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141. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association (Full text)

the information we aimed to collect for each device. Of the 9, 1 granted an interview. We also interviewed a technology professional from a southeast healthcare system that has incorporated WAMs into its patient portal to understand its approach, as well as a representative from a large data-aggregation organization. From this initial search, we identified 49 candidate WAMs. We included a WAM in our final assessment if its validity had been evaluated, prioritizing independent studies. We also preferred (...) intervention will solve the problem of insufficient PA in the United States. Rather, improving population levels of PA requires comprehensive efforts to maximize the potential benefits of setting-specific interventions under a coordinated multilevel approach. , Different strategies with various levels of effectiveness have been used to incorporate PA promotion into healthcare settings. Brief PA counseling, initiated by the physician or other healthcare provider (HCP), and the “green prescription” (written

2018 American Heart Association PubMed abstract

142. Erectile Dysfunction

The quality of case- control studies and comparative observational studies was rated using the Newcastle-Ottawa Quality Assessment Scale. 1004 Because there is no widely- agreed upon quality assessment tool for single cohort observational studies, the quality of these studies was not assessed. The categorization of evidence strength is conceptually distinct from the quality of individual studies. Evidence strength refers to the body of evidence available for a particular question and includes not only (...) selection. 12,13 The patient’s commitment includes the willingness to absorb information, ask questions, and clearly express his and his partner’s preferences and values. This process results in a sharing of information and responsibility, allowing a collaborative decision regarding diagnostic and treatment plans. Because of the complexity of sexuality and the impact of a sexual relationship on a man’s life, the Panel strongly advocates that a man’s partner be invited to participate in this process

2018 American Urological Association

143. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

., and Sara Grusing, B.A., for assistance with data abstraction; our Task Order Officers, Elisabeth Kato, M.D., M.R.P., and Suchitra Iyer, Ph.D., for their support and guidance in developing this report; and our Associate Editor, Timothy Wilt, M.D., M.P.H., for his review of this report. Key Informants In designing the study questions, the EPC consulted several Key Informants who represent the end-users of research. The EPC sought the Key Informant input on the priority areas for research and synthesis (...) . Key Informants are not involved in the analysis of the evidence or the writing of the report. Therefore, in the end, study questions, design, methodological approaches, and/or conclusions do not necessarily represent the views of individual Key Informants. Key Informants must disclose any financial conflicts of interest greater than $5,000 and any other relevant business or professional conflicts of interest. Because of their role as end-users, individuals with potential conflicts may be retained

2018 Effective Health Care Program (AHRQ)

144. Evaluation and Management of Testosterone Deficiency

supplementation by the authors. Literature searches included Ovid Medline In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus. Controlled vocabulary supplemented with keywords was used to search for studies according to each defined question. This search included articles published between January 1, 1980 – February 6, 2017 and yielded 15,217 references, 546 (enrolling approximately (...) to testicular radiation, HIV/AIDS, chronic narcotic use, male infertility, pituitary dysfunction, and chronic corticosteroid use even in the absence of symptoms or signs associated with testosterone deficiency. (Moderate Recommendation; Evidence Level: Grade B) 5. The use of validated questionnaires is not currently recommended to either define which patients are candidates for testosterone therapy or to monitor symptom response in patients on testosterone therapy. (Conditional Recommendation; Evidence

2018 American Urological Association

145. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy (Full text)

of function, comorbidity, falls, depression, cognition, and nutrition. The Panel recommends instrumental activities of daily living to assess for function, a thorough history or validated tool to assess comorbidity, a single question for falls, the Geriatric Depression Scale to screen for depression, the Mini-Cog or the Blessed Orientation-Memory-Concentration test to screen for cognitive impairment, and an assessment of unintentional weight loss to evaluate nutrition. Either the CARG (Cancer and Aging (...) , palliative care specialists, advanced practice providers, geriatricians, primary care physicians, social workers, physical therapists, occupational therapists, nutritionists/dieticians Methods An Expert Panel was convened to develop clinical practice guideline recommendations based on a systematic review of the medical literature. Recommendations In patients age 65 and older receiving chemotherapy, geriatric assessment (GA)—the evaluation of functional status, physical performance and falls, comorbid

2018 American Society of Clinical Oncology Guidelines PubMed abstract

146. Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks

Prepared by: RAND Southern California Evidence-based Practice Center Santa Monica, CA Investigators: Sydne J. Newberry, Ph.D. Mei Chung, M.P.H., Ph.D. Cheryl A.M. Anderson, Ph.D., M.P.H., M.S. Christine Chen, M.D., M.P.H., Ph.D. candidate Zhuxuan Fu, M.P.H. Alice Tang, Ph.D., Sc.M. Naisi Zhao, M.H.S., Dr.Ph candidate Marika Booth, M.S. Joyce Marks, B.S. Simon Hollands, M.S., Ph.D. candidate Aneesa Motala, B.A. Jody Larkin, M.S. Roberta Shanman, M.L.S. Susanne Hempel, Ph.D. AHRQ Publication No. 18 (...) , and the health care system as a whole. Transparency and stakeholder input are essential to the Effective Health Care Program. Please visit the Web site (www.effectivehealthcare.ahrq.gov) to see draft research questions and reports or to join an email list to learn about new program products and opportunities for input. We welcome comments on this systematic review. They may be sent by mail to the Task Order Officer named below at: Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD

2018 Effective Health Care Program (AHRQ)

147. Improving Quality of Life: Substance Use and Aging

use, as we do in this report, is key to developing new and more tailored strategies for reducing the harms of alcohol and drugs on older adults. Since 2005, the series now known as Substance Use in Canada has highlighted alcohol- and drug-related issues that are in need of greater attention. For this seventh edition, we began with two questions: How can we help people age in a healthy way? and How can we ensure they have the supports they need to sustain a good quality of life in their later years (...) ? Getting the answers to those questions begins by having a dialogue about substance use by older Canadians. It is with that in mind that this report calls for greater awareness and understanding of the issue among healthcare providers and caregivers — and facilitates that understanding through an in-depth exploration of the latest evidence on “successful aging,” the prevalence of substance use among older Canadians, the consequences of substance use in this vulnerable population, and other critical

2018 Canadian Centre on Substance Abuse

148. Assessment and Interventions for Perinatal Depression

are systematically developed, evidence-based documents that include recommendations for nurses, the interprofessional team (including, but not limited to physicians, midwives, social workers, lactation consultants, and psychologists), educators, policy-makers, and persons and their families to improve outcomes on specific clinical and healthy work environment topics (2). This BPG replaces the RNAO BPG Interventions for Postpartum Depression (3). The purpose of this BPG is to present evidence-based (...) OF EVIDENCE Research Question #1: In the area of perinatal mental health, what are effective screening and assessment strategies for identifying symptoms of depression during pregnancy and postpartum for up to one year after childbirth? 1.0 Assessment Recommendation 1.1: Routinely screen for risk of perinatal depression, using a valid tool, as part of prenatal and postpartum care . Ia, IV, V Recommendation 1.2: Conduct or facilitate access to a comprehensive perinatal depression assessment with persons

2018 Registered Nurses' Association of Ontario

149. Core Set of Outcome Measures for Patients with Neurologic Conditions (Full text)

by standardizing data elements to answer important clinical questions (eg, identification of treatment responders vs nonresponders). Ensure systematic and standardized documentation of OMs to help justify a patient's need for therapy and to inform policy. Improved documentation of OMs could be used to clarify and improve policies related to reimbursement and access to care. Identify gaps in the literature related to OMs in adult neurologic rehabilitation . This may prompt researchers to rigorously study (...) , and occupational therapy assistants who select and administer OMs; therapeutic recreation therapists, physicians, and nurses who are interested in understanding the use of OMs in rehabilitation; educators who make decisions about academic curricula; researchers who select or study OMs; regulatory bodies and policy makers; professional associations (eg, the APTA, APTA Academies of Neurology and Geriatrics, Canadian Physiotherapy Association, and World Confederation of Physical Therapy); consumer organizations

2018 American Physical Therapy Association PubMed abstract

150. Screening of fetal aneuploidies whereby non-invasive prenatal test (NIPT)

INVOLVEMENT 27 2.3 SOURCE OF ASSESSMENT ELEMENTS 28 2.4 SEARCH 28 2.5 LITERATURE SELECTION AND DATA EXTRACTION 29 2.6 QUALITY RATING OF STUDIES 31 2.7 STATISTICAL ANALYSIS 31 2.8 DESCRIPTION OF THE EVIDENCE USED 32 2.9 DEVIATIONS FROM PROJECT PLAN 40 3 DESCRIPTION AND TECHNICAL CHARACTERISTICS OF TECHNOLOGY 41 3.1 RESEARCH QUESTIONS 41 3.2 RESULTS 41 3.3 DISCUSSION 56 4 HEALTH PROBLEM AND CURRENT USE OF THE TECHNOLOGY 58 4.1 RESEARCH QUESTIONS 58 4.2 RESULTS 58 4.3 DISCUSSION 63 5 CLINICAL EFFECTIVENESS (...) 65 5.1 RESEARCH QUESTIONS 65 5.2 INCLUDED STUDIES 65 5.2.1 NIPT as a primary screening test for the general singleton pregnancy population (total replacement of FCT) 65 5.2.2 NIPT as an add-on to FCT for the high risk singleton pregnancy population 67 5.2.3 NIPT as an add-on to FCT for the high-and intermediate-risk singleton pregnancy population 69 5.2.4 NIPT as an add-on to FCT for the high risk population twin pregnancy population 70 5.3 TEST ACCURACY 72 5.3.1 NIPT as a primary screening test

2018 EUnetHTA

151. Regorafenib (Stivarga) indicated as monotherapy for the treatment of adult patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib treatment

10 INTRODUCTION 10 METHODS 10 RESULTS 11 DISCUSSION 14 CONCLUSION 14 1 SCOPE 15 2 METHODS AND EVIDENCE INCLUDED 16 2.1 ASSESSMENT TEAM 16 2.2 SOURCE OF ASSESSMENT ELEMENTS 16 2.3 SEARCH 16 2.4 STUDY SELECTION 17 2.5 DATA EXTRACTION AND ANALYSES 19 2.6 QUALITY RATING 19 2.7 DESCRIPTION OF THE EVIDENCE USED 20 2.8 DEVIATIONS FROM PROJECT PLAN 20 3 DESCRIPTION AND TECHNICAL CHARACTERISTICS OF TECHNOLOGY (TEC) 21 3.1 RESEARCH QUESTIONS 21 3.2 RESULTS 21 4 HEALTH PROBLEM AND CURRENT USE (...) OF THE TECHNOLOGY (CUR) 24 4.1 RESEARCH QUESTIONS 24 4.2 RESULTS 24 5 CLINICAL EFFECTIVENESS (EFF) 29 5.1 RESEARCH QUESTIONS 29 5.2 RESULTS 29 6 SAFETY (SAF) 43 6.1 RESEARCH QUESTIONS 43 6.2 RESULTS 43 7 POTENTIAL ETHICAL, ORGANISATIONAL, PATIENT AND SOCIAL, AND LEGAL ASPECTS (ETH, ORG, SOC, LEG) 48 8 PATIENT INVOLVEMENT 49 9 DISCUSSION 50 10 CONCLUSION 52 11 REFERENCES 53 APPENDIX 1: METHODS AND DESCRIPTION OF THE EVIDENCE USED 56 DOCUMENTATION OF THE SEARCH STRATEGIES 56 DESCRIPTION OF THE EVIDENCE USED 62

2018 EUnetHTA

152. Guideline: counselling of women to improve breastfeeding practices

Research gaps 7 Plans for updating the guideline 8 INTRODUCTION 9 Objectives 10 Scope 10 Relevant WHO guidelines and tools 10 Population of interest 11 Priority questions 11 Outcomes of interest 12 Target audience 12 Presentation of the recommendations 12 Description of the interventions 13 EVIDENCE AND RECOMMENDATIONS 14 Key question 1 15 Key question 2 19 Key question 3 22 Key question 4 25 Key question 5 28 Key question 6 32 IMPLEMENTATION OF THE GUIDELINE 37 Implementation considerations 38 (...) Regulatory considerations 38 Ethical and equity considerations 38 Monitoring and evaluation of guideline implementation 39 RESEARCH GAPS 39 GUIDELINE DEVELOPMENT PROCESS 40 WHO steering group 40 Guideline development group 40 Meeting observers 41VIII GUIDELINE: COUNSELLING OF WOMEN TO IMPROVE BREASTFEEDING PRACTICES Systematic review team 41 Management of conflicts of interests 41 Identification of priority questions and outcomes 42 Evidence identification and retrieval 43 Quality assessment and grading

2018 World Health Organisation Guidelines

153. Dialysis Programs in Canada: Implementation Considerations and Funding Practices

across Canada. The items in the original survey were determined on the basis of interviews with key informants. In the updated survey, questions were included if they focused mainly on nephrologists’ current practices and perspectives about various facilitators and resources as they related to the implementation of the dialysis modalities of interest. The nephrologists were asked about their support for various suggested policies, initiatives, practices, and resources that could play a role (...) ); other respondents included nurses (n = 4 or 11.8%) and other physicians and nephrologists (n = 5 or 14.7%). Nephrologist Survey Of 249 potential respondents, 28 (11.2%) provided information. Responses to all or some of the questions were received from nephrologists in Alberta (n = 4), British Columbia (n = 2), Manitoba (n = 4), New Brunswick (n = 2), Newfoundland and Labrador (n = 1), Nova Scotia (n = 1), Ontario (n = 12), and Quebec (n = 2). No responses were received from nephrologists

2017 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

154. Strategies for training or supporting teachers to integrate technology into the classroom

are not permitted to duplicate, reproduce, re-publish, distribute, or store material from this review without express written permission. ii Contents List of abbreviations iii Abstract 1 1. Background 3 1.1 Aims and rationale for the current review 3 1.2 Definitional and conceptual issues 3 1.3 Policy and practice background 7 1.4 Research background 7 1.5 Authors, funders and other users of the review 8 1.6 Review questions 9 2. Methods used in the review 10 2.1 User involvement 10 2.2 Identifying (...) question ICT for education holds great potential in terms of improving student-learning outcomes, but the results to date have been less than spectacular. Perhaps in response, more attention is now being paid to teachers' roles as intermediaries in the use of ICT in education. Through our systematic review, we seek to discover what has worked in terms of strategies for training and/or supporting teachers, and to what effect. Who wants to know and why? Teacher-training colleges wishing to train teachers

2017 EPPI Centre

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

in Belgium 242 6.1.4 Study objectives and research questions 242 6.1.5 Data sources and methods 243 6.2 BRIEF VIEW ON THE ORGANISATION OF ONCOLOGICAL CARE IN BELGIUM AND IN A SELECTION OF COUNTRIES 245 6.2.1 Introduction 245 6.2.2 Belgium 245 6.2.3 France 245 6.2.4 England 252 6.2.5 The Netherlands 254 6.2.6 Denmark 256 6.2.7 A focus on implementation modalities of reference centres or specialised services 258 6.3 CANCER OF THE PANCREAS 259 6.3.1 Description of the pathology 259 6.3.2 Burden (...) Figure 65 – Number of pancreatic resections (all causes) per hospital and per region in 2015 264 Figure 66 – Number of pancreatic resections for cancer, per hospital and per region in 2014 265 Figure 67 – Relation between cancer incidence and pancreatectomies 273 Figure 68 – Average yearly number of pancreatic resections for patients with a (peri-)pancreatic cancer per hospital, 2012-2014 274 Figure 69 – Number of physicians per hospital performing pancreatic resections (all causes), in 2013 276

2017 Belgian Health Care Knowledge Centre

156. Occupational Therapy for people Undergoing total hip replacement

Contents Foreword (2nd edition) vi Foreword (1st edition) vii Foreword (1st edition) viii Key recommendations for implementation 1 1 Introduction 6 1.1 Practice requirement for the guideline 6 1.2 Topic identification process 7 1.3 National context: hip replacement statistics 7 1.4 Context of service de livery 8 2 The occupational therapy role 11 3 Objective of the guideline 14 4 Guideline scope 15 4.1 Clinical question 15 4.2 Target population 16 4.3 Target audience 17 5 Background to clinical (...) Guideline methodology 65 11.1 Guideline question 65 11.2 Literature search str ategy and outcomes 65 11.3 Criteria for inclusion and exclusion of evidence 67 11.4 Strengths and limitat ions of body of evidence 68 11.5 Method used to arriv e at recommendations 70 12 Guideline review process 72 12.1 Guideline review gro up established 72 12.2 Identification of new evidence 72 12.3 Assessment of upda te requirements 74 12.4 External review 74 12.5 College appraisal and ratification process 75 12.6 Overview

2018 Publication 1554

157. Occupational Therapists' Use of Occupation Focused Practice in Secure Hospitals

National context of secure services 7 2 The occupational therapy role 13 2.1 Occupational therapy in mental health 13 2.2 History of occupational therapy in forensic mental health services 14 2.3 Occupational therapy intervention 15 3 Objective of the guideline 17 4 Guideline scope 18 4.1 Clinical question 18 4.2 Target population 19 4.3 Target audience 20 5 Recommendations and supporting evidence 21 5.1 Volition 22 5.2 Habituation 28 5.3 Performance capacity 31 5.4 Environmental considerations 38 5.5 (...) involvement 56 9.4 External peer review and consultation 56 9.5 Conflict of interest 56 9.6 Declaration of funding for the guideline development 57 9.7 Appraisal and ratification process 57 10 Guideline methodology 58 10.1 Guideline question 58 10.2 Literature search strategy and outcomes 58 10.3 Criteria for inclusion and exclusion of evidence 60 10.4 Strengths and limitations of body of evidence 61 10.5 Method used to arrive at recommendations 63 11 Guideline review process 65 11.1 Guideline review

2018 Publication 1554

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

in the Netherlands. Particular for the Netherlands is the existence of physician assistants as certified care providers (that got a strong role in the Groningen pathway). Chiropractors work in close collaboration with physiotherapists and medical doctors in Canada, UK and the US, whereas in Europe this is not common. 3.3.3 Pathway components related to quality and efficiency Although almost all pathways, except for Lausanne, systematically keep record of patient reported outcome measures (PROM) and certain (...) LIST OF ABBREVIATIONS 7 ? SCIENTIFIC REPORT 12 1 INTRODUCTION 12 1.1 BACKGROUND: A FREQUENT PROBLEM WITH HIGH SOCIETAL IMPACT 12 1.2 STUDY OBJECTIVES AND RESEARCH QUESTIONS 13 1.3 DEFINITION OF CONCEPTS 13 1.3.1 Definition of low back and radicular pain 13 1.3.2 Definition of clinical pathway 14 1.4 STUDY PROCESS 14 2 A SYSTEMATIC REVIEW OF LITERATURE 15 2.1 RESEARCH OBJECTIVE 15 2.2 METHODS 15 2.3 RESULTS 16 2.4 LIMITATIONS 22 3 INTERNATIONAL COMPARISON OF PATHWAYS 22 3.1 RESEARCH OBJECTIVE 22 3.2

2017 Belgian Health Care Knowledge Centre

159. Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition

developed, evidence-based documents that include recommendations on specific clinical and healthy work environment topics for nurses, members of the interprofessional team G , educators, leaders and policy-makers, and persons and their families. Members of the interprofessional team caring for persons experiencing crisis include nurses and other health-care providers (e.g., physicians, social workers, and counselors), first responders (e.g., police officers, paramedics, and firefighters), and peer (...) of what is known about the role of nurses and the interprofessional team in crisis management and intervention. ? It conducted 15 key informant interviews with experts in the field, including those who actively implement the 2002 and 2006 guidelines. The results of the analysis demonstrated that an expanded scope is required. As such, this Guideline provides evidence-based best practice recommendations G on effective crisis intervention using trauma-informed approaches for adults (18 years and older

2017 Registered Nurses' Association of Ontario

160. The Diagnosis and Acute Management of Childhood Stroke, Clinical Guideline

11.1 Recognition of intracranial pressure 36 11.2 Decompressive craniectomy 37 12 STROKE AND CONGENITAL HEART DISEASE 40 13 PATIENT AND FAMILY CONSIDERATIONS 42 14 RESEARCH RECOMMENDATIONS 43 15 APPENDICES 44 15.1 Appendix 1 – Case series of children receiving neuro-interventions for stroke 44 15.2 Appendix 2 – PICO questions 49 16 REFERENCES 50Australian Childhood Stroke Advisory Committee ii Figure 1. Quick Reference guide to the diagnosis and acute management of childhood stroke 1 Figure 2

2017 Stroke Foundation - Australia

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