scholarly journals Plain Language Summary: Hoarseness (Dysphonia)

2018 ◽  
Vol 158 (3) ◽  
pp. 427-431 ◽  
Author(s):  
Helene J. Krouse ◽  
Charles (Charlie) W. Reavis ◽  
Robert J. Stachler ◽  
David O. Francis ◽  
Sarah O’Connor

This plain language summary for patients serves as an overview in explaining hoarseness (dysphonia). The summary applies to patients in all age groups and is based on the 2018 “Clinical Practice Guideline: Hoarseness (Dysphonia) (Update).” The evidence-based guideline includes research to support more effective identification and management of patients with hoarseness (dysphonia). The primary purpose of the guideline is to improve the quality of care for patients with hoarseness (dysphonia) based on current best evidence.

2017 ◽  
Vol 156 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Helene J. Krouse ◽  
Anthony E. Magit ◽  
Sarah O’Connor ◽  
Seth R. Schwarz ◽  
Sandra A. Walsh

This plain language summary serves as an overview in explaining earwax (cerumen). The summary applies to patients older than 6 months with a clinical diagnosis of earwax impaction and is based on the 2017 update of the Clinical Practice Guideline: Earwax (Cerumen Impaction). The evidence-based guideline includes research that supports diagnosis and treatment of earwax impaction. The guideline was developed to improve care by health care providers for managing earwax impaction by creating clear recommendations to use in medical practice.


2019 ◽  
Vol 160 (2) ◽  
pp. 206-212
Author(s):  
Sandra A. Finestone ◽  
Terri Giordano ◽  
Ron B. Mitchell ◽  
Sandra A. Walsh ◽  
Sarah S. O’Connor ◽  
...  

This plain language summary for patients serves as an overview explaining tonsillectomy in children and to help patients, caregivers, and clinicians in their discussions about the reasons that a tonsillectomy may be needed, management options, and care related to the procedure. This summary applies to patients ages 1 through 18 years and is based on the 2019 “Clinical Practice Guideline: Tonsillectomy in Children (Update).” This evidence-based guideline mainly addresses the need for tonsillectomy based on breathing problems that take place during sleep and repeated sore throats or “tonsillitis.” The guideline was developed to identify quality improvement opportunities in managing children under consideration for tonsillectomy and to create clear recommendations for clinicians to use in medical practice.


2017 ◽  
Vol 156 (3) ◽  
pp. 417-425
Author(s):  
Neil Bhattacharyya ◽  
Deena B. Hollingsworth ◽  
Kathryn Mahoney ◽  
Sarah O’Connor

Objective. This plain language summary serves as an overview in explaining benign paroxysmal positional vertigo, abbreviated BPPV. This summary applies to patients ≥18 years old with a suspected or potential diagnosis of BPPV and is based on the 2017 “Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update).” The evidence-based guideline includes research to support more effective diagnosis and treatment of BPPV. The guideline was developed as a quality improvement opportunity for managing BPPV by creating clear recommendations to use in medical practice.


This chapter presents the methodology for measuring the system's impact on the quality of care. The system's impact on the quality of care was measured through a compliance review using the standards of care set in the maternal health guidelines. In the framework for development of clinical practice guideline-based decision support systems, the compliance review is part of the section on evaluation. The compliance review addresses the following objectives: measurement of compliance with processes of care at the study clinic before introduction of the BACIS program, measurement of improvements in compliance after the introduction of the BACIS program, and a qualitative review undertaken in order to understand the reasons for non-compliance.


2019 ◽  
Vol 42 (2) ◽  
pp. 115-124 ◽  
Author(s):  
Caroline F W Sondeijker ◽  
Antoon A Lamberts ◽  
Stefan H Beckmann ◽  
Reinder B Kuitert ◽  
Koen van Westing ◽  
...  

Summary Objectives To develop a clinical practice guideline on orthodontically induced external apical root resorption (EARR), with evidence-based and, when needed, consensus-based recommendations concerning diagnosis, risk factors, management during treatment, and after-treatment care. Materials and methods The Appraisal of Guidelines for Research and Evaluation II instrument and the Dutch Method for Evidence-Based Guideline Development were used to develop the guideline. Based on a survey of all Dutch orthodontists, we formulated four clinical questions regarding EARR. To address these questions, we conducted systematic literature searches in MEDLINE and Embase, and we performed a systematic literature review. The quality of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. After discussing the evidence, a Task Force formulated considerations and recommendations. The drafted guideline was sent for comments to all relevant stakeholders. Results Eight studies were included. The quality of evidence (GRADE) was rated as low or very low. Only the patient-related risk factors, ‘gender’ and ‘age’, showed a moderate quality of evidence. The Task Force formulated 13 final recommendations concerning the detection of EARR, risk factors, EARR management during treatment, and after-treatment care when EARR has occurred. Stakeholder consultation resulted in 51 comments on the drafted guideline. After processing the comments, the final guideline was authorized by the Dutch Association of Orthodontists. The entire process took 3 years. Limitations The quality of the available evidence was mainly low, and patient-reported outcome measures were lacking. Conclusions/implications This clinical practice guideline allows clinicians to respond to EARR based on current knowledge, although the recommendations are weak due to low-quality evidence. It may reduce variation between practices and aid in providing patients appropriate information.


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