How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

7,944 results for

Electronic Prescription

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

4501. Canadian clinical practice guidelines for acute and chronic rhinosinusitis

days spent bedridden and more visits to family physicians, alternative healthcare providers, and mental health experts. These findings underscore the significant impact of this disease on patient quality of life, as well as costs of care to patients and society. In Canada, 2.89 million prescriptions were dispensed for acute rhinosinusitis (ARS) or CRS in 2006, with approximately 2/3 for ARS and 1/3 for CRS [ ]. Despite well-established differences between these 2 diseases in pathophysiology (...) , bacteriology, and standard specialist treatment strategies, an assessment of therapies prescribed in Canada for CRS has shown that medications prescribed for CRS exactly paralleled those prescribed for ARS [ ]. The incidence of bacterial rhinosinusitis is difficult to obtain precisely given that not all patients will seek medical help. In the United States in 2007, ARS affected 26 million individuals and was responsible for 12.9 million office visits [ ]. Although no specific Canadian data is available

2011 CPG Infobase

4502. Diagnosis and management of colorectal cancer

be required to justify the actions that they have taken. Prior to prescribing, the licensing status of a medication should be checked in the current version of the British National Formulary (BNF). 4 The summary of product characteristics (SPC) should also be consulted in the electronic medicines compendium (www.medicines.org.uk). 1.4.2 ADDITIONAL ADVICE TO NHSSCOTLAND FROM HEALTHCARE IMPROVEMENT SCOTLAND AND THE SCOTTISH MEDICINES CONSORTIUM Healthcare Improvement Scotland processes multiple technology (...) derived from it should be fully documented in the patient’s case notes at the time the relevant decision is taken. 1.4.1 PRESCRIBING OF LICENSED MEDICINES OUTWITH THEIR MARKETING AUTHORISATION Recommendations within this guideline are based on the best clinical evidence. Some recommendations may be for medicines prescribed outwith the marketing authorisation (product licence). This is known as ‘off label’ use. It is not unusual for medicines to be prescribed outwith their product licence and this can

2011 SIGN

4503. Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis. Full Text available with Trip Pro

that bacterial isolates from the urinary tract from individual children who had received previous prescriptions for antibiotics in primary care were more likely to be resistant to antibiotics, and this increased risk could persist for up to six months (odds ratio 13.23, 95% confidence interval 7.84 to 22.31).Prevalence of resistance to commonly prescribed antibiotics in primary care in children with urinary tract infections caused by E coli is high, particularly in countries outside the OECD, where one (...) Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis. To systematically review studies investigating the prevalence of antibiotic resistance in urinary tract infections caused by Escherichia coli in children and, when appropriate, to meta-analyse the relation between previous antibiotics prescribed in primary care and resistance.Systematic

2016 BMJ

4504. Pharmacologic Treatment of Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. (Abstract)

Pharmacologic Treatment of Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. Pharmacologic interventions are often prescribed for insomnia disorder.To assess the benefits, harms, and comparative effectiveness of pharmacologic treatments for adults with insomnia disorder.Several electronic databases (2004-September 2015), reference lists, and U.S. Food and Drug Administration (FDA) documents.35 randomized, controlled trials of at least

2016 Annals of Internal Medicine

4505. Impact of statin related media coverage on use of statins: interrupted time series analysis with UK primary care data. Full Text available with Trip Pro

Impact of statin related media coverage on use of statins: interrupted time series analysis with UK primary care data.  To quantify how a period of intense media coverage of controversy over the risk:benefit balance of statins affected their use. Interrupted time series analysis of prospectively collected electronic data from primary care. Clinical Practice Research Datalink (CPRD) in the United Kingdom. Patients newly eligible for or currently taking statins for primary and secondary (...) ) and 1.04 (0.92 to 1.18; P=0.54), respectively), though there was a decrease in the overall proportion of patients with a recorded risk score. Patients already taking statins were more likely to stop taking them for both primary and secondary prevention after the high media coverage period (1.11 (1.05 to 1.18; P<0.001) and 1.12 (1.04 to 1.21; P=0.003), respectively). Stratified analyses showed that older patients and those with a longer continuous prescription were more likely to stop taking statins

2016 BMJ

4506. Pioglitazone use and risk of bladder cancer in patients with type 2 diabetes: retrospective cohort study using datasets from four European countries. Full Text available with Trip Pro

Pioglitazone use and risk of bladder cancer in patients with type 2 diabetes: retrospective cohort study using datasets from four European countries.  To evaluate the association between pioglitazone use and bladder cancer risk in patients with type 2 diabetes. Retrospective cohort study using propensity score matched cohorts. Healthcare databases from Finland, the Netherlands, Sweden, and the United Kingdom. Data comprised country specific datasets of linked records on prescriptions, hospitals (...) ); >40 000 mg cumulative dose, 0.65 (0.33 to 1.26) in the nearest match cohort). This study shows no evidence of an association between ever use of pioglitzone and risk of bladder cancer compared with never use, which is consistent with results from other recent studies that also included a long follow-up period. Registered to the European Union electronic register of post-authorisation studies (EU PAS register no EUPAS3626).Published by the BMJ Publishing Group Limited. For permission to use (where

2016 BMJ

4507. Administration of Antibiotics to Children Before Age 2 Years Increases Risk for Childhood Obesity Full Text available with Trip Pro

Administration of Antibiotics to Children Before Age 2 Years Increases Risk for Childhood Obesity Childhood obesity is increasing and is associated with adult obesity. Antibiotics have been used to promote weight gain in livestock for several decades. Antibiotics are commonly prescribed for children, but it is not clear how exposure to antibiotics early in life affects risk for obesity. We performed a population-based cohort study to assess the association between antibiotic exposure before age (...) 2 years and obesity at age 4 years.We performed a retrospective cohort study of 21,714 children in The Health Improvement Network-a population-representative dataset of >10 million individuals derived from electronic medical records from 1995 through 2013 in the United Kingdom. Eligible subjects were registered within 3 months of birth with complete follow-up and height and weight were recorded within 12 months of their 4th birthday. Antibiotic exposure was assessed before age 2 years

2016 EvidenceUpdates

4508. Predicting 2-Year Risk of Developing Pneumonia in Older Adults without Dementia Full Text available with Trip Pro

cohort, n = 2,250; validation cohort, n = 1,125.Potential pneumonia risk factors were identified from questionnaire data and interviewer assessments of functional status, medical history, smoking and alcohol use, cognitive function, personal care, and problem solving. Risk factors were also identified based on physical measures such as grip strength and gait speed and administrative database information on comorbid illnesses, laboratory tests, and prescriptions dispensed. Incident community-acquired (...) is commonly available in electronic medical records (EMRs), had equal or better performance (c-index = 0.69 in the validation cohort) than scores including more-detailed data such as functional status.Data commonly available in EMRs can stratify older adults into groups with varying subsequent 2-year pneumonia risk.© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

2016 EvidenceUpdates

4509. Occupational Therapy for Adults Undergoing Total Hip Replacement

rights reserved, including translation. No part of this publication may be reproduced, stored in a retrieval system or transmitted, by any form or means, electronic, mechanical, photocopying, recording, scanning or otherwise without the prior permission in writing of the College of Occupational Therapists, unless otherwise agreed or indicated. Copying is not permitted except for personal and internal use, to the extent permitted by national copyright law, or under the terms of a licence issued (...) agreed. The home situation is discussed from the perspective that the service user is expert in this domain and their speci?c needs and choices. The service user can inform the occupational therapist about speci?c heights of their furniture (chair, bed and toilet) so that equipment may be prescribed to compensate for lack of function, or to enable activities to be continued while observing hip precautions that restrict certain movements (should this be required by team protocols). The general layout

2012 Publication 1554

4510. Cannabis use and treatment resistance in first episode psychosis: a natural language processing study. Full Text available with Trip Pro

Cannabis use and treatment resistance in first episode psychosis: a natural language processing study. Cannabis is frequently used among individuals with first episode psychosis and is associated with poor clinical outcomes. However, little is known about the effect of cannabis use on the response to antipsychotic medications and how use could affect outcomes. Using natural language processing on clinical data from a large electronic case register, we sought to investigate whether resistance (...) to antipsychotic treatment mediated poor clinical outcomes associated with cannabis use.Data were obtained from 2026 people with first episode psychosis in south London, UK. Cannabis use documented in free text clinical records was identified with natural language processing. Data for age, sex, ethnicity, marital status, psychotic disorder diagnosis, subsequent hospital admission, and number of unique antipsychotic medications prescribed were obtained using the Clinical Record Interactive Search instrument

2015 Lancet

4511. Non-Small Cell Lung Cancer Treatment (PDQ®): Health Professional Version

: History. Physical examination. Routine laboratory evaluations. Chest x-ray. Chest CT scan with infusion of contrast material. Biopsy. Before a patient begins lung cancer treatment, an experienced lung cancer pathologist must review the pathologic material. This is critical because SCLC, which responds well to chemotherapy and is generally not treated surgically, can be confused on microscopic examination with NSCLC.[ ] Immunohistochemistry and electron microscopy are invaluable techniques (...) -grade non-small cell carcinoma. It has a very poor prognosis similar to that of small cell lung cancer (SCLC). Atypical carcinoid is recognized as an intermediate-grade neuroendocrine tumor with a prognosis that falls between typical carcinoid and high-grade SCLC and LCNEC. Neuroendocrine differentiation can be demonstrated by immunohistochemistry or electron microscopy in 10% to 20% of common NSCLCs that do not have any neuroendocrine morphology. These tumors are not formally recognized within

2016 PDQ - NCI's Comprehensive Cancer Database

4512. Financial Toxicity and Cancer Treatment (PDQ®): Health Professional Version

prescription formularies (i.e., copays that escalate depending on whether the drug is generic or branded, and by price) may be particularly troublesome for patients with cancer who are prescribed expensive oral chemotherapeutics. The proportion of health care plans with multitiered (>3) prescription formularies, in which expensive oral specialty drugs are associated with the highest cost sharing, increased from 3% in 2004 to nearly 88% in 2017.[ ] These trends in treatment cost and changes in insurance (...) the prescription last longer, 11% stated they took less medication than prescribed to make the prescription last longer, and 22% indicated that they did not fill a prescription because of cost.[ ] Among the patients reporting chemotherapy nonadherence, 1% skipped chemotherapy doses to make the prescription last longer, 1.67% took less chemotherapy to make the prescription last longer, and 3.33% did not fill a chemotherapy prescription because of cost. Furthermore, this study found that an increased likelihood

2016 PDQ - NCI's Comprehensive Cancer Database

4513. Financial Toxicity and Cancer Treatment (PDQ®): Health Professional Version

prescription formularies (i.e., copays that escalate depending on whether the drug is generic or branded, and by price) may be particularly troublesome for patients with cancer who are prescribed expensive oral chemotherapeutics. The proportion of health care plans with multitiered (>3) prescription formularies, in which expensive oral specialty drugs are associated with the highest cost sharing, increased from 3% in 2004 to nearly 88% in 2017.[ ] These trends in treatment cost and changes in insurance (...) the prescription last longer, 11% stated they took less medication than prescribed to make the prescription last longer, and 22% indicated that they did not fill a prescription because of cost.[ ] Among the patients reporting chemotherapy nonadherence, 1% skipped chemotherapy doses to make the prescription last longer, 1.67% took less chemotherapy to make the prescription last longer, and 3.33% did not fill a chemotherapy prescription because of cost. Furthermore, this study found that an increased likelihood

2016 PDQ - NCI's Comprehensive Cancer Database

4514. Pruritus (PDQ®): Health Professional Version

of pruritus. History of malignant disease. Current malignant disease and treatment. Nonmalignant systemic diseases. Use of medications (analgesics, antibiotics, and other prescription and nonprescription drugs, including illicit drugs). Nutritional and fluid level status. Social history (hobbies, occupation, sexual history, and travel). Current skin care practices. Patient’s emotional state. A physical examination will provide data from an assessment of the following: All skin surfaces for signs (...) with atopic dermatitis, may be helpful. A half-cup of plain unscented sodium hypochlorite (bleach) is added to half a tub of tap water for soaking at the beginning of the bath period. If sponge bathing is required, this is equivalent to approximately 5 mL of bleach to 1 gal of water. Prescription products Topical steroids can reduce itching, but they reduce blood flow to the skin, resulting in thinning of the skin and increased susceptibility to injury.[ ][ ] Topical steroids should therefore be reserved

2016 PDQ - NCI's Comprehensive Cancer Database

4515. Controlled Substance Agreement

medications fall under a different contract (e.g. s prescribed by a psychiatrist) Document all stipulations (examples) All controlled substances in the contract must be prescribed by a single provider (with whom the patient is contracting with) All controlled substances in the contract must be dispensed by a single pharmacy Medication refills Must be done during a scheduled appointment (not by phone or after hours to an on-call provider) Lost prescriptions will not be replaced Prescription should include (...) date of earliest next refill Emergency treatment plan should be made clear to the patient (including an acute exacerbation of ) Compliance ing may be ordered Controlled substance monitoring programs may be accessed Broken Controlled Substance Contract criteria of or s Drug diversion (e.g. selling or sharing controlled substances) Drug seeking controlled substances from multiple providers Consequences of a broken Controlled Substance Contract Contracting provider will no longer prescribe controlled

2018 FP Notebook

4517. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

Appropriate BRCA1/2 Mutation Testing: The Role of Family History Documentation and Genetic Counseling in a Multidisciplinary Clinic. Ann Surg Oncol 23 (Suppl 5): 634-641, 2016. [ ] Walker AP: The practice of genetic counseling. In: Baker DL, Schuette JL, Uhlmann WR, eds.: A Guide to Genetic Counseling. New York, NY: Wiley-Liss, 1998, pp 1-26. Bartels DM, LeRoy BS, Caplan AL, eds.: Prescribing Our Future: Ethical Challenges in Genetic Counseling. New York, NY: Aldine De Gruyter, 1993. Kenen RH: Genetic

2016 PDQ - NCI's Comprehensive Cancer Database

4518. Cigarette Smoking: Health Risks and How to Quit (PDQ®): Health Professional Version

is unknown; however, it is presumed that this action is mediated by noradrenergic or dopaminergic mechanisms. Table 6. Bupropion Hydrochloride Brand Dose Side Effects Warning/Precaution Rx Zyban 150 mg/d × 3 d then increase to 300 mg/d × 7–12 wk Insomnia, dry mouth, dizziness, rhinitis Do not take with Wellbutrin or Wellbutrin SR Higher incidence of seizures in patients treated for bulimia, anorexia Do not prescribe >300 mg/d for patients being treated for bulimia d = day; Rx = prescription; wk = week (...) , uncontrolled hypertension, esophagitis, peptic ulcer disease, insulin-treated diabetes, or asthma, pregnant or breast-feeding women, and adolescent smokers).[ ] Table 1. Nicotine Patches Brand Dose Side Effects Comments Rx Habitrol 7–21 mg/d Erythema Use for 6–12 wk OTC Nicoderm CQ 7–21 mg/d Pruritus Use for 6–12 wk OTC Nicotrol 5–15 mg/d Burning at site Use for 14–20 wk Rx ProStep 11–22 mg/d Local irritation Use for 6–12 wk d = day; OTC = over the counter; Rx = prescription; wk = week. Current guidelines

2016 PDQ - NCI's Comprehensive Cancer Database

4520. Pancreatic Cancer Treatment (PDQ®): Health Professional Version

therapy (n = 133). A total dose of 54 Gy in 30 daily fractions was prescribed with concurrent capecitabine at a dose of 800 mg/m 2 twice daily on days of radiation therapy.[ ][ ] The primary endpoint was OS. After interim analysis, the study was stopped early because of futility. With a median follow-up of 36.7 months, the median OS from the date of the first randomization was not significantly different between chemotherapy at 16.5 months (95% CI, 14.5–18.5 months) and chemoradiation therapy at 15.2

2016 PDQ - NCI's Comprehensive Cancer Database

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>