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E/M Medical Decision Making

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81. Choices about first trimester ultrasound scans: A decision aid for pregnant women

Choices about first trimester ultrasound scans: A decision aid for pregnant women Choices about first trimester ultrasound scans: A decision aid for pregnant womenThis decision aid has been written to support pregnant women to know what to expect and to have a say in making decisions about first trimester ultrasound scans. An ultrasound scan is when a small handheld device is used to create a picture of a woman’s uterus (womb) and baby during pregnancy. A first trimester ultrasound scan (...) ultrasound scan. » What happens if I choose to have a first trimester ultrasound scan. » Will I always be able to choose? » How might I choose between not having and having a first trimester ultrasound scan? » What are the differences between not having and having a first trimester ultrasound scan? » How can I make the decision that’s best for me? » How can I ask questions to get more information? Women may also be offered an ultrasound scan at other times in pregnancy. This decision aid provides

2015 EUnetHTA

82. Use of Biomarkers to Guide Decisions on Systemic Therapy for Women With Metastatic Breast Cancer

- published online before print July 20, 2015 PMID: Use of Biomarkers to Guide Decisions on Systemic Therapy for Women With Metastatic Breast Cancer: American Society of Clinical Oncology Clinical Practice Guideline x Catherine Van Poznak , x Mark R. Somerfield , x Robert C. Bast , x Massimo Cristofanilli , x Matthew P. Goetz , x Ana M. Gonzalez-Angulo , x David G. Hicks , x Elizabeth G. Hill , x Minetta C. Liu , x Wanda Lucas , x Ingrid A. Mayer , x Robert G. Mennel , x William F. Symmans , x Daniel F (...) : informal consensus. Evidence quality: insufficient. Strength of recommendation: moderate.) ASCO believes that cancer clinical trials are vital to inform medical decisions and improve cancer care and that all patients should have the opportunity to participate. Many reviews and commentaries have discussed the nature of evidence required to support conclusions that using biomarker assay results to guide or influence treatment decisions improves health outcomes for patients with a malignancy. – Although

2015 American Society of Clinical Oncology Guidelines

83. Shared Medical Appointments for Chronic Medical Conditions: A Systematic Review

John W Williams Jr., M.D., M.H.Sc., Director Shared Medical Appointments for Chronic Medical Conditions: A Systematic Review Investigators: Principal Investigator: David Edelman, M.D. Co-Investigators: Jennifer R. McDuffie, Ph.D. Eugene Oddone, M.D., M.H.Sc. Jennifer M. Gierisch, Ph.D., M.P .H. John W. Williams Jr., M.D., M.H.Sc. Research Associate: Avishek Nagi, M.S. Medical Editor: Liz Wing, M.A.i Shared Medical Appointments for Chronic Medical Conditions Evidence-based Synthesis Program PREFACE (...) . Comments on this evidence report are welcome and can be sent to Nicole Floyd, ESP Coordinating Center Program Manager, at nicole.floyd@va.gov. Recommended citation: Edelman D, McDuffie JR, Oddone E, Gierisch JM, Nagi A, Williams JW Jr. Shared Medical Appointments for Chronic Medical Conditions: A Systematic Review. VA- ESP Project #09-010; 2012. This report is based on research conducted by the Evidence-based Synthesis Program (ESP) Center located at the Durham VA Medical Center, Durham, NC, funded

2012 Veterans Affairs Evidence-based Synthesis Program Reports

84. Vitamin E infused Polyethylene Liners, Regular Polyethylene Liners, Cross-Linked Polyethylene Liners for Knee Articular Surfacing in Adults : A Review of Clinical Effectiveness and Cost Effectiveness

of polymer. It is believed the process of crosslinking may reduce fracture strength or toughness and fatigue resistance. 4,5 It has been suggested these factors could make individuals uneasy when selecting highly cross- linked polyethylene in TKA. 4 However, some sources suggest cross-linking increases wear resistance of polyethylene knee bearing by as much as 100 fold. 5 The addition of vitamin E to the polyethylene “cushion” component of knee resurfacing could be a promising approach to increase (...) to observe typical proportions of failures observed over a long-term period in the real world; as a result, the findings of the studies may have limited external validity. In addition, because none of the included studies were conducted in Canada, it is unclear if the surgical techniques used in the studies are generalizable to Canadian setting. CONCLUSIONS AND IMPLICATIONS FOR DECISION OR POLICY MAKING There was no evidence to suggest a difference in revision surgery/failure between highly cross- linked

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

85. Safe Medication Use in the ICU

Practice Guideline: Safe Medication Use in the ICU Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Article Tools Share this article on: Email to a Colleague (...) on capnography, presented at American Association of Critical Care Nurses National Training Institute May 2016. The remaining authors have disclosed that they do not have any potential conflicts of interest. For information regarding this article, E-mail: The landmark report “To Err Is Human” increased the awareness of unacceptably high rates of medical errors and sentinel events in U.S. hospitals with about 44,000–98,000 deaths annually attributed to these preventable mishaps ( ). It is important

2017 Society of Critical Care Medicine

86. American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

on low- or moderate-quality evidence. Conclusion. This guideline should help decision-making by clinicians and patients regarding perioperative antirheu- matic medication management at the time of elective THA or TKA. These conditional recommendations re?ect the paucity of high-quality direct randomized controlled trial data. INTRODUCTION Although the wide utilization of disease-modifying antirheu- matic drugs (DMARDs) and biologic agents has improved the quality of life for patients with rheumatoid (...) , WebMD, and UBM LLC (less than $10,000 each), research grants from Takeda andSavientandwasprincipalinvestigatorforaninvestigator- initiated study funded by Horizon through a grant to Dinora (morethan$10,000). Address correspondence to Susan M. Goodman, MD, Hospital for Special Surgery/Weill Cornell, 535 East 70th Street, New York, NY 10021. E-mail: goodmans@hss.edu. Submitted for publication September 26, 2016; accepted in revised form April 28, 2017. 1112 Goodman et al?are when the medications

2017 American College of Rheumatology

87. Folic Acid for the Prevention of Neural Tube Defects: Preventive Medication

. The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Similarly, the USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical benefits and harms. Rationale Importance Neural tube defects are major birth defects of the brain and spine that occur early in pregnancy due to improper closure (...) University, Durham, North Carolina); Alex H. Krist, MD, MPH (Fairfax Family Practice Residency, Fairfax, Virginia, and Virginia Commonwealth University, Richmond); Ann E. Kurth, PhD, RN, MSN, MPH (Yale University, New Haven, Connecticut); C. Seth Landefeld, MD (University of Alabama at Birmingham); Carol M. Mangione, MD, MSPH (University of California, Los Angeles); William R. Phillips, MD, MPH (University of Washington, Seattle); Maureen G. Phipps, MD, MPH (Brown University, Providence, Rhode Island

2017 U.S. Preventive Services Task Force

88. Medical Tourism

facilities and medical evacuation to their home country may need to be considered, including adequate insurance to cover such possibilities. ADVICE FOR MEDICAL PRACTITIONERS Medical practitioners should inform prospective patients seeking medical interventions outside Australia and New Zealand of the potential difficulties they may encounter in order to ensure that patients are able to make informed decisions as to the advisability of such a course of action. Approved by: Professional Development (...) . Australian Government - Department of Human Services (DHS) 2016 ‘Reciprocal Health Care Agreements’ . Gaines, J & Nguyen, DB 2016, ‘Medical Tourism’, Yellow Book, CDC health information for international travel 2016 - Centers for Disease Control and Prevention (CDC, USA), . Holliday, R, Bell, D, Jones, M, Probyn, E, & Sanchez Taylor, J 2014, ‘Sun, Sea, Sand and Silicone: Mapping Cosmetic Surgery Tourism’, Economic & Social Research Council-University of Leeds, . Leggat, P 2015, ‘Medical Tourism

2017 ASERNIP-S

89. Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel

Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel Comparative Effectiveness Review Number 193 Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel e Comparative Effectiveness Review Number 193 Management of Suspected Opioid Overdose With Naloxone by Emergency Medical Services Personnel Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane (...) affiliations or financial involvement that conflicts with the material presented in this report. The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should

2017 Effective Health Care Program (AHRQ)

90. Economic Evaluation of Unfractionated Heparin Versus Low-Molecular-Weight Heparin to Prevent Venous Thromboembolism in General Medical and Non Orthopedic Surgical Patients

is an important decision, both from a hospital formulary and a clinical perspective. In order to inform decision-making within provincial and territorial regional health authorities (RHAs) and hospitals, a health technology assessment (HTA) of anticoagulants for the prevention of VTE in the hospital setting was undertaken. This HTA project was a collaboration between the Drug Safety and Effectiveness Network (DSEN) of the Canadian Institute of Health Research and CADTH. A research group affiliated with DSEN (...) in the sensitivity analysis. Discount Rate Costs and benefits were discounted at 5%, and rates of 0% and 3% were tested in the sensitivity analysis. 3 Modelling A combination of a decision tree and a Markov model was created to examine the two cohorts: hospitalized medical patients and hospitalized non-orthopedic surgical patients who are at risk for VTE and require VTE prevention therapy. The decision tree captured events during index hospitalization, and the Markov model considered health states after

2017 CADTH - Plasma Products

91. ROS1 Targeting With Crizotinib in Advanced E-cadherin Negative, ER Positive Lobular Breast Cancer or Diffuse Gastric Cancer Study

Pomerantz, Joaquim Bellmunt, Channing Yu, Zijie Sun, Sandy Srinivas, Philip W. Kantoff, Christopher Sweeney. An investigator-initiated phase I study of crizotinib in combination with enzalutamide in metastatic castration-resistant prostate cancer (mCRPC) before or after progression on docetaxel. in ASCO Annual Meeting. 2016. Chicago: J Clin Oncol. E. L. Kwak, D.R.C., J. Clark, G. I. Shapiro, R. G. Maki, M. J. Ratain, B. Solomon, Y. Bang, S. Ou, R. Salgia. Clinical activity observed in a phase I dose (...) ROS1 Targeting With Crizotinib in Advanced E-cadherin Negative, ER Positive Lobular Breast Cancer or Diffuse Gastric Cancer Study ROS1 Targeting With Crizotinib in Advanced E-cadherin Negative, ER Positive Lobular Breast Cancer or Diffuse Gastric Cancer Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have

2018 Clinical Trials

92. Applying deep neural networks to unstructured text notes in electronic medical records for phenotyping youth depression

web-based system . 3. Kitterman DR , Cheng SK , Dilts DM , et al . The prevalence and economic impact of low-enrolling clinical studies at an academic medical center . 4. Schmickl CN , Li M , Li G , et al . The accuracy and efficiency of electronic screening for recruitment into a clinical trial on COPD . 5. Weng C , Batres C , Borda T , et al . A real-time screening alert improves patient recruitment efficiency . 6. Salem RM , Pandey B , Richard E , et al . The VA hypertension Primary Care (...) of publicly available Twitter data into several mental health diagnoses, including depression and bipolar disorder. A later publication identified patients with depression from free-text discharge summaries: a combination of NLP and ML algorithms was used, with the best performance coming from Medical Text Extraction, Reasoning and Mapping System's knowledge-based decision tree method, yielding an F-measure of 89.6%. To summarise the rationale for extracting diagnosis inclusion criteria from unstructured

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2017 Evidence-Based Mental Health

93. Comparing data accuracy between structured abstracts and full-text journal articles: implications in their use for informing clinical decisions

of search behaviour in a medical teaching hospital . Marcelo A , Gavino A , Isip-Tan IT , et al . A comparison of the accuracy of clinical decisions based on full-text articles and on journal abstracts alone: a study among residents in a tertiary care hospital . Winker MA . The need for concrete improvement in abstract quality . Read MEDLINE abstracts with a pinch of salt . Barry HC , Ebell MH , Shaughnessy AF , et al . Family physicians’ use of medical abstracts to guide decision making: style (...) Association Journal and the Journal of the American Medical Association: a 10-year follow-up study . Sackett DL , Rosenberg WM , Gray JA , et al . Evidence based medicine: what it is and what it isn't . McGowan J , Hogg W , Campbell C , et al . Just-in-time information improved decision-making in primary care: a randomized controlled trial . Crowley SD , Owens TA , Schardt CM , et al . A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents . Westbrook JI

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2013 Evidence-Based Medicine

94. E-edition: Return to Play

, Anthony Schneiders, Erik Witvrouw, Benjamin Clarsen, Ann Cools, Boris Gojanovic, Steffan Griffin, Karim M Khan, Håvard Moksnes, Stephen A Mutch, Nicola Phillips, Gustaaf Reurink, Robin Sadler, Karin Grävare Silbernagel, Kristian Thorborg, Arnlaug Wangensteen, Kevin E Wilk, Mario Bizzini PODCAST- Dr Clare Ardern shares the latest on Return to Play – World Congress Consensus Statement Dr Clare Ardern is a sports physiotherapy researcher at Linkoping University in Sweden and soon to be Editor in Chief (...) of Orthopaedic & Sports Physical Therapy Considerations in the Diagnosis and Accelerated Return to Sport of a Professional Basketball Player with a Triceps Surae Injury Philip A. Anloague, Donald S. Strack YouTube – Craig Purdam – Return to competition in athletes with tendinopathy Craig Purdam presents at the Swiss Sportfisio conference 2017 Editorial – Return to play in elite sport: a shared decision-making process Paul Dijkstra, Noel Pollock, Robin Chakraverty, et al. INFOGRAPHIC – 4 KEY HABITS OF ATHLETE

2019 British Journal of Sports Medicine Blog

95. Off-label prescribing of psychotropic medication to children and adolescents

choosing an off-label medication in preference to a licensed one, a non-pharmacological treatment or no treatment at all. The purpose of off-label use is to benefit the individual patient. Practitioners use their professional judg- ment to determine these uses. As such, the term off-label does not imply an improper, illegal, contraindicated or investigational use. ‘Therapeutic decision making must always rely on the best avail- able evidence and balance this against the risks and benefits (...) , Institute of Psychiatry, Psychology and Neurosciences, King’s College London, London, UK 10 University of Nottingham and Institute of Mental Health, Developmental Psychiatry, Queen’s Medical Centre, Nottingham, UK Corresponding author: Chris Hollis, University of Nottingham and Institute of Mental Health, Developmental Psychiatry, South Block, E Floor, Queen’s Medical Centre, Nottingham NG7 2UH, UK. Email: chris.hollis@nottingham.ac.uk 636107 JOP0010.1177/0269881116636107Journal

2017 British Association for Psychopharmacology

96. British Association for Psychopharmacology consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum

analysis of psychotropic use in the perinatal period were criti- cally reviewed. Given the high levels of anxiety around the use of medication in the perinatal period, the consensus group were keen to achieve a guideline to support evidence-based shared decision making between clinician and patient. Development of this BAP guideline was paused pending the publication of NICE guidelines in 2015 (NICE, 2015a) to ensure that patients and cli- nicians were not faced with inconsistent advice. The residual (...) ; endorsed by the British Association for Psychopharmacology Abstract Decisions about the use of psychotropic medication in pregnancy are an ongoing challenge for clinicians and women with mental health problems, owing to the uncertainties around risks of the illness itself to mother and fetus/infant, effectiveness of medications in pregnancy and risks to the fetus/infant from in utero exposure or via breast milk. These consensus guidelines aim to provide pragmatic advice regarding these issues

2017 British Association for Psychopharmacology

97. Impact of childhood sexual abuse on antiretroviral medication adherence, sexual risk behaviours and overall health among men who have sex with men

and bisexual men in Los Angeles who had a history of childhood sexual abuse was able to decrease sexual risk behaviours at six-month follow-up; however, there were no significant differences in the number of sex partners or depressive symptoms (11). The authors highlight the importance in addressing sexual decision-making while being sensitive to histories of childhood sexual abuse and sexual minority status (11). The EXPLORE study, conducted with HIV-negative gay men in six U.S. cities over 48 months (...) dysfunction, paraphilias and their relationship to childhood abuse in men who have sex with men. International Journal of Sexual Health 2009;(2):79-86. Springer A, Dushaj A, Azar M. The impact of DSM-IV mental disorders on adherence to combination antiretroviral therapy among adult persons living with HIV/AIDS: A systematic review. AIDS & Behavior 2012;16(8):2119-43. Suggested citation Rapid Response Service. Impact of childhood sexual abuse on antiretroviral medication adherence, sexual risk behaviours

2016 Ontario HIV Treatment Network

98. The effect of mental health issues on sexual risk behaviours and antiretroviral medication adherence among men who have sex with men

social isolation and mental health issues for older sexual minority men. For two hours a week over the course of six weeks, participants met with a trained peer facilitator and one another over dinner, discussing topics such as decision-making, safer sex, activity scheduling, problem solving, partner communication and support networks. The researchers observed statistically significant changes post-intervention including fewer negative psychosocial outcomes and more self-efficacy in condom use (...) into Action The OHTN Rapid Response Service offers quick access to research evidence to help inform decision making, service delivery and advocacy. In response to a question from the field, the Rapid Response Team reviews the scientific and grey literature, consults with experts, and prepares a brief fact sheet summarizing the current evidence and its implications for policy and practice. Suggested Citation Rapid Response Service. The effect of mental health issues on sexual risk behaviours

2016 Ontario HIV Treatment Network

99. Person-centred care in CAMHS: how can we make it happen? #SoWhatSeminars #WeMHNs

Person-centred care in CAMHS: how can we make it happen? #SoWhatSeminars #WeMHNs Person-centred care in CAMHS: how can we make it happen? Search National Elf Service Search National Elf Service » » » » Person-centred care in CAMHS: how can we make it happen? #SoWhatSeminars #WeMHNs Apr 25 2017 Posted by “[A] person-centred health care system [is] one that supports us to make informed decisions, helps us to successfully manage our own health and care, and delivers care with respect for our (...) evidence that we’re actually doing it? Previous research suggests not (Wolpert et al, 2015), which means we run the risk of losing patients who may rightly feel alienated, but there is evidence that including young people in the decision making around their mental health care leads to better involvement and engagement (e.g. Simmons et al, 2011). To date, work in this area has focused on adult service user-involvement in care planning (Bee et al, 2015), so it’s good to see a qualitative systematic

2017 The Mental Elf

100. Nabilone for Non-chemotherapy-Associated Nausea and Weight Loss Due to Medical Conditions

of weight loss due to medical conditions or for the treatment of non-chemotherapy associated nausea and vomiting. CONCLUSIONS AND IMPLICATIONS FOR DECISION OR POLICY MAKING One low quality RCT and one low quality cohort study assessed the clinical effectiveness of nabilone in the treatment of non-chemotherapy associated nausea and vomiting or weight loss related to medical conditions, respectively. While both studies supported the use of nabilone for these indications, they had multiple limitations (...) www.cadth.ca Nabilone for Nausea or Weight Loss 8 REFERENCES 1. Ben Amar M. Cannabinoids in medicine: a review of their therapeutic potential. J Ethnopharmacol. 2006 Apr 21;105(1-2):1-25. 2. e-CPS [Internet]. Ottawa: Canadian Pharmacists Association; 2009 -. Cesamet®; 2009 [cited 2014 Aug 29]. Available from: https://www.e-therapeutics.ca Subscription required. 3. Keeley PW. Nausea and vomiting in people with cancer and other chronic diseases. Clin Evid (Online) [Internet]. 2009 [cited 2014 Sep 9

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

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