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Showing results for "difficult".

321. Disposition of Comments Report for Otitis Media With Effusion (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/ear-infection_disposition-comments.pdf
     May 04, 2013 - Peer Reviewer #7 Abstract P. vi, Structured Abstract: Results section was difficult to follow Thank … Far more important as diagnostic indicators (although often less obvious and more difficult to ascertain … I found it very difficult to separate findings that had been reported in previous systematic reviews … Although in some cases the trail of evidence was flawed (as mentioned above) it was not difficult to … "Few studies provided a power analysis so making it difficult to interpret failure to find differences

322. Interventional Treatments for Acute and Chronic Pain: Systematic Review | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/interventional-treatments-pain/protocol
     December 17, 2020 - It is the leading cause of disability in the United States and often difficult to treat. … quality, but no flaw is likely to cause major bias; the study may be missing information making it difficult … Reporting bias is difficult to assess as systematic identification of unpublished evidence is challenging

323. Ch 6-User-Guide-To-Ocer 130129 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
     October 30, 2012 - information about clinical outcomes or health care utilization and out- of-pocket costs when these are difficult … Similarly, “floor” effects are seen when questions regarding a level of ability are skewed too difficult … The task of understanding the meaning of scores is made more difficult by the fact that different PRO … little technology or up-front cost, but requires staff for supervision and data entry and can be difficult … costs are dependent on numerous factors (e.g., institutional overhead, volume discounts) and can be difficult

324. Diagnosis and Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/chronic-fatigue/research-protocol
     May 01, 2014 - The prevalence of ME/CFS is also difficult to estimate given the uncertainty of the case definition. … The study may be missing information, making it difficult to assess limitations and potential problems

325. Blueprint for a Distributed Research Network To Conduct Population Studies and Safety Surveillance | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/distributed-network-blueprint/research
     June 23, 2010 - multiple health data networks, raising the likelihood that independent, single-purpose networks will be difficult … standardization of definitions, analytic approaches, and data quality that will otherwise be extremely difficult

326. Disseminating Findings From EPC Reports: Pilot Project of Three Products (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-disseminating-findings_0.pdf
     October 01, 2018 - that benefits were not assessed. 5 Evaluation Results Obtaining responses was extremely difficult … First, it is difficult even with the space available in the report or manuscripts to present the nuances

327. chronic-fatigue-protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-fatigue_research-protocol.pdf
     May 01, 2014 - The prevalence of ME/CFS is also difficult to estimate given the uncertainty of the case definition. … The study may be missing information, making it difficult to assess limitations and potential problems

328. Disposition of Comments: Comparative Effectiveness Review No. 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Illness (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-237-integrating-palliative-care-disposition-comments.pdf
     February 11, 2021 - Many times it is difficult to include new models of care in AHRQ evaluations, however in the spirit … excluded from the B (effectiveness) and C (implementation) series of questioning; however, it was difficult

329. Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-usability-testing.pdf
     November 01, 2018 - I found the graphics quite difficult to understand. … The figure is difficult to understand The figure helps me understand the population The arrows … are difficult to follow I do not remember the key questions There is too much information in one … Participants found the figure difficult to follow, and were frustrated by having to go back to the … The strategy components are difficult to differentiate I really like the strategy components piece

330. FRN 40 - Screening for Methicillin-Resistant Staphylococcus aureus (MRSA): Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/mrsa-screening_research.pdf
     June 01, 2013 - culture of the health care institution) lacked consistent and transparent documentation making it difficult … Generally high since events have already occurred but collecting data on exposures can be difficult … First, it was difficult to prioritize the research needs and associated research questions given their … Second, it was difficult to propose appropriate types of study designs for the prioritized research … It would be very difficult to perform multicenter studies. • Universal vs. targeted screening?

331. Research White Paper Multinational Registries Addendum Registries for Evaluating Patient Outcomes Third Edition (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/multinational-registries-guide-3rd-ed-addendum-white-paper.pdf
     February 01, 2018 - For example, when studying generic medications, it is difficult to predict and monitor changes in pharmacies … In a recent study of medication use during pregnancy in four EU countries, it was difficult to compare … or 5-year basis, depending on risk assessment.25 Differences in the practice of medicine can be difficult … these countries, the types of available data may be restricted to regional or localities, and can be difficult

332. Research White Paper Multinational Registries Addendum Registries for Evaluating Patient Outcomes Third Edition (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/multinational-registries-guide-3rd-ed-addendum-white-paper.pdf
     February 01, 2018 - For example, when studying generic medications, it is difficult to predict and monitor changes in pharmacies … In a recent study of medication use during pregnancy in four EU countries, it was difficult to compare … or 5-year basis, depending on risk assessment.25 Differences in the practice of medicine can be difficult … these countries, the types of available data may be restricted to regional or localities, and can be difficult

333. Evidence-Summary-CER-206-Sodium-And-Potassium-Intake-Effects-On-Chronic-Disease-Outcomes-And-Risk (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-206-evidence-summary-sodium-potassium.pdf
     June 01, 2018 - between sodium intake and blood pressure was continuous without an apparent threshold; thus it was difficult … example, adoption of use of salt substitutes or other salt reduction practices by control groups) was difficult … • As described, RCTs with parallel arm designs present challenges that are difficult to overcome regarding … studies to reduce sodium (or increase potassium) from food sources involved counseling, making it difficult

334. Closing the Quality Gap Series: Prevention of Health Care–Associated Infections | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/health-careassociated-infections/research-protocol
     August 03, 2011 - Knowledge of effective interventions to prevent HAIs can be difficult to convert into practice, however … computerized support. 10 As extensive efforts to improve compliance with hand washing have shown, it can be difficult … started.Furthermore, there was concern that the epidemic nature of norovirus outbreaks would make it more difficult … randomized controlled trials on this topic with sufficient sample size (e.g., if randomized by location) is difficult

335. Phenylketonuria Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/phenylketonuria_executive.pdf
     February 01, 2012 - Nonetheless, management of PKU can be difficult and onerous for the patient and the family, leading … Management of PKU during pregnancy can be very difficult. … fundamentally challenging because the disease is so rare, making accrual of adequate numbers of participants difficult … a reliance on a wide range of outcomes, making synthesis of relationships and pooling of results difficult

336. Lung-Cancer-Nonsurgical-Therapies Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/lung-cancer-nonsurgical-therapies_executive.pdf
     June 01, 2013 - The majority of studies did not report performance status, and therefore it is difficult to assess … and SBRT require an institutional commitment to quality assurance and ongoing training that may be difficult … In a systematic review in general, heterogeneous noncomparative evidence makes it very difficult to … clinically relevant comparisons between RFA and conformal radiotherapy-based treatments could be difficult … conformal radiotherapy modalities (e.g., 3DRT, IMRT, PBRT), in stage I NSCLC patients may be very difficult

337. Towards a Framework for Communicating Confidence in Methodological Recommendations for Systematic Reviews and Meta-Analyses (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methodological-recommendations-framework-communications_research.pdf
     September 01, 2013 - Finally, giving specific methods guidance for addressing difficult or ill-defined problems can be premature … Asymmetry in Funnel Plots Composite recommendations can be difficult to appreciate, and can lead to … As a consequence, methodological recommendations will be sparse in difficult problems where guidance … Guidance can (and arguably should) be provided when dealing with difficult problems, with the understanding … Deciding which recommendations are most important to adhere to and which are not is very difficult.

338. Trauma-Interventions-Maltreatment-Child Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_executive.pdf
     April 01, 2013 - We call attention to several difficult exclusion decisions that were made to enhance the generalizability … It was difficult to infer a particular orientation and interpret results comparing eclectic approaches … Additionally, many studies did not fully describe the key components of their interventions, making it difficult … The derived approaches made assessment of applicability difficult because it was not clear whether … Such variations, particularly when unlabeled and untested for efficacy, make it difficult to arrive

339. Template for Draft Reports (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/long-term-care-adults-future_research.pdf
     July 01, 2013 - Overall, the CER concluded that it is difficult to determine whether and how the delivery of LTC through … The CER highlighted that comparing results was difficult because studies used different outcome measures … RCTs are expensive and difficult to implement, and therefore unlikely to be widely used in this topic … and how the delivery of LTC through HCBS versus NHs affects outcome trajectories of older adults is difficult … highlighted that the variation in outcome measures and data collection used across studies made it difficult

340. Disposition of Comments: Technical Brief 37 Prevention, Diagnosis, and Management of Opioids, Opioid Misuse, and Opioid Use Disorder in Older Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
     November 03, 2020 - It covers a difficult subject very well. … Comparitors are sometimes difficult to discern in individual studies. … It is difficult otherwise to look for studies one thinks should be included. … Conceptual Framework Rerefece: “We formed a 15-member panel comprising…” I find it very difficult … YES VERY DIFFICULT - the horrible dis- information,and lies is very difficult to bear!