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effectivehealthcare-admin.ahrq.gov/products/coronary-artery-disease-testing/research-protocol
December 01, 2019 - Some types of noninvasive testing (e.g., stress testing) provide additional information not provided … , imaging stress testing, or no further testing? … or no further testing. … (both initial and subsequent testing):
Harms of testing (renal failure, allergy, nephrogenic … Consequences of testing may also include use of downstream testing, anxiety related to false positives
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effectivehealthcare-admin.ahrq.gov/products/dcis-prognostic-tests/research
December 01, 2019 - Rates of testing varied significantly across race groups for all tests. … Neither study included ER testing. … ER testing is considered standard of care for women with early invasive cancer. … Studies of PR testing are inconclusive in the context of DCIS. … and to better understand how testing rates differ between both groups.
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effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/does-the-use-of-cytochrome-p450-2c19-cyp2c19-testing-to-predict-response-to-clopidogrel-in-people-1-with-acute-coronary-syndrome-2-who-have-suffered-other-cardiovascular-disease-related-events-eg-ischemic-stroke-symptomatic-
November 01, 2017 - Nominated Topics
Does the use of Cytochrome P450 2C19 (CYP2C19) testing … SHARE:
Does the use of Cytochrome P450 2C19 (CYP2C19) testing … Does the use of Cytochrome P450 2C19 (CYP2C19) testing to predict response to clopidogrel in people: … you would like to see compared:
Health outcomes following therapy guided by CYP2C19 pharmacogenetic testing … , to predict clopidogrel response, versus a no-testing strategy.
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effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/key-questions-1-does-routine-preoperative-testing-compared-to-no-testing-or-alternative-testing-strategies-improve-outcomes-such-as-surgical-complications-other-morbidity-and-mortality-among-patients-undergoing-elective-surg
November 01, 2017 - Does routine preoperative testing compared to no testing or alternative testing strategies improve outcomes … Does routine preoperative testing compared to no testing or alternative testing strategies improve outcomes … Key Questions
Does routine preoperative testing compared to no testing or alternative testing strategies … What are the harms of routine preoperative testing compared to no testing or to an alternative testing … compared to no testing or alternative testing.
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effectivehealthcare-admin.ahrq.gov/products/antiplatelet-treatment/research
December 01, 2019 - for CYP2C19 variants and phenotypic testing to measure platelet reactivity) to identify patients who … (for CYP2C19 variants) or phenotypic testing (for platelet reactivity). … One hundred six studies provided information on the ability of genetic testing for CYP2C19 variants to … Fourteen studies provided information on the use of genetic testing for CYP2C19 variants for guiding … treatment choice: 1 randomized trial of testing versus no testing, 12 randomized treatment trials assessing
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/dcis-prognostic-tests_research.pdf
August 22, 2012 - Estrogen and Progesterone Receptor Testing
Rates of ER/PR testing for women with DCIS varied
strongly … HER2 Testing
As with ER/PR testing, HER2 testing increased dramati-
cally among women with DCIS between … BRCA Testing
We found a low rate (0.6%) of BRCA testing among
women with DCIS. … and are thus testing randomly. … Data Points • # 15 • Breast Cancer Diagnostic Workup
14
Appendix D: ER/PR testing and HER2 testing
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effectivehealthcare-admin.ahrq.gov/products/colorectal-cancer-screening/research-protocol
December 01, 2019 - (FOBT) or fecal immunohistochemical testing (FIT) annually; and flexible sigmoidoscopy every 5 years … with or without fecal blood testing (FOBT or FIT). 3, 4
Some disagreement occurs between guideline … . 3
Fecal DNA testing detects molecular alterations associated with CRC development in cellular DNA … Question 6: Harms
What are the potential harms of fecal DNA testing? … FOBT = Fecal Occult-Blood Testing
USPSTF = U.S.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND-0594-131115.pdf
March 13, 2013 - Topic 0505 Genetic Testing for Developmental Diseases NSD FINAL_SJ … § Genetic Testing for Developmental Diseases
Nomination Summary Document … Results of Topic Selection Process & Next Steps
The topic, Genetic Testing … Comparator(s): Other genetic testing/no genetic testing
Outcome(s): Changes to child treatment specific … Given the limited available evidence, the rapid pace of change in genetic testing, and the recent
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effectivehealthcare-admin.ahrq.gov/products/antiplatelet-treatment/research-protocol
December 01, 2019 - Randomized trials of testing strategies versus no-testing strategies can address the question of whether … the use of testing (e.g., genetic testing to determine CYP2C19 status or phenotypic testing of platelet … Genetic testing for CYP2C19
Genetic testing for CYP2C19 followed by phenotypic testing for platelet … reactivity
Phenotypic testing for platelet reactivity
No testing
How do modifying factors … In the context of this review, phenotypic testing specifically refers to testing of platelet reactivity
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effectivehealthcare-admin.ahrq.gov/products/methods-guidance-tests-outcomes/methods
October 01, 2019 - Consider to which group the outcomes of testing are most relevant. … Legal and ethical effect of testing. … Legal and ethical effects of testing. … Legal and ethical effects of testing. … Additional patient outcomes and pathways in evaluations of testing.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/coronary-artery-disease-testing_executive.pdf
March 01, 2011 - Additional Noninvasive Testing
Additional noninvasive testing, which impacts the cost and
efficiency … Harms and Consequences of Testing
Harms of testing were rarely reported and details on
comparisons of … No
studies that compared testing with an arm that received
no testing were identified, so the impact … Studies comparing testing
versus clinical evaluation without testing would provide
valuable information … for assessing the need for testing,
possible overuse of testing, and the impact of testing in
general
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effectivehealthcare-admin.ahrq.gov/products/prostate-cancer-test/research-protocol
December 01, 2019 - These programs are based on the premise that PSA testing can lead to early detection of prostate cancer … However, testing total PSA levels to decide which patients should undergo a biopsy has been found to … by and used at a single laboratory testing site). … The Key Questions (KQs) present three proposed scenarios in which this testing may be used. … Note: PCA3 testing has not been approved by the FDA but is offered as a laboratory-developed test.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/outcomes-testing-evaluation_research.pdf
January 01, 2009 - Some effects from testing are direct. … A study of genetic testing for BRCA1 and BRCA2
found that women testing positive for a mutation reported … Behavioral Effects of Testing
The emotional, social, and cognitive effects of testing may also affect … In this, testing is no exception. … Most of these frameworks
look at determinants of testing, however, not at the effects of testing.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/whitepaper4-bossuyt02262010-2.pdf
January 01, 2009 - Some effects from testing are direct. … A study of genetic testing for BRCA1 and BRCA2
found that women testing positive for a mutation reported … Behavioral Effects of Testing
The emotional, social, and cognitive effects of testing may also affect … In this, testing is no exception. … Most of these frameworks
look at determinants of testing, however, not at the effects of testing.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND_0411_02-10-2011.pdf
January 01, 2011 - 09-12-11
1
Results of Topic Selection Process & Next Steps
Routine preoperative testing … improves
patient outcomes compared to patients receiving no preoperative testing or alternative
testing … Does routine preoperative testing compared to no testing or alternative testing
strategies improve outcomes … What are the harms of routine preoperative testing compared to no testing or to an
alternative testing … No recent comprehensive review related to preoperative testing in ambulatory surgery patients
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND_0334_08-04-2010.pdf
January 01, 2010 - Date: 3-22-11
1
Results of Topic Selection Process & Next Steps
Pharmacogenetic testing … Intervention(s): Genetic testing for CYP2C19 variants to guide treatment selection. … Comparator(s): A no-testing (for CYP2C19 variants) strategy or a strategy of testing for
Pharmacogenetic … who are candidates for clopidogrel treatment,
compared to alternative testing strategies or a no-testing … strategies or a no-
testing strategy?
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effectivehealthcare-admin.ahrq.gov/products/wireless-motility-capsule/research-protocol
December 01, 2019 - Whether it can replace or should supersede other testing methods is controversial. … An advantage of colon scintigraphy is that testing can be completed in 1 to 2 days. … Other testing might be required to ensure that no narrowing is present. … , then the next step in evaluation is transit testing with use of laxatives. … motility capsule testing, and identify them for physicians and payers.
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effectivehealthcare-admin.ahrq.gov/products/antibiotics-respiratory-infection/clinician
December 01, 2019 - for procalcitonin testing in children increased antibiotic prescribing and adverse consequences. … Clinical Interventions (Point-of-Care Testing):
Procalcitonin point-of-care testing in adults reduced … Streptococcal antigen point-of-care testing (rapid strep testing) reduced overall prescribing by 20 to … Rapid viral point-of-care testing (multi-viral PCR) in adults reduced overall prescribing by 8 percent … vs. usual care
Overall prescribing
-1.9% to -33.5%
Greater reduction with CRP testing: RR 0.73
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
July 01, 2012 - Direct health effects of testing
Emotional, cognitive, social, behavioral re-
sponses to testing … Legal, ethical effects of testing
Costs
Outcome Origins
From Testing Process
From Test Results … Legal and ethical effect of testing. … Legal and ethical effects of testing. … Legal and ethical effects of testing.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/prostate-cancer-antigen-3-gene_research.pdf
April 01, 2013 - Patients with elevated
PCA3 values PCA3 testing
Current standard of
care without PCA3
testing … aggressive therapy
PCA3 testing
Current standard of
care without PCA3
testing
Decision to
biopsy … Patients with
elevated PCA3
values
PCA3
testing
Current
standard of
care without
PCA3
testing … or standard testing alone. … or standard testing alone.