108,631 results match your criteria evidence-based health


ONLINE INFORMATION ABOUT THE EFFECTIVENESS OF SHOULDER SURGERY IS NOT EVIDENCE-BASED: A CONTENT ANALYSIS.

Arch Phys Med Rehabil 2021 Jun 12. Epub 2021 Jun 12.

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia. Electronic address:

Objective: To summarise the proportion of consumer webpages on subacromial decompression and rotator cuff repair surgery that make an accurate portrayal of the evidence for these surgeries (primary outcome), mention the benefits and harms of surgery, outline alternatives to surgery, and make various surgical recommendations.

Design: Content analysis.

Setting: Online consumer information about subacromial decompression and rotator cuff repair surgery. Read More

View Article and Full-Text PDF

Current clinical concepts: hamstring strain injury rehabilitation.

J Athl Train 2021 Jun 15. Epub 2021 Jun 15.

University of Wisconsin-Madison, Madison, WI, USA.

Hamstring strain injuries are common among athletes and often require rehabilitation to prepare for timely return to sport performance, while also minimizing re-injury risk. Return to sport is typically achieved within weeks of the injury, but subsequent athlete performance may be impaired and re-injury rates are high. Improving these outcomes requires rehabilitation practitioners (e. Read More

View Article and Full-Text PDF

Understanding the Prevalence of Prediabetes and Diabetes in Patients With Cancer in Clinical Practice: A Real-World Cohort Study.

J Natl Compr Canc Netw 2021 Mar 10:1-10. Epub 2021 Mar 10.

2Huntsman Cancer Institute, and.

Background: This study aimed to understand the prevalence of prediabetes (preDM) and diabetes mellitus (DM) in patients with cancer overall and by tumor site, cancer treatment, and time point in the cancer continuum.

Methods: This cohort study was conducted at Huntsman Cancer Institute at the University of Utah. Patients with a first primary invasive cancer enrolled in the Total Cancer Care protocol between July 2016 and July 2018 were eligible. Read More

View Article and Full-Text PDF

Describing the Mental Health State of Nurses in British Columbia: A Province-Wide Survey Study.

Healthc Policy 2021 May;16(4):31-45

Case and Contact Management, Pandemic Response, Island Health; Former Consultant, Former Executive Councillor of Occupational Health and Safety, British Columbia Nurses' Union, Burnaby, BC.

A cross-sectional province-wide survey study of 3,978 British Columbia (BC) nurses was conducted to explore the mental health state of the nursing workforce in BC. About one third of nurses reported depression and anxiety; about half reported symptoms of post-traumatic stress disorder and at least one third reported high levels of one or more dimensions of burnout. Mental health problems were about 1. Read More

View Article and Full-Text PDF

The Shadow Pandemic of Alcohol Use during COVID-19: A Canadian Health Leadership Imperative.

Healthc Policy 2021 May;16(4):17-24

Adjunct Professor, Royal Roads University; CEO/Director, Mind Science Consultants Inc., Victoria, BC.

Increased alcohol consumption among Canadians during the COVID-19 pandemic will impact our health systems in the short and longer term, through increased hospitalizations due to alcohol-related illness, addiction, violence and accidents. The increased stress due to involuntary unemployment, confinement and boredom during the pandemic has led to an escalation in alcohol use. It is imperative that policy makers recognize and address the inherently conflicting roles of provincial/territorial governments as regulators/retailers of alcohol and funders of healthcare and prioritize the development and implementation of an evidence-based framework to mitigate the increased population health risks of alcohol-related harms. Read More

View Article and Full-Text PDF

A Qualitative Study of Consumers' Experiences of the Quality of Mental Health Services in Ghana.

Issues Ment Health Nurs 2021 Jun 15:1-12. Epub 2021 Jun 15.

Ghana Mental Health Authority, Ghana Health Services, Accra, Ghana.

Integrating consumers' experiences into quality mental health service assessment is relevant to improve service outcomes. Despite this, limited studies have attempted to explore consumers' experiences, particularly in developing countries, such as Ghana. This paper aims to explore consumers' subjective experiences of the quality of mental health services. Read More

View Article and Full-Text PDF

Estimate of the prevalence of depression among older people in Africa: a systematic review and meta-analysis.

Aging Ment Health 2021 Jun 15:1-11. Epub 2021 Jun 15.

School of Public Health, Curtin University, Perth, Australia.

Objective: The current systematic review and meta-analysis aimed to estimate the pooled prevalence of depression among elderly people in Africa.

Method: We have searched CINAHIL, PubMed, SCOPUS and Psych-INFO databases to identify important observational studies which reported the prevalence of depression among the elderly. We used a random-effects model due to reported heterogeneity among the included studies. Read More

View Article and Full-Text PDF

Estimating cost-effectiveness of screening for colorectal cancer in Vietnam.

Expert Rev Pharmacoecon Outcomes Res 2021 Jun 15. Epub 2021 Jun 15.

Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Republic of Korea.

Background: : Presently, there are no national screening programs for cancer in Vietnam. This study aimed to analyze the cost-effectiveness of an annual colorectal cancer (CRC) screening program from the healthcare service provider's perspective for the Vietnamese population.

Methods: : The economic model consisted of a decision tree and a Markov model. Read More

View Article and Full-Text PDF

A retrospective study of antithrombotic therapy use in an outpatient haemodialysis unit.

J Clin Pharm Ther 2021 Jun 15. Epub 2021 Jun 15.

Department of Pharmacy, University Health Network, Toronto, Ontario, Canada.

What Is Known And Objective: Patients on haemodialysis (HD) are at increased risk of both bleeding and thrombotic events, due to comorbidities and nature of dialysis treatment. However, there is a lack of research on evidence-based treatment strategies and prescribing patterns for antithrombotic therapies (ATT) in this population. To characterize ATT use and its main indications in an outpatient HD unit. Read More

View Article and Full-Text PDF

Acute Treatments for Episodic Migraine in Adults: A Systematic Review and Meta-analysis.

JAMA 2021 Jun;325(23):2357-2369

Mayo Clinic Evidence-based Practice Center, Rochester, Minnesota.

Importance: Migraine is common and can be associated with significant morbidity, and several treatment options exist for acute therapy.

Objective: To evaluate the benefits and harms associated with acute treatments for episodic migraine in adults.

Data Sources: Multiple databases from database inception to February 24, 2021. Read More

View Article and Full-Text PDF

Effect of a Consumer-Focused Website for Low Back Pain on Health Literacy, Treatment Choices, and Clinical Outcomes: Randomized Controlled Trial.

J Med Internet Res 2021 Jun 15;23(6):e27860. Epub 2021 Jun 15.

Institute of Bone and Joint Research, The Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.

Background: The internet is used for information related to health conditions, including low back pain (LBP), but most LBP websites provide inaccurate information. Few studies have investigated the effectiveness of internet resources in changing health literacy or treatment choices.

Objective: This study aims to evaluate the effectiveness of the MyBackPain website compared with unguided internet use on health literacy, choice of treatments, and clinical outcomes in people with LBP. Read More

View Article and Full-Text PDF

A Caregiver Digital Intervention to Support Shared Decision Making in Child and Adolescent Mental Health Services: Development Process and Stakeholder Involvement Analysis.

JMIR Form Res 2021 Jun 15;5(6):e24896. Epub 2021 Jun 15.

Anna Freud National Centre for Children & Families, London, United Kingdom.

Background: Parents and caregivers are generally recognized by literature and the law as key to child and adolescent mental health decisions. Digital interventions are increasingly being used to support care and treatment in child and adolescent mental health services (CAMHS). However, evidence of the design and development process is generally not made available. Read More

View Article and Full-Text PDF

Preliminary Outcomes of an Ecological Momentary Intervention for Social Functioning in Schizophrenia: Pre-Post Study of the Motivation and Skills Support App.

JMIR Ment Health 2021 Jun 15;8(6):e27475. Epub 2021 Jun 15.

Department of Psychological & Brain Sciences, Boston University, Boston, MA, United States.

Background: People with schizophrenia and other serious mental illnesses often lack access to evidence-based interventions, particularly interventions that target meaningful recovery outcomes such as social functioning and quality of life. Mobile technologies, including smartphone apps, have the potential to provide scalable support that places elements of evidence-based interventions at the palm of patients' hands.

Objective: We aim to develop a smartphone app-called Motivation and Skills Support-to provide targeted social goal support (eg, making new friends and improving existing relationships) for people with schizophrenia enrolled in a stand-alone open trial. Read More

View Article and Full-Text PDF