whether to implement findings across … than anticipated) • Need for extensive knowledge of current and past EHR systems (data fragmented, difficult … It was also often difficult to distinguish whether data were missing or non-events simply did not occur … The potential lack of statistical power, especially for uncommon conditions or surgeries, makes it difficult

227. Disposition of Comments for Technical Brief 21, Management Strategies To Reduce Psychiatric Readmissions (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/psychiatric-readmissions_disposition-comments.pdf
     May 21, 2015 - [This will be a very difficult and complex issue to manage but this is a very informative document with … This will be a very difficult and complex issue to manage but this is a very informative document with … Implications in the provider field will be difficult to determine and hard to quantify given the variability … well organized main points clearly presented conclusions will help research of a broad and difficult … #2 Key Informant Clarity and Usability The report is a little difficult to follow sometimes.

228. Methods Future Research Needs Number 8: Framework for Considering Study Designs (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/study-design-framework_research.pdf
     March 01, 2012 - Therefore, it may be difficult to know whether this proposed gap has already been filled. … The changes observed may be difficult to differentiate from secular trend in occurrence of the outcome … It may be difficult or impossible to attribute causal inference to the intervention since there is … No comparison group is involved, making the utility of the study design in CER difficult. … Studying a large number of screening schedules is impossible in an RCT—it may be difficult to study

229. Disposition of Comments for CER 171 Noninvasive Testing for Coronary Artery Disease (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/coronary-artery-disease-testing_disposition-comments.pdf
     March 29, 2016 - As they also point out, because assessment of pre-test probability is difficult, assessment of incremental … change in likelihood of events would be also be difficult but certainly desirable. … TEP 6 Results The figures were more difficult to discern. … In addition, with optimal medical therapy in 2015, the event rates are quite low, making it quite difficult … TEP 5 General In general, the text is very densely written and difficult to digest but I guess that

230. home-based-care-protocol-141119 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/home-based-care_research-protocol.pdf
     November 19, 2014 - management, or rapid follow-up that cannot be easily accommodated by an office-based provider or that is difficult … team that provides care in the home to veterans with complex needs for whom clinic- based care is difficult … This is a difficult, but not unfamiliar, challenge in research on health service organizations and delivery … The study may be missing information, making it difficult to assess limitations and potential problems

231. Use of Observational Studies in Systematic Reviews of (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/methodsguidenorris_060420101.pdf
     June 01, 2010 - development of Comparative Effectiveness Reviews and describes recommended approaches for addressing difficult … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … They found that fluctuating or intermittent conditions are much more difficult to assess with observational … The presence of outcome reporting bias can be difficult to determine, but may be inferred when important

232. Use of Observational Studies in Systematic Reviews of (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-guidance-observational-studies_methods.pdf
     June 01, 2010 - development of Comparative Effectiveness Reviews and describes recommended approaches for addressing difficult … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … They found that fluctuating or intermittent conditions are much more difficult to assess with observational … The presence of outcome reporting bias can be difficult to determine, but may be inferred when important

233. Treating Localized Prostate Cancer | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/prostate-cancer-therapies-update/consumer
     November 01, 2020 - Surgery To Remove the Prostate Gland Urinary incontinence* A scarred urethra (which can make it difficult … radiation seeding") Bowel problems § Bladder problems §§ A scarred urethra (which can make it difficult

234. Kravitz_ECCS2012 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/kravitz_eccs2012.pdf
     January 01, 2012 - the Accuracy and Balance of Media Reports  on Prescription Drugs • Journalists  are  now in a difficult

235. Adverse Effects of Pharmacological Treatments of Major Depression in Older Adults | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/depression-harms/research
     May 01, 2020 - Further characterization of the comparative safety of antidepressants is difficult because few studies

236. Measuring Primary Healthcare Spending | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/primary-healthcare-spending/tech-brief
     November 01, 2024 - However, it is difficult to distinguish differences in definitions and measurement from differences in

237. Effectiveness of Recombinant Human Growth Hormone in the Treatment of Cystic Fibrosis — Research Protocol Document | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/cystic-fibrosis-hgh/research-protocol
     December 01, 2019 - The study may be missing information, making it difficult to assess limitations and potential problems … While each has merit in clinical interpretation, data handling is difficult. … Absolute changes in height and weight over a broad age range may be difficult to interpret, as younger

238. A Framework for Assessing Quality Indicators for Cancer Care at the End-of-Life | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/cancer-end-of-life-measures-framework/research
     January 01, 2019 - indicators approved by the NQF defined the denominator retrospectively from the time of death, making it difficult … oncology, hospice) have not been well-coordinated, making combining or comparing results across settings difficult … diseases and many patients have multiple comorbidities at the end-of-life, isolating cancer issues is difficult

239. A Framework for Assessing Quality Indicators for Cancer Care at the End-of-Life | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/cancer-quality-indicator-framework/research
     January 01, 2019 - indicators approved by the NQF defined the denominator retrospectively from the time of death, making it difficult … oncology, hospice) have not been well-coordinated, making combining or comparing results across settings difficult … diseases and many patients have multiple comorbidities at the end-of-life, isolating cancer issues is difficult

240. QUESTIONS What are the appropriate indications for tonsillectomy Recurrent infections how many Sleep disordered breathingShould clinicians administer or prescribe perioperative antibiotics to children undergoing tonsillectomyRELEVANT… | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/questions-what-are-the-appropriate-indications-for-tonsillectomy-recurrent-infections-how-many-sleep-disordered-breathingshould-clinicians-administer-or-prescribe-perioperative-antibiotics-to-children-undergoing-tonsillectom
     November 01, 2017 - described.17 Operative complications include trauma to the teeth larynx pharyngeal wall or soft palate difficult