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Total Results: 1,316 records

Showing results for "difficult".

301. Disposition of Comments Report for Primary Care Management of Abnormal Uterine Bleeding (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/abnormal-uterine-bleeding_disposition-comments.pdf
     March 21, 2013 - Peer reviewer #4 Executive Summary Tables B and C Tables B and C are difficult to interpret without … Thus comparisons across studies are difficult. … Response Peer reviewer #4 Results Identification of studies to answer Key Question 2 was especially difficult … It may be reasonable to state (somewhere) that it is frequently difficult to evaluate the impact of … Furthermore, the questions related to nomenclature are difficult to address within a systematic evidence

302. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/11_pepticulcer_potential_high_impact_june_2012.pdf
     January 01, 2012 - the lower esophageal sphincter (LES) and reduced peristaltic activity, making swallowing of food difficult … effective as laparoscopic surgery in the long term, some speculate, and revisional surgery might be difficult … the lower esophageal sphincter (LES) and reduced peristaltic activity, making swallowing of food difficult … Revisional surgery might be difficult and involve extensive procedures such as esophagectomy. 23 … Two experts representing a clinical perspective stated that PN is difficult to administer to patients

303. Disposition of Comments: Management of Colonic Diverticulitis (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/diverticulitis-comments.pdf
     October 12, 2020 - As written, it’s difficult for the reader to understand the manuscripts guidance on this topic. … ES-1, the following sentence is difficult to follow: "There is low SoE that antibiotics for patients

304. Evidence-based Practice Center Systematic Review Protocol: Prehospital Airway Management (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/prehospital-airway-management-protocol.pdf
     December 20, 2019 - This is made more difficult by the lack of a definitive gold standard in prehospital care and by the … The study may be missing information, making it difficult to assess limitations and potential problems

305. Comparative Effectiveness Research Review Disposition of Comments Report (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/breast-abnormalities-tests-update_disposition-comments.pdf
     February 13, 2012 - Executive Summary PPV2 and 3 would be better metrics than sensitivity since false negatives are difficult … average risk patients, application of this data to findings on routine screening in normal risk women is difficult … In addition, little information was reported about different patient subgroups, making it difficult … research section is also clear, although if the ideal RCT design is “admittedly < . . . > logistically difficult

306. Future Research Needs for Angiotensin-Converting Enzyme Inhibitors (ACEIs), Angiotensin II Receptor Antagonists (ARBs), or Direct Renin Inhibitors (DRIs) for Treating Hypertension (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-future_research.pdf
     March 01, 2012 - inhibitor or ARB) Due to low numbers of deaths or major cardiovascular events reported, it was difficult … within the context of a trial, particularly if blinding must be maintained, is both expensive and difficult … The main challenge here is accessibility to the appropriate data, which may be difficult, especially … Paper records are difficult to abstract because of issues relating to legibility, consistency in diagnostic … number of respects, such as income and employment history, that may be relevant, but which may be difficult

307. Disposition of Comments Report for Pressure Ulcer Risk Assessment and Prevention (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
     May 08, 2013 - Unfortunately it is difficult to obtain an accurate estimates of pressure ulcer incidence in the U.S … diagnostic accuracy blinded caregivers to the results of risk assessment scores (blinding might be difficult … As indicated by the authors, specificity is difficult to interpret in these studies given that it reflects … many of the trials of support surfaces evaluated specific brand name products and that it may be difficult … Samples of adequate size are often difficult to obtain and follow for prolonged periods.

308. Disposition of Comments CER 219 Antipsychotics for the Prevention and Treatment of Delirium (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/delirium-disposition-comments.pdf
     September 03, 2019 - It is also difficult to determine when the pooled effect crosses 1.0, especially on the confidence … Proving the absence of harms is a much more difficult endeavor and is prone to Type II error than demonstrating … Lengths of stay are usually short anyway and any improvements would be more difficult to demonstrate … that fluctuation can make delirium symptom measurement and aspects of sleep wake cycle disturbance difficult

309. For patients with chronic diseases where large numbers of physicians do not follow guideline based care, such as with asthma-the most common chronic disease, what are the most and least effective interventions to modify physician and other… | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/for-patients-with-chronic-diseases-where-large-numbers-of-physicians-do-not-follow-guideline-based-care-such-as-with-asthma-the-most-common-chronic-disease-what-are-the-most-and-least-effective-interventions-to-modify-physic
     November 01, 2017 - There is such a plethora of information that it is difficult to sort out what is actually effective and

310. • The roles of the psychiatric hospital, lengths of stay, and transition support services after discharge | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/the-roles-of-the-psychiatric-hospital-lengths-of-stay-and-transition-support-services-after-discharge
     November 01, 2017 - The appropriate length of stay to adequately address the acute inpatient needs of an individual is difficult

311. Environmental Monitoring in Healthcare to Ensure Adequacy of Housekeeping Cleaning and Reduce the Spread of Hospital Acquired Infections (HAIs) | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/environmental-monitoring-in-healthcare-to-ensure-adequacy-of-housekeeping-cleaning-and-reduce-the-spread-of-hospital-acquired-infections-hais
     November 01, 2017 - It is difficult, if not impossible, to completely eradicate endogenous infection risk, however the presence

312. Disposition of Comments for CER 170 Cultural Competence Health Disparities (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/cultural-competence_disposition-comments.pdf
     January 01, 2020 - TEP 2 Introduction I had a difficult time understanding Figure 2. … pageaction=displayproduct& mp=1&productID=318 TEP 2 Introduction Similarly, Figure 3 was difficult … It was difficult to summarize the outcomes from the included physician-patient interaction interventions … Public Anonymous Race/ Ethnicity Under Literature Search Results it is difficult to believe that … Leslie Hausmann Race/ Ethnicity This is difficult to parse (reference: "For instance, Alegria et

313. Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/attention-deficit-hyperactivity-disorder/protocol
     July 01, 2022 - primary care, is poor in diagnosing ADHD. 9 Accurately identifying youth who have ADHD has proved difficult … general rambunctiousness, and difficulties with impulse control are often relatively normative and difficult … share symptoms with ADHD (e.g., anxiety, conduct disorders, speech or language delay, complex trauma, difficult … interventions for ADHD, and their potential long-term adverse effects, are not well known 67-71 and are difficult … Reporting bias is difficult to assess as systematic identification of unpublished evidence is challenging

314. Evidence-based Practice Center Future Research Needs (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/ongoing-studies-evidence_research.pdf
     December 01, 2010 - mentioned by 1 respondent) • Good way to get to non-U.S. registries (mentioned by 1 respondent) Difficult … HSRProj: • Similar to other National Library of Medicine databases (mentioned by 1 respondent) Difficult … or frustrating attributes of RePORTER: • Very difficult to use, limited searching and downloading … Study design of the studies identified in the NIH RePORTER was difficult to judge because the database … A judgment about the significance of the impact of such changes on the results of the studies was difficult

315. Inguinal-Hernia Executive (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/inguinal-hernia_executive.pdf
     August 01, 2012 - .8 Balancing all the factors (e.g., recurrence, adverse events, time to return to work [RTW]) is a difficult … size of the mesh (which typically involved using larger meshes in later time periods), making it difficult … Registry) were large (e.g., 143,000 hernias), but authors did not use these techniques, so it was difficult

316. Disposition of Comments Report for Allergen-Specific Immunotherapy for the Treatment of Allergic Rhinoconjunctivitis and/or Asthma (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/asthma-immunotherapy-2010_disposition-comments.pdf
     January 01, 2010 - Comment Response 17 Peer Reviewer #4 Results I would note, the findings from this study would be difficult … But that, in and of itself, is an important observation (and statement to make) and makes it difficult … A number of these studies are “open-label”; therefore, their “demonstrated” clinical findings are difficult

317. Disposition of Comments Report for Cardiac Troponins Used as Diagnostic and Prognostic Tests in Patients Wtih Kidney Disease (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/renal-function_disposition-comments.pdf
     August 11, 2014 - The odds and hazards ratios presented for renal disease, with and without ACS are difficult to interpret … The limitations section describes some of the issues with troponin which make the studies difficult … It is a difficult topic to summarize succinctly.

318. Mass-Casualty-Events-Scarce-Resources Executive (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mass-casualty-events-scarce-resources_executive.pdf
     June 01, 2012 - Because such situations are difficult to predict and can occur with little or no warning, health care … These aspects, coupled with the rapidly evolving nature of MCEs, make it difficult to draw generalizable … In particular, it is difficult for even the most realistic models and drills to reproduce the demanding

319. Cover Page (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/medicine-safety-call-center_research.pdf
     September 01, 2007 - Detecting adverse drug events is a difficult problem. … In addition, the extraction of meaningful conclusions from such data is difficult due to data integrity … Without a common identifier, it is difficult to track that the medicines were indeed purchased for

320. Cover Page (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/it-architecture-for-post-marketing-surveillance-arizona-cert.pdf
     September 01, 2007 - Detecting adverse drug events is a difficult problem. … In addition, the extraction of meaningful conclusions from such data is difficult due to data integrity … Without a common identifier, it is difficult to track that the medicines were indeed purchased for