Latest & greatest articles for screening

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Top results for screening

1. Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources

Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources Abdominal aortic aneurysm screening for women not cost effective Dissemination Centre Discover Portal NIHR DC Discover Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources Published on 13 November 2018 doi: Nearly 4,000 women would need screening to prevent one death, and a third of aneurysms detected wouldn’t have influenced the individual woman's health (...) or lifespan. Aneurysm rupture is a life-threatening emergency with low survival. Men are known to be at higher risk of an aneurysm and are offered screening at age 65 to allow early diagnosis of aneurysms large enough to warrant surgical repair. However, a third of deaths from rupture are in women. This NIHR-funded study is the first to model the potential benefits, harms and cost-effectiveness of abdominal aortic aneurysm screening in women. All screening scenarios were estimated to exceed the NHS cost

NIHR Dissemination Centre2019

2. Screening the Blood Supply for Zika Virus in the 50 U.S. States and Puerto Rico: A Cost-Effectiveness Analysis.

Screening the Blood Supply for Zika Virus in the 50 U.S. States and Puerto Rico: A Cost-Effectiveness Analysis. Background: In 2016, universal individual donation nucleic acid testing (ID-NAT) of donated blood for Zika virus began in U.S. states and territories. Objective: To assess the cost-effectiveness of universal ID-NAT in the first year of screening compared with alternatives for the 50 states and separately for Puerto Rico. Design: Microsimulation that captured Zika-related harms (...) strategies in the 50 states were also considered. Outcome Measures: Costs, quality-adjusted life-years (QALYs), and outcomes. Results of Base-Case Analysis: In Puerto Rico, MP-NAT exclusively during high mosquito season was cost-effective at $81 123 per QALY (95% CI, -$49 138 to $978 242 per QALY). No screening policy was cost-effective in the 50 states. Universal ID-NAT cost $341 million per QALY (CI, $125 million to $2.90 billion per QALY) compared with no screening in the 50 states. Results

Annals of Internal Medicine2019

3. New screening pathway could help to identify a rare, single-gene form of diabetes

New screening pathway could help to identify a rare, single-gene form of diabetes Signal - New screening pathway could help to identify a rare, single-gene form of diabetes Dissemination Centre Discover Portal NIHR DC Discover New screening pathway could help to identify a rare, single-gene form of diabetes Published on 23 January 2018 A screening pathway using blood and urine tests followed by two genetic (DNA) tests identified all people with a rare subtype of diabetes called monogenic (...) diabetes. The screening pathway performed better than current practice based on age at diagnosis and family history which misses 63%. It is, therefore, a useful approach for ruling out this form of diabetes and probably cheaper overall than offering every young person with diabetes DNA testing. Monogenic diabetes, caused by a mutation in a single gene can be misdiagnosed as type 1 diabetes, leading to unnecessary insulin treatment. Those recruited for this study were 98% white and tested at an average

NIHR Dissemination Centre2018

4. Screen reminders for GPs did not improve anticoagulant prescribing in atrial fibrillation

Screen reminders for GPs did not improve anticoagulant prescribing in atrial fibrillation Signal - Screen reminders for GPs did not improve anticoagulant prescribing in atrial fibrillation Dissemination Centre Discover Portal NIHR DC Discover Screen reminders for GPs did not improve anticoagulant prescribing in atrial fibrillation Published on 18 July 2017 General practice software that generated screen reminders for patients with atrial fibrillation did not increase the proportion taking oral (...) it is important to understand why some patients are not taking preventative medicines. This study addressed this challenge by testing software that generated screen reminders when atrial fibrillation patients were seen in general practice. What did this study do? This cluster-randomised controlled trial assigned 47 general practices in England to either usual practice or to a new proprietary software tool – Automated Risk Assessment for Stroke in Atrial Fibrillation. The software generated screen reminders

NIHR Dissemination Centre2018

5. Financial incentives do not increase attendance for diabetic eye screening

Financial incentives do not increase attendance for diabetic eye screening Signal - Financial incentives do not increase attendance for diabetic eye screening Dissemination Centre Discover Portal NIHR DC Discover Financial incentives do not increase attendance for diabetic eye screening Published on 11 July 2017 Two types of financial incentives are not effective at increasing attendance at eye screening for people with diabetes who do not regularly attend screening. Surprisingly, financial (...) incentives may even reduce the numbers of people attending screening. Retinopathy is a type of eye disease common to people with diabetes. Sight deteriorates only in the later stages and early diagnosis and treatment can prevent blindness. Annual eye screening is offered for people with diabetes but take-up could be improved. This trial examined the effectiveness of a small fixed fee incentive and a lottery incentive compared to an invitation letter. Contrary to expectation the financial incentives were

NIHR Dissemination Centre2018

6. Intensive management of diabetes detected early at screening shows similar results to standard care

Intensive management of diabetes detected early at screening shows similar results to standard care Signal - Intensive management of diabetes detected early at screening shows similar results to standard care Dissemination Centre Discover Portal NIHR DC Discover Intensive management of diabetes detected early at screening shows similar results to standard care Published on 1 November 2016 Intensive “early” treatment was similar to national guidance-based treatment at preventing diabetes-related (...) complications or heart disease over five years in this large trial. General practices in the UK (49 practices), Netherlands and Denmark screened 135,000 asymptomatic adults aged 40 to 69 for type 2 diabetes before offering one of two treatment approaches. Intensive management was geared towards achieving targets for blood glucose, blood pressure and cholesterol levels by providing support for GPs, and protected time for delivering extra monitoring, healthy lifestyle advice and medication. The comparison

NIHR Dissemination Centre2018

7. Self-testing kits for HPV could be a useful option to tackle low cervical screening rates in young women

Self-testing kits for HPV could be a useful option to tackle low cervical screening rates in young women Signal - Self-testing kits for HPV could be a useful option to tackle low cervical screening rates in young women Dissemination Centre Discover Portal NIHR DC Discover Self-testing kits for HPV could be a useful option to tackle low cervical screening rates in young women Published on 6 December 2016 Human Papilloma Virus (HPV) self-sampling kits and the opportunity to book appointments had (...) the largest effect in improving cervical screening uptake for those not responding to initial prompts. However, uptake improved only slightly from 27% to 30%, when the kit was sent. A survey of non-attenders showed they value the convenience and privacy of self-testing. This large NIHR trial tested a range of interventions to increase uptake among women eligible for their first cervical screening test. Sending information leaflets or giving online booking options before their first invitation had

NIHR Dissemination Centre2018

8. Accuracy of Dementia Screening Instruments in Emergency Medicine: A Diagnostic Meta-analysis

Accuracy of Dementia Screening Instruments in Emergency Medicine: A Diagnostic Meta-analysis 30222232 2018 11 08 1553-2712 2018 Sep 17 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med Accuracy of Dementia Screening Instruments in Emergency Medicine: A Diagnostic Meta-analysis. 10.1111/acem.13573 Dementia is underrecognized in older adult emergency department (ED) patients, which threatens operational efficiency, diagnostic accuracy (...) , and patient satisfaction. The Society for Academic Emergency Medicine geriatric ED guidelines advocate dementia screening using validated instruments. The objective was to perform a systematic review and meta-analysis of the diagnostic accuracy of sufficiently brief screening instruments for dementia in geriatric ED patients. A secondary objective was to define an evidence-based pretest probability of dementia based on published research and then estimate disease thresholds at which dementia screening

EvidenceUpdates2018

9. Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening

Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening Final Update Summary: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 1.0.0.308 Last Build: 11/16/2018 6:27:19 PM You are here: Final Summary Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening Release Date: October 2018 Recommendation Summary Population (...) Recommendation Grade Women of reproductive age The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services. See the for more information on effective ongoing support services for IPV and for information on IPV in men. Older or vulnerable adults The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for abuse and neglect

U.S. Preventive Services Task Force2018

10. Low-dose computed tomography for lung cancer screening in high-risk populations: a systematic review and economic evaluation

Low-dose computed tomography for lung cancer screening in high-risk populations: a systematic review and economic evaluation Low-dose computed tomography for lung cancer screening in high-risk populations: a systematic review and economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search (...) above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Low-dose CT screening may be effective in reducing lung cancer mortality, but there is considerable uncertainty around effectiveness and value. {{author}} {{($index , , , , , , & . Tristan Snowsill 1, * , Huiqin Yang 1 , Ed Griffin 1 , Linda Long 1 , Jo Varley-Campbell 1 , Helen Coelho 1 , Sophie Robinson 1 , Chris Hyde 1, 2 1 Peninsula Technology Assessment

NIHR HTA programme2018

11. Emergent Large Vessel Occlusion Screen Is an Ideal Prehospital Scale to Avoid Missing Endovascular Therapy in Acute Stroke

Emergent Large Vessel Occlusion Screen Is an Ideal Prehospital Scale to Avoid Missing Endovascular Therapy in Acute Stroke 30354974 2018 10 25 1524-4628 49 9 2018 Sep Stroke Stroke Emergent Large Vessel Occlusion Screen Is an Ideal Prehospital Scale to Avoid Missing Endovascular Therapy in Acute Stroke. 2096-2101 10.1161/STROKEAHA.118.022107 Background and Purpose- The strong evidence of endovascular therapy in acute ischemic stroke patients with large vessel occlusion (LVO) is revealed (...) . Such patients are required to direct transport to the hospital capable of endovascular therapy. There are several prehospital scales available for paramedics to predict LVO. However, they are time consuming, and several of them include factors caused by other types than LVO. Therefore, we need a fast, simple, and reliable prehospital scale for LVO. Methods- We developed a new prehospital stroke scale, emergent large vessel occlusion (ELVO) screen, for paramedics to predict LVO. The study was prospectively

EvidenceUpdates2018

12. Psoriatic arthritis screening: a systematic review and meta-analysis

Psoriatic arthritis screening: a systematic review and meta-analysis 30380111 2018 10 31 1462-0332 2018 Oct 31 Rheumatology (Oxford, England) Rheumatology (Oxford) Psoriatic arthritis screening: a systematic review and meta-analysis. 10.1093/rheumatology/key314 To systematically review the accuracy and characteristics of different questionnaire-based PsA screening tools. A systematic review of MEDLINE, Excerpta Medical Database, Cochrane Central Register of Controlled Trials and Web of Science (...) was conducted to identify studies that evaluated the accuracy of self-administered PsA screening tools for patients with psoriasis. A bivariate meta-analysis was used to pool screening tool-specific accuracy estimates (sensitivity and specificity). Heterogeneity of the diagnostic odds ratio was evaluated through meta-regression. All full-text records were assessed for risk of bias with the QUADAS 2 tool. A total of 2280 references were identified and 130 records were assessed for full-text review, of which

EvidenceUpdates2018

13. Recommendations on screening for breast cancer in women 40-74 years of age who are not at increased risk

Recommendations on screening for breast cancer in women 40-74 years of age who are not at increased risk Recommendations on screening for breast cancer in women aged 40–74 years who are not at increased risk for breast cancer | CMAJ Main menu User menu Search Search for this keyword Search for this keyword Guideline Recommendations on screening for breast cancer in women aged 40–74 years who are not at increased risk for breast cancer Scott Klarenbach , Nicki Sims-Jones , Gabriela Lewin (...) POINTS Low-certainty evidence indicates that screening for breast cancer with mammography results in a modest reduction in breast cancer mortality for women aged 40 to 74 years; the absolute benefit is lowest for women younger than 50 years. Screening may lead to overdiagnosis, resulting in unnecessary treatment of cancer that would not have caused harm in a woman’s lifetime and false-positive results that can lead to both physical and psychological consequences; overdiagnosis and false-positives

Canadian Task Force on Preventive Health Care2018

14. Screening for Colorectal Cancer

Screening for Colorectal Cancer CLINICAL PRACTICE GUIDELINE Clinical Practice Guideline on Screening for Colorectal Cancer in Individuals With a Family History of Nonhereditary Colorectal Cancer or Adenoma: The Canadian Association of Gastroenterology Banff Consensus Desmond Leddin, 1,2, * David A. Lieberman, 3, * Frances Tse, 4 Alan N. Barkun, 5 Ahmed M. Abou-Setta, 6 John K. Marshall, 4 N. Jewel Samadder, 7 Harminder Singh, 6,8 Jennifer J. Telford, 9 Jill Tinmouth, 10 Anna N. Wilkinson, 11 (...) Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada BACKGROUND & AIMS: A family history (FH) of colorectal cancer (CRC) increases the risk of developing CRC. These consensus recommendations developed by the Canadian As- sociation of Gastroenterology and endorsed by the American Gastroenterological Association, aim to provide guidance on screening these high-risk individuals. METHODS: Multiple parallel systematic review streams, informed by 10 literature searches, assembled

Publication 48906132018

15. Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes

Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes Canadian Journal of Cardiology Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree

Canadian Cardiovascular Society2018

16. Clinical relevance of screening checklists for detecting cancer predisposition syndromes in Asian childhood tumours

Clinical relevance of screening checklists for detecting cancer predisposition syndromes in Asian childhood tumours 30455982 2018 12 07 2056-7944 3 2018 NPJ genomic medicine NPJ Genom Med Clinical relevance of screening checklists for detecting cancer predisposition syndromes in Asian childhood tumours. 30 10.1038/s41525-018-0070-7 Assessment of cancer predisposition syndromes (CPS) in childhood tumours is challenging to paediatric oncologists due to inconsistent recognizable clinical (...) phenotypes and family histories, especially in cohorts with unknown prevalence of germline mutations. Screening checklists were developed to facilitate CPS detection in paediatric patients; however, their clinical value have yet been validated. Our study aims to assess the utility of clinical screening checklists validated by genetic sequencing in an Asian cohort of childhood tumours. We evaluated 102 patients under age 18 years recruited over a period of 31 months. Patient records were reviewed against

NPJ genomic medicine2018 Full Text: Link to full Text with Trip Pro

17. Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement.

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement. Importance: Excessive alcohol use is one of the most common causes of premature mortality in the United States. From 2006 to 2010, an estimated 88 000 alcohol-attributable deaths occurred annually in the United States, caused by both acute conditions (eg, injuries from motor vehicle collisions) and chronic conditions (eg (...) , alcoholic liver disease). Alcohol use during pregnancy is also one of the major preventable causes of birth defects and developmental disabilities. Objective: To update the US Preventive Services Task Force (USPSTF) 2013 recommendation on screening for unhealthy alcohol use in primary care settings. Evidence Review: The USPSTF commissioned a review of the evidence on the effectiveness of screening to reduce unhealthy alcohol use (defined as a spectrum of behaviors, from risky drinking to alcohol use

JAMA2018

18. Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Importance: Unhealthy alcohol use is common, increasing, and a leading cause of premature mortality. Objective: To review literature on the effectiveness and harms of screening and counseling for unhealthy alcohol use to inform the US Preventive Services Task Force. Data Sources: MEDLINE, PubMed (...) , PsycINFO, and the Cochrane Central Register of Controlled Trials through October 12, 2017; literature surveillance through August 1, 2018. Study Selection: Test accuracy studies and randomized clinical trials of screening and counseling to reduce unhealthy alcohol use. Data Extraction and Synthesis: Independent critical appraisal and data abstraction by 2 reviewers. Counseling trials were pooled using random-effects meta-analyses. Main Outcomes and Measures: Sensitivity, specificity, drinks per week

JAMA2018

19. Screening for Lung Cancer: CHEST Guideline and Expert Panel Report

Screening for Lung Cancer: CHEST Guideline and Expert Panel Report Screening for Lung Cancer CHEST Guideline and Expert Panel Report Peter J. Mazzone, MD, MPH, FCCP; Gerard A. Silvestri, MD, FCCP; Sheena Patel, MPH; Jeffrey P. Kanne, MD, FCCP; Linda S. Kinsinger, MD; Renda Soylemez Wiener, MD, MPH; Guy Soo Hoo, MD, FCCP; and Frank C. Detterbeck, MD, FCCP BACKGROUND: Low-dose chest CTscreening for lung cancer has becomeastandard ofcare in the United States in the past few years, in large part (...) due to the results of the National Lung Screening Trial. The bene?t and harms of low-dose chest CT screening differ in both frequency and magnitude. The translation of a favorable balance of bene?t and harms into practice can be dif?cult. Here, we update the evidence base for the bene?t, harms, and implementation of low radiation dose chest CT screening. We use the updated evidence base to provide recommendations where the evidence allows, and statements based on experience and expert consensus

American College of Chest Physicians2018

20. Are There Tools to Screen Children and Adolescents in the Emergency Department With Mental Health and Substance Abuse Issues?

Are There Tools to Screen Children and Adolescents in the Emergency Department With Mental Health and Substance Abuse Issues? Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the . Advertisements

Annals of Emergency Medicine Systematic Review Snapshots2018