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12081. Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patien

Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patien Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan (...) treatment in patients with Type 2 diabetes, hypertension, and renal disease Cost-effectiveness of early irbesartan treatment versus control (standard antihypertension medications excluding ACE inhibitors, other angiotensin-2 receptor antagonists, and dihydropyridine calcium channel blockers) or late irbesartan treatment in patients with Type 2 diabetes, hypertension, and renal disease Palmer A J, Annemans L, Roze S, Lamotte M, Lapuerta P, Chen R, Gabriel S, Carita P, Rodby R A, De Zeeuw D, Parving H H

2004 NHS Economic Evaluation Database.

12082. A cost-utility comparison of four first-line medications in painful diabetic neuropathy

or authors’ opinions. Measure of benefit: Quality-adjusted life-years (QALYs) were the summary benefit measure. Cost data: The economic analysis included the costs of medications, visits, screening electrocardiogram, and treatment of serious adverse effects. The resource use data appears to have been based on authors’ opinions and a breakdown of cost items was not given. Drug costs were based on average wholesale prices from the Red Book. The costs of visits reflected Medicare reimbursement rates (...) A cost-utility comparison of four first-line medications in painful diabetic neuropathy A cost-utility comparison of four first-line medications in painful diabetic neuropathy A cost-utility comparison of four first-line medications in painful diabetic neuropathy O'Connor AB, Noyes K, Holloway RG Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions

2008 NHS Economic Evaluation Database.

12083. The Acutely or Critically Sick or Injured Child in the District General Hospital

CriticalSickChild txt 26/10/06 16:46 Page iDH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Estates Performance IM&T Finance Partnership working Document purpose For information Gateway reference 6369 Title The acutely or critically sick or injured child in the district general hospital: A team response Authors DH, RCPCH, RCoA, RCN, RCS, APA and BAPS Publication date October 2006 Target audience NHS trust CEs, foundation trust CEs and medical directors Circulation list Strategic health (...) authority CEs and emergency care leads Description An inter-collegiate expert working group has considered issues regarding anaesthetic and other services available to children who are critically sick or injured in district general hospitals, and has produced this report. It was open to consultation between August and December 2005 and was finalised with the benefit of comments received. Cross-reference N/A Superseded documents N/A Action required N/A Timing N/A Contact details Dr Edward Wozniak Medical

2006 Royal College of Anaesthetists

12084. Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Full Text available with Trip Pro

atypical and non atypical neuroleptics would be useful. Bibliographic details Fishbain D A, Cutler R B, Lewis J, Cole B, Rosomoff R S, Rosomoff H L. Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review. Pain Medicine 2004; 5(4): 359-365 PubMedID DOI Indexing Status Subject indexing assigned by NLM MeSH Analgesics /pharmacology; Antipsychotic Agents /pharmacology; Clinical Trials as Topic /statistics & Evidence-Based Medicine; Humans; Pain /drug (...) Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Do the second-generation "atypical neuroleptics" have analgesic properties: a structured evidence-based review Fishbain D A, Cutler R B, Lewis J, Cole B, Rosomoff R S, Rosomoff H L CRD summary This review assessed the effectiveness of atypical neuroleptics for treating pain

2004 DARE.

12085. Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany

Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Assessment of clinical and economic benefits of weight management with sibutramine in general practice in Germany Brennan A, Ara R, Sterz R, Matiba B, Bergemann R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) from published studies. The drug costs were derived from Red Book prices. No mandatory rebate was considered. Physician services were based on the German physician's fee schedule for statutory health insurances. Resource use was derived from a survey conducted with seven German practitioners specialising in obesity treatment. Some authors' assumptions were also made to derive specific treatment patterns such as the number of visits. Discounting was relevant, as the costs were incurred during longer

2006 NHS Economic Evaluation Database.

12086. Medical emergencies in children ? overview

- hospital care this generally means management designed to: ? prevent hypoxia (see above) ? normalise circulation (but do not overload) ? check for and treat hypoglycaemia (refer to glycaemic emergencies in children guideline). Medical Emergencies in Children – overview Paediatric Guidelines October 2006 Page 5 of 7 Paediatric GuidelinesOther conditions which can be treated before hospital and are discussed elsewhere include: ? convulsions (refer to convulsions in children guideline) ? opiate poisoning (...) you blush! Pre-hospital Immediate Care 1998;2:95-96. Jewkes F, Lubas P, McCusker K, editors. Pre- hospital Paediatric Life Support 2nd ed. London: Blackwells, 2005. Group ALS. Pre-hospital paediatric life support. London: BMJ Publishing Group, 1999. Advanced Life Support Group. Advanced paediatric life support: the practical approach. 3rd ed. London: BMJ Books, 2000. METHODOLOGY Refer to methodology section. Medical Emergencies in Children – overview Page 6 of 7 October 2006 Paediatric Guidelines

2006 Joint Royal Colleges Ambulance Liaison Committee

12087. Paediatric - medical emergencies in children (overview)

- hospital care this generally means management designed to: ? prevent hypoxia (see above) ? normalise circulation (but do not overload) ? check for and treat hypoglycaemia (refer to glycaemic emergencies in children guideline). Medical Emergencies in Children – overview Paediatric Guidelines October 2006 Page 5 of 7 Paediatric GuidelinesOther conditions which can be treated before hospital and are discussed elsewhere include: ? convulsions (refer to convulsions in children guideline) ? opiate poisoning (...) you blush! Pre-hospital Immediate Care 1998;2:95-96. Jewkes F, Lubas P, McCusker K, editors. Pre- hospital Paediatric Life Support 2nd ed. London: Blackwells, 2005. Group ALS. Pre-hospital paediatric life support. London: BMJ Publishing Group, 1999. Advanced Life Support Group. Advanced paediatric life support: the practical approach. 3rd ed. London: BMJ Books, 2000. METHODOLOGY Refer to methodology section. Medical Emergencies in Children – overview Page 6 of 7 October 2006 Paediatric Guidelines

2007 Joint Royal Colleges Ambulance Liaison Committee

12088. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners OPIOID PRESCRIPTION in CHRONIC PAIN CONDITIONS GUIDELINES for SOUTH AUSTRALIAN GENERAL PRACTITIONERS (GPs) Opioid Prescription in Chronic Pain Conditions Supported by: Drug & Alcohol Services South Australia Faculty of Pain Medicine, Australia & New Zealand College of Anaesthetists Flinders Medical Centre Pain Management Unit Royal Australian College of General Practitioners (SA) Royal Adelaide (...) of Addiction Medicine, Inc, pp.1451–1463. T edeschi M (2006). Chronic nonmalignant pain – The rational use of opioid medication, Australian Family Physician, 35 (7), 509–512. Zacny J, Bigelow G, Compton P , et al. (2003). College on Problems of Drug Dependence taskforce on prescription opioid non-medical use and abuse: Position statement. Drug and Alcohol Dependence 69: 215–232.Guidelines for South Australian General Practitioners 5 What outcomes should be assessed when judging whether opioid therapy

2008 Clinical Practice Guidelines Portal

12089. Improving Medical Implant Performance Through Retrieval Information: Challenges and Opportunities

Reconstruction Cleveland, Ohio Charles H. Swanson, Ph.D. Vice President Chief Quality and Regulatory Officer Corporate Quality and Regulatory Affairs Medtronic, Inc. Minneapolis, Minnesota Joseph P. Vacanti, M.D. John Homans Professor of Surgery Harvard Medical School Massachusetts General Hospital Boston, Massachusetts Theodore M. Wendt, Ph.D. Vice President Global Regulatory and Clinical Affairs Zimmer, Inc. Warsaw, Indiana Pamela G. Williams-Russo, M.D., M.P.H. Associate Professor of Medicine Outcomes (...) for assistance. Please select the to access current information. Improving Medical Implant Performance Through Retrieval Information: Challenges and Opportunities National Institutes of Health NIH Technology Assessment Conference Summary January 10-12, 2000 Due to the cumulative nature of medical research, some of the information in this statement is likely to be out of date. For more current information on this and other health topics, please visit , a service of the U.S. National Library of Medicine

2000 NIH Consensus Statements

12090. Computer telephony: automated calls for medical care

reporting make it difficult to verify the findings. Authors' objectives To assess the evidence for computer telephony system (CTS)-based medical interventions. Searching MEDLINE (from 1966 to April 2003), CINAHL (from 1982 to April 2003) and the Cochrane Controlled Trials Register were searched using the search terms listed in the review. The reference lists of retrieved studies, reviews and reference books were also handsearched. The search was restricted to studies published in English. Study (...) of chronic diseases. Participants included in the review The authors did not explicitly state an eligible participant group for inclusion. Articles in psychological and psychiatric care (including alcohol, tobacco and drug addiction) were excluded. The included studies were of patients of varying age and ethnic groups in a variety of settings, such as a public health clinic, university hospital, internal medicine clinic, cancer clinic and the general community. Outcomes assessed in the review The authors

2003 DARE.

12091. Electronic communication with patients: evaluation of distance medicine technology

included smoking cessation, emergency department visits, general activity and knowledge; outcomes for mammography use were changes in number of mammograms; outcomes for osteoarthritis were scores on the Arthritis Impact Measurement Scales (AIMS); outcomes for tobacco use prevention were changes in tobacco use. Telephone reminders: outcomes included appointment-keeping rates, immunisation rates, medication compliance, diabetic foot problems and disability associated with arthritis. Interactive telephone (...) Electronic communication with patients: evaluation of distance medicine technology Electronic communication with patients: evaluation of distance medicine technology Electronic communication with patients: evaluation of distance medicine technology Balas E A, Jaffrey F, Kuperman G J, Boren S A, Brown G D, Pinciroli F, Mitchell J A Authors' objectives To evaluate the controlled evidence on the efficacy of distance medicine technologies in clinical practice and health care outcome. Searching

1997 DARE.

12092. Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs

Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Chabal C, Fishbain D A, Weaver M, Heine L W Record Status This is a critical abstract of an economic evaluation (...) completers only. The primary outcome measures were reported for the LTU group and included: satisfaction (overall satisfaction, ease of use/convenience, effectiveness of pain management, quality of device, and comfort of the stimulation); change in pain interference, actual pain relief, and change in medication use from pre-TENS use; change in therapy use; patient perceptions for change in activity level, pain management, help in return to work, and medication use. The effects of potential confounding

1998 NHS Economic Evaluation Database.

12093. Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia

. The unit costs of the antimicrobial agents were estimated using the published average wholesale price of the least expensive generic equivalent from the 1993 drug Red Book. Statistical analysis of costs The total costs per patient were reported as medians, both for the total figures per patient and the average daily cost per patient. Student's t test was used to compare the groups in terms of costs. A multivariate regression analysis was used to control for the effects of differences in variables (...) Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Gleason P P, Kapoor W N, Stone R A, Lave J R, Obrosky D

1997 NHS Economic Evaluation Database.

12094. Relative costs and effectiveness of specialist and general internist ambulatory care for patients with 2 chronic musculoskeletal conditions

and laboratory procedures. Two rheumatologists identified the medication. The resource use data were estimated from actual data. The unit costs were derived from the Boston University Medical Centre 1995 costs, except for medication costs which were based on average wholesale costs from the 15 Drug Topics Red Book. Discounting was carried out because the costs were incurred during more than one year. A discount rate of 3% was used. The unit costs were presented separately from the quantities of resources (...) . Relative costs and effectiveness of specialist and general internist ambulatory care for patients with 2 chronic musculoskeletal conditions. Journal of Rheumatology 2002; 29(7): 1488-1495 PubMedID Other publications of related interest Ware JE, Sherbourne CD. The MOS 36-item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Medical Care 1992;30:473-83. Kazis L, Miller D, Skinner K, et al. Health related quality of life in patients served by the Department of Veterans Affairs

2002 NHS Economic Evaluation Database.

12095. The relationship between consultation length, process and outcomes in general practice: a systematic review

The relationship between consultation length, process and outcomes in general practice: a systematic review The relationship between consultation length, process and outcomes in general practice: a systematic review The relationship between consultation length, process and outcomes in general practice: a systematic review Wilson A, Childs S Authors' objectives To examine the association between the average consultation time of primary care physicians and consultation process and health outcome (...) eligible. The included studies measured the average consultation length by objective timing of the individual consultation, dividing the consultation session by the number of patients seen, or using the booking interval. Studies were conducted in the USA, Wales, UK, Scotland, the Netherlands and Sweden. Participants included in the review Studies of primary care physicians were eligible for inclusion. Primary care physicians were defined as first contact doctors and included specialist physicians

2002 DARE.

12096. Literature review to inform purchasing of counselling in general practice

assessed in the review No a priori criteria were defined. Effectiveness of counselling was assessed using the following outcomes: measures of morbidity including physician referral, psychiatric interviews and screening with General Heath Questionnaire; criterion-based diagnostic assessments such as the National Institute of Mental Health's Diagnostic Interview Schedules; physician prescribing practices; patients' use of psychotropic medication; number of patient visits to primary care physicians (...) Literature review to inform purchasing of counselling in general practice Literature review to inform purchasing of counselling in general practice Literature review to inform purchasing of counselling in general practice Hansell A, Bonnet J Authors' objectives To examine recent evidence for provision of counselling in general practice to inform service planning for Primary Care Groups (PCGs). Searching The following sources were searched: Cochrane Library (1999 issue 2) and the Department

1999 DARE.

12097. Has general practitioner computing made a difference to patient care: a systematic review of published reports

, BIDS and GPLit were searched from 1984-1994 using the terms 'computers in medicine', 'primary care', 'family practice' and 'medical informatics. Books, bibliographies and conference proceedings were also searched and references were supplied by colleagues. Study selection Study designs of evaluations included in the review Controlled studies with samples formed randomly, quasi randomly, or using selected, concurrent or historical control groups. The designs of individual studies were not stated (...) Has general practitioner computing made a difference to patient care: a systematic review of published reports Has general practitioner computing made a difference to patient care: a systematic review of published reports Has general practitioner computing made a difference to patient care: a systematic review of published reports Sullivan F, Mitchell E Authors' objectives To review findings from studies of the influence of desktop computers on primary care consultations. Searching MEDLINE

1995 DARE.

12098. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care

Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Venning P, Durie A, Roland M, Roberts C, Leese B Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Nurse practitioners working as part of primary care teams alongside general practitioners as first point of contact in primary care for patients requesting an appointment on the same day. Type of intervention Treatment. Economic study type Cost-effectiveness analysis

2000 NHS Economic Evaluation Database.

12099. Patients with chronic asthma found medicine information to be unclear or confusing, did not receive complete information on medicine use and side effects, and found leaflets to be unhelpful Full Text available with Trip Pro

minute focus groups. After describing their medication related experiences, patients were asked to comment on 5 leaflets about asthma medicine (reliever and preventer inhalers, generic and branded broad spectrum antibiotics, and a generic oral steroid). Audiotapes were transcribed verbatim, and themes and categories were generated. MAIN FINDINGS 10 themes were identified. (1) Information experiences . Almost half of the patients felt that the information they received met their needs and helped them (...) . We are the experts: people with asthma talk about their medicine information needs. Patient Educ Couns 2004 ; 53 : 167 –74. Q What are the medication related experiences and perceptions of patients with chronic asthma? What are their views on mandatory leaflets provided by drug manufacturers? DESIGN Qualitative study. SETTING 6 community pharmacies in Leeds, UK. PATIENTS 23 patients (age range 13–82 y, 52% women) with asthma (duration 3 to >40 y). METHODS Patients participated in 1 of four 90

2006 Evidence-Based Mental Health

12100. What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no h

What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no h What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no history of them having Pneumovac although I feel that some may have due to history of chronic chest (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality

2008 TRIP Answers

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