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psnet.ahrq.gov/issue/overtreatment-united-states
November 21, 2017 - September 2, 2015
Assessment of overuse of medical tests and treatments at US hospitals … Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-5.pdf
February 01, 2018 - .
► This leaves patients and clinicians largely unable to directly compare across
treatments
• Network … • Inconsistency may be due to several factors, including: differences in
patients, treatments, settings … Indirect and mixed-treatment comparison, network, or multiple-treatments meta-analysis: many names, many … • Cautiously use inference based on the rankings and probabilities of treatments being
most effective … Indirect and mixed-treatment comparison, network, or multiple-treatments meta-analysis: many names, many
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - screenings, clarifying the definition of overdiagnosis, and adjusting cultural expectations for testing and treatment … November 1, 2017
To expand the evidence base about harms from tests and treatments. … Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rotator-cuff-tear_executive.pdf
July 01, 2010 - What are the associated risks, adverse effects, and
potential harms of nonoperative and operative
therapies … versus physical
therapy alone. … Aquatic therapy with land-based therapy vs. … treatment
Shock-wave therapy vs. mini-open RCR (n=1) Low The evidence was too limited to make a conclusion … Physical therapy treatment, oral medication, Low The evidence was too limited to make a conclusion.
and
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/infantile-hemangioma_executive.pdf
January 01, 2016 - success
Nonressolution
of lesions
Adjuvant or
replacement
therapies or agents
KQ2
KQ3
5 … These 148 studies included 42 comparative
studies, 38 addressing effectiveness and harms of therapies … therapy is more effective than propranolol alone. … Effectiveness and Harms of Second-Line
Therapies Following Beta-Blockers or Corticosteroids
We did … since the advent of beta-blocker treatment in countries,
like the United States, where such treatments
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopause_executive.pdf
March 01, 2015 - treatment are recommended. … Summary of long-term effects of menopausal hormone therapy preparations
Outcome Risk
Treatment vs. … Summary of long-term effects of nonhormone therapy preparations
Outcome Risk Treatment vs. … , 2 for nonhormone prescription
therapies, and 4 for nonprescription therapies. … • Millions of women use compounded hormone
treatments.
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effectivehealthcare.ahrq.gov/sites/default/files/13_pulmonary_potential_high_impact_june_2012.pdf
January 01, 2012 - new (and new uses of existing) pharmaceuticals, medical devices,
diagnostic tests and procedures, therapeutic … , reduce
complications of therapy, and allow patients to initiate therapy sooner, which could slow … Key Facts: Current therapies for CF have improved median survival times, but patients with
CF … therapy, and chest therapy, if the drug halts disease progression. … United Therapeutics products. [internet].
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psnet.ahrq.gov/issue/teamstepps-long-term-care-academic-partnership-part-1-and-part-2
July 05, 2017 - October 9, 2024
Clinicians' expectations of the benefits and harms of treatments, screening … May 17, 2023
Patients' expectations of the benefits and harms of treatments, screening
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/kidney-stone-prevention_research-protocol.pdf
June 15, 2011 - Based on internal discussions and input from the Technical Expert Panel
(TEP), additional therapeutic … KQs 2
and 3 for dietary therapies and KQs 4 and 5 for pharmacological therapies) … (see KQs 2 and 3 for dietary therapies
and KQs 4 and 5 for pharmacological therapies). … o KQs 4 and 5:
– No treatment, usual care, placebo, dietary therapy, other pharmacological therapy … For all treatments,
subgroup analyses that will be performed if feasible include evaluation of treatment
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - treatments (including length of abstinence following
treatment), and other comorbid medical and mental … Psychosocial treatment modalities, including group, individual, and family therapy, are equally important … and employ evidence-based treatment approaches such as motivational enhancement therapy, cognitive- … behavioral therapy, 12-Step programs, and/or contingency management therapy. … Patients who drop out of psychosocial treatments need to be reevaluated for continued opioid therapy.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stone-prevention_disposition-comments.pdf
July 26, 2012 - A search for molecular markers that will help tailor
therapy is needed. … We agree that future research should
investigate novel therapies to prevent
recurrence of calcium oxalate … use of unnecessary
and/or ineffective therapies in asymptomatic
patients that may result in treatment … Previous
systematic reviews of randomized controlled
trials (RCTs) of dietary and pharmacological
therapies … medical strategies was to determine the efficacy and adverse
effects of dietary and pharmacologic therapies
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Prevalence of Errors
One retrospective study found 1 error or adverse event for every 733 dialysis treatments … A typical center does 500 treatments per week
In a national survey of dialysis center staff, 87% acknowledged … a mistake or error in a dialysis treatment in the last 3 months
See Notes for references … dialyzers
Staff education
Avoiding reuse in patients with infectious diseases
Staggering dialysis treatments … Characteristics and treatment of patients not reusing dialyzers in reuse units.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/autism-spectrum-disorder-in-young-children-screening
February 16, 2016 - Treatment and Interventions
Treatments for ASD include behavioral, medical, educational, speech/language … , and occupational therapy and complementary and alternative medicine approaches. … Treatments and Interventions
Treatments for ASD include behavioral, medical, educational, speech/language … , and occupational therapy and complementary and alternative medicine approaches. … Treatment could be compared with a wait-list control, less intense treatment, or an alternative treatment
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
February 08, 2018 - other than newborns
Interventions
Ocular prophylaxis for gonococcal ophthalmia neonatorum
Treatments … other than ocular prophylaxis
Comparisons
KQ 1: No treatment, placebo (randomized, controlled … trials)
KQ 2: No treatment (randomized, controlled trials) or no comparator (observational studies … quality
Fair- or good-quality studies
Poor-quality studies
* Comparative effectiveness of treatments
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cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - treatment decisions. … nonopioid pharmacologic therapy for the
treatment of pain, as well as additional complex factors to … Intervention
“Nonopioid pain
medication”
Medications with analgesic effects that may provide therapeutic … ”
Nonmedication procedures and therapies employed to treat pain (e.g., physical therapy, massage, … updated in 2023, with several therapies now showing evidence of
benefit in the 2022 AHRQ systematic
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - List the characteristics of Physician Orders for Life-Sustaining Treatments (POLST) forms. … The resident
stated the patient had completed a POLST form (Physician Orders for Life-Sustaining Therapy … In discussions with the family, all agreed the patient would not want ongoing
aggressive therapy. … Physician Orders for Life-Sustaining Treatment (POLST) forms were developed to overcome these (and
other … (e.g., CPR and life-sustaining treatment).
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary2/dental-caries-in-children-from-birth-through-age-5-years-screening-2014
June 15, 2013 - Approximately three-quarters of children with caries have not received treatment 5 . … For preventive treatments (key question 6), we also included studies of primary carefeasible treatments … Topical antimicrobial therapy in the prevention of early childhood caries: a follow-up report. … groups
A: One 5% fluoride varnish treatment and 2 placebo treatments every 6 mo
B: One set of … 3.5% fluoride varnish treatments over 2 wk once per year and 3 placebo treatments over 2 wk, 6 mo later
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_hi_impact.pdf
January 01, 2012 - new (and new uses of existing) pharmaceuticals, medical devices,
diagnostic tests and procedures, therapeutic … , screening and diagnostics, therapeutics, surgery, programs, and care delivery
innovations that address … Following
diagnosis, the patient is directed to treatments for AD or treatments for a number of other … clinical patient
management, other than the potential for initiating patients on symptom-targeted therapy … , once treatment has begun.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - (e.g., completed treatments, an
order for cancer treatment) is not
available in their system. … CDC recommendations
include the need to evaluate for risk
factors prior to initiating opioid
therapy … section of the Summary to assist
clinicians in managing constipation, a common side effect of opioid therapy … For
instance, the treatment itself (e.g.,
physical therapy, yoga) does not
occur in a primary care … and treatments rarely occur in a primary care setting; therefore, evidence of the
treatment being performed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medications_executive.pdf
September 01, 2009 - LDL-c levels are indications for the
initiation of treatment and represent therapeutic targets,
but these … Treatment options for individuals requiring intensive
lipid-modifying therapy include increasing the … Substantially more information was available for statin-
ezetimibe combination therapy in which the treatment … In 88 percent of 18 trials conducted in a population in
need of intensive treatment, combination therapy … Studies generally
employed therapeutic doses of interventions, but few
compared the addition of another