scholarly journals Evidence-Based Recommendations for Fertility Preservation Options for Inclusion in Treatment Protocols for Pediatric and Adolescent Patients Diagnosed With Cancer

2014 ◽  
Vol 31 (4) ◽  
pp. 211-222 ◽  
Author(s):  
Alison Fernbach ◽  
Barbara Lockart ◽  
Cheryl L. Armus ◽  
Lisa M. Bashore ◽  
Jennifer Levine ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Evidence Based ◽  
Treatment Protocols ◽  
Adolescent Patients

Systematic review of the effects of evidence-based psychotherapies on neurocognitive functioning in mood disorders

2021 ◽  
pp. 000486742110314
Author(s):  
Samantha J Groves ◽  
Katie M Douglas ◽  
Melissa Milanovic ◽  
Christopher R Bowie ◽  
Richard J Porter
Keyword(s):  
Systematic Review ◽  
Mood Disorders ◽  
Interpersonal Relationships ◽  
Neurocognitive Impairment ◽  
Neurocognitive Functioning ◽  
Evidence Based ◽  
Current Standard ◽  
Treatment Protocols ◽  
Analytic Review ◽  
Evidence Based Psychotherapy

Objective: Neurocognitive impairment is considered a core feature of mood disorders. Research has shown that neurocognitive impairment often persists beyond mood symptom resolution and can have significant deleterious effects on interpersonal relationships, academic achievement, occupational functioning and independent living. As such, neurocognitive impairment has become an important target for intervention. In this systematic review, we aimed to examine the extant literature to ascertain whether current standard evidence-based psychotherapies can improve neurocognitive functioning in mood disorders. Method: Studies examining changes in neurocognitive functioning following evidence-based psychotherapy were identified using MEDLINE, PsycINFO and Web of Science databases. Given the heterogeneity of study procedures, treatment protocols and patient samples, a narrative rather than meta-analytic review technique was employed. Results: Nineteen studies (21 articles) met inclusion criteria. There was preliminary evidence of improved executive functioning following evidence-based psychotherapy for Major Depressive Disorder and Bipolar Disorder. There was also some signal of reduced negative biases in emotional information processing following psychotherapy in depression. Due to methodological variability across studies however, it was difficult to draw clear conclusions. Conclusion: Findings from the current review suggest that evidence-based psychotherapies may influence some aspects of neurocognitive functioning in mood disorders. This continues to be an ongoing area of importance and warrants further research.

scholarly journals V.I.T.A.M. in COVID 19: A Systematic Approach to a Global Pandemic

2021 ◽  
Vol 15 ◽  
pp. 117954842110474
Author(s):  
Siva Naga S. Yarrarapu ◽  
Pankaj Bansal ◽  
David Abia-Trujillo ◽  
Austin Cusick ◽  
Megan Melody ◽  
...  
Keyword(s):  
Primary Objective ◽  
Team Approach ◽  
Evidence Based ◽  
Treatment Protocols ◽  
Ongoing Research ◽  
Treatment Algorithms ◽  
Global Pandemic ◽  
Treatment Review ◽  
Infectious Disease Specialists ◽  
Multi Disciplinary Team

Introduction In the unprecedented era of COVID-19, ongoing research and evolution of evidence has led to ever-changing guidelines for clinical monitoring and therapeutic options. Formulating treatment protocols requires the understanding and application of the evolving research. Objective The primary objective of this study is to present a systematic evidence-based approach to synthesize the necessary data in order to optimize the management of COVID-19. Methods At Mayo Clinic Florida, we developed a multidisciplinary centralized COVID Treatment Review Panel (TRP) of expert pulmonologists, intensivists, infectious disease specialists, anesthesiologists, hematologists, rheumatologists, and hospitalists that in real-time reviews the latest evidence in peer-reviewed journals, the available clinical trials, and help guide the rapid application of therapeutics or interventions to the patient and the bedside provider. Results/Conclusions The multi-disciplinary team approach of synthesizing clinical data and coordinating care is effective in responding to rapidly evolving and changing evidence. Systematic data collection and evidence-based treatment algorithms enable physicians to rapidly translate the current literature to clinical practice, and improve care and outcomes of patients.

scholarly journals Reduced Time to Surgery Improves Patient-Reported Outcome After Achilles Tendon Rupture

2018 ◽  
Vol 46 (12) ◽  
pp. 2929-2934 ◽  
Author(s):  
Simon Svedman ◽  
Robin Juthberg ◽  
Gunnar Edman ◽  
Paul W. Ackermann
Keyword(s):  
Patient Outcome ◽  
Adverse Events ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Patient Reported Outcome ◽  
Evidence Based ◽  
Treatment Protocols ◽  
Good Outcome ◽  
Patient Reported

Background: Patient outcome after an acute Achilles tendon rupture (ATR) continues to be suboptimal and heterogeneous. Thus, prognostic factors are called for to optimize evidence-based ATR treatment protocols; however, the influence of delayed time from injury to surgery (TTS) on patient outcome after ATR remains largely unknown. Purpose: To determine whether patient outcomes and adverse events after surgical repair of acute ATR are related to delayed TTS. Study Design: Cohort study; Level of evidence, 3. Methods: Two hundred twenty-eight patients with ATR who were treated with uniform anesthetic and surgical techniques, within 10 days after injury, were retrospectively assessed. TTS depended on availability of the operating theater, and neither surgeon nor patient could influence the TTS. Patients were assigned to 1 of 3 groups: short TTS (<48 hours), intermediate TTS (48-72 hours), and long TTS (>72 hours). Patient-reported outcome at 1 year was assessed with the validated Achilles tendon Total Rupture Score, with scores higher than 80 on a 0- to 100-point scale indicating an overall good outcome. The incidences of adverse events (perioperative and postoperative) and deep venous thrombosis were assessed. Results: Short TTS was significantly associated with increased rate of good outcome and reduced risk of adverse events. Seventy-one percent (95% CI, 60%-83%) of the patients with short TTS attained a good outcome compared with 44% (95% CI, 33%-56%) of the patients with long TTS ( P = .002), with the intermediate TTS group in between, 63% (95% CI, 47%-78%). The incidence of adverse events was significantly reduced among patients with short TTS, 1.4% (95% CI, 1%-4%) compared with those with intermediate TTS, 11% (95% CI, 2%-21%) ( P = .035) and those with long TTS, 14.8% (95% CI, 7%-23%) ( P = .003). The risk of sustaining a deep venous thrombosis was not statistically significantly different among the 3 groups ( P = .15). Conclusion: Patients with acute ATR undergoing operation within 48 hours after injury had better outcomes and a lower number of adverse events compared with patients undergoing operation after 72 hours. These results align with evidence-based recommendations from other surgical disciplines and should be used as guidelines for optimizing ATR treatment protocols. Registration: NTC01317160 (ClinicalTrials.gov identifier).

scholarly journals Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition

Neurosurgery ◽  
2016 ◽  
Vol 80 (1) ◽  
pp. 6-15 ◽  
Author(s):  
Nancy Carney ◽  
Annette M. Totten ◽  
Cindy O'Reilly ◽  
Jamie S. Ullman ◽  
Gregory W.J. Hawryluk ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Clinical Judgment ◽  
Current Evidence ◽  
Evidence Based ◽  
Clinical Use ◽  
Fourth Edition ◽  
Treatment Protocols ◽  
Guideline Document ◽  
Evidence Based Treatments ◽  
Based Medicine

AbstractThe scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient. We think it is important to have evidence-based recommendations to clarify what aspects of practice currently can and cannot be supported by evidence, to encourage use of evidence-based treatments that exist, and to encourage creativity in treatment and research in areas where evidence does not exist. The communities of neurosurgery and neuro-intensive care have been early pioneers and supporters of evidence-based medicine and plan to continue in this endeavor. The complete guideline document, which summarizes and evaluates the literature for each topic, and supplemental appendices (A-I) are available online at https://www.braintrauma.org/coma/guidelines.

scholarly journals A Pilot Study for Linking Adolescent Patients to an Interactive Tobacco Prevention Program

2017 ◽  
Vol 4 ◽  
pp. 233339281770320 ◽  
Author(s):  
Karen S. Calabro ◽  
Salma K. Marani ◽  
Thuan A. Le ◽  
Georges E. Khalil ◽  
Irene M. Tami-Maury ◽  
...  
Keyword(s):  
Pilot Study ◽  
Tobacco Use ◽  
Outpatient Setting ◽  
Smoking Prevention ◽  
Health Clinic ◽  
Future Research ◽  
Evidence Based ◽  
Tobacco Prevention ◽  
Adolescent Patients ◽  
Community Health Clinic

Context: The American Academy of Pediatrics and professional guidelines recommend intervening with adolescents about avoiding tobacco use in the health-care setting. Barriers in the clinical setting limit consistent provision of this critical service. Objectives: This pilot study compared 2 approaches for referring adolescents to an evidence-based tobacco prevention and cessation program in the outpatient setting. Secondary aims assessed tobacco use, knowledge, and program evaluation. Design, Setting, and Participants: The study setting was a medical and dental clinic. Participants aged 13 to 18 received tobacco advice and instructions to work through “A Smoking Prevention Interactive Experience.” The program addresses health concerns of adolescents about tobacco use and is founded on behavioral change theories. The link to access it is featured on the website of the National Cancer Institute’s Research-Tested Interventions. Participants (N = 197) were randomized to 1 of 2 approaches (ie, a program link via e-mail or referral by a printed card). Results: The program was accessed by 57% (112 of 197) of participants. Both referral approaches were equally effective. Non-Hispanics were twice as likely to access the program as Hispanics (adjusted odds ratio = 2.1, 95% confidence interval = 1.2-3.8, P < .05). Over 95% of participants identified themselves as nonusers of tobacco and evaluated the program as beneficial in increasing knowledge and motivation to remain tobacco-free. Conclusion: Linking adolescent patients to an evidence-based tobacco prevention/cessation program at a community health clinic was highly promising and feasible. We present conclusions for future research.

scholarly journals Is the Movement of Evidence-based Practice a Real Threat to Music Therapy?

2013 ◽  
Vol 13 (2) ◽  
Author(s):  
Masako Otera
Keyword(s):  
Music Therapy ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Music Therapists ◽  
Treatment Protocols ◽  
Empirically Supported ◽  
Standardized Treatment ◽  
The Individual ◽  
Based Medicine

The author discusses what music therapists must work on to establish Evidence-based practice (EBP) in music therapy by referring to Saito's discussion of the misunderstandings and various interpretations of Evidence-based medicine (EBM), the issue of Empirically Supported Treatments (ESTs) in EBP in psychology (EBPP), and related discussions. Although the EBP movement tends to be recognized as a threat to music therapy, some recent discussions of EBM and EBP are encouraging for the development of EBP in music therapy. This paper shows that an integration of evidence of multiple types with clinical expertise and the individual needs in clients has become a consensus of EBP. However, the issues related to conducting Randomized controlled Trials (RCTs) and employment of standardized treatment protocols in music therapy have persisted as difficult problems. Because the issue of EBP is very complex and easily biased, effective learning of this issue should be promoted among music therapists so that they can successfully relate to the EBP movement and bring benefits to the field of music therapy. The author suggests that incorporating the ideas of EBP positively into the field of music therapy and constructing methodologies and theories will enhance EBP.

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