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effectivehealthcare.ahrq.gov/sites/default/files/mcda-johnson.pdf
August 27, 2012 - Social Science and Medicine, 1995
Slide 4
Types of Self-Reported Data
Patient-
Reported
Outcomes … Health-State
Utilities
Stated
Preferences
Patient-
Reported
Outcomes
Health-State
Utilities … Duration
PREFERENCE UTILITY
Clinical Outcomes
Duration
Treatment factors
– Side … Poster presented at the International
Society for Pharmacoeconomics and Outcomes Research 16th Annual … Poster presented at the International
Society for Pharmacoeconomics and Outcomes Research 16th Annual
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/grading.ppt
January 01, 2010 - bodies of evidence are needed to link the intervention to health outcomes. … Intermediate or surrogate outcomes instead of health or patient-centered outcomes
Example: laboratory … /proxy outcomes
Better strength of evidence
Indirect (e.g., A vs. … Thus, strength of evidence should relate to those important outcomes. … For some treatments, data may be lacking about one or more of the outcomes.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ankyloglossia_research-protocol.pdf
June 30, 2014 - ,
breastfeeding mechanics and related outcomes typically improved. … This review did not
evaluate non-surgical management or broader outcomes. … Key Question 1 is focused on breastfeeding
outcomes in infants treated for ankyloglossia. … Deciding which outcomes are to be extracted. … Grading the Strength of Evidence (SOE) for Major Comparisons and Outcomes.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/schizophrenia-adult_research-protocol.pdf
September 23, 2016 - • Outcomes for each question:
o Key Questions 1 and 2:
Benefits Outcomes:
§ Functional
• Improvements … For key outcomes, we will update meta-
analyses. … based on the optimal information size for selected
outcomes. … outcomes measured in included studies. … Functional outcomes (e.g., social, occupational)
2.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
February 01, 2013 - Outcome
Described as
effectiveness
outcomes
Reviewers determine whether
specific outcomes are … outcomes, thus making the
intervention seem more effective than
if clinical outcomes are considered … Without prespecifying that long term
outcomes are essential and only
reporting short term outcomes, … Outcomes
Regardless of the topic, SRs should focus on assessing a range of patient-centered outcomes … , while under-reporting the effect on long term outcomes.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth-future_research.pdf
August 09, 2012 - Director, EPC Program Task Order Officer
Center for Outcomes and Evidence Center for Outcomes … Maternal and infant outcomes:
1. … risk of adverse outcomes with TOL or ERCD.
10. … Short- and long-term
outcomes after cesarean section. … ERCD and maternal/infant outcomes
8.
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effectivehealthcare.ahrq.gov/products/fibromyalgia/research-protocol
April 03, 2014 - Outcomes
Final health outcomes: KQ 1 and some potential measures of each outcome:
Overall pain (Visual … data may have been related to real outcomes. … We will emphasize patient-centered outcomes in the evidence synthesis. … Were outcomes assessors blinded?
Yes
Who assessed outcomes?
… Yes
No
Not all prespecified outcomes reported, subscales not prespecified reported, outcomes
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/liver-cancer_research-protocol.pdf
July 24, 2013 - ● Outcomes for Each Key Question
o Key Question 1
Diagnostic outcomes include:
Detection … Outcomes Diagnostic outcomes include:
• Detection rates of tumors identified by surveillance. … Intermediate outcomes include:
• Effects on diagnostic thinking. … Outcomes Diagnostic outcomes include:
• Test performance (e.g., sensitivity and specificity) for … Outcomes Diagnostic outcomes include:
• Measures for accuracy of staging (stage reclassification).
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_research-protocol.pdf
April 01, 2013 - • No RCT reported head-to-head comparisons of treatment outcomes stratified by
race/ethnicity. … the majority reporting biochemical progression or
recurrence as the primary outcomes. … potential for disease progression) affect the outcomes of these therapies overall and
differentially … case volume and outcomes
Studies using administrative data that measured outcomes in
different locations … Outcomes
• The primary outcome is overall mortality or survival.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/atypical-antipsychotics-off-label-update_research-protocol.pdf
May 19, 2010 - Outcomes: For efficacy, we will report commonly used objective outcomes such as symptom
scores, response … Outcomes are listed in appendix A. … Outcomes are listed in appendix A. … outcomes are the same as in KQ1 and KQ2. … For efficacy/effectiveness outcomes, a statistician will extract data.
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effectivehealthcare.ahrq.gov/sites/default/files/study-objectives-and-questions-chapter-1.pptx
January 01, 2013 - and investigators are willing to accept a priori
Describe the meaningful magnitude of change in the outcomes … investigators are willing to accept a priori; and describe the meaningful magnitude of change in the outcomes … Outcomes: What are the outcomes of interest? … Timing: What is the time frame of interest for assessing outcomes? … Are decisionmakers interested in short-term or long-term outcomes?
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth_executive.pdf
September 01, 2012 - • Longer term outcomes (e.g., neurodevelopmental
delay and future reproductive outcomes)?
KQ2. … • Longer term outcomes?
KQ3. … information on modifiers of treatment outcomes. … Mean gestational age at
birth and other outcomes did not differ. … Committee
on Understanding Premature Birth and Assuring Healthy
Outcomes.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/meditation_executive.pdf
January 01, 2014 - While
some of the outcomes were primary outcomes, many were
secondary outcomes, and the studies may … not have been
appropriately powered to detect changes in secondary
outcomes. … Fifth, positive outcomes are a key focus of meditative
practices. … However, most trials did not include positive
outcomes as primary or even secondary outcomes. … There are reasons why a large number of outcomes
lacked sufficient evidence.
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effectivehealthcare.ahrq.gov/products/peripheral-artery-disease-treatment/research
May 29, 2013 - dual antiplatelet therapy (DAPT)—clopidogrel plus aspirin—had no impact on composite or individual outcomes … DAPT and aspirin alone on nonfatal stroke and composite vascular events and was inconclusive for other outcomes … and aspirin alone in cardiovascular events or mortality at 6 months but was underpowered for those outcomes … depict relative effect sizes and identify which treatments are clearly superior to placebo for which outcomes … from observational studies, and the heterogeneity of the results makes conclusions for all clinical outcomes
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effectivehealthcare.ahrq.gov/products/ankyloglossia/research-protocol
June 30, 2014 - , breastfeeding mechanics and related outcomes typically improved. … The most recent systematic review, published in 2013, assessed outcomes related to breastfeeding and … This review did not evaluate non-surgical management or broader outcomes. … Key Question 1 is focused on breastfeeding outcomes in infants treated for ankyloglossia. … Deciding which outcomes are to be extracted
We identified outcomes based on our clinical expertise
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rti-item-bank_research.pdf
August 01, 2013 - Director and Task Order Officer
Evidence-based Practice Program
Center for Outcomes and Evidence … X
Q9 Are any important primary outcomes missing from the
results? … Q15 Are the statistical methods used to assess the primary
benefit outcomes inadequate? … C-6
Q9: Are any important primary outcomes missing from the results? … PI:
Yes, important outcomes missing .........................
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/case-management-future_research.pdf
June 01, 2015 - Director, EPC Program Task Order Officer
Center for Outcomes and Evidence Center for Outcomes … Patient-centered outcomes, including mortality, quality of life, disease-specific health
outcomes, … Patient-centered outcomes, including mortality, quality of life, disease-specific health
outcomes, … D.3 Link components and
outcomes
Mayo, 20119 To determine
impact of CM on
any patient
outcomes, … allowing
diversity of
outcomes across
patients.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-antigen-3-gene_research.pdf
April 01, 2013 - Does the addition of PCA3 testing
change long-term health outcomes
in prostate screening? … Does addition of PCA3 testing
change long-term health
outcomes in prostate screening? … The strength of evidence for these outcomes was insufficient. … The
strength of evidence for all comparators and outcomes was insufficient. … Uncertainty of impact of PCA3 in biopsy decisionmaking on long term health outcomes.
7.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-prognostic.ppt
June 01, 2012 - For this scenario, the precision and accuracy estimates of the outcomes for each prognostic group are … Outcomes Time-dependent probabilities (time-to-event curves) of what is being predicted, changes or … Clinical outcomes: Would use of the prognostic test improve patient outcomes? … A clinical outcomes study simply asks if using the new test would improve patient outcomes. … Lastly, a cost-effectiveness study evaluates whether any improvements in patient outcomes warrant the
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/assessing-the-risk-of-bias-in-systematic-reviews-of-health-care-interventions-01.pdf
May 01, 2005 - For some studies, all outcomes
may have the same sources of bias; for other studies, the sources of … Some
have elected to rate outcomes from poorly reported studies as having high risk of bias. … Reviewers of topics that focus on short-term clinical
outcomes may expect a low rate of attrition. … Selectively reporting outcomes based on the
findings
• Outcomes are prespecified and all prespecified … Framing the question and deciding
on important outcomes.