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Insight and Judgement

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81. Diagnosis and management of epilepsy in adults

to guideline recommendations will not ensure a successful outcome in every case, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgement must be made by the appropriate healthcare professional(s) responsible for clinical decisions regarding a particular clinical procedure or treatment plan. This judgement should only be arrived at following discussion of the options with the patient, covering

2018 SIGN

82. Risk Factors for Endometrial Cancer - A review of the evidence

conducted systematic reviews of epidemiological evidence, supported by experimental evidence from human and animal studies. It also considers plausible biological mechanisms and dose–response relationships in making judgements about causality. An expert panel judges and classifies the evidence as convincing, probable, limited or unlikely to affect cancer risk. Details of the judgement process and criteria can be found at–evidence. The grading criteria

2019 Cancer Australia

83. Qualitative evidence on barriers to and facilitators of women’s participation in higher or growing productivity and male-dominated labour market sectors in low- and middle-income countries

. Although the studies are situated in 18 countries, they are focused on women in particular communities engaging in particular sectors without the intention of being representative. Thus, they provide important insights into facilitators and barriers to women’s economic empowerment that women in primarily poor, rural areas experience. However, this research does not allow us to compare the efficacy of facilitators or the relative difficulty of barriers either for the women in this study or women

2019 EPPI Centre

84. Public health service provision by community pharmacies: a systematic map of evidence

mapping research evidence, it is not possible to make judgements about the quality or relevance of the included studies. Therefore, future systematic reviews that focus on particular health conditions and interventions provided in the community pharmacy are needed so as to provide greater insight into the quality and relevance of studies and help to identify future areas for primary research. Whilst this systematic map presents which interventions have been studied, it is not necessarily (...) such as chlamydia testing, influenza vaccinations through Healthy Living Pharmacies (PHE 2014b, 2013) are included. Local government commissioners need to know which public health services are effective and cost- effective to provide through community pharmacy (PHE 2013). Knowledge about service implementation is also valuable. A number of research reviews have examined different aspects of community pharmacy public health service provision, and two in particular provide insights into the extent and nature

2019 EPPI Centre

85. What helps to support people affected by Adverse Childhood Experiences? A Review of Evidence

for support from trusted adults was highlighted. Effective and valued service providers were described as displaying empathy, being non-judgemental, and being active listeners. Practical support: Forms of practical support included: information to help people understand and address their problems; help to manage everyday challenges such as engaging with the school or benefits system; and respite from the challenges faced. How should services for people exposed to ACEs be delivered? Widespread scepticism (...) bereavement: insights from an ethnographic study of a UK childhood bereavement service. 4 Chouliara et al. Talking therapy services for adult survivors of childhood sexual abuse (CSA) in Scotland: Perspectives of service

2019 EPPI Centre

86. Stepping Stones for Families’ Family Wellbeing Service: evaluation

of the Service hang together as a whole – they each have their impact and importance, and the Service would be weaker without any one of them. Furthermore, as much as the practical elements within it, the qualities of the Service generate its added value. The ability of the Service to make a long-term commitment to parents to act with their interests at heart, to treat them as being of value, and to provide skilled, calm and committed staff to work with them in a friendly, welcoming, and non-judgemental way (...) on the issues faced by parents with which the Service engages and or/ which set the context in which it works, in particular: ? Social isolation and lack of confidence. ? Parental wellbeing. ? Child wellbeing. ? The impact of deprivation and poverty. ? The specific issues facing migrant/ refugee/ asylum seeker families. This section also provides some insight into the reasons why parents might not engage with the Service (research question 5). Social isolation and lack of confidence Almost all

2019 Glasgow Centre for Population Health

87. Reducing unemployment benefit duration to increase job finding rates: a systematic review Full Text available with Trip Pro

is refined, making it possible to discriminate between studies with varying degrees of risk. This refinement is achieved by the use of a 5‐point scale for certain items (see the following section Risk of bias judgement items for details). The refined assessment is pertinent when considering data synthesis as it operationalizes the identification of those studies with a very high risk of bias (especially in relation to non‐randomised studies). The refinement increases transparency in assessment judgements (...) and provides justification for excluding a study with a very high risk of bias from the data synthesis. Risk of bias judgement items The risk of bias model used in this review is based on 9 items (see Appendix 2.5). The 9 items refer to: sequence generation (Judged on a low/high risk/unclear scale) allocation concealment (Judged on a low/high risk/unclear scale) confounders (Judged on a 5 point scale/unclear) blinding (Judged on a 5 point scale/unclear) incomplete outcome data (Judged on a 5 point scale

2018 Campbell Collaboration

89. Factors associated with youth gang membership in low? and middle?income countries: a systematic review Full Text available with Trip Pro

by page until the titles appeared irrelevant, based on the searcher's subjective judgement. The non‐English language searches were conducted by a team of six researchers (four who spoke the search language as their first language, and two who spoke the search language fluently). If dissertations were located that were potentially eligible for inclusion we contacted the author or their institution for a copy of the document. We conducted citation searches of eligible papers and citation harvesting from

2018 Campbell Collaboration

91. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

/fluid content etc.) nor does it provide insight in the type of obesity (adiposity) and the underlying fat distribution (e.g. visceral or abdominal adiposity which encompasses a higher health risk than general or gynoid adiposity which implies a lesser risk).The BMI is a suitable measure to screen for obesity at the population level (for Western countries) since it is easy to measure and does not show clinical meaningful differences in the prediction of adverse outcomes compared to other measures. 7

2019 Belgian Health Care Knowledge Centre

92. Health warning for employers: Supporting older workers with health conditions

generations. Practical solutions, research about what works best and people’s own insight are all sources that we draw on to help make this change. We share this information and support others to act on it. We also try out new approaches to improving later lives. This report was written by Jemma Mouland, Senior Programme Manager, based on research conducted for the Centre for Ageing Better by YouGov and Mustard Research. We’d like to thank YouGov and Mustard Research for reviewing the report. The author (...) no days off work because of their health condition in the last six months, compared to 32% of workers aged 25-44. This is reflected in other national data; short-term sickness absence is no more likely among older workers, although long-term absence is (Office for National Statistics, 2017b). Our qualitative insights suggest this is largely driven by fear of being negatively perceived or even dismissed as a result of having repeated periods off work. Lacking support and fearful of the repercussions

2018 The Centre for Ageing Better

93. Diagnosis of chronic thromboembolic pulmonary hypertension: A Canadian Thoracic Society clinical practice guideline update

and mortality ofCTEPH,and issues of risk,burden on a patient to adhere, and cost effectiveness of an intervention or treatment (implementability factors categorized under the “Contextualizations and Deliberations” domain of guidelines 12 ). These discussions and the resulting synthesis of evidence and summary clinical judgement are presented for each recommendation. Figure 1. PRISMA Diagram. 10 Footnote: The Canadian Thoracic Society chronic thromboembolic pulmonary hypertension (CTS CTEPH) guideline panel

2019 Canadian Thoracic Society

94. Service models for children under 10 with problematic sexual behaviours

be necessary to look to a structured approach to innovative service design, which may include an assessment of the adaptability of existing models for other target groups (e.g. models for addressing adolescent harmful sexual behaviour, child trauma and generalised behavioural problems). • The literature in both this Evidence Check and historical reviews has failed to provide any insight into how to manage a child’s safety in the home. This is an additional matter for the NSW Ministry of Health (and agency

2018 Sax Institute Evidence Check

99. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

-analysis where appropriate. Recommendations were formulated using the considered judgement process in the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework [15] across the quality of available evidence, integrating clinical expertise and consumer preference, and considering the applicability, feasibility, equity, cost effectiveness, implementation and value for consumers and health professionals through the GRADE framework. Implementation issues and international (...) development group. CPP Clinical Practice Points: Evidence not sought. A practice point has been made by the guideline development group where important issues arose from discussion of evidence-based or clinical consensus recommendations. The recommendation terms include “should”, “could” and “should not”. These terms are informed by the nature of the recommendation (evidence or consensus), the GRADE framework and evidence quality and are independent descriptors reflecting the judgement

2018 European Society of Human Reproduction and Embryology

100. Tools to aid the clinical identification of end of life

outside a setting in which a comprehensive range of these measures is readily available. 6 TOOLS TO AID CLINICAL IDENTIFICATION OF END OF LIFE | SAX INSTITUTE • Does the tool require subjective clinical judgement? Some tools use clinical judgement, such as the ‘surprise question’. Other tools use only objective measures. • Can the tool be implemented without a computer to undertake calculations? Several of the tools require the application of an algorithm that calculates a risk score based on various (...) ? This issue was not specifically identified in the literature. However, the review did reveal the range of tools available for specific cohorts of patients. • In what settings will the implementation of relevant tools have the greatest impact? Would it be best to advocate implementation of a single preferred tool in these settings? The literature reviewed did not provide clear insights into these two questions. However, the settings in which tools have been implemented were analysed to provide information

2018 Sax Institute Evidence Check

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