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141. Low back pain and radicular pain: development of a clinical pathway

METHODS 22 3.2.1 Identification of eligible pathways and countries 22 3.2.2 Identification of variables relevant to the quality, efficacy, feasibility and applicability of low back pain care pathways 23 3.2.3 Data collection 23 2 Low back pain and radicular pain: development of a clinical pathway KCE Report 295 3.2.4 Processing and analysis of the data 24 3.3 RESULTS 24 3.3.1 Number of identified pathways 24 3.3.2 Characteristics of retrieved pathways 26 3.3.3 Pathway components related to quality (...) : A STEPWISE PROCESS PROVIDES A ROLE TO EACH TYPE OF HEALTHCARE PROVIDER 103 8.6.1 The primary care should be reinforced 103 8.6.2 The referral to the secondary care could be improved 107 KCE Report 295 Low back pain and radicular pain: development of a clinical pathway 5 8.6.3 Coordination of care is not optimal 108 8.7 FINDING 7: GATHERING DATA AND MONITORING SHOULD BE FORESEEN BEFORE THE PATHWAY IMPLEMENTATION 110 8.7.1 The COMI questionnaire 111 8.7.2 The ICHOM set of measures 112 9 BELGIAN PATHWAYS

2017 Belgian Health Care Knowledge Centre

142. Required hospital capacity in 2025 and criteria for rationalisation of complex cancer surgery, radiotherapy and maternity services

, the Netherlands; Ministerie van Gezondheid, Welzijn en Sport, Den Haag, the Netherlands), Florien Margareth Kruse (Celsus Academy for sustainable healthcare, IQ Healthcare, Radboud University Medical Center, Nijmegen, the Netherlands), Mélanie Lefèvre (KCE), Yolande Lievens (Departement Radiotherapie, UZ Gent; Universiteit Gent), Patriek Mistiaen (KCE), Aude Vaandering (Cliniques Universitaires Saint-Luc), Elizabeth Van Eycken (Stichting Kankerregister), Ewout van Ginneken (European Observatory on Health (...) (Association Francophone des Pharmaciens Hospitaliers de Belgique (AFPHB)), Christiaan Decoster (FOD Volksgezondheid – SPF Santé Publique), Dirk Dewolf (Vlaams Agentschap Zorg en Gezondheid), Thomas De Rijdt (Belgische Vereniging van Ziekenhuisapothekers (BVZA)), Michael Dufrane (Centrale générale des syndicats libéraux de Belgique (CGSLB)), Geneviève Durant (Agence pour une Vie de Qualité (AViQ)), Dieter Goemaere (Gezondheidsinstellingen Brussel Bruxelles Institutions de Santé (GIBBIS)), Liesbeth Haesaert

2017 Belgian Health Care Knowledge Centre

143. Low back pain and radicular pain: evaluation and management

for writing a publication or participating in its development: Luc Ailliet (grant for doctoral degree VU Amsterdam 2011 - 2015) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Luc Ailliet (doctoral degree VU Amsterdam 2011 – 2015 «Rol van biopsychosociale factoren in het herstel van mensen met nekpijn en /of low back pain »), Anne Berquin (validation French version of questionnaire Örebro (OMPSQ)), Mieke Dolphens (investigator IWT-TBM financed (...) Interdisciplinaire Douleur HQE High quality evidence ICSI Institute for Clinical Systems Improvement (U.S) IDEWE Belgische Externe Dienst voor Preventie en Bescherming op het Werk i.e. Id est; that is IMA – AIM InterMutualistisch Agentschap – Agence Intermutualiste 8 Low back pain and radicular pain KCE Report 287 INAMI – RIZIV – NIHDI Institut National d’Assurance Maladie-Invalidité – Rijksinstituut voor Ziekte- en Invaliditeitsverzekering - National Institute for Health and Disability Insurance ISP – WIV

2017 Belgian Health Care Knowledge Centre

144. WHO Guidelines on Integrated Care for Older People (ICOPE)

/publications/essential_ncd_interventions_ lr_settings.pdf Guidelines for hearing aids and services for developing countries (2004): hearing_aid_guide_en.pdf Global recommendations on physical activity for health (2010): recommendations Evidence and recommendations 3 Most of the conditions selected for these integrated care for older people (ICOPE) guidelines share the same underlying factors and determinants. It may (...) plan, and all domains are assessed together. 2. Interventions to improve nutrition and encourage physical exercise are included in most of the care plans, and all the interventions needed are delivered in conjunction with each other. 3. The presence of any impairment/decline in capacity always triggers an urgent referral for medical assessment of the associated disease (examples being hypertension, diabetes, chronic obstructive pulmonary disease, and dementia). WHO has developed clinical guidelines

2017 World Health Organisation Guidelines

145. WHO recommendations on child health

on symptom-based screening and have no contact with a TB case should receive 6 months of IPT (10 mg/kg/day) as part of a comprehensive package of HIV prevention and care (strong recommendation, moderate-quality evidence). Source 10. NON-COMMUNICABLE DISEASES PREVENTION Physical activity ¦ ¦ Children and young people aged 5–17 years old should accumulate at least 60 minutes of moderate- to vigorous-intensity physical activity daily. Physical activity of amounts greater than 60 minutes daily will provide (...) additional health benefits. Most of daily physical activity should be aerobic. Vigorous-intensity activities should be incorporated, including those that strengthen muscle and bone, at least three times per week. (Strong recommendation, high quality evidence.) Source NEW Sugar Intakes ¦ ¦ WHO recommends a reduced intake of free sugars throughout the lifecourse (strong recommendation). — In both adults and children, WHO recommends reducing the intake of free sugars to less than 10% of total energy intake

2017 World Health Organisation Guidelines

146. WHO recommendations on adolescent health

and physical activity Tobacco 8. Violence and injury prevention 9. Prevention of mental health problems and promotion of mental health 10. Nutrition Management of adolescent conditions 11. HIV testing and counselling for adolescents living with HIV 12. Antiretroviral Therapy 13. Treatment of skin and oral HIV-associated conditions in children and adults 14. Treatment of sexually transmitted infections 15. Treatment of malaria 16. Treatment of malnutrition 17. Violence and injuries 18. Mental disorders 36 (...) Intellectual Property Organization. Suggested citation. WHO recommendations on adolescent health: guidelines approved by the WHO Guidelines Review Committee. Geneva: World Health Organization; 2017 (WHO/MCA/17.08). Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at Sales, rights and licensing. To purchase WHO publications, see To submit requests for commercial use and queries on rights and licensing, see

2017 World Health Organisation Guidelines

147. Improving Health and Wellbeing Outcomes in the Early Years

policies and actions to address the epidemic of childhood obesity through nutrition and physical activity plans are to be welcomed. Barriers and threats at the policy level • Although the direction is positive, it may need to move faster. There remain barriers to intersectoral and interdepartmental working. • There are gaps in data and research, including the long term effects of interventions that may take many years to emerge. • Sources of funding are expected to become scarce in the near future (...) of travel is likely to improve levels of physical activity with subsequent health benefits. In addition, many of the problems which adults experience have their origins in early childhood, which has implications for a wide range of social policies. Prevention and early intervention initiatives in the early years support today’s children to become healthy, socially and economically engaged adults in the future. Research demonstrates that the costs of unresolved childhood problems are borne by a range

2017 Institute of Public Health in Ireland

148. The National Alcohol Strategy Monitoring Project: A Status Report

Canadian Centre on Substance Use and Addiction, 2017. CCSA, 500–75 Albert Street Ottawa, ON K1P 5E7 Tel.: 613-235-4048 Email: Production of this document has been made possible through a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada. This document can also be downloaded as a PDF at Ce document est également disponible en français sous le titre : Projet de surveillance de la Stratégie nationale sur (...) is to measure progress in the implementation of the NAS over time and how that progress translates into promoting moderation and reducing the overall harm from alcohol in Canada. Methods To ensure neutrality and objectivity in the development of this report, NASAC agreed to develop a monitoring strategy that would also guide the development of future reports. Monitoring is a systematic, ongoing process to collect, analyze and interpret accurate, up-to-date, relevant information from various data sources

2017 Canadian Centre on Substance Abuse

149. Investment for health and well-being: a review of the social return on investment from public health policies to support implementing the Sustainable Development Goals by building on Health 2020

(21–23).5 The conditions in which people live, work and age, and which shape their behaviour, are influenced by the distribution of money, power and resources at global, national and local levels. Investment that addresses this distribution is itself influenced by policy choices and will have impact on physical, mental and social well-being (13,24–26). Investing in the wider determinants of health drives health, well-being and resilience through influencing the social, cultural, political (...) of evidence to be reviewed if identified through the searches or provided by the contributors. The searches covered the period from 1 January 2007 to 1 January 2017. Searches were performed in February–March 2017. Additional documents answering the inclusion/exclusion criteria received from the contributors or peer reviewers were added during March–May 2017. 1.4.2. Data extraction A systematic scoping review of reviews was carried out using comprehensive search strategies adapted to the specific databases

2017 WHO Health Evidence Network

150. Key policies for addressing the social determinants of health and health inequities

or to inform more specific searches from which further documents were identified. The searches covered the period from 1 January 1997 to 31 March 2017. Searches were performed in February–March 2017. Additional documents identified through expert contributors, peer reviewers and snowballing were added during March–May 2017. Annex 1 outlines the search strategy in more detail. 1.3.2. Data extraction The searches identified a total of 211 records after duplicate removal. An additional 155 records were (...) universal, comprehensive ECEC, including issues of access, quality and staff training, along with the need for good data collection, research and evaluation of services. Refocus public investment on the early years Most countries spend a greater proportion of public money on older citizens; spending on children tends to focus on children after entry into compulsory education (24,25). Providing universal, comprehensive ECEC services requires investing more resources on the period from conception

2017 WHO Health Evidence Network

151. Screening and Management of Late and Long-term Consequences of Myeloma and its Treatment

et al, 2013). ‘Sarcopenic obesity’, re?ect- ing loss of muscle mass with an increase in fat, has been reported in a high proportion of intensively treated myeloma patients (Green?eld et al, 2014), which contrasts with the picture in other advanced cancers characterised by cachexia. Guideline ª 2017 John Wiley & Sons Ltd, British Journal of Haematology 5Proposed causes include endocrine, metabolic and nutritional factors and reduced physical activity (Morley et al, 2001; Newman et al, 2003 (...) modi?cation com- bined with primary and secondary preventive strategies are more justi?ed to reduce cardiovascular disease. Dietary weight management (in overweight and obese patients) and smoking cessation should be encouraged. Physical activity, especially after HSCT, may be bene?cial for both physical and psychological functioning in myeloma patients (Dimeo et al, 1997; Coleman et al, 2003). Physical activity should ideally be supervised, tailored and form part of rehabilitation programmes

2017 British Committee for Standards in Haematology

152. Sex Effects in High-impact Conditions for Women Veterans - Depression, Diabetes, and Chronic Pain

the potential to be adequately powered to detect interaction effects (intervention * sex). 31 For depressive disorders, we looked at quality improvement interventions or psychotherapy, whereas for diabetes, we focused on diet, physical activity, and culturally tailored psychoeducation. For CLBP, we selected behavioral interventions, and for chronic knee OA, exercise interventions. Mapping the Evidence: Sex Effects in High-Impact Evidence-based Synthesis Program Conditions for Women Veterans 5 DATA (...) -based Synthesis Program. These organizations are known for their expertise and high-quality systematic reviews. Further, to help readers interpret estimates of treatment effect, we included review authors’ comments on study quality or the overall quality of the evidence, when this was available. DATA SYNTHESIS We used descriptive statistics for the amount and types of evidence for included interventions per condition of interest (Table 2). We generated heat maps and barplots to graphically portray

2016 Veterans Affairs Evidence-based Synthesis Program Reports

153. Cystic fibrosis: diagnosis and management.

clearance, nebuliser use, musculoskeletal disorders, exercise, physical activity and urinary incontinence. Specialist dietitians should assess and advise people with cystic fibrosis about all aspects of nutrition at outpatient clinic visits, during inpatient admissions and at their annual review (see "Nutritional Interventions," below). Specialist pharmacists should advise people with cystic fibrosis on medicines optimisation at outpatient clinic visits, during inpatient admissions, on discharge from (...) parties, and has expanded into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data, the conversation and debate can continue, as well

2017 National Guideline Clearinghouse (partial archive)

154. Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders

, melatonin administration prior to daytime sleep after night work shift improved daytime sleep quality and duration, caused a shift in circadian phase in some but not all subjects, but failed to en- hance alertness at night. Melatonin doses in these studies ranged from 0.5 to 10 mg. From these data, effectiveness did not appear to correlate with dosage strength or form. However, both level 1 simulation studies showed a positive effect on sleep quality and used dosages ranging from 1.8 to 3 mg. (...) relevant published evidence retrieved 2084 articles, and is described in detail in the review paper. 1 Abstracts of these articles were reviewed by task force members to determine if they met inclusion criteria. Initial data extraction, preliminary evidence grading in accordance with the standards in Table 1, and initial data entry into evidence tables were performed by professionals con- tracted by the SPC to expedite the review process. All evidence table entries were reviewed by at least one other

2017 American Academy of Sleep Medicine

155. Clinical Practice Guidelines for Enhanced Recovery

can be reduced with physical activity. 275 Within enhanced recovery programs (ERPs) for colorectal surgery, definitions of early mobilization vary, from any mobilization at all within 24 hours 10 to 8 hours per day by postoperative day (POD) 2. 276 Patients in ERPs meet mobilization targets sooner compared with con- ventional care. 8,277,278 In observational studies, adherence with various mobilization targets, if reported, ranged from 28% 279 to 69% 276 and was a significant predictor of earlier (...) in terms of complications, a meta-analysis of seven RCTs (1769 patients) comparing MBP with OBP versus MBP alone showed a reduction in total surgical site infection and incisional site infection, with no difference in the rate of organ/space infection after elective colorectal sur- gery. 80 These trial findings are consistent with population- level data. In a retrospective analysis of a large nationwide database in the United States, MBP plus OBP in left colonic resection was associated with decreased

2017 American Society of Colon and Rectal Surgeons

156. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

disease (FALD). Retro- spective reviews of liver histopathology in patients with Fontan physiology consistently show near-universal fi- brosis both early and late after Fontan completion. 92–95 On noninvasive imaging, 57% to 67% of patients with Fontan physiology have ultrasound abnormalities of the liver, and 72% to 100% have abnormalities on CT or magnetic resonance (MR) imaging. 96–99 Epidemiologic data are limited in other CHD populations in which rou- tine surveillance is uncommon and recognition (...) - kinesia is often associated with heterotaxy syndrome, which may further increase the susceptibility of patients with CHD to respiratory infections. 180 Examples of en- capsulated bacteria are Haemophilus influenzae type B, Streptococcus pneumoniae, N meningitidis, group B streptococcus, Klebsiella pneumoniae, Salmonella ty- phi, and Escherichia coli. K pneumoniae and E coli are the principal pathogens in patients 6 months of age, although successful H influenza vaccination is altering this picture

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2017 American Heart Association

157. Childhood and Adolescent Adversity and Cardiometabolic Outcomes: A Scientific Statement From the American Heart Association

of mental health problems on cardiometabolic outcomes, there are also indirect effects that further exacerbate cardiometabolic risk factors. For example, youth with mood disorders are less likely to achieve recommended levels of physical activity and sleep and more likely to have suboptimal dietary habits, all of which impart cardiometabolic disease risk. In addition, several pharmacological treatments used to treat mental health problems could contribute to cardiometabolic risk factor accumulation (...) of early smoking initiation. Furthermore, the home environment is central to children’s daily experiences, particularly with regard to meal and activity patterns. The home environment may affect practices such as meal preparation, use of television (and other digital media), consumption of food outside the home, and participation in physical activity. , , , Parental psychological distress is associated with lower consumption of fruits, vegetables, and high-calcium foods among children, plus fewer

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2017 American Heart Association

158. Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

statistically significant changes but few clinically significant improvements in BP. In systematic reviews 42,96 and meta-analyses, 31,33,42,96 both diastolic and systolic BP readings were statistically improved when SMBP was used; however, BP improvements were not clinically significant. Improve- ments in BP were often associated with reported increases in hypertensive medication use and other recommended lifestyle behaviors (eg, diet modification, physical activity). 33,42 Out- comes from an RCT using (...) studies focused on CAD risk- reduction interventions for PCI patients, which included use of self-efficacy mechanisms 49 and a culturally tailored behav- ioral intervention to increase positive affect/self-affirmation to promote increased physical activity. 50 Atrial Fibrillation A majority of the self-management TPE interventions for patients with AF were characterized by improving patients’ knowledge related to AF and medication use of oral antico- agulants (OACs), such as warfarin (Table 3). 51–59

2017 American Heart Association

159. Atrial Fibrillation

diagnosis, treatment, prevention and rehabilitation) of a given condition according to ESC Committee for Practice Guidelines (CPG) policy and approved by the EACTS and ESO. A critical evaluation of diagnostic and therapeutic procedures was performed, including assessment of the risk–benefit ratio. Estimates of expected health outcomes for larger populations were included, where data exist. The level of evidence and the strength of the recommendation of particular management options were weighed

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2016 European Society of Cardiology

160. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

for promoting helmet use, condom use to prevent sexually transmitted infections (STIs), more physical activity, responsible television viewing, and parental smoking cessation. Office counselling may also be effective in increasing seat belt use. Visit frequency and structure The frequency of preventive visits in this age group is recommended to be every one to two years (consensus). However, 31% of adolescents in a 2011 Ontario survey reported no visits to a physician in the preceding year, including visits (...) . Obesity in children and adolescents is associated with both physical health problems (mainly cardiovascular and metabolic) and psychosocial morbidity as well as increased mortality rates in adulthood. Populations at particular risk include low socio-economic groups, those living in rural or remote areas and certain ethnic groups, such as First Nations people living off reserve. Adolescence is a critical period in the development of obesity, as a time when diet changes, physical activity declines

2016 Canadian Paediatric Society

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