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Ottawa clinical practice guidelines

https://read.qxmd.com/read/36898409/systematic-review-of-lymphangioleiomyomatosis-outcomes-in-pregnancy-and-a-proposed-management-guideline
#21
JOURNAL ARTICLE
Macie Champion, Julia Maier, Elisa Thelys Bushman, Joseph Barney, Brian M Casey, Rachel Sinkey
BACKGROUND: Lymphangioleiomyomatosis (LAM) is a rare, multisystem disease that primarily affects women of reproductive age. Disease progression has been linked to estrogen exposure, and as such many patients are advised to avoid pregnancy. Data are limited regarding the interaction between LAM and pregnancy, and as such we performed a systematic review to summarize available literature reporting outcomes of pregnancies complicated by maternal LAM. STUDY DESIGN: This was a systematic review including randomized controlled trials, observational studies, systematic reviews, case reports, clinical practice guidelines, and quality improvement studies with full text manuscripts or abstracts in the English language with primary data on pregnant or postpartum patients with LAM...
March 10, 2023: American Journal of Perinatology
https://read.qxmd.com/read/36893848/drug-reaction-with-eosinophilia-and-systemic-symptoms-a-systematic-review
#22
JOURNAL ARTICLE
Andrew Awad, Michelle S Goh, Jason A Trubiano
BACKGROUND: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially life-threatening drug reaction; recognizing the diversity of its clinical presentations, implicated drugs, and management modalities can aid in diagnosis and reduce morbidity and mortality. OBJECTIVE: To review the clinical features, drug causes, and treatments deployed in DRESS. METHODS: This review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to review publications relating to DRESS published between 1979 and 2021...
March 7, 2023: Journal of Allergy and Clinical Immunology in Practice
https://read.qxmd.com/read/36621760/guideline-concordant-antibiotic-therapy-for-the-hospital-treatment-of-community-acquired-pneumonia-and-1-year-all-cause-and-cardiovascular-mortality-in-older-adult-patients-surviving-to-discharge
#23
JOURNAL ARTICLE
Vicente F Corrales-Medina, Carl van Walraven
BACKGROUND: Selection of empiric antibiotic treatment for community-acquired pneumonia (CAP) that is concordant with clinical practice guidelines has been associated with improved short-term outcomes of this infection, but whether it is also associated with longer-term outcomes is unknown. RESEARCH QUESTION: Is guideline-concordance of the initial antibiotic treatment given to older adult patients hospitalized with CAP associated with the 1-year all-cause and cardiovascular mortality risk of those patients who survive hospitalization for this infection? STUDY DESIGN AND METHODS: A total of 1,909 older (> 65 years of age) patients were identified who survived hospitalization for CAP at The Ottawa Hospital (Ontario, Canada) between 2004 and 2015...
June 2023: Chest
https://read.qxmd.com/read/36514586/are-electronic-notifications-in-imaging-order-communication-systems-an-effective-means-of-changing-clinicians-behaviour
#24
JOURNAL ARTICLE
Amjad Burgan
Introduction Order Communication Systems (Ordercomms) are computer applications used to enter diagnostic and therapeutic patient care orders and view test results. These electronic systems allow the integration of Clinical Decision Support Systems (CDSS). CDSS are computer applications designed to aid clinicians in making diagnostic and therapeutic decisions in patient care (e.g. can notify clinicians of best practice guidelines when requesting investigations or prescribing medications). The aims of this study were to determine whether electronic notifications (via Ordercomms) are effective in improving clinician compliance with the Ottawa Rules in plain radiographs requesting for ankle trauma, and the efficacy of electronic notifications in reducing inappropriate imaging requests...
November 2022: Curēus
https://read.qxmd.com/read/36410938/sogc-guideline-retirement-notice-no-3
#25
(no author information available yet)
These documents have been archived because they contain outdated information. They should not be consulted for clinical use, but for historical research only. Please visit the journal website for the most recent guidelines. Prenatal Screening for Fetal Aneuploidy [J Obstet Gynaecol Can 29 (2007) 146-161] AUTHORS Anne Summers, MD, North York, ON Sylvie Langlois, MD, Vancouver, BC Phil Wyatt, MD, PhD, Toronto, ON R. Douglas Wilson, MD, Philadelphia, PA A Report on Best Practices for Returning Birth to Rural and Remote Aboriginal Communities [J Obstet Gynaecol Can 29 (2007) 250-254] AUTHOR Carol Couchie, RM Diagnosis and Management of Placenta Previa [J Obstet Gynaecol Can 29 (2007) 261-266] AUTHOR Lawrence Oppenheimer, MD, Ottawa, ON Non-Medical Use of Fetal Ultrasound [J Obstet Gynaecol Can 29 (2007) 364-365] AUTHORS Michiel C...
November 2022: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/36410251/indications-and-timing-in-isolated-medial-femoral-hemiepiphysiodesis-for-idiopathic-genu-valgum-a-systematic-review
#26
REVIEW
Elena Artioli, Antonio Mazzotti, Vanina Ramacci, Simone Ottavio Zielli, Vitantonio Digennaro, Alberto Ruffilli, Cesare Faldini
INTRODUCTION: Temporary isolated medial femoral hemiepiphysiodesis (TIMFH) represents a safe and effective technique widely used to treat idiopathic genu valgum. Recent studies mainly concentrated on comparing outcomes of different implants, while less attention has been reserved to the proper indications and timing for surgery. The aim of this systematic review was to provide evidence-based guidelines about indications for device implant and removal and postoperative management. METHODS: A comprehensive literature search was performed across three databases to select articles concerning TIMFH in the treatment of idiopathic genu valgum...
January 2023: Knee
https://read.qxmd.com/read/36387299/labor-augmentation-with-oxytocin-in-low-and-lower-middle-income-countries-a-systematic-review-and-meta-analysis
#27
REVIEW
Monica Lauridsen Kujabi, Emmeli Mikkelsen, Natasha Housseine, Josephine Obel, Brenda Sequeira D'Mello, Dan W Meyrowitsch, Kidanto Hussein, Jeppe Bennekou Schroll, Flemming Konradsen, Jos van Roosmalen, Thomas van den Akker, Nanna Maaløe
OBJECTIVE: Despite its worldwide use, reviews of oxytocin for labor augmentation include mainly studies from high-income countries. Meanwhile, oxytocin is a potentially harmful medication and risks may be higher in low-resource settings. We conducted a systematic review and meta-analysis of practices, benefits, and risks of oxytocin for labor augmentation in low- and lower-middle-income countries. DATA SOURCES: PubMed, Embase, PsycINFO, Index Medicus, Cochrane, and Google Scholar were searched for publications until January 1, 2022...
November 2022: AJOG global reports
https://read.qxmd.com/read/36375591/risk-of-subsequent-dementia-or-alzheimer-disease-among-patients-with-age-related-macular-degeneration-a-systematic-review-and-meta-analysis
#28
REVIEW
Hou-Ren Tsai, Raymond Y Lo, Kai-Hsiang Liang, Tai-Li Chen, Huei-Kai Huang, Jen-Hung Wang, Yuan-Chieh Lee
PURPOSE: Alzheimer disease (AD), a common form of dementia, shares several clinical and pathologic features with age-related macular degeneration (AMD). Epidemiologic reports on the association of AMD with subsequent dementia or AD are inconsistent. DESIGN: Systematic review and meta-analysis. METHODS: The Meta-analysis of Observational Studies in Epidemiology reporting guidelines were applied. The Newcastle-Ottawa Scale was used to evaluate the risk of bias in the included cohort studies that examined the association of AMD with subsequent dementia or AD...
November 12, 2022: American Journal of Ophthalmology
https://read.qxmd.com/read/36368960/physiotherapists-knowledge-of-and-adherence-to-evidence-based-practice-guidelines-and-recommendations-for-ankle-sprains-management-a-cross-sectional-study
#29
JOURNAL ARTICLE
Giulia Caffini, Simone Battista, Andrea Raschi, Marco Testa
BACKGROUND: Lateral ankle sprain (LAS) is a common and burdensome injury. However, the quality of its management is scant. Nowadays, physiotherapy management of musculoskeletal diseases seems to be generally not based on research evidence. Studies that investigated the knowledge-to-practice gap in LAS management are yet to be carried out. Therefore, this research investigated physiotherapists' knowledge of and adherence to LAS Clinical Practice Guidelines (CPGs) and recommendations. METHODS: A cross-sectional study based on an online survey structured in three sections...
November 11, 2022: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/36336256/primary-preventive-care-of-hematopoietic-stem-cell-transplantation-survivors-time-to-educate-and-empower-recipients-and-providers
#30
JOURNAL ARTICLE
Jill Fulcher, Alexandre P Blanchard, Chris Bredeson, Carl van Walraven
Increasing use of hematopoietic stem cell transplantation (HCT) and improvements in recipient outcomes have led to a steady increase in the number of allogeneic HCT survivors. In addition to complications specific to the transplantation process, HCT recipients are at increased risk of developing cardiovascular disease (CVD) and subsequent neoplasm (SN). Strict surveillance of risk factors for CVD and cancer in the general population is recommended as an essential component of long-term follow-up (LTFU) care of HCT survivors, but implementation of this has been suboptimal...
February 2023: Transplantation and cellular therapy
https://read.qxmd.com/read/36281183/management-and-treatment-of-ankle-sprain-according-to-clinical-practice-guidelines-a-prisma-systematic-review
#31
REVIEW
Francisco J Ruiz-Sánchez, María Ruiz-Muñoz, Jaime Martín-Martín, Manuel Coheña-Jimenez, Ana J Perez-Belloso, Rita Pilar Romero-Galisteo, Manuel Gónzalez-Sánchez
BACKGROUND: The lateral sprain of the ankle is a very frequent injury in the population in general, appearing in the emergency services frequently. The general objective was to review the current clinical practice guidelines (CPGs) on management and treatment of ankle sprains, assess their quality, analyze the levels of evidence and summarize the grades of recommendation. METHODS: A systematic search of the literature in relevant databases with the search terms "ankle," "sprain," "practice guideline," and "guideline" was carried out...
October 21, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/36252786/social-determinants-of-health-influence-clinical-outcomes-of-patients-undergoing-rotator-cuff-repair-a-systematic-review
#32
REVIEW
Krishna Mandalia, Andrew Ames, James C Parzick, Katharine Ives, Glen Ross, Sarav Shah
BACKGROUND: Social determinants of health (SDOH) are the collection of environmental, institutional and intrinsic conditions that may bias access to, and utilization of, healthcare across an individual's lifetime. The effects of SDOH are associated with disparities in patient-reported outcomes after hip and knee arthroplasty, but its impact on rotator cuff repair (RCR) is poorly understood. This study aimed to investigate the influences that SDOH have on accessing appropriate orthopedic treatment, as well as its effects on patient-reported outcomes following RCR...
October 14, 2022: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/36242731/association-between-antibiotics-and-rehospitalization-in-patients-with-acute-exacerbations-of-chronic-obstructive-pulmonary-disease-discharged-from-the-emergency-department
#33
JOURNAL ARTICLE
Bo Zheng, Monica Taljaard, Shawn D Aaron, Krishan Yadav, Brian H Rowe, Chrystal Chan, Ian G Stiell
BACKGROUND: Patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are frequently discharged from the emergency department (ED) and treated with antibiotics. The role of antibiotics in the outpatient management of AECOPD is controversial and has never been studied in the ED setting. METHODS: We conducted a secondary analysis of prospectively collected data from the validation study of the Ottawa COPD Risk Scale. We included adult patients with AECOPD who were discharged from six tertiary care EDs in Canada over a two-year period and assessed rates of rehospitalization within 14 days of ED discharge...
November 2022: CJEM
https://read.qxmd.com/read/36136334/association-of-follow-up-blood-cultures-with-mortality-in-patients-with-gram-negative-bloodstream-infections-a-systematic-review-and-meta-analysis
#34
JOURNAL ARTICLE
Joshua T Thaden, Sarah Cantrell, Michael Dagher, Yazhong Tao, Felicia Ruffin, Stacey A Maskarinec, Stacy Goins, Matthew Sinclair, Joshua B Parsons, Emily Eichenberger, Vance G Fowler
IMPORTANCE: Obtaining follow-up blood cultures (FUBCs) in patients with Staphylococcus aureus bloodstream infection (BSI) is standard practice, although its utility in patients with gram-negative bacterial BSI (GN-BSI) is unclear. OBJECTIVE: To examine whether obtaining FUBCs is associated with decreased mortality (key question [KQ] 1) and whether positive vs negative FUBCs are associated with increased mortality (KQ2). DATA SOURCES: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, and gray literature were searched from inception to March 11, 2022...
September 1, 2022: JAMA Network Open
https://read.qxmd.com/read/36107038/effectiveness-of-root-canal-treatment-for-vital-pulps-compared-with-necrotic-pulps-in-the-presence-or-absence-of-signs-of-periradicular-pathosis-a-systematic-review-and-meta-analysis
#35
REVIEW
Giampiero Rossi-Fedele, Yuan-Ling Ng
BACKGROUND: Preoperative pulpal status may influence the outcomes of root canal treatment (RCTx) according to various measures used. OBJECTIVES: To compare the effectiveness of RCTx of teeth with a vital pulp versus a necrotic pulp, using a range of clinical and patient-related outcomes proposed for the development of S3-level clinical practice guidelines. METHODS: A search was conducted in the PubMed-MEDLINE, Scopus, EMBASE, Google scholar databases and available repositories, followed by hand searches, until 29 March 2022...
September 15, 2022: International Endodontic Journal
https://read.qxmd.com/read/36066429/limited-english-proficiency-and-perioperative-patient-centered-outcomes-a-systematic-review
#36
JOURNAL ARTICLE
Betty M Luan-Erfe, J Mark Erfe, Bruno DeCaria, Obianuju Okocha
This systematic review assesses whether limited-English proficiency (LEP) increases risk of having poor perioperative care and outcomes. This review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 99 articles were identified in Embase and PubMed and screened by 2 independent reviewers. Ten studies, which included 3 prospective cohort studies, 6 retrospective cohort studies, and 1 cross-sectional study, met inclusion and exclusion criteria...
September 5, 2022: Anesthesia and Analgesia
https://read.qxmd.com/read/36008559/nordic-dietary-patterns-and-cardiometabolic-outcomes-a-systematic-review-and-meta-analysis-of-prospective-cohort-studies-and-randomised-controlled-trials
#37
JOURNAL ARTICLE
Paraskevi Massara, Andreea Zurbau, Andrea J Glenn, Laura Chiavaroli, Tauseef A Khan, Effie Viguiliouk, Sonia Blanco Mejia, Elena M Comelli, Victoria Chen, Ursula Schwab, Ulf Risérus, Matti Uusitupa, Anne-Marie Aas, Kjeld Hermansen, Inga Thorsdottir, Dario Rahelić, Hana Kahleová, Jordi Salas-Salvadó, Cyril W C Kendall, John L Sievenpiper
AIMS/HYPOTHESIS: Nordic dietary patterns that are high in healthy traditional Nordic foods may have a role in the prevention and management of diabetes. To inform the update of the EASD clinical practice guidelines for nutrition therapy, we conducted a systematic review and meta-analysis of Nordic dietary patterns and cardiometabolic outcomes. METHODS: We searched MEDLINE, EMBASE and The Cochrane Library from inception to 9 March 2021. We included prospective cohort studies and RCTs with a follow-up of ≥1 year and ≥3 weeks, respectively...
August 26, 2022: Diabetologia
https://read.qxmd.com/read/35820457/practice-changing-updates-in-perioperative-medicine-literature-2020-2021-a-systematic-review
#38
REVIEW
Maleka Khambaty, Richard E Silbert, Aditya P Devalapalli, Deanne T Kashiwagi, Dennis W Regan, Karna K Sundsted, Karen F Mauck
Recent literature published in a variety of multidisciplinary journals has significantly influenced perioperative patient care. Distilling and synthetizing the clinically important literature can be challenging. This review summarizes practice changing articles in perioperative medicine from the years 2020 and 2021. Embase, Ovid, and EBM reviews databases were queried from January 2020 to December 2021. Inclusion criteria were original research, systematic review, metaanalysis, and important guidelines. Exclusion criteria were conference abstracts, case reports, letters, protocols, pediatric and obstetric articles, and cardiac surgery literature...
July 9, 2022: American Journal of Medicine
https://read.qxmd.com/read/35768327/timing-of-tracheostomy-in-patients-with-severe-traumatic-brain-injuries-the-need-for-tailored-practice-management-guidelines
#39
REVIEW
Sruthi Selvakumar, Kelvin Chan, Micah Ngatuvai, Kevin Newsome, Darwin Ang, Tracy Bilski, Adel Elkbuli
INTRODUCTION: Traumatic brain injury (TBI) is one of the leading causes of fatal trauma, and patients often require prolonged ventilation and tracheostomy. There are currently no standardized guidelines regarding the optimal timing of tracheostomy placement for mechanically ventilated patients with severe TBI. This review aims to investigate the impact of tracheostomy timing on the clinical outcomes in patients with severe TBI. METHODS: A literature search was conducted according to PRISMA 2020 guidelines...
August 2022: Injury
https://read.qxmd.com/read/35710055/an-adapted-ottawa-method-allowed-assessing-the-need-to-update-topic-areas-within-clinical-practice-guidelines
#40
JOURNAL ARTICLE
Käthe Goossen, Dan Bieler, Simone Hess, Monika Becker, Michael Kalsen, Sascha Flohé, Dawid Pieper
OBJECTIVES: To adapt and evaluate a method for assessing the need to update guideline topic areas involving multiple recommendations. STUDY DESIGN AND SETTING: The 'Ottawa method' uses literature signals to determine changes in evidence that trigger a need to update individual guideline questions. We adapted the Ottawa method to include a process for aggregating updating signals by topic area (e.g., resuscitation) and tested this method using the German guideline on the treatment of patients with severe/multiple injuries...
June 14, 2022: Journal of Clinical Epidemiology
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