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Showing results for "quality measures".
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1521. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c-treatment-adherence_research-protocol.pdf
      September 13, 2011 - others may include the frequency and timing of administrating each dose as components in defining measures … Comparators: • Standard care and/or other HCV treatment adherence interventions Outcomes measures … • Definitions and measure of adherence: we will document the adherence definitions used in each study … regimen adherence (e.g., followup visits, laboratory tests); cut-off value for defining adherence; measure … We will document the results reported by the authors, including effect measures, point estimates, 95%

1522. Urinary-Incontinence-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/urinary-incontinence-treatment_executive.pdf
      April 01, 2012 - In the case of UI, it is unclear whether physiological measures represent a gold standard against which … other measures can be compared, or whether they should be viewed as information that may predict key … Hence, we may be more interested in levels of agreement between physiological measures and patient … We chose the random-effects inverse variance weights model to incorporate in the pooled analysis differences … Validated tools to measure UI treatment success based on meaningful changes in symptoms and quality

1523. Disposition of Comments for Pulmonary Arterial Hypertension: Screening, Management, and Treatment (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_disposition-comments.pdf
      April 25, 2013 - They are both tests that measure the same thing. … These are not of publication quality. … KQ1: Most outcome measures for echocardiography are good. … KQ2: Outcome measure in table 16(Page 64) are appropriate Thank you for your comment. … Additional biomarkers or combinations of echo measures should be evaluated.

1524. Colon-Cancer-Gene-Profiling Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_research-protocol.pdf
      March 13, 2012 - New assays that measure RNA to detect tumor cells are also beyond the scope of this report. … The FDA addresses the safety and effectiveness of diagnostic tests and the quality of the design and … Analytic validity relates to the reliability and validity of the test itself, that is, does it measure … Rockville, MD: Agency for Healthcare Research and Quality; January 2008. … Analytic validity: How accurately and reliably the test measures the genotype of interest.14 Clinical

1525. Ptsd-Adult-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adult-treatment_executive.pdf
      April 01, 2013 - We used random-effects models to estimate pooled effects.19 For continuous outcomes (e.g., scales for … When multiple scales were combined in one meta-analysis, we used the standardized mean difference … Adverse events were often not collected using standardized measures, and methods for systematically … of PTSD diagnosis (frequently not reported) in addition to measures of PTSD symptoms (more commonly … Future studies could include longer followup of subjects, validated measures of adverse events and

1526. Autism Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism_surveillance.pdf
      October 01, 2012 - risperidone and aripiprazole each have at least two RCTs demonstrating improvement in a parent-reported measure … A parent reported hyperactivity and noncompliance measure also showed significant improvement. … All studies of sensory integration and music therapy were of poor quality, and two fair- quality studies … Do Not Know parent-reported measure of challenging behavior. … A parent reported hyperactivity and noncompliance measure also showed significant improvement.

1527. autism-update-protocol-130920 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism-update_research-protocol.pdf
      September 20, 2013 - Prespecifying each individual measure to extract is not feasible, given the large number of assessment … tools/measures used in the ASD literature; however, we anticipate that we will focus on well-established … , validated outcome measures or techniques that incorporate measures of agreement (e.g., measures to … intervention approach, and dosage; assessment characteristics including instruments used and fidelity measures … We required at least one good-quality study for moderate SOE and two good-quality studies for high SOE

1528. Pharmacologic Management of Acute Pain by EMS in the Prehospital Setting Protocol Amendment (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/acute-pain-ems-protocol-amendment.pdf
      January 28, 2019 - adequately treated if it is not appropriately assessed, a careful evaluation of validated tools to measure … Current guidelines7 for the management of prehospital trauma pain recommend specific pain scales, broken … absence of a gold standard assessment tool.8 Of particular interest is the evidence for use of these scales … , and the results of each outcome, including measures of variability. … The arcsine difference as a measure of treatment effect in meta-analysis with zero cells.

1529. Disposition of Comments Report for Biologic and Nonbiologic Systemic Agents and Phottherapy for Treatment of Chronic Plaque Psoriasis (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/psoriasis-chronic_disposition-comments.pdf
      November 27, 2012 - The definitions for the outcome measures are appropriate. … Key questions- lots of acronyms for measures. … For example a brief description of each scale chosen, and some reasoning why these scales were chosen … literature, and if there are meaningful clinical differences (MCIDs) for what level of improvement in scales … Within the glossary we define the outcomes, provide the standard scale sued to measure the outcome

1530. Smoking-Pregnancy-Infants Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/smoking-pregnancy-infants_executive.pdf
      February 01, 2014 - Biochemical validation of smoking status includes measures of cotinine from saliva, urine, or serum … Although these measures do not verify continuous abstinence, they are accepted standards for evaluating … One study is of good quality, three of fair quality, and nine of poor quality. … than the null for the intervention increasing smoking cessation, include feedback about biologic measures … A sustained measure of smoking abstinence, as opposed to a point prevalence measure, would be ideal

1531. Disposition of Comments Report for Evaluation and Treatment of Tinnitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/tinnitus_disposition-comments.pdf
      August 23, 2013 - of life measures as compared with active controls. … However, both of these scales are considered to be reliable and valid and are widely used. … Subjective measures of loudness were retained as eligible outcome measures because they were felt to … for any studies that used the terms ‘discomfort’, ‘annoyance’ or ‘distress’ to describe an outcome measure … The primary reasons they were excluded is that the studies did not present a measure of variance around

1532. Traumatic Brain Injury and Depression (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-brain-injury-surveillance-160902.pdf
      January 30, 2014 - BDI"II=Beck$Depression$Inventory"2S$CT=Computed$TomographyS$GCS=Glasgow$Coma$ScaleS$MDD=Major$Depressive … HAM"D=Hamilton$Depression$Rating$ScaleS$TBI=Traumatic$Brain$Injury$$ (( ( Abstracts(from(Relevant( … $MEASURES:$Participants$completed$the$Structured$Clinical$ Interview$for$DSM"IV$and$self"report$measures … BDI"II=Beck$Depression$Inventory"2S$CT=Computed$TomographyS$GCS=Glasgow$Coma$ScaleS$MDD=Major$Depressive … $Evaluation$of$the$patient$generated$index$as$a$measure$of$quality"of"life$in$ people$with$severe$traumatic

1533. Evidence-Summary-CER-209-Noninvasive-Nonpharmacological-Treatment-For-Chronic-Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-209-evidence-summary-non-pharma-chronic-pain.pdf
      June 01, 2018 - Quality Assessment of Individual Studies Study quality was independently assessed by two investigators … functional outcomes roughly corresponds to reported minimum clinically important differences for the measure … percent considered good quality. … trial; mean difference -1.38 to -1.59 on the affective and -0.28 to -0.71 on the sensory dimension [scales … Outcomes measures Lack of consistency in types outcomes measures used for function and pain across trials

1534. Peripheral-Artery-Disease-Treatment Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/peripheral-artery-disease-treatment_research-protocol.pdf
      January 31, 2013 - compared exercise training to usual care.22 It found statistically significant improvements in walking measures … imperative to compare the efficacy of exercise training and endovascular revascularization on walking measures … Inclusion of symptomatic patients with atypical leg symptoms in KQs 1 and 2 • Expansion of outcome measures … criteria for quality and critical appraisal, and (3) arrive at a summary judgment of the study’s quality … data is in the form of effect sizes due to multiple treatment arms and/or the use of different measures

1535. Serum Free Light Chain Analysis for the Diagnosis, Management, and Prognosis of Plasma Cell Dyscrasias: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/plasma-cell-dyscrasias-sflc-assay-future_research.pdf
      September 01, 2012 - It detects low concentrations of FLCs and can measure the ratio of kappa chains to lambda chains. … Outcomes Measures of diagnostic accuracy (e.g., sensitivity, specificity, or predictive value) in … Dependent on the percentage of respondents, quality of participation and responses and the quality … Three studies (all quality C) were conducted in patients with AL amyloidosis15,26, 28 and 8 (3 quality … Dependent on the percentage of respondents, quality of participation and responses and the quality

1536. Disposition of Comments Report for Testing of CYP2C19 Variants and Platelet Reactivity for Guiding Antiplatelet Treatment (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/antiplatelet-treatment_disposition-comments.pdf
      September 25, 2013 - Rockville, MD: Agency for Healthcare Research and Quality; September 2013. … Peer Reviewer #6 General Comments Quality of the Report: Good Number of Hours Spent to Review the … Definitions, outcome measures and statistical methods are appropriate. … The outcome measures used for this topic are quite complicated with several of them relying on epidemiological … identifies 40 studies that examined the association of genotype results with platelet reactivity measures

1537. Untitled (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/aggression_research-protocol.pdf
      October 05, 2015 - measure, particularly for psychiatric patients in hospital settings.49 The International Quality Indicator … scales)! -! KQs!1a!and!1c!only:!Reduced!use!of! seclusion!or!restraints!(decreased! rate,! … Methodological issues in monitoring the use of coercive measures. … Hospital-Based Inpatient Psychiatric Services (HBIPS)-2: Joint Commission National Quality Core measure … HBIPS-3: Joint Commission National Quality Core measure for seclusion endorsed by the National Quality

1538. S38 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s38.pdf
      October 01, 2007 - ORIGINAL ARTICLE Design of Cluster-Randomized Trials of Quality Improvement Interventions Aimed at Medical … Thus, measures of agreement in treatments received by patients of different providers within a practice … One simple measure of sharing would be the percent of potentially eligible patients who see multiple … More sophisti- cated measures of clustering within practices could use mul- tilevel models to quantify … intervention or control group in blocks of 4 within the 12 strata formed by the cross-classification of these measures

1539. Evidence-based Practice Center Technical Brief Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/pain-chronic_research-protocol.pdf
      July 28, 2010 - eliminating pain to managing pain to an extent that the patient’s independence is restored and overall quality … study inclusion and exclusion criteria), duration of patient followup, outcomes assessed (specific measures … Outcomes Assessed (Measures and Timing) and Patient Characteristic Interacted with Treatment D. … Outcomes Assessed (Measures and Timing) and Patient Characteristics Interacted with Therapy Study … Outcome 1 (measure & timing) Outcome 2 (measure & timing) Outcome 3 (measure & timing) Patient

1540. Prostate-Cancer-Test Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-test_research-protocol.pdf
      October 14, 2011 - association between PCA3 mRNA levels and prostate cancer led to the development of a urinary assay to measure …  Were outcome measures clearly valid, reliable, and equally applied to treatment groups? … Did each meta-analysis include the model used; results with confidence intervals; homogeneity measures … Did each meta-analysis include the model used; results with confidence intervals; homogeneity measures … Prostate-specific antigen velocity (PSA velocity) — a measure of the rapidity of change in a man’s PSA