Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4)
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.
Complexity in disease management: A linked data analysis of multimorbidity in Aboriginal and non-Aboriginal patients hospitalised with atherothrombotic disease in Western Australia. Hospitalisation for atherothrombotic disease (ATD) is expected to rise in coming decades. However, increasingly, associated comorbidities impose challenges in managing patients and deciding appropriate secondary prevention. We investigated the prevalence and pattern of multimorbidity (presence of two or more chronic (...) in degree and pattern of multimorbidity.Multimorbidity is common in ATD patients and the comorbidities tend to interact and cluster together. Physicians need to consider these in their clinical practice. Different treatment and secondary prevention strategies are likely to be useful for management in these cluster groups.
Systematic review of the links between human resource managementpractices and performance Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management To update clinical practice guidelines to assist primary care (PC) clinicians in the management of adolescent depression. This part of the updated guidelines is used to address practice preparation, identification, assessment, and initial management of adolescent depression in PC settings.By using a combination of evidence- and consensus-based (...) , and initial management. The strength of each recommendation and its evidence base are summarized. The practice preparation, identification, assessment, and initial management section of the guidelines include recommendations for (1) the preparation of the PC practice for improved care of adolescents with depression; (2) annual universal screening of youth 12 and over at health maintenance visits; (3) the identification of depression in youth who are at high risk; (4) systematic assessment procedures
Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders REVIEW Open Access Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders Martin A Katzman 1* , Pierre Bleau 2 , Pierre Blier 3 , Pratap Chokka 4 , Kevin Kjernisted 5 , Michael Van Ameringen 6 , the Canadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada (...) through MEDLINE, PsycINFO, and manual searches (1980–2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines. Results: These guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety
Aspirin hypersensitivity in patients with coronary artery disease: linking pathophysiology to clinical practice. Dual antiplatelet therapy, consisting of aspirin and a P2Y12 receptor antagonist, has been the cornerstone of management in those undergoing percutaneous coronary intervention, reducing stent thromboses and cardiovascular events. Given the pivotal role of aspirin in cardiovascular disease management, patients with aspirin hypersensitivity pose complex clinical challenges. Allergy (...) to aspirin is reported in 1.5-2.6% of patients presenting with cardiac disease. Identification of the subtype of aspirin hypersensitivity will determine suitability for aspirin desensitization, dictate choice of desensitization protocol and inform risk management. Aspirin desensitization is an effective and viable clinical strategy, although it remains underutilised in clinical practice. Collaboration between cardiologists and immunologists should be strongly encouraged to facilitate optimal management
. This technology has been a major driver and opportunity for bridging the gap in access to equitable stroke services regardless of geo- graphic location. The current challenge is to expand the use of this technology, given that it is signi?cantly under-utilized in the management of patients who have experienced a stroke and their family members. The 2017 update of the Canadian Stroke Best Practice Recommendations Telestroke guidelines includes a comprehensive summary of current evi- dence-based recommendations (...) Canadian stroke best practice recommendations: telestroke best practice guidelines update Guidelines Canadian Stroke Best Practice Recommendations: Telestroke Best Practice Guidelines Update 2017 Dylan Blacquiere 1,2 , M Patrice Lindsay 3 , Norine Foley 4,5 , Colleen Taralson 6 , Susan Alcock 7 , Catherine Balg 8 , Sanjit Bhogal 4 , Julie Cole 9 , Marsha Eustace 10 , Patricia Gallagher 1 , AntoinetteGhanem 11 ,AlexanderHoechsmann 12 ,GaryHunter 13 , Khurshid Khan 6,14 , Alier Marrero 15 , Brian
not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Traditional Aboriginal Pain ManagementPractices: Clinical Effectiveness DATE (...) Traditional Aboriginal Pain ManagementPractices Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other
Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America 7/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 1/27 Pelvic Girdle (...) Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Physical Therapy Association Clinton, Susan C. PT, DScPT, OCS, WCS, FAAOMPT ; Newell, Alaina PT, DPT, WCS, CLTLANA ; Downey, Patricia A. PT, PhD, DPT ; Ferreira, Kimberly PT, PhD, MSPT Journal of Women's Health Physical Therapy: May 2017 Volume 41 Issue 2
KHA-CARI commentary on the KDIGO Clinical Practice Guideline for lipid management in chronic kidney disease Commentary KHA-CARI commentary on the KDIGO Clinical Practice Guideline for Lipid Management in Chronic Kidney Disease SUETONIA C PALMER, 1,2 GIOVANNI FM STRIPPOLI 2,3,4,5,6 and JONATHAN C CRAIG 2,3 1 Department of Medicine, University of Otago Christchurch, Christchurch, New Zealand; 2 Cochrane Renal Group, 3 Sydney School of Public Health, University of Sydney, Sydney, New South Wales (...) Improving Global Outcomes (KDIGO) group. 5 The KDIGO ‘Clinical Practice Guideline for Lipid Management in Chronic Kidney Disease’ was published in November 2013 and makes 13 recommendations. 6 In this commentary, we consider the recommendations made in the KDIGO guide- line with particular reference to the New Zealand and Australian context. Overall, the KDIGO guideline recom- mendations are suitable for Australasian clinical practice. GUIDELINE SUMMARY This KDIGO guideline provides guidance on lipid
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society 28286221 2017 07 28 1558-3597 70 5 2017 Aug 01 Journal of the American College of Cardiology J. Am. Coll. Cardiol. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart (...) Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. e39-e110 S0735-1097(17)30793-3 10.1016/j.jacc.2017.03.003 Shen Win-Kuang WK Sheldon Robert S RS Benditt David G DG Cohen Mitchell I MI Forman Daniel E DE Goldberger Zachary D ZD Grubb Blair P BP Hamdan Mohamed H MH Krahn Andrew D AD Link Mark S MS Olshansky Brian B Raj Satish R SR Sandhu Roopinder Kaur RK Sorajja Dan D Sun Benjamin C BC Yancy Clyde W CW eng Journal Article 2017 03 09 United States J Am Coll Cardiol
with or without systemic involvement, and chronic apical abscess. The survey link was distributed to active Ontario family and emergency physicians. The sample group was asked questions about their management of and experience with NTDCs, and demographic and practice characteristics were collected. Descriptive and multivariate logistic regression analyses were undertaken (P ≤ .05).Sampled Ontario physicians tend to manage NTDCs in a manner that is not consistent with evidence-based care. For irreversible (...) Knowledge and Practices of Family and Emergency Physicians in Managing Nontraumatic Dental Conditions: A Case-based Survey. Physicians are often patients' first point of contact for management of nontraumatic dental conditions (NTDCs). This study's aim was to evaluate the knowledge and practices of Ontario physicians in managing NTDCs, with a specific focus on antibiotic usage.A Web-based survey featured 4 NTDC clinical scenarios: irreversible pulpitis, localized acute apical abscess
An interview about the best practices for diagnosing and managing constipation in the ED An interview about the best practices for diagnosing and managing constipation in the ED – PEMBlog Search for: Search for: An interview about the best practices for diagnosing and managing constipation in the ED Constipation is an incredibly common problem in the Pediatric Emergency Department and amongst children who visit the Emergency Department with complaints of abdominal pain. This episode of PEM (...) Currents, the Pediatric Emergency Medicine podcast features an interview with who is an expert in managing pediatric constipation. Our discussion focused on diagnosis in the Emergency Department, management and why you don’t need an X-Ray to make there diagnosis. Listen Subscribe References By | 2019-03-12T15:21:25-04:00 March 13th, 2019 | | Share this post About the Author: Brad Sobolewski, MD, MEd is an Associate Professor of Pediatric Emergency Medicine and an Assistant Director for the Pediatric
late drain removal conversely displayed increased odds.To explore contemporary drain managementpractices and examine the impact of early removal following distal pancreatectomy (DP).Despite accruing evidence supporting its benefit following pancreatoduodenectomy, early drain removal after DP has yet to be explored.The American College of Surgeons' National Surgical Quality Improvement Program (ACS-NSQIP) was queried for elective DPs from 2014 to 2017. When possible, data were linked to survey (...) Drain Management Following Distal Pancreatectomy: Characterization of Contemporary Practice and Impact of Early Removal. MINI: Early drain removal has yet to be explored following distal pancreatectomy. Following analysis of ACS-NSQIP data, early removal demonstrated significantly better outcomes when compared to late removal and drain omission. Multivariable analysis revealed early removal had reduced odds for pancreatic fistula and death or serious morbidity compared to drain omission, while
Managing Psoriasis in Patients with HBV or HCV Infection: Practical Considerations. Considered more efficacious and safer than traditional systemic drugs, biologic therapies have dramatically improved the quality of life of patients with psoriasis. Recently, there has been a proliferation of new targeted treatment options, including anti-interleukin-17, anti-interleukin-12/23, as well as small-molecule drugs such as apremilast. There are nevertheless some concerns regarding their use (...) patients who are prescribed methotrexate, acitretin, or apremilast have a low risk and need to be monitored for viral reactivation by determining alanine aminotransferase and HBV DNA levels every 3 months. No conclusive data are available for interleukin-17 and interleukin-23 inhibitors. Anti-hepatitis B core antigen-positive patients treated with tumor necrosis factor-α inhibitors, ustekinumab, and cyclosporine are linked to a moderate risk of reactivation, and they should preferably undergo HBV DNA
was significantly higher in individuals diagnosed through intervention practices than control practices. All patients diagnosed in intervention practices were successfully linked to care (24). Implementation of organizational changes to routine testing programs can also effectively link previously undiagnosed individuals with HIV care. In 2013, a Baltimore academic medical centre launched a routine HIV testing initiative with the goal of 75% rates of offer and acceptance of HIV testing, as well as increased (...) . Approximately 80% of individuals who were offered HIV testing accepted it. This resulted in 15 (0.82%) newly diagnosed HIV infections, 14 of which (93%) were linked to care (i.e. attending at least two HIV primary care visits within six months). Additionally, 47% of those previously diagnosed with HIV, but not engaged in care, were linked to care. The process was deemed successful, as the project exceeded its goals, and continues as routine practice within the medical centre. Authors stated
Systematic review of the links between human resource managementpractices and performance Systematic review of the links between human resource managementpractices and performance Systematic review of the links between human resource managementpractices and performance Patterson M, Rick J, Wood S, Carroll C, Balain S, Booth A Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has (...) been made for the HTA database. Citation Patterson M, Rick J, Wood S, Carroll C, Balain S, Booth A. Systematic review of the links between human resource managementpractices and performance. Health Technology Assessment 2010; 14(51): 1-363 Authors' conclusions Study found evidence to suggest that human resource management based on enhancing employee skills attitudes and behaviours could be beneficial for organisational performance but that there is a clear need for further research to overcome
For the management of Gout in UK Primary Care: is nurse-led management more effective than GP-led management? Getting Evidence in Clinical Practice: General Practice Nurse Evidence Based Practice (CAT group) Date: Nov 2018 CAT Lead: Andrew Finney, Rachel Viggars and Charlotte Harper Date: CAT completed: Nov 2018 Email: firstname.lastname@example.org Date: CAT to be reviewed: Nov 2021 Clinical bottom line Nurse-led gout care has been shown to be efficacious and cost-effective when compared with usual care (...) ; making it the most prevalent form of inflammatory arthritis (Kuo et al, 2015; Abhishek et al, 2017). It is four times more common in men than women, rarely seen under the age of 40 and reaches its peak prevalence between the ages of 80-84 where it affects 15% of men and 6% of women (Rees and Doherty, 2014). The majority of patients with gout are managed in primary care within general practice; yet GP-led treatment for gout is shown to be sub-optimal and not concordant with current national
Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Hyperglycemic emergencies in adults My Site - Chapter 15: Hyperglycemic Emergencies in Adults Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Hyperglycemic Emergencies in Adults Diabetes Canada Clinical Practice (...) . Individuals with KPD have very little beta cell function, may or may not have beta cell antibodies, and some may require temporary or lifelong insulin therapy . Table 1 Clinical presentation of DKA Symptoms Signs Hyperglycemia Polyuria, polydipsia, weakness ECFV contraction Acidosis Air hunger, nausea, vomiting and abdominal pain Altered sensorium Precipitating condition Precipitating condition See list of conditions in Prevention Sick-day management that includes capillary beta-hydroxybutyrate monitoring