scholarly journals Technology for Large-Scale Translation of Clinical Practice Guidelines: A Pilot Study of the Performance of a Hybrid Human and Computer-Assisted Approach

2015 ◽  
Vol 3 (4) ◽  
pp. e33
Author(s):  
Stijn Van de Velde ◽  
Lieve Macken ◽  
Koen Vanneste ◽  
Martine Goossens ◽  
Jan Vanschoenbeek ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pilot Study ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Large Scale ◽  
Computer Assisted

scholarly journals Prioritization strategies in clinical practice guidelines development: a pilot study

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Ludovic Reveiz ◽  
Diana R Tellez ◽  
Juan S Castillo ◽  
Paola A Mosquera ◽  
Marcela Torres ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pilot Study ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Guidelines Development

scholarly journals Diagnosis and Treatment of Femoral Head Osteonecrosis: A Protocol for Development of Evidence Based Clinical Practice Guidelines

2020 ◽  
Author(s):  
Edward Cheng ◽  
Michael A. Mont ◽  
Stuart B. Goodman ◽  
Rafael J Sierra ◽  
Quanjun Cui ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Femoral Head ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Treatment Strategy ◽  
Large Scale ◽  
Patient Specific ◽  
Evidence Based ◽  
Femoral Head Osteonecrosis

Abstract Background: There are many treatment options for patients who have osteonecrosis of the femoral head (ONFH) and management strategies vary widely both among and within individual countries. Although many researchers have attempted to elucidate the optimal strategies for managing this disease, the lack of large-scale randomized control trials and the lack of agreement on disease staging have curtailed the development of clear-cut guidelines.Methods: The Association Research Circulation Osseous (ARCO) group sought to address three questions for the management of patients who have ONFH: (1) What imaging studies are most sensitive and specific for the diagnostic evaluation of patients who have ONFH?; (2)What is the best treatment strategy for preventing disease progression in patients who have pre-collapse lesions?; and (3) What is the best treatment strategy for patients who have post-collapse disease? The PICO (Patient, Intervention, Comparison, and Outcome) format was used to formulate the search strategy for each research question. A systematic review will be performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. ARCO participants have been allocated to three groups, each representing one of the PICO questions. After qualitative and quantitative analysis of the data extracted from studies pertaining to each of the three research questions, a set of evidence-based clinical practice guidelines will be proposed for the management of patients who have ONFH. Discussion: It is not always clear which treatment method is optimal for the management of ONFH. Thus, many surgeons have developed and performed various procedures based on various patient-specific factors. As there is no consensus on the optimal treatment for various stages of disease, it was clear that developing evidence-based clinical practice guidelines would provide more structure and uniformity to management of these patients. Therefore, the results of this systematic review will lead to the development guidelines that may improve patient-care strategies and result in better outcomes for patients who have ONFH.Systematic Review Registration: Registration with PROSPERO has been submitted and is pending.

Costs and compliance with clinical practice guidelines: A pilot study for initial sarcoma treatment

2009 ◽  
Vol 27 (6) ◽  
pp. 307
Author(s):  
Lionel Perrier ◽  
Nicola Cautela ◽  
Magali Morelle ◽  
Nathalie Havet ◽  
Françoise Ducimetière ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pilot Study ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Sarcoma Treatment

A systematic decision-making process on the need for updating clinical practice guidelines proved to be feasible in a pilot study

2018 ◽  
Vol 96 ◽  
pp. 101-109 ◽  
Author(s):  
Monika Becker ◽  
Thomas Jaschinski ◽  
Michaela Eikermann ◽  
Tim Mathes ◽  
Stefanie Bühn ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Pilot Study ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Decision Making Process

Pilot Study Comparing Sepsis Management with and without Electronic Clinical Practice Guidelines in an Academic Emergency Department

2013 ◽  
Vol 44 (3) ◽  
pp. 698-708 ◽  
Author(s):  
Christopher M. Bond ◽  
Dennis Djogovic ◽  
Cristina Villa-Roel ◽  
Michael J. Bullard ◽  
David P. Meurer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Practice ◽  
Pilot Study ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Sepsis Management

scholarly journals Diagnosis and Treatment of Femoral Head Osteonecrosis: A Protocol for Development of Evidence-Based Clinical Practice Guidelines

2021 ◽  
Author(s):  
Edward Cheng ◽  
Quanjun Cui ◽  
Stuart Goodman ◽  
Wataru Ando ◽  
Seung-Hoon Baek ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Femoral Head ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Treatment Strategy ◽  
Large Scale ◽  
Patient Specific ◽  
Evidence Based ◽  
Femoral Head Osteonecrosis

Introduction: There are many treatment options for patients who have osteonecrosis of the femoral head (ONFH) and management strategies vary widely both among and within individual countries. Although many researchers have attempted to elucidate the optimal strategies for managing this disease, the lack of large-scale randomized control trials and the lack of agreement on disease staging have curtailed the development of clear-cut guidelines. Materials and Methods: The Association Research Circulation Osseous (ARCO) group sought to address three questions for the management of patients who have ONFH: 1) What imaging studies are most sensitive and specific for the diagnostic evaluation of patients who have ONFH?; 2) What is the best treatment strategy for preventing disease progression in patients who have pre-collapse lesions?; and 3) What is the best treatment strategy for patients who have post-collapse disease? The Patient, Intervention, Comparison, and Outcome (PICO) format was used to formulate the search strategy for each research question. A systematic review will be performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. ARCO participants have been allocated to three groups, each representing one of the PICO questions. After qualitative and quantitative analysis of the data extracted from studies pertaining to each of the three research questions, a set of evidence-based clinical practice guidelines will be proposed for the management of patients who have ONFH. Discussion: It is not always clear which treatment method is optimal for the management of ONFH. Thus, many surgeons have developed and performed various procedures based on patient-specific factors. As there is no consensus on the optimal treatment for various stages of disease, it was clear that developing evidence-based clinical practice guidelines would provide more structure and uniformity to management of these patients. Therefore, the results of this systematic review will lead to the development guidelines that may improve patient-care strategies and result in better outcomes for patients who have ONFH.

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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