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4721. Technology assessment of the Dutch lung transplantation program

; the Nottingham Health Profile (NHP, part 1); Karnofsky Performance Index; the Index of Well Being; the Self-rating Depression scale (SDS-Zung); the State Trait Anxiety Inventory (STAI-DY); Activities of Daily Life (ADL); the EUROQol. Survival figures for the study patients were based on a registration of the patients' health status during their participation in the programme. > The need for lung transplantation and donor lungs was estimated by means of two methods. Firstly

1998 NHS Economic Evaluation Database.

4722. Barriers to, and facilitators of, the health of young people: A systematic review of evidence on young peoples views and on interventions in mental health, physical activity and healthy eating

?’ should be posed. • There is currently insufficient evidence to recommend school-based suicide prevention. Effects are limited and there is some evidence to suggest harm. It may be more appropriate to frame interventions in terms of helping young people cope with stress and anxiety rather than focusing explicitly on suicide. The potential for doing harm as well as benefit should always be taken into account. • In terms of preventing depression, school-based sessions which provide information (...) evaluations that we reviewed in-depth addressed dieting, but only one was judged to be methodologically sound. • Interventions which build on coping strategies that young people use to deal with stress, depression and anxiety need to be developed and evaluated. These include physical activity and other pleasurable activities. Schemes are in place to provide more leisure and sports facilities and evaluation could measure the extent to which these are used by young people as a way of dealing

2002 EPPI Centre

4723. Children and physical activity: a systematic review of barriers and facilitators

cancer; alleviating depression and anxiety; and contributing to a positive sense of well-being (Centers for Disease Control, 1997; Health Development Agency, 2000). For example, a recent systematic review of studies of adults (Wannamethee and Shaper, 2001) concluded that being physically active is associated with a 40 to 50 per cent reduction in the risk of a stroke and coronary heart disease. The evidence for a positive association between physical activity amongst children and young people (...) and their future health is weaker than for adults, but is still suggestive (Riddoch, 1998). In this age group physical activity has been linked to: improved aerobic endurance and muscular strength; positive changes in risk factors for cardiovascular disease such as body mass index (BMI), blood lipid profiles and blood pressure; increased bone density; higher levels of self-esteem; and lower levels of anxiety and stress (Centers for Disease Control, 1997). Biddle and colleagues (2001) argue that, despite

2003 EPPI Centre

4724. Breast imaging - a guide for practice

change can be an anxiety-inducing experience for women, with well documented, adverse psychological consequences. 17–22 An intended outcome of this guide is to improve appropriate referral to, and reporting of, breast imaging. While we do not know the exact impact such improvements may have on the health care system, it may reduce the number and cost of unnecessary investigations. There may also be a positive impact on the psychosocial wellbeing of individual women: a radiological practice (...) the impact of the guide on reporting practice and may also identify opportunities to improve practice. Implications The investigation of a breast abnormality has psychosocial, economic and medico-legal implications for women and clinicians. The assessment of a breast change can be an anxiety-inducing experience for women, with well documented, adverse psychological consequences. 17–22 An intended outcome of this guide is to improve appropriate referral to, and reporting of, breast imaging. While we do

2001 Cancer Australia

4725. Clinical practice guidelines for the psychosocial care of adults with cancer

: Referral for specialised care 101 4.1 Types and benefits of specialised care 101 4.2 Treatment of anxiety and depression 107 4.3 How to make a referral 110 Chapter 5: Issues requiring special consideration 113 5.1 Culture 113 5.2 Age 118 5.3 Geography 119 5.4 Sexual orientation 120 ii Clinical practice guidelines for the psychosocial care of adults with cancerAPPENDICES A. Clinical practice guidelines for the psychosocial care of adults with cancer: Steering Group Terms of Reference and Membership 125 (...) clinical practice guidelines available documenting evidence-based information and treatment recommendations for the physical care of people with cancer, many of which are also available in consumer versions. Some of these treatment guidelines include chapters devoted to psychosocial care. People with cancer suffer significant emotional morbidity. In addition to the distress, fear and grief consequent upon diagnosis, up to 30% experience clinically significant anxiety disorders and prevalence rates

2002 Cancer Australia

4726. Clinical practice guidelines for the management of advanced breast cancer

8 10–year survival. e) Group therapy to increase self-esteem and II 350 8 reduce anxiety, depression and anger. f) Education sessions to improve adjustment, III 351 8 knowledge, death awareness and self concept for women newly diagnosed with advanced breast cancer. g) Antidepressants; most people with cancer IV 341 7 who are depressed and are prescribed antidepressants, benefit from them without significant side effects. h) Pharmacological agents as an integral part II 346, 347 7 of the care (...) of anxiety and depression. i) Behavioural techniques, such as muscle III 344 7 relaxation and imagery, to reduce distress in cases of mild anxiety. j) Encouraging the expression of thoughts II 71 2.2 and feelings about the diagnosis and its meaning. Guidelines Level of Reference Chapter evidence6 Clinical practice guidelines for the management of advanced breast cancer 2. Thorough review of women with advanced IV 31 2.2 breast cancer involves an assessment of mood and coping, and enquiries about how

2000 Cancer Australia

4727. The management of the woman with metastatic breast cancer

of emotional support and specialised psychosocial care, and their important role in her treatment and maintenance of quality of life. Inform the woman of available support options and networks for her and her partner/family and refer as appropriate for: • psychological strategies – including individual or group support, relaxation and meditation therapy • psychosocial care – including counselling Assess the woman’s mood for signs of depression and/or anxiety on an ongoing basis. Consider counselling (...) . Level IV (p. 26) * The consumer version of the clinical practice guidelines is recommended as a reference to all patients and their families. Level IV (p. 26) * Palliative care – the evidence Specialist palliative care services improve patient outcomes in relation to patient satisfaction, patients being cared for in their place of choice, family satisfaction, and control of pain, symptoms and family anxiety. Level I (p. 48) * Professional and professionally supported services may reduce the risk

2002 Cancer Australia

4729. Experience of diagnosis: information and support needs of women diagnosed with DCIS

of data; and privacy. 2.7.1 Minimisation of psychological harm It is acknowledged that, receiving information about the project or participating in the focus group interviews may be anxiety provoking for some women. To minimise the risks of psychological harm, a number of procedures were followed: • All correspondence contained the contact name and contact details of the principal researcher and indicated that she could be contacted at any time with any questions or concerns relating to the project

1999 Cancer Australia

4730. Clinical practice guidelines for the management of early breast cancer

hospital—both immediately after, then four to six weeks later • the period following completion of treatment All women react differently and deal with their cancer and its treatment differently. All will find their mood and ability to deal with the situation fluctuates with time. Some women will experience more emotional difficulties than others. Women may be more vulnerable to adverse outcomes, including anxiety and depression, if they are younger, single, separated, divorced, widowed, economically

2001 Cancer Australia

4731. Clinical practice guidelines for the psychosocial care of adults with cancer

: Referral for specialised care 101 4.1 Types and benefits of specialised care 101 4.2 Treatment of anxiety and depression 107 4.3 How to make a referral 110 Chapter 5: Issues requiring special consideration 113 5.1 Culture 113 5.2 Age 118 5.3 Geography 119 5.4 Sexual orientation 120 ii Clinical practice guidelines for the psychosocial care of adults with cancerAPPENDICES A. Clinical practice guidelines for the psychosocial care of adults with cancer: Steering Group Terms of Reference and Membership 125 (...) clinical practice guidelines available documenting evidence-based information and treatment recommendations for the physical care of people with cancer, many of which are also available in consumer versions. Some of these treatment guidelines include chapters devoted to psychosocial care. People with cancer suffer significant emotional morbidity. In addition to the distress, fear and grief consequent upon diagnosis, up to 30% experience clinically significant anxiety disorders and prevalence rates

2003 National Breast and Ovarian Cancer Centre

4732. The impact of the emotional disclosure intervention on physical and psychological health - a systematic review

quality, physical dysfunction, physical symptoms, fibromyalgia impact, health interference with daily functioning and perceived somatic symptoms. None of the RCTs demonstrated worse physical health. For psychological outcomes there was more positive and negative mood for intervention compared to control but no differences in anxiety, depression or impact of events. Other psychological outcomes, where reported, either showed no difference or a mixture of results with no clear trend or conflicting

2003 Health Technology Assessment (HTA) Database.

4733. Spinal manipulation for infantile colic

Coordinating Office for Health Technology Assessment (CCOHTA) 2003 Authors' objectives To determine whether manipulating the spine, by itself, can reduce the signs and symptoms of infantile colic. To assess the safety of spinal manipulation for this indication. Authors' conclusions This meta-analysis found no convincing evidence that spinal manipulation alone can affect the duration of infantile colic symptoms. The effect of spinal manipulation on sleep time, parental anxiety, quality of life and number

2003 Health Technology Assessment (HTA) Database.

4734. Whole-body computed tomography as a screening test

). There is concern that this procedure may lead to the discovery of numerous findings that will not ultimately affect a patient's health, but will result in increased patient anxiety, unnecessary follow-up examinations and treatments, and wasted expense. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Mass Screening; Tomography, X-Ray Computed Language Published English Country of organisation United States Address for correspondence 8009 34th Avenue South, Suite 1200, Bloomington, MN, USA

2003 Health Technology Assessment (HTA) Database.

4735. Screening for gestational diabetes: a systematic review and economic evaluation

, there are also many women with lower levels of glucose intolerance whose babies are not at risk, but who may suffer anxiety and inconvenience as a result of being classed as abnormal. On balance, the present evidence suggests that we should not have universal screening, but a highly selective policy, based on age and overweight. The best test at present, for those deemed to need testing, is probably the glucose challenge tests, preferably combined with an fasting plasma glucose. The benefits of a follow-up

2002 Health Technology Assessment (HTA) Database.

4736. Impact of cancer-related decision aids

and modest benefits of treatments used. The objectives of this review were to describe the different cancer-related decision aids (DAs) that have been developed and to evaluate the effectiveness of these interventions. Authors' conclusions Our results support that decision aids are helpful for some cancer screening decisions. In these situations, DAs can increase knowledge, do not increase anxiety, and, in some circumstances, can influence the decision made. In contrast, there is very little data

2002 Health Technology Assessment (HTA) Database.

4737. The effectiveness of Toluidine Blue dye as an adjunct to oral cancer screening in general dental practice

that Toluidine Blue is a cost-effective method of picking up oral cancers in a primary care setting. Given the large number of people that will have false positive rates for a first positive test and even a double positive test, the harm of using it in terms of anxiety could well outweigh the benefits in terms of additional cancers detected. Project page URL Final publication URL URL for DARE abstract Indexing Status Subject indexing assigned by CRD MeSH Costs and Cost Analysis; Mass Screening; Mouth

2000 Health Technology Assessment (HTA) Database.

4738. Back and neck pain

) Authors' objectives This report examines the epidemiology, diagnosis, and treatment of back and neck pain. Also covered are the economic, social, and psychosocial aspects of back pain. Authors' conclusions Back and neck pain is common. Healing is promoted by staying active, returning to work, and exercising at an appropriate intensity. A thorough anamnesis and physical examination is important for relieving anxiety about the consequences of pain and sufficient for identifying those who should

2000 Health Technology Assessment (HTA) Database.

4739. A randomised controlled trial to evaluate the effectiveness and cost-effectiveness of counselling patients with chronic depression

with chronic depression or combined depression and anxiety, compared with general practitioner (GP) care alone. Authors' conclusions Although patients were generally appreciative of the counselling received, there was only limited evidence of improved outcomes in those referred to counselling. Stricter referral criteria to exclude the severely depressed may have yielded more conclusive results. It is also difficult to estimate the effect of recruitment by screening rather than GP referral, which may limit

2000 Health Technology Assessment (HTA) Database.

4740. Anesthesia management during cataract surgery

A variety of commonly employed anesthesia management strategies for cataract surgery appear to be safe and highly effective. Topical anesthesia does not provide as complete pain control as do the various injection techniques, although this technique is clearly quite effective and avoids rare complications potentially associated with injection techniques. There is only weak evidence that intravenous or intramuscular sedation or analgesia improve anxiety control, pain relief, and patient satisfaction

2000 Health Technology Assessment (HTA) Database.