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Journal of Evaluation in Clinical Practice

Kaina Zhou, Lanting Huo, Xiaole He, Minjie Li, Jinghua An, Wen Wang, Jin Li, Xiaomei Li
RATIONALE, AIMS, AND OBJECTIVES: A needs assessment tool considering the cultural background of mainland China has not been reported. This study developed a Needs Self-rating Questionnaire for Breast Cancer (NSQ-BC) based on Maslow's hierarchy of needs for mainland Chinese patients. METHODS: The Delphi technique and pilot cross-sectional surveys (two rounds) were performed for item selection. In the Delphi technique, items were selected according to the experts' perspective on the item's significance (ie, 1-5 Likert-scale ratings of importance; mean > 4...
February 17, 2019: Journal of Evaluation in Clinical Practice
Sai-Wai Ho, Ching-Pin Lin, Min-Sho Ku
BACKGROUND: An association between allergic rhinitis (AR) and digestive diseases (DDs) has been reported; however, studies have only focused on the prevalence of DDs in populations of patients with AR. In individuals with specific DDs, the impact of AR on the frequency of clinical visits for each DD has not been studied. Moreover, the association between topical steroid usage for AR and DDs has not been investigated. METHODS: Data from 16 526 men and 18 438 women, aged 21 to 30 years, were collected from a national database...
February 17, 2019: Journal of Evaluation in Clinical Practice
Rajeev Bhatia, Melissa Kaye, Adria Roberti-Miller
BACKGROUND: Multiple outcomes measures including exercise capacity and quality of life are necessary to get complete and accurate picture of cystic fibrosis (CF) progression. In this pilot study, we investigated these measures in CF longitudinally for a year to determine (a) minimal clinically important difference (MCID) for 6-minute walk distance (6MWD) and CF Health-Related Quality of Life Questionnaire (CFQ-R) domains and (b) how 6MWD, CFQ-R, and spirometry change during times of exacerbation and baseline health and their relationship among each other...
February 13, 2019: Journal of Evaluation in Clinical Practice
Marko Stojanović, Milica Vuković, Milan Jovanović, Srđan Dimitrijević, Miroslav Radenković
RATIONALE, AIMS, AND OBJECTIVE: There is limited information about the comparative effectiveness of the START/STOPP (Screening Tool of Older Person's Prescriptions/Screening Tool to Alert doctors to Right Treatment) criteria and the Ghent Older People's Prescriptions community Pharmacy Screening tool (GheOP3 S tool) for the screening of potentially inappropriate prescribing (PIP) in the geriatric population. Considering this, the aim of this study was to compare the ability of the START/STOPP criteria and GheOP3 S tool to identify the PIP and potential prescribing omissions (PPOs) among elderly patients visiting their primary care physician...
February 5, 2019: Journal of Evaluation in Clinical Practice
Vivienne Chong, TimothyJ Schultz, Frank Donnelly
RATIONALE, AIMS AND OBJECTIVES: Patients with acute abdominal pain are a common presentation in hospital emergency departments; however, international studies have demonstrated that hospitals often lack clinical protocols to guide care. This study aimed to investigate whether Australian hospital emergency departments have acute abdominal pain clinical protocols, identify hospital-level predictors of the presence of these clinical protocols, and assess the quality of protocols. METHODS: A survey was sent to all Australian hospitals with emergency departments, collecting data on hospital characteristics and the presence of acute abdominal pain clinical protocols...
February 4, 2019: Journal of Evaluation in Clinical Practice
Kérilin Stancine Santos Rocha, Sabrina Cerqueira Santos, Thays Carneiro Boaventura, Genival Araujo Dos Santos Júnior, Dyego Carlos Souza Anacleto de Araújo, Carina Carvalho Silvestre, Elisdete Maria Santos de Jesus, Divaldo Pereira de Lyra Júnior
RATIONALE, AIMS, AND OBJECTIVES: Counselling is essential in drug dispensing, since it enables patients to receive and understand the information to correctly use their medicines. Although counselling is a quality indicator on drug dispensing, models that guide pharmacists in this practice are scarce. Thus, this study aimed to develop and validate the content of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines. METHOD: A two-stage validation study was conducted out from February to October 2017...
January 31, 2019: Journal of Evaluation in Clinical Practice
Michelle Watson, Bridgette M Bewick, Puvan Tharmanathan
RATIONALE, AIMS, AND OBJECTIVES: Secondary care pharmacists are well positioned within the healthcare system to communicate with patients and provide guidance and advice regarding drug treatments. They are able to broaden the opportunities to raise the profile of Clinical Trials of Investigational Medicinal Products (CTIMPs) and positively influence research. This research aimed to investigate the perceived benefits and barriers of secondary care pharmacists being involved in CTIMPs, their current role, and the perceived benefits and barriers of developing their role in facilitating patient participation for CTIMPs (eg, by identifying or recruiting potential participants)...
January 28, 2019: Journal of Evaluation in Clinical Practice
Zhe Hui Hoo, Michael J Campbell, Stephen J Walters, Martin J Wildman
RATIONALE, AIMS, AND OBJECTIVE: We previously demonstrated that annual review %FEV1 underestimates lung health of adults with CF compared with %FEV1 captured during periods of clinical stability. This has implications in the comparisons against registries with encounter-based FEV1 , such as the United States. It is uncertain whether this bias affects between-centre comparison within the United Kingdom. Previous funnel plot analyses have identified variation in annual review %FEV1 according to centre size; hence, we investigated whether paired differences between annual review and best %FEV1 also vary according to centre size...
January 25, 2019: Journal of Evaluation in Clinical Practice
Ivan Sever, Miroslav Verbič, Eva Klaric Sever
RATIONALE, AIMS, AND OBJECTIVES: The literature suggests that discrete choice experiments (DCEs) are a preferable method for estimating willingness-to-pay (WTP) values, as they may avoid some biases often observed in contingent valuation surveys, such as protest and strategic behaviour. However, the choice studies have demonstrated that attribute non-attendance may be a serious issue that leads to biased WTP estimates. METHOD: A DCE was used to estimate patients' WTP for dental care at the dental school clinic...
January 24, 2019: Journal of Evaluation in Clinical Practice
Susan J Robertson, Mohammed F K Ibrahim, Carol Stober, John Hilton, Zuzana Kos, Sasha Mazzarello, Tim Ramsay, Dean Fergusson, Lisa Vandermeer, Ranjeeta Mallick, Angel Arnaout, Susan F Dent, Roanne Segal, Sandeep Sehdev, Stan Gertler, Brian Hutton, Mark Clemons
OBJECTIVE: The three Magee Equations provide an estimate of the Oncotype DX recurrence score using commonly available clinicopathologic information (tumour size, grade, oestrogen receptor, progesterone receptor, HER2, and Ki67). We assessed whether integration of Magee Equations into routine clinical practice affected the frequency of Oncotype DX requests. METHODS: Patients with newly diagnosed, node negative, hormone receptor positive, and HER2 negative invasive breast cancer were randomized to undergo a Magee calculation or not...
January 23, 2019: Journal of Evaluation in Clinical Practice
Chris O Ifediora, Emmanuel C Azuike
BACKGROUND: With limited government-sponsored breast screening programmes in developing countries, breast awareness remains the only realistic survival hope for millions. Poor levels of knowledge and preventive practices remain in these countries, and early enlightenment to empower teenage high school girls has been advocated for, recently. This study evaluates ways to ensure sustainability for such an approach. METHOD: A 6-month longitudinal, interventional cohort study of 432 high school female students in South-eastern Nigeria...
January 20, 2019: Journal of Evaluation in Clinical Practice
Rute Sampaio, Luís Filipe Azevedo, Cláudia Camila Dias, Rob Horne, José M Castro Lopes
AIM: The aim of present study was to perform the translation, cultural adaptation, and validation of the Medication Adherence Report Scale (MARS-P9) for the European Portuguese language in a sample of chronic pain patients. METHODS: A Portuguese version of the nine-item MARS (©Professor Rob Horne) scale (MARS-P9) was constructed through a process of translation, back translation, and experts' panel evaluation. A total of 141 chronic pain patients were subsequently evaluated at four time assessments during a 1-year pain medication treatment...
January 16, 2019: Journal of Evaluation in Clinical Practice
Xin Ying Chua, Sabrina Toh, Kai Wei, Nigel Teo, Terence Tang, Shiou Liang Wee
BACKGROUND: While frailty status is an attractive risk stratification tool, the evaluation of frailty in acute care can be challenging as some inpatients are unable to complete performance-based tests as part of frailty assessment and some tools may lack discriminative ability and categorize majority of cohorts as "frail". In this study, we evaluated the feasibility of frailty screening with the simple clinical frailty scale (CFS) by different clinicians, and its association with mortality and rehospitalization in a geriatric acute care setting...
January 10, 2019: Journal of Evaluation in Clinical Practice
Kate Churruca, Kristiana Ludlow, Natalie Taylor, Janet C Long, Stephanie Best, Jeffrey Braithwaite
RATIONALE, AIMS, AND OBJECTIVES: The field of implementation science has developed in response to slow and inconsistent translation of evidence into practice. Despite utilizing increasingly sophisticated approaches to implementation, including applying a complexity science lens and conducting realist evaluations, challenges remain to getting the kinds of outcomes hoped for by implementation efforts. These include gaining access and buy-in from those implementing the change and accounting for the influence of local context...
January 10, 2019: Journal of Evaluation in Clinical Practice
Fran Pollner, Bonnie O'Connor, Adriane Fugh-Berman
No abstract text is available yet for this article.
January 9, 2019: Journal of Evaluation in Clinical Practice
Elisabet Sánchez-Rodríguez, Rocío de la Vega, Mélanie Racine, Rubén Roy, Mark P Jensen, Jordi Miró
AIM AND OBJECTIVE: To provide evidence regarding the psychometric properties of the Spanish eight-item version of the Chronic Pain Acceptance Questionnaire (CPAQ-8). METHOD: Three hundred adults with chronic pain completed measures of pain acceptance, committed action, fear of movement, anxiety, depression, and health-related quality of life. A confirmatory factor analysis (CFA) of the CPAQ-8 was performed. Reliability and validity were also evaluated. RESULTS: The CFA confirmed a two-factor structure...
December 27, 2018: Journal of Evaluation in Clinical Practice
Souheil Hallit, Aline Hajj, Patricia Shuhaiber, Katia Iskandar, Elsy Ramia, Hala Sacre, Pascale Salameh
BACKGROUND: Studies showed that pharmacists have little experience with adverse drug reactions (ADRs) reporting due to insufficient knowledge of the concept of ADR and pharmacovigilance (PV). There is an urge to assess hospital pharmacists' knowledge in medication safety practices. OBJECTIVE: To evaluate the knowledge, attitude, and practice, among hospital pharmacists in Lebanon concerning ADRs and PV concepts. METHODS: A cross-sectional study, conducted between March and July 2016, enrolled 187 hospital pharmacists in all Lebanese districts...
December 27, 2018: Journal of Evaluation in Clinical Practice
Benjamin Djulbegovic, Iztok Hozo, Thomas Mayrhofer, Jef van den Ende, Gordon Guyatt
BACKGROUND: The threshold model represents one of the most significant advances in the field of medical decision-making, yet it often does not apply to the most common class of clinical problems, which include health outcomes as a part of definition of disease. In addition, the original threshold model did not take a decision-maker's values and preferences explicitly into account. METHODS: We reformulated the threshold model by (1) applying it to those clinical scenarios, which define disease according to outcomes that treatment is designed to affect, (2) taking into account a decision-maker's values...
December 21, 2018: Journal of Evaluation in Clinical Practice
David E Theile, Shoni Philpot, Michael Blake, John Harrington, Philippa H Youl
RATIONALE, AIMS AND OBJECTIVES: Colorectal cancer (CRC) is one of the most common cancers diagnosed worldwide, and rates are continuing to rise. Surgery is the primary treatment for CRC, and our aim was to examine clinical outcomes following major resection using a series of established quality indicators and to identify factors associated with poor clinical outcomes. METHOD: This population-based retrospective study included 4321 patients with diagnosed with CRC in 2012 and 2014 in Queensland, Australia, who underwent a major resection...
December 21, 2018: Journal of Evaluation in Clinical Practice
Jérôme Berger, Aline Bourdin, Fatima Pires, Claudine Backes, Clémence Perraudin, Olivier Bugnon
RATIONALE: As observed in other countries, some patients may experiment difficulties in obtaining their hepatitis C antiviral medicines (HCVm) in Swiss community pharmacies. There is a lack of data related to access to HCVm at the patient level and notably related to the potential financial risks for the community pharmacies. AIMS: (a) To evaluate the potential financial risks for community pharmacist associated with the delivery of HCVm in the Swiss healthcare system; (b) to explore the attitudes and experiences of community pharmacists related to these risks and their consequences for the patients...
December 21, 2018: Journal of Evaluation in Clinical Practice
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