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Showing results for "difficult".

201. Disposition of Comments for Treatment Strategies for Patients With Peripheral Artery Disease (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/peripheral-artery-disease-treatment_disposition-comments.pdf
     May 29, 2013 - This form of research is extraordinarily difficult when trying to compare surgery to usual medical care … comparison of surgical revascularization, endovascular revascularization, and medical therapy is difficult … However, this is a subgroup analysis of an RCT, and at the time of treatment decision, it is difficult … TEP Member 1 General The report is excessively long and is very redundant, which making reading difficult … these type of AHRQ reviews, the papers analyzed result in a high degree of heterogeneity, making if difficult

202. Disposition of Comments for CER 153 Non-Muscle-Invasive Bladder Cancer (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/bladder-cancer-non-muscle-invasive_disposition-comments.pdf
     October 27, 2015 - Section Comment Response TEP Reviewer #1 General Comments This document does not go into the difficult … further research into the BCG recurrent/resistant patient would be valuable as this is a clinically difficult … Difficult to follow otherwise. 10. Page 42, line 54- add left parenthesis before RR 11. … and surveillance of urothelial malignancies within the bladder, but it does not touch on the more difficult … It is difficult to determine which molecular diagnostic test is superior from the draft report, I

203. CER 225: Evidence Summary Interventions for Substance Use Disorders in Adolescents: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-225-substance-abuse-adolescents-evidence-summary%20225%20Substance%20Use%20Adolescents.pdf
     May 01, 2020 - Studies often combined different types of interventions, making comparisons of specific interventions difficult

204. Disposition of Comments_Technical Brief No. 43: Measuring Healthcare Organization Characteristics in Cancer Care Delivery Research (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/organization-cancer-care-disposition-comments.pdf
     June 20, 2023 - In prior work, we found it difficult to explicit the optimal organizational theory or theories (my sociology … Gauging framework use is complex and difficult, and the authors should get credit for the exercise and … Commentator & Affiliation Section Comment Response 51 Peer Reviewer #3 Findings I found it difficult … I raise this only because of how difficult it is to fit in the necessary words in a title or abstract … It is difficult to determine whether a hospital has a free-standing cancer center (and what professions

205. Disposition of Comments Report for CER 226: Labor Dystocia (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-226-labor-dystocia-comments.pdf
     May 14, 2020 - As well even women who are willing to be randomized may find it very difficult to persist during the … sentence acknowledging these limitations for the key questions involving outcomes that may be more difficult … Results Peer Reviewer #1 I find it difficult to separate conclusions drawn from a group of single studies … interventions considered are by their very nature impossible to implement in a blinded fashion or difficult … The latter is highly significant but this finding is difficult to interpret in light of such a prodigious

206. Effectiveness of Recombinant Human Growth Hormone in the Treatment of Cystic Fibrosis — Research Protocol Document | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/cystic-fibrosis-hgh/research-protocol
     January 22, 2010 - 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

207. Evidence Report on the (pdf file)
     effectivehealthcare.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

208. Disposition of Comments Report for Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie (pdf file)
     effectivehealthcare.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

209. Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Stenting: Future Research Needs (pdf file)
     effectivehealthcare.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

210. Use of Electronic Medical Records and Administrative Claims Data for Assessing Type 2 Diabetes Care | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/diabetes-claims-data/research
     April 07, 2010 - Identifying the onset of a chronic condition such as DMT2 is difficult when using any electronic database

211. • The roles of the psychiatric hospital, lengths of stay, and transition support services after discharge | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/get-involved/nominated-topics/the-roles-of-the-psychiatric-hospital-lengths-of-stay-and-transition-support-services-after-discharge
     November 23, 2010 - The appropriate length of stay to adequately address the acute inpatient needs of an individual is difficult

212. Slide 1
     effectivehealthcare.ahrq.gov/sites/default/files/estimation-and-reporting_chapter-3.pptx
     January 01, 2013 - essential Characterization of sampling error of the statistical estimator Easy to achieve Possible Difficult … A major problem with these analyses is that it is extremely difficult to obtain the sampling properties

213. Disruptive-Behavior-Disorder Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/disruptive-behavior-disorder_executive.pdf
     October 01, 2015 - Given multiple group comparisons and multiple outcome measures, results are inconsistent and difficult … behaviors in comparison with control arms, but studies used different outcome measures, making it difficult … Some studies suggested that difficult temperament in preschool children and psychopathy in teenagers … The issue of publication bias in psychological science is difficult to address, given the current lack … mixed populations and report outcomes of overlapping symptoms (e.g., of ADHD and DBD), making it difficult

214. Disposition of Comments Report for Recurrent Nephrolithiasis in Adults (pdf file)
     effectivehealthcare.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

215. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare.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

216. Disposition of Comments for Technical Brief 21, Management Strategies To Reduce Psychiatric Readmissions (pdf file)
     effectivehealthcare.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.

217. Methods Future Research Needs Number 8: Framework for Considering Study Designs (pdf file)
     effectivehealthcare.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

218. Disposition of Comments for CER 171 Noninvasive Testing for Coronary Artery Disease (pdf file)
     effectivehealthcare.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

219. home-based-care-protocol-141119 (pdf file)
     effectivehealthcare.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

220. Use of Observational Studies in Systematic Reviews of (pdf file)
     effectivehealthcare.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