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[PMID]:29292562
[Au] Autor:Elsner B
[Ad] Endereço:Department of Public Health, Dresden Medical School, Technische Universität Dresden, Dresden, Germany.
[Ti] Título:Systematic reviews for informing clinical practice.
[So] Source:Physiother Res Int;23(1), 2018 01.
[Is] ISSN:1471-2865
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pesquisa de Reabilitação/tendências
Literatura de Revisão como Assunto
[Mh] Termos MeSH secundário: Metanálise como Assunto
Fisioterapia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1002/pri.1703


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[PMID]:29235950
[Au] Autor:Turkel M; Fawcett J; Chinn PL; Eustace R; Hansell PS; Smith MC; Watson J; Zahourek R
[Ad] Endereço:1 Associate Professor, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
[Ti] Título:Thoughts About Advancement of the Discipline: Dark Clouds and Bright Lights.
[So] Source:Nurs Sci Q;31(1):82-85, 2018 Jan.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this essay, several nurse scholars who are particularly concerned about the contemporary state of nursing science present their specific concerns (dark clouds) about the advancement of our discipline and the ways in which the concerns have been addressed (bright lights). This essay is the first of two essays that were catalyzed by Barrett's paper, "Again, What Is Nursing Science?" The second essay will be published in the next issue Nursing Science Quarterly.
[Mh] Termos MeSH primário: Enfermagem/tendências
Literatura de Revisão como Assunto
[Mh] Termos MeSH secundário: Previsões
Seres Humanos
Teoria de Enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417741121


  3 / 6896 MEDLINE  
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Texto completo SciELO Colômbia
Texto completo SciELO Saúde Pública
[PMID]:28453155
[Au] Autor:Eslava-Schmalbach JH; Welch VA; Tugwell P; Amaya AC; Gaitán H; Mosquera P; Molina F; Peralta F; Romero-Vanegas S; Pardo R; Alzate JP
[Ad] Endereço:Universidad Nacional de Colombia, Bogotá, Colombia.
[Ti] Título:Incorporating equity issues into the development of Colombian clinical practice guidelines: suggestions for the GRADE approach.
[So] Source:Rev Salud Publica (Bogota);18(1):72-81, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:eng
[Ab] Resumo:Objective To propose how to incorporate equity issues, using the GRADE approach, into the development and implementation of Colombian Clinical Practice Guidelines. Methodology This proposal was developed in four phases: 1. Included a literature review and the development of a preliminary proposal about how to include equity issues; 2. Involved an informal discussion to reach a consensus on improving the first proposal; 3. Was a survey of the researchers' acceptance levels of the proposal, and; 4. A final informal consensus was formed to adjust the proposal. Results A proposal on how to incorporate equity issues into the GRADE approach was developed. It places particular emphasis on the recognition of disadvantaged populations in the development and implementation of the suggested guideline. PROGRESS-Plus is recommended for use in exploring the various categories of disadvantaged people. The proposal suggests that evidence be rated differentially by giving higher ratings to studies that consider equity issues than those that do not. The proposal also suggests the inclusion of indicators to monitor the impacts of the implementation of CPGs on disadvantaged people. Conclusions A consideration of equity in the development and implementation of clinical practice guidelines and quality assessments of the evidence would achieve more in the participation of potential actors in the process and reflect on the effectiveness of the proposed interventions across all social groups.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências/normas
Disparidades em Assistência à Saúde
Guias de Prática Clínica como Assunto/normas
Populações Vulneráveis
[Mh] Termos MeSH secundário: Colômbia
Consenso
Assistência à Saúde/normas
Seres Humanos
Literatura de Revisão como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29320522
[Au] Autor:Christie J; Gray TA; Dumville JC; Cullum NA
[Ad] Endereço:Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
[Ti] Título:Do systematic reviews address community healthcare professionals' wound care uncertainties? Results from evidence mapping in wound care.
[So] Source:PLoS One;13(1):e0190045, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Complex wounds such as leg and foot ulcers are common, resource intensive and have negative impacts on patients' wellbeing. Evidence-based decision-making, substantiated by high quality evidence such as from systematic reviews, is widely advocated for improving patient care and healthcare efficiency. Consequently, we set out to classify and map the extent to which up-to-date systematic reviews containing robust evidence exist for wound care uncertainties prioritised by community-based healthcare professionals. METHODS: We asked healthcare professionals to prioritise uncertainties based on complex wound care decisions, and then classified 28 uncertainties according to the type and level of decision. For each uncertainty, we searched for relevant systematic reviews. Two independent reviewers screened abstracts and full texts of reviews against the following criteria: meeting an a priori definition of a systematic review, sufficiently addressing the uncertainty, published during or after 2012, and identifying high quality research evidence. RESULTS: The most common uncertainty type was 'interventions' 24/28 (85%); the majority concerned wound level decisions 15/28 (53%) however, service delivery level decisions (10/28) were given highest priority. Overall, we found 162 potentially relevant reviews of which 57 (35%) were not systematic reviews. Of 106 systematic reviews, only 28 were relevant to an uncertainty and 18 of these were published within the preceding five years; none identified high quality research evidence. CONCLUSIONS: Despite the growing volume of published primary research, healthcare professionals delivering wound care have important clinical uncertainties which are not addressed by up-to-date systematic reviews containing high certainty evidence. These are high priority topics requiring new research and systematic reviews which are regularly updated. To reduce clinical and research waste, we recommend systematic reviewers and researchers make greater efforts to ensure that research addresses important clinical uncertainties and is of sufficient rigour to inform practice.
[Mh] Termos MeSH primário: Tomada de Decisão Clínica
Serviços de Saúde Comunitária
Medicina Baseada em Evidências
Pessoal de Saúde/psicologia
Literatura de Revisão como Assunto
Incerteza
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Prioridades em Saúde
Seres Humanos
Pesquisa
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190045


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[PMID]:29201146
[Au] Autor:Morrison SC; McClymont J; Price C; Nester C
[Ad] Endereço:School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne Campus, Brighton, BN20 7UR UK.
[Ti] Título:Time to revise our dialogue how is the paediatric ?
[So] Source:J Foot Ankle Res;10:50, 2017.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A recent systematic review of measures of foot development used the medial longitudinal arch profile as its primary indicator of development. A comparative analysis of existing studies was undertaken. This work confirmed changes with arch profile were age-dependent, although the age at which foot development ceased remains unknown. This work also highlighted the abundance of clinical measures used in existing research and outlined the challenges with drawing consensus from available data. There is a clear need to move this debate forward and, to do so, it is essential that scientific and clinical communities unite. It is time to abandon ill-defined measures of foot position, look beyond the medial longitudinal arch as a sole parameter of foot development and re-focus our perspective(s) on the paediatric foot in order to make advances with clinical practice and research.
[Mh] Termos MeSH primário: Pé Chato/diagnóstico por imagem
Deformidades Congênitas do Pé/diagnóstico por imagem
/crescimento & desenvolvimento
[Mh] Termos MeSH secundário: Criança
Pé Chato/patologia
/anatomia & histologia
/diagnóstico por imagem
Deformidades Congênitas do Pé/patologia
Seres Humanos
Imagem por Ressonância Magnética/métodos
Literatura de Revisão como Assunto
Articulação Talocalcânea/diagnóstico por imagem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.1186/s13047-017-0233-2


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[PMID]:29362800
[Au] Autor:McInnes MDF; Moher D; Thombs BD; McGrath TA; Bossuyt PM; Clifford T; Cohen JF; Deeks JJ; Gatsonis C; Hooft L; Hunt HA; Hyde CJ; Korevaar DA; Leeflang MMG; Macaskill P; Reitsma JB; Rodin R; Rutjes AWS; Salameh JP; Stevens A; Takwoingi Y; Tonelli M; Weeks L; Whiting P; Willis BH; the PRISMA-DTA Group
[Ad] Endereço:Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada.
[Ti] Título:Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies: The PRISMA-DTA Statement.
[So] Source:JAMA;319(4):388-396, 2018 01 23.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Systematic reviews of diagnostic test accuracy synthesize data from primary diagnostic studies that have evaluated the accuracy of 1 or more index tests against a reference standard, provide estimates of test performance, allow comparisons of the accuracy of different tests, and facilitate the identification of sources of variability in test accuracy. Objective: To develop the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagnostic test accuracy guideline as a stand-alone extension of the PRISMA statement. Modifications to the PRISMA statement reflect the specific requirements for reporting of systematic reviews and meta-analyses of diagnostic test accuracy studies and the abstracts for these reviews. Design: Established standards from the Enhancing the Quality and Transparency of Health Research (EQUATOR) Network were followed for the development of the guideline. The original PRISMA statement was used as a framework on which to modify and add items. A group of 24 multidisciplinary experts used a systematic review of articles on existing reporting guidelines and methods, a 3-round Delphi process, a consensus meeting, pilot testing, and iterative refinement to develop the PRISMA diagnostic test accuracy guideline. The final version of the PRISMA diagnostic test accuracy guideline checklist was approved by the group. Findings: The systematic review (produced 64 items) and the Delphi process (provided feedback on 7 proposed items; 1 item was later split into 2 items) identified 71 potentially relevant items for consideration. The Delphi process reduced these to 60 items that were discussed at the consensus meeting. Following the meeting, pilot testing and iterative feedback were used to generate the 27-item PRISMA diagnostic test accuracy checklist. To reflect specific or optimal contemporary systematic review methods for diagnostic test accuracy, 8 of the 27 original PRISMA items were left unchanged, 17 were modified, 2 were added, and 2 were omitted. Conclusions and Relevance: The 27-item PRISMA diagnostic test accuracy checklist provides specific guidance for reporting of systematic reviews. The PRISMA diagnostic test accuracy guideline can facilitate the transparent reporting of reviews, and may assist in the evaluation of validity and applicability, enhance replicability of reviews, and make the results from systematic reviews of diagnostic test accuracy studies more useful.
[Mh] Termos MeSH primário: Lista de Checagem
Técnicas e Procedimentos Diagnósticos/normas
Guias como Assunto
Metanálise como Assunto
Literatura de Revisão como Assunto
[Mh] Termos MeSH secundário: Conferências de Consenso como Assunto
Técnica Delfos
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19163


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[PMID]:29362778
[Au] Autor:Kreijkamp-Kaspers S; Hawke KL; van Driel ML
[Ad] Endereço:Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia.
[Ti] Título:Oral Medications to Treat Toenail Fungal Infection.
[So] Source:JAMA;319(4):397-398, 2018 Jan 23.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Clinical Question: Which oral antifungal medication is associated with the highest clinical (ie, normal appearance of the toenail) and mycological (negative culture, microscopy, or both) cure rates vs placebo or other antifungals when used to treat fungal infections? Bottom Line: Both terbinafine and azole-based medications were associated with higher clinical and mycological cure rates compared with placebo (high-quality evidence). Azoles were associated with lower cure rates than terbinafine when compared directly.
[Mh] Termos MeSH primário: Antifúngicos/administração & dosagem
Azóis/administração & dosagem
Dermatoses do Pé/tratamento farmacológico
Naftalenos/administração & dosagem
Onicomicose/tratamento farmacológico
[Mh] Termos MeSH secundário: Administração Oral
Azóis/efeitos adversos
Seres Humanos
Naftalenos/efeitos adversos
Literatura de Revisão como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents); 0 (Azoles); 0 (Naphthalenes); G7RIW8S0XP (terbinafine)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.20160


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[PMID]:29189359
[Au] Autor:Johnson RL; Wedel DJ; Kopp SL
[Ad] Endereço:From the Department of Anesthesiology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
[Ti] Título:When Is "Never Enough" (Data) … Enough?
[So] Source:Anesth Analg;125(6):1833-1834, 2017 12.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anestesia/métodos
Fumar
[Mh] Termos MeSH secundário: Metanálise como Assunto
Literatura de Revisão como Assunto
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002202


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[PMID]:29173262
[Au] Autor:Thoma A; Farrokhyar F; Waltho D; Braga LH; Sprague S; Goldsmith CH
[Ad] Endereço:Hamilton, Ont. (Thoma); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Braga, Goldsmith); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Ham
[Ti] Título:Users' guide to the surgical literature: how to assess a noninferiority trial.
[So] Source:Can J Surg;60(6):426-432, 2017 Dec.
[Is] ISSN:1488-2310
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:SUMMARY: A well-planned randomized controlled trial (RCT) is the most optimal study design to determine if a novel surgical intervention is any different than a prevailing one. Traditionally, when we want to show that a new surgical intervention is superior to a standard one, we analyze data from an RCT to see if the null hypothesis of "no difference" can be rejected (i.e., the 2 surgical interventions have the same effect). A noninferiority RCT design seeks to determine whether a new intervention is not worse than a prevailing (standard) one within an acceptable margin of risk or benefit, referred to as the "noninferiority margin." In the last decade, we have observed an increase in the publication of noninferiority RCTs. This article explores this type of study design and discusses the tools that can be used to appraise such a study.
[Mh] Termos MeSH primário: Estudos de Equivalência como Asunto
Procedimentos Cirúrgicos Operatórios
[Mh] Termos MeSH secundário: Guias como Assunto
Seres Humanos
Projetos de Pesquisa/normas
Literatura de Revisão como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  10 / 6896 MEDLINE  
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[PMID]:28455150
[Au] Autor:Karystianis G; Thayer K; Wolfe M; Tsafnat G
[Ad] Endereço:Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. Electronic address: george.karystianis@mq.edu.au.
[Ti] Título:Evaluation of a rule-based method for epidemiological document classification towards the automation of systematic reviews.
[So] Source:J Biomed Inform;70:27-34, 2017 Jun.
[Is] ISSN:1532-0480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Most data extraction efforts in epidemiology are focused on obtaining targeted information from clinical trials. In contrast, limited research has been conducted on the identification of information from observational studies, a major source for human evidence in many fields, including environmental health. The recognition of key epidemiological information (e.g., exposures) through text mining techniques can assist in the automation of systematic reviews and other evidence summaries. METHOD: We designed and applied a knowledge-driven, rule-based approach to identify targeted information (study design, participant population, exposure, outcome, confounding factors, and the country where the study was conducted) from abstracts of epidemiological studies included in several systematic reviews of environmental health exposures. The rules were based on common syntactical patterns observed in text and are thus not specific to any systematic review. To validate the general applicability of our approach, we compared the data extracted using our approach versus hand curation for 35 epidemiological study abstracts manually selected for inclusion in two systematic reviews. RESULTS: The returned F-score, precision, and recall ranged from 70% to 98%, 81% to 100%, and 54% to 97%, respectively. The highest precision was observed for exposure, outcome and population (100%) while recall was best for exposure and study design with 97% and 89%, respectively. The lowest recall was observed for the population (54%), which also had the lowest F-score (70%). CONCLUSION: The generated performance of our text-mining approach demonstrated encouraging results for the identification of targeted information from observational epidemiological study abstracts related to environmental exposures. We have demonstrated that rules based on generic syntactic patterns in one corpus can be applied to other observational study design by simple interchanging the dictionaries aiming to identify certain characteristics (i.e., outcomes, exposures). At the document level, the recognised information can assist in the selection and categorization of studies included in a systematic review.
[Mh] Termos MeSH primário: Automação
Mineração de Dados
[Mh] Termos MeSH secundário: Literatura de Revisão como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE



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