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Showing results for "difficult".

1221. Disposition of Comment Report for Wireless Motility Capsule Versus Other Diagnostic Technologies for Evaluating Gastroparesis and Constipation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/wireless-motility-capsule_disposition-comments.pdf
      May 20, 2013 - It is difficult to understand the exclusion of a manuscript that compares antroduodenal manometry with … Section Comment Response TEP 5 Introduction An additional fact that deserves mention is that it is difficult … And, on page 3, we have added, "Motility disorders are difficult entities to diagnose. … as this review mentions, whether the capsule has added value in the management of these somewhat difficult … most of the available tests have some inconsistency in performance that make their interpretation difficult

1222. Disposition of Comments for CER 177 Agitation Aggression Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_disposition-comments.pdf
      March 21, 2016 - The text now states: “The more interventions require clinical judgment, the more difficult it is to … paragraph 3 May wish to insert e.g., just after the parenthesis and before "disruptive, problem, difficult … Again, based on the text descriptions, it is difficult to ascertain what these were. … with either of 2 medications 1 behavioral intervention and 1 placebo group that excluded this most difficult … Very difficult to capture the richness and therapeutic value of this method in RCTs.

1223. Disposition of Comments for Pressure Ulcer Treatment Strategies: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-treatment_disposition-comments.pdf
      May 08, 2013 - We admit that it is difficult to know if infection should be considered a harm or benefit (infection … To conclude a 'moderate strength of evidence' (p17) is difficult to understand on many different levels … wound (sacral/coccyx) with confounding issues such as incontinence may make strict study protocols difficult … review, complete healing was not commonly used as the outcomes measure in many studies and so it is difficult … Second, prospective, randomized clinically controlled trials of nutrition supplementation are often difficult

1224. Preoperative-Testing Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/preoperative-testing_executive.pdf
      January 01, 2014 - The complication rate in a cohort study of routine testing is difficult to interpret in the absence … They may be missing information, making it difficult to assess limitations, including risk of bias per … Limitations of Research on Preoperative Testing Another limitation of the evidence that would be difficult … Without good descriptions in studies of typical H&P or the triggers to order ad hoc tests, it is difficult

1225. Disposition of Comments Report for Comparative Effectiveness Review No. 137 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism-update_disposition-comments.pdf
      August 06, 2014 - We agree that this is an issue in this literature that makes it very difficult to answer this important … Until this can be achieved it remains difficult to make informed decisions about the relative value … As such, it can be difficult to assess the level of qualifications and training of frontline staff. … The check marks and blanks are difficult to interpret (e.g., do checks indicate that there is evidence

1226. Disposition of Comments Report for Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_disposition-comments.pdf
      January 27, 2014 - We agree that wound measurement is difficult. … compression therapy in the treatment of venous ulcers has been the standard for many years, it is difficult … Although difficult, blinding could still be possible in these trials. … If it is there, I apologize; this was a difficult read.

1227. Disposition of Comments for CER 167 Renal Masses (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_disposition-comments.pdf
      February 24, 2016 - necessarily proceed to surgical extirpation, limiting the analysis and making the exact false negative rate difficult … necessarily proceed to surgical extirpation limiting the analysis and making the exact false negative rate difficult … proceed to surgical extirpation, limiting the analysis and making the exact false negative rate difficult … Space limitations make it difficult to report the full results of each individual study.

1228. Disposition of Comments for Strategies To Prevent Weight Gain Among Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-gain-prevention_disposition-comments.pdf
      March 25, 2013 - Peer Reviewer 1 General Conceptually, it is difficult to understand how a weight gain prevention … weight is clearly different than those who have never been overweight as evidenced by the extreme difficult … weight is clearly different than those who have never been overweight as evidenced by the extreme difficult … NHLBI) Methods The majority of trials reviewed were not designed to prevent weight gain making it difficult

1229. Crosscutting-Horizon-Scan-High-Impact-1412 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - That undermines the statistical analysis of trial results and makes it difficult to determine the ‘ … For example, rapid triage and diagnosis—hallmarks of ED care—are difficult with older patients, who … Infrastructure and staffing: Implementation varies widely, making it difficult to determine the true … concerns may be addressed more efficiently.68,70 14 The cost impact to the health care system is difficult

1230. Disposition of Comments Report for CER 207 on PTSD (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-207-ptsd-disposition-comments.pdf
      May 17, 2018 - I understand that it may appear to be difficult to come up with a theoretically-driven, rational scheme … Why limit the usability of the report or make it difficult for readers to compare the findings in the … related to RoB coding, in Table E-25 in Appendix E, the entry for Schnurr et al. 2007 reflects another difficult … It was also difficult to find the relevant results/findings that would be needed to make a decision

1231. Summary Variables in Observational Research: Propensity Scores and Disease Risk Scores | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/observational-research-scores/research
      May 15, 2012 - Further, the regression model depends on adequate numbers of outcomes, which may be difficult to achieve … cardiovascular disease risk factors associated with rosuvastatin use are related to rhabdomyolysis, it is difficult … distribution may be unmeasured confounding or may be effect modification, a distinction that may be difficult … influence disease (or other outcome) risk, in this case cardiovascular risk, this type of analysis would be difficult

1232. Hepatitis-C-Screening Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-screening_executive.pdf
      November 01, 2012 - proportion of patients in the general population with HCV infection who progress to cirrhosis is difficult … The study may be missing information, making it difficult to assess its methods or assess limitations … diagnosed with HCV infection suggested potential negative psychological and social effects, but are difficult … reporting rates of antiviral treatment in cohorts of patients with screen-detected HCV infection are also difficult

1233. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
      July 05, 2011 - Peer Reviewer #7 Results The entire paragraph on the „physiology‟ of amnioticfluid is a little difficult … Often times the more difficult judgements to be made during pregnancy are the frequency with which … recent years We have changed the text to note that "distinguishing between these conditions is difficult … impact her future long term health – are there more adhesions that may make subsequent surgeries more difficult

1234. Diagnosis and Treatment of Localized Muscle Invasive Bladder Cancer | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/get-involved/nominated-topics/diagnosis-treatment-localized-muscle-invasive-bladder-cancer
      January 24, 2013 - individual variability of both observational and randomized controlled trials, which makes it very difficult

1235. PATIENTSLIKEME (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/clifford.pdf
      January 06, 2017 - some of our best patient populations are in diseases with complex presentation and complex etiology, difficult

1236. Diagnosis and Treatment of Non-muscle Invasive Bladder Cancer | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/get-involved/nominated-topics/diagnosis-and-treatment-of-non-muscle-invasive-bladder-cancer
      October 03, 2012 - individual variability of both observational and randomized controlled trials, which makes it very difficult

1237. Hawley-notes-151016 copy - Teresa (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/hawley-presentation.pdf
      November 11, 2015 - In   the  second  study by Mejia  de Grubb, primary care  physician  residents reported  it was difficult

1238. Template for Reports Developed (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-difficile-future_research.pdf
      October 26, 2012 - during discussions on research questions, outcomes of interest for certain questions were deemed to be difficult … Obtaining clinical data outside the hospital may be difficult. … Obtaining clinical data outside the hospital setting may be difficult. … For example, despite its importance, it would be difficult to study the comparative effectiveness of … Clostridium difficile — more difficult than ever. N Engl J Med 2008;359:1932-1940. 5.

1239. Microsoft Word - finbody.doc (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-artery-stenosis_research-2007.pdf
      January 01, 2007 - The study may be missing information, making it difficult to assess limitations and potential problems … The multicenter study included 106 patients between 1993 and 1998 who had difficult to treat hypertension … inconsistent use of interventions (e.g., combining angioplasty with and without stent); limited or difficult … • Comparison of adverse events and complications across the various interventions is difficult. … Renal artery stent placement: utility in lesions difficult to treat with balloon angioplasty.

1240. Non-pharmacologic Interventions for Agitation and Aggression in Dementia | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/dementia-agitation-aggression/research-protocol
      November 13, 2014 - incorporate input from clinicians, separates agitation and aggression into two distinct domains. 9 The difficult … burden, QoL Caregiver distress, burden, QoL Adverse effects of intervention(s) Increase in other difficult