Evidence-informed person-centred health care (part II): are 'cognitive biases plus' underlying the EBM paradigm responsible for undermining the quality of evidence?

abstract：:The types of diseases, or categories of suffering, referred to as medically unexplained symptoms or syndromes (MUS) are the focus for the following commentary. Such cases seem to invite reflection. The very nature of such complex patterns of disease and suffering raises a number of fundamental epistemological and onto...

journal_title：Journal of evaluation in clinical practice

authors： Eriksen TE,Kirkengen AL

更新日期：2016-08-01 00:00:00

abstract：RATIONALE, AIM AND OBJECTIVE:In Australia and New Zealand, there are no established standards for the final presentations of prepared intravenous medications in Intensive Care Units (ICUs). Variability has the potential to contribute to deficiencies in safety, efficiency and cost effectiveness. This study aimed to exam...

journal_title：Journal of evaluation in clinical practice

authors： Levkovich BJ,Bui T,Bovell A,Watterson J,Egan A,Poole SG,Dooley MJ

更新日期：2016-12-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:A common approach to assessing treatment effects in nonrandomized studies with time-to-event outcomes is to estimate propensity scores and compute weights using logistic regression, test for covariate balance, and then estimate treatment effects using Cox regression. A machine-learning al...

journal_title：Journal of evaluation in clinical practice

authors： Linden A,Yarnold PR

更新日期：2018-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The standard of preventive care for poorly controlled seasonal allergic rhinitis (AR) is subcutaneous immunotherapy (SCIT) with allergen extracts, administered in a physician's office. As an alternative to SCIT, sublingual immunotherapy (SLIT) is now an option for patients with seasonal A...

journal_title：Journal of evaluation in clinical practice

authors： Dranitsaris G,Ellis AK

更新日期：2014-06-01 00:00:00

abstract：:Clinical guidelines are essential in promoting the implementation of evidence-based practice within the NHS. But there are two broad schools of thought about their development and implementation: the first argues that guidelines should be entirely evidence-based and tolerates a degree of complexity which may make the ...

journal_title：Journal of evaluation in clinical practice

authors： Onion CW,Walley T

更新日期：1998-11-01 00:00:00

abstract：:Access to appointments in primary care is not routinely measured, and there is no one standardized method for doing so. Any measurement tool has to take account of the dynamic status of appointment availability and the definitional problems of appointment types. The aim of this study was to develop and trial a method ...

journal_title：Journal of evaluation in clinical practice

authors： Elwyn G,Jones W,Rhydderch M,Edwards P

更新日期：2003-02-01 00:00:00

abstract：OBJECTIVE:To identify and review evidence relating to the measurement properties of published multi-item outcome measures for the conservative management of lateral ligament injuries of the ankle. METHODS:Systematic literature searches were used to identify measures, which were then assessed against pre-defined criter...

journal_title：Journal of evaluation in clinical practice

authors： Haywood KL,Hargreaves J,Lamb SE

更新日期：2004-05-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Hospital discharge notes can be used to identify rates of revisions in hip and knee arthroplasty surgeries if such administrative codes are accurate. In order to trust the data taken from the hospital discharge abstracts it is important to assess their reliability. The purpose of this stu...

journal_title：Journal of evaluation in clinical practice

authors： Daneshvar P,Forster AJ,Dervin GF

更新日期：2012-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Individual comparisons of the performance of risk-adjustment indices have been widely conducted. Few reviews have been conducted to summarize the performance of different risk-adjustment indices. A 30-day mortality rate is widely used to evaluate the quality of care in hospitals by federa...

journal_title：Journal of evaluation in clinical practice

authors： Yang M,Mehta HB,Bali V,Gupta P,Wang X,Johnson ML,Aparasu RR

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:To describe the practices of physicians on the diagnosis and treatment of antituberculosis drug-induced hepatotoxicity (ATH), and to evaluate the concordance between these practices and the American Thoracic Society (ATS) 2006 guidelines. METHODS:Information was reviewed on 670 new cases of tuberculosis pat...

journal_title：Journal of evaluation in clinical practice

authors： Thongraung W,Sittidach M,Khwansuwan P,Sariyasuntorn K,Wongsampan S

更新日期：2012-12-01 00:00:00

abstract：:Identified as a mental disorder by Emil Kraepelin and Eugen Bleuler (1858-1939), schizophrenia has been subject to various criticisms, on both political and scientific grounds. Still, until the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, as the'Spectrum of Schizophrenia and Othe...

journal_title：Journal of evaluation in clinical practice

authors： Gonçalves J

更新日期：2017-10-01 00:00:00

abstract：:Recent years have witnessed the rising star of evidence-based medicine (EBM) as an approach towards rationalizing clinical practice in the face of an exponentially growing body of knowledge. Along with it, however, a sense of unease is rising among practising doctors, as they feel that well-intentioned principles may ...

journal_title：Journal of evaluation in clinical practice

authors： Porta M

更新日期：2004-05-01 00:00:00

abstract：RATIONALE:Diagnostic reasoning is a critical aspect of clinical performance, having a high impact on quality and safety of care. Although diagnosis is fundamental in medicine, we still have a poor understanding of the factors that determine its course. According to traditional understanding, all information used in dia...

journal_title：Journal of evaluation in clinical practice

authors： Lucchiari C,Pravettoni G

更新日期：2012-02-01 00:00:00

abstract：RATIONALE AND OBJECTIVES:The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. METHODS:This cross-sectional study enrolled 137 patients aged > or...

journal_title：Journal of evaluation in clinical practice

authors： Yamamoto Y,Hayashino Y,Higashi T,Matsui M,Yamazaki S,Takegami M,Miyachi Y,Fukuhara S

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are widely performed to cure obesity and obesity-related diseases. Our aim was to compare these two procedures. MATERIALS AND METHODS:An electronic literature search was performed from inception to December 2018. The cli...

journal_title：Journal of evaluation in clinical practice

authors： Zhao K,Liu J,Wang M,Yang H,Wu A

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Research indicates that multifaceted practice development (PD) interventions are more effective than single strategies. However, models of education in health care need to consider cost-effectiveness. OBJECTIVES:This paper presents a research-based, PD theory called the Individual Practice Development Theor...

journal_title：Journal of evaluation in clinical practice

authors： Melton J,Forsyth K,Freeth D

更新日期：2012-06-01 00:00:00

abstract：RATIONALE:Nurses' work is inextricably linked to the evaluation of the quality of care provision in health care. Within this evaluation, individualized care is a topical theme in western countries. Currently, there is no suitable instrument to measure the level of individualized care from the nurses' point of view. AI...

journal_title：Journal of evaluation in clinical practice

authors： Suhonen R,Gustafsson ML,Katajisto J,Välimäki M,Leino-Kilpi H

更新日期：2010-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVE:Low back pain (LBP) care can involve many providers. The provider chosen for entry into care may predict future health care utilization and costs. The objective of this study was to explore associations between entry settings and future LBP-related utilization and costs. METHODS:A retrosp...

journal_title：Journal of evaluation in clinical practice

authors： Fritz JM,Kim J,Dorius J

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVE:Quality of life (QoL) is an important consideration in the care of patients with chronic neuromuscular disorder (NMD). The current study sought to determine the factor structure of the Medical Outcomes Study Short-Form 36 (SF-36) version 2 in patients with NMD to determine the appropriateness of using this in...

journal_title：Journal of evaluation in clinical practice

authors： Banks P,Martin CR,Petty RK

更新日期：2012-02-01 00:00:00

abstract：RATIONALE:Variability in indications for total hip replacement (THR) and unequal waiting times may limit health care access. OBJECTIVE:To analyse the relationship between appropriateness and previously developed surgical priority instruments. METHOD:Multicentre cross-validation study of patients placed on the waiting...

journal_title：Journal of evaluation in clinical practice

authors： Allepuz A,Quintana JM,Espallargues M,Escobar A,Moharra M,Arostegui I

更新日期：2011-02-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:The main purpose of this paper is to measure the efficiency and ranking of medical diagnostic laboratories by applying a network data envelopment analysis (NDEA). METHODS:In this study, each medical diagnostic laboratory is considered as a decision-making unit (DMU), and an NDEA model i...

journal_title：Journal of evaluation in clinical practice

authors： Ghafari Someh N,Pishvaee MS,Sadjadi SJ,Soltani R

更新日期：2020-10-01 00:00:00

abstract：:The primary goal of evidence-based medicine (EBM) has been to change the way clinicians make decisions. But EBM has inappropriately privileged the results of clinical research for medical decision making and has undermined the importance of other kinds of medical knowledge, pathophysiologic understanding and clinical ...

journal_title：Journal of evaluation in clinical practice

authors： Tonelli MR

更新日期：2010-04-01 00:00:00

abstract：:Parts 1 and 2 in this series of three articles have shown that and how strong evidence-based medicine has neither a coherent theoretical foundation nor creditable application to clinical practice. Because of its core commitment to the discredited positivist tradition it holds both a false concept of scientific knowled...

journal_title：Journal of evaluation in clinical practice

authors： Mugerauer R

更新日期：2020-12-04 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:To evaluate asthma management and control in primary care clinics so as to design improvements based on guideline-directed outcomes. METHODS:In this study, all medical records of asthma-diagnosed patients (children as well as adults, entire lifespan, asthma-related visits or not) were re...

journal_title：Journal of evaluation in clinical practice

authors： du Plessis JM,Gerber JJ,Brand L

更新日期：2013-04-01 00:00:00

abstract：:In clinical medicine, a balance needs to be struck between reductionism (the view that a system can be fully understood in terms of its isolated parts) and holistic complexity appreciation (the view that the whole may not be discernible from knowledge of its parts). Reductionism, which currently is associated with ren...

journal_title：Journal of evaluation in clinical practice

authors： Welsby PD

更新日期：1999-05-01 00:00:00

abstract：AIM:To find out whether a successful multifaceted implementation approach of a local evidence-based guideline on postoperative body temperature measurements (BTM) was persistent over time, and which factors influenced long-term adherence. METHODS:Mixed methods analysis. Patient records were retrospectively examined to...

journal_title：Journal of evaluation in clinical practice

authors： Storm-Versloot MN,Knops AM,Ubbink DT,Goossens A,Legemate DA,Vermeulen H

更新日期：2012-08-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials,...

journal_title：Journal of evaluation in clinical practice

authors： Qadeer G,Amin MEK

更新日期：2020-04-22 00:00:00

abstract：OBJECTIVES:To assess the evidence for tai chi in reducing resting blood pressure (BP) in the elderly. METHODS:Databases were searched up to February 2009. All randomized clinical trials (RCTs) testing the effects of tai chi on resting BP in the elderly were considered. The selection of studies, data extraction and val...

journal_title：Journal of evaluation in clinical practice

authors： Lee MS,Lee EN,Kim JI,Ernst E

更新日期：2010-08-01 00:00:00

abstract：RATIONALE:Self-assessed health (SAH) status is a very simple four-, or five-category self-reported measure of health status that has been shown to be a powerful predictor of mortality, service use and total cost of medical care treatment. It is therefore reasonable to suggest that pre-intervention SAH may influence the...

journal_title：Journal of evaluation in clinical practice

authors： Long MJ,McQueen DA,Lescoe-Long M,Schurman JR 2nd

更新日期：2005-10-01 00:00:00

abstract：OBJECTIVE:To use structured implicit review following large-scale explicit audit of antipsychotic polyprescribing to: (1) determine the true rate of antipsychotic polytherapy that deviated from best practice for schizophrenia treatment; and (2) assess whether explicit antipsychotic polytherapy criterion was appropriate...

journal_title：Journal of evaluation in clinical practice

authors： Wheeler A

更新日期：2009-08-01 00:00:00