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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-193-naloxone-executive-summary.pdf
November 01, 2017 - Risk of Bias Assessment of Individual
Studies
We assessed risk of bias of included studies using … Effectiveness Reviews.34 We adapted criteria for assessing
risk of bias from the U.S. … Studies were rated as “low risk of bias,” “medium risk
of bias,” or “high risk of bias” based on the … [CI] 0.3 to 1.5), mean response time (8.0 vs.
7.9 minutes), or agitation/violence (6.0% vs. 7.9%,
relative … risk [RR] 0.77, 95% CI 0.25 to 2.3).
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_executive.pdf
September 01, 2014 - For quality, see section on risk
of bias.
b. … • EUS-FNA risks are due to the physical invasiveness
of the procedure and primarily involve pancreatitis … • MRI risks mainly involve adverse reactions to contrast
media. … EUS-FNA risks are due to the
physical invasiveness of this procedure and primarily
16
involve pancreatitis … four imaging studies are not equally available at
all institutions, and each study has its associated risks
-
effectivehealthcare.ahrq.gov/sites/default/files/covariate-selection-chapter-7.pptx
January 01, 2013 - Causal graph illustrating a baseline risk factor (C0) for the outcome (Y1). … Confounding by indication and channeling over time: the risks of beta 2-agonists. … after antihypertensive treatment is initiated [C1]) is unnecessary and likely to induce bias toward a relative … risk of 1.0, though the direction can sometimes be the opposite. … (risk factors) to avoid including strong instruments and colliders.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cognitive-decline_executive.pdf
March 01, 2017 - Although many putative risk
factors have been identified, the challenge
is to identify any interventions … Interventions represent one way to establish the veracity
of risk factors. … Results were extracted only from studies assessed as
having low to moderate risk of bias. … not the risk of CATD or of a
combined outcome of MCI or CATD compared to placebo … Raloxifene
may reduce risk of MCI.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cognitive-decline_executive.pdf
March 01, 2017 - Although many putative risk
factors have been identified, the challenge
is to identify any interventions … Interventions represent one way to establish the veracity
of risk factors. … Results were extracted only from studies assessed as
having low to moderate risk of bias. … not the risk of CATD or of a
combined outcome of MCI or CATD compared to placebo … Raloxifene
may reduce risk of MCI.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/genitourinary-symptoms-protocol_0.pdf
July 10, 2023 - We will not extract data from high risk of bias
studies or for outcomes that are high risk of bias. … Assessment of Methodological Risk of Bias of Individual Studies
Risk of bias of eligible studies by … will review each risk of bias assessment. … We will calculate
risk ratios (RR) and absolute risk differences (RD) with the corresponding 95 percent … difference
ROB Risk of bias
ROBINS-I Risk Of Bias In Non-Randomized Studies - of Interventions
RR
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/acs-pci-adjunctive-devices_surveillance.pdf
April 01, 2013 - mortality and MACE in studies of
365 days or longer, we saw no significant
difference in mortality risk … not significantly impact the
achievement of ST-segment resolution,
prevention of no reflow, or the risk … Do Not Know
Conclusion #1
In the catheter aspiration trials, the risks of major adverse
cardiovascular … mortality and
MACE in studies of 365 days or longer, we saw no
significant difference in mortality risk … not
significantly impact the achievement of ST-segment
resolution, prevention of no reflow, or the risk
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-bone-fracture_research-protocol.pdf
May 14, 2010 - KQ2: How does fracture reduction resulting from treatments vary between individuals
with different risks … c) What are the effects of adherence and persistence on the risk of fractures? … for OP fractures
Health Outcomes:
Change in fracture
risk (KQ1,2)
Change in BMD
(KQ5[?] … KQ5 assesses the
ability of risk predictors to identify people who are at greater risk of OP fracture … Assessment of fracture risk. Osteoporos Int
2005;16(6):581-9.
6.
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-236-mental-health-pregnancy-evidence-summary.pdf
April 01, 2021 - harsh punishment, impaired development of
infant emotional regulation and attachment, and greater risk … • Brexanolone probably improves depressive symptoms; it may increase the risk of
sedation or somnolence … Regarding maternal harms, benzodiazepine before conception may
be associated with an increased risk … During pregnancy, exposure to
several antidepressants may be associated with a higher risk of postpartum … A significant constraint to interpreting the evidence is the
widespread risk of confounding.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-postpartum-screening_executive.pdf
May 01, 2013 - Institute of Medicine,5
maternal postpartum depression has also been associated
with an increased risk … Summary judgments for these studies were assigned as
high risk of bias, low risk of bias, or unclear … Ten were judged to have a high risk of biased results; the
remainder were judged to be at low risk. … Two studies were rated low risk of
bias, 10 high risk of bias, and 3 unclear risk of bias. … Only one
study judged to be at high risk of bias provided a specific
estimate of the effect of a risk
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-194-evidence-summary-corticosteroids-asthma.pdf
October 01, 2017 - ICS controller • Does affect:
– The risk of exacerbations requiring oral corticosteroids (low SOE) … combined with LABA as controller and quick
relief vs. a higher ICS controller dose
• Reduces the risk … ICS and LABA as controller at the same ICS
dose
• Reduces the risk of exacerbations measured as a … ICS controller • Does not affect the risk of exacerbations, regardless of definition
(low SOE)
• … ICS and LABA as controller at the same ICS dose
• Reduces:
– The risk of exacerbations defined as
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-maternal-health-grand-rounds-slides.pptx
January 01, 2023 - of Bias of each study
Strength of Evidence (SoE) across studies by considering risk of bias, consistency … of Bias: 5 Low, 35 Moderate, 24 High
Key Question 2: Insurance Coverage (28 Studies)
28 NRCSs
Risk … Versus Clinic Visits for Breastfeeding Care
32
Abbreviations: CI = confidence interval, RoB = risk … of bias, RR = relative risk
No evidence of difference in hospital readmission by 3 months
Results … )
Population and intervention targets:
Limited data on general postpartum care, especially for at-risk
-
effectivehealthcare.ahrq.gov/sites/default/files/back-pain-treatment_research_executive.pdf
February 01, 2016 - confidence interval; NSAID = nonsteroidal anti-inflammatory drug; RCT = randomized controlled trial; RR = relative … vs. placebo
of nausea, dizziness, constipation, vomiting, somnolence, and
dry mouth; risks of opioids … PENS = percutaneous electrical nerve stimulation;
RDQ = Roland-Morris Disability Questionnaire; RR = relative … The Effectiveness and Risks
of Long-Term Opioid Treatment of Chronic Pain. … The effectiveness and risks of
long-term opioid therapy for chronic pain: a systematic review for
a
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/surveillance-report-2-nonopioid-pharm-chronic-pain.pdf
April 01, 2022 - In patients with chronic pain, what are the risks of
nonopioid pharmacologic agents for harms including … increased risk of
dizziness.6,7,9
1 RCT (n=306) found
increased risk of SAEs,
sedation, and visual … disturbances.6,7
1 RCT (n=60) found
increased risk of WAEs
and nonsignificantly
increased risk … –10 VAS -1.63, p<0.001) and increased likelihood of 30-percent
improvement in pain (95% vs. 35.7%, relative … In patients with chronic pain, what are the risks of nonopioid
pharmacologic agents for harms including
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-anticholinergic-medicines_research.pdf
December 01, 2009 - Tiotropium in combination with two other medications was associated with increased risk
of mortality … TIO+IPRA+ICS, TIO+LABA+IPRA, TIO+THEO+IPRA, etc.) where there was an
increased risk of mortality (HR … Second, medications used in combination with tiotropium may be
associated with increased risks and therefore … This is
particularly true if risks reported for ipratropium represent a class effect for
anticholinergic … If this is the case, our study design is not optimal for
identifying risks associated with tiotropium
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/grading.ppt
January 01, 2010 - grade
Four Required Domains: Risk of Bias
Four Required Domains: Risk of Bias
The risk of bias for … Risk-of-bias scores are denoted as high, medium, or low. … High risk of bias lowers the strength-of-evidence grade; low risk of bias raises the strength-of-evidence … Guiding Principles: Risk of Bias
Guiding Principles: Risk of Bias
The risk of bias based on the design … Guiding Principles: Risk of Bias Example
Guiding Principles: Risk of Bias Example
This is an example
-
effectivehealthcare.ahrq.gov/sites/default/files/suppl-2-user-guide-to-ocer_130129.pdf
January 01, 2011 - of
experiencing the outcome in the two groups at the
time of treatment assignment is equal to the risk … In addition, because the outcome risks in the
subpopulations are equivalent at the time treatment
is … assigned, the observed risk difference between
the treatment groups can be attributed to treatment … Using the risk
difference scale, this means that the conditional
risk difference can be used to estimate … the
marginal causal risk difference (Pr[Y=1|A=1] -
Pr[Y=1|A=0]) = (Pr[Ya=1=1]- (Pr[Ya=0=1]).
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-reporting-bias_methods.pdf
November 01, 2013 - Agency found that while published data indicated that benefits of the study drugs outweighed
their risks … , that the inclusion of unpublished data suggested that risks outweighed benefits for all
but one of … additional data (11 studies; 996 patients)
18
changed results from statistically significant (RR [relative … for reporting bias for this outcome (“ORB risk–” or “ARB risk–”). … the results were reported, then
the study is at risk of reporting bias for that outcome (“ORB risk
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_technical-brief.pdf
December 01, 2012 - Identifying the individuals in whom the potential benefits of
chemotherapy outweigh the risks is challenging … On the other hand, introducing routine testing without a clear understanding of benefits
and risks could … obtained with standard risk factors? … The discussion with a patient about the benefits and risks of
adjuvant chemotherapy usually occurs 3 … use of the GEP assay for treatment management improve net health
outcome (considering benefits and risks
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nomination-apbi-breast-cancer.pdf
April 01, 2017 - define a group of patients with low-risk DCIS
for whom observation confers a low absolute risk of IBTR … of IBTR.17 When analyzed by the ECOG 5194
risk criteria, the risk was 2% for patients meeting these … low-risk criteria. … However, given the low risk of IBTR in
low-risk DCIS with wide local excision alone, coupled
with favorable … results following APBI for low-risk DCIS
in several series, the task force recommends inclusion of
low-risk