Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Diagnosis of Patients with Positional Plagiocephaly

Abstract BACKGROUND: No evidence-based guidelines exist for the imaging of patients with positional plagiocephaly. OBJECTIVE: The objective of this systematic review and evidence-based guideline is to answer the question, Is imaging necessary for infants with positional plagiocephaly to make a diagnosis. METHODS: The National Library of Medicine Medline database and the Cochrane Library were queried with the use of MeSH headings and key words relevant to imaging as a means to diagnose plagiocephaly. Abstracts were reviewed, and an evidentiary table was assembled summarizing the studies and the quality of evidence (Classes I-III). Based on the quality of the literature, a recommendation was rendered (Level I, II, or III). RESULTS: A total of 42 full-text articles were selected for review. Of these, 10 were eliminated; thus, 32 full-text were manuscripts selected. There was no Class I evidence, but 2 Class II and 30 Class III studies were included. Three-dimensional cranial topographical imaging, ultrasound, skull x-rays, computed tomography, and magnetic resonance imaging were investigated. CONCLUSION: Clinical examination is most often sufficient to diagnose plagiocephaly (quality, Class III; strength, Level III). Within the limits of this systematic review, the evidence suggests that imaging is rarely necessary and should be reserved for cases in which the clinical examination is equivocal. Many of the imaging studies were not designed to address the diagnostic utility of the imaging modality, and authors were actually assessing the utility of the imaging in longitudinal follow-up, not initial diagnosis. For this reason, some of the studies reviewed were downgraded in Level of Evidence. When needed, 3-dimensional cranial topographical photo, skull x-rays, or ultrasound imaging is almost always sufficient for definitive diagnosis. Computed tomography scanning should not be used to diagnose plagiocephaly, but it may be necessary to rule out craniosynostosis. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter_2.

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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients With Positional Plagiocephaly

Neurosurgery ◽

10.1227/neu.0000000000001429 ◽

2016 ◽

Vol 79 (5) ◽

pp. E630-E631 ◽

Cited By ~ 6

Author(s):

Lissa C. Baird ◽

Paul Klimo ◽

Ann Marie Flannery ◽

David F. Bauer ◽

Alexandra Beier ◽

...

Keyword(s):

Systematic Review ◽

Evidence Based ◽

Positional Plagiocephaly ◽

Evidence Based Guideline

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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Management of Patients With Positional Plagiocephaly

Neurosurgery ◽

10.1227/neu.0000000000001428 ◽

2016 ◽

Vol 79 (5) ◽

pp. E627-E629 ◽

Cited By ~ 10

Author(s):

Paul Klimo ◽

Patrick Ryan Lingo ◽

Lissa C. Baird ◽

David F. Bauer ◽

Alexandra Beier ◽

...

Keyword(s):

Systematic Review ◽

Evidence Based ◽

Positional Plagiocephaly ◽

Evidence Based Guideline

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STRATEGI PENCEGAHAN PRESSURE INJURIES (PI) BERDASARKAN EVIDENCE-BASED PRACTICE (EBP): A SYSTEMATIC REVIEW

Testing Hearing ◽

10.35907/bgjk.v11i2.146 ◽

2020 ◽

Vol 11 (2) ◽

pp. 46-58

Author(s):

Wahyu Hidayat

Keyword(s):

Systematic Review ◽

Full Text ◽

Evidence Based Practice ◽

Preventive Intervention ◽

Evidence Based ◽

Nursing Services ◽

High Prevalence ◽

Prevention Interventions ◽

Quality Of Nursing

ABSTRAK Masih tingginya prevalensi kejadian Pressure Injuries (PI) di rumah sakit mengakibatkan budaya keselamatan pasien dalam meningkatkan kualitas pelayanan keperawatan belum optimal. Telah banyak publikasi penelitian yang memberikan pilihan dalam menangani dan mencegah terjadi luka dekubitus. Namun hanya sebagian perawat saja yang menerapkan praktik berbasis bukti dalam layanan kesehatan di rumah sakit. Tujuan penelitian ini adalah untuk mengetahui strategi pencegahan PI berdasarkan Evidence-Based Practice (EBP). Jenis penelitian ini merupakan penelitian systematic review dengan sumber pencarian literature dilakukan pada empat portal jurnal terindeks yaitu PubMed, Wiley, ProQuest, dan Google Schoolar. Hasil penelitian ini menunjukkan bahwa artikel yang teridentifikasi sebanyak 3427 penelitian, kemudian dilakukan screening dengan mengekslusi artikel yang double publikasi dan bukan 10 tahun terakhir. Selanjutnya, mengeklusi artikel yang bukan jurnal penelitian, tidak free full text, dan tidak sesuai dengan variabel, sehingga menyisakan 11 artikel yang diinklusi. Dapat disimpulkan bahwa pencegahan PI dapat ditingkatkan dengan memaksimalkan asuhan keperawatan berdasarkan EBP. Hasil-hasil penelitian memberikan pilihan intervensi yang dapatkan diintegrasikan dalam pemberian pelayanan keperawatan untuk meningkatkan kualitas asuhan. Pencegahan PI tidak dapat dilakukan hanya dengan melaksanakan satu intervensi pencegahan saja. Memaksimalkan seluruh intervensi yang ada, dapat menurunkan kejadian PI. Diharapkan kepada perawat untuk terus meningkatkan kemampuan dan keterampilan dalam mencari dan menemukan hasil-hasil penelitian yang dapat digunakan dalam pencegahan PI. Intervensi berdasarkan EBP merupakan sebuah inovasi yang perlu ditingkatkan bagi semua perawat. Kata Kunci : Perawat, Pressure Injuries, Evidence-Based Practice ABSTRACT The high prevalence of the incidence of Pressure Injuries (PI) in hospitals has resulted in a culture of patient safety in improving the quality of nursing services. There have been many research publications that provide options for managing and preventing pressure sores. However, only some nurses apply evidence-based practice in health services in hospitals. The aims of this study was to determine PI prevention strategies based on Evidence-Based Practice (EBP). This type of research is systematic review research with literature search sources conducted on four indexed journal portals, namely PubMed, Wiley, ProQuest, and Google Scholar. The results of this study indicate that 3427 research articles were identified, then screened by the exclusion of articles that were double publications and not the last 10 years. Furthermore, excluding articles that are not research journals, is not free full text, and does not fit into the variable, leaving 11 articles included. It can be concluded that PI prevention can be improved by maximizing nursing care based on EBP. The results of the study provide intervention options that are integrated into the delivery of nursing services to improve the quality of care. PI prevention cannot be carried out by implementing only one preventive intervention. Maximizing all existing interventions can reduce the incidence of PI. It is expected that nurses will continue to improve their abilities and skills in searching and finding research results that can be used in PI prevention. Interventions based on EBP are an innovation that needs to be improved for all nurses. Keywords : Nurse, Pressure Injuries, Evidence-Based Practice

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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Role of Cranial Molding Orthosis (Helmet) Therapy for Patients With Positional Plagiocephaly

Neurosurgery ◽

10.1227/neu.0000000000001430 ◽

2016 ◽

Vol 79 (5) ◽

pp. E632-E633 ◽

Cited By ~ 20

Author(s):

Mandeep S. Tamber ◽

Dimitrios Nikas ◽

Alexandra Beier ◽

Lissa C. Baird ◽

David F. Bauer ◽

...

Keyword(s):

Systematic Review ◽

Evidence Based ◽

Positional Plagiocephaly ◽

Helmet Therapy ◽

Evidence Based Guideline

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A Review of Evidence-Based Recommendations for Pericoronitis Management and a Systematic Review of Antibiotic Prescribing for Pericoronitis among Dentists: Inappropriate Pericoronitis Treatment Is a Critical Factor of Antibiotic Overuse in Dentistry

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136796 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6796

Author(s):

Jan Schmidt ◽

Martina Kunderova ◽

Nela Pilbauerova ◽

Martin Kapitan

Keyword(s):

Systematic Review ◽

Local Therapy ◽

Critical Factor ◽

Antibiotic Use ◽

Narrative Review ◽

Antibiotic Prescribing ◽

Evidence Based ◽

Antibiotic Overuse ◽

Clinically Significant

This work provides a narrative review covering evidence-based recommendations for pericoronitis management (Part A) and a systematic review of antibiotic prescribing for pericoronitis from January 2000 to May 2021 (Part B). Part A presents the most recent, clinically significant, and evidence-based guidance for pericoronitis diagnosis and proper treatment recommending the local therapy over antibiotic prescribing, which should be reserved for severe conditions. The systematic review includes publications analyzing sets of patients treated for pericoronitis and questionnaires that identified dentists' therapeutic approaches to pericoronitis. Questionnaires among dentists revealed that almost 75% of them prescribed antibiotics for pericoronitis, and pericoronitis was among the top 4 in the frequency of antibiotic use within the surveyed diagnoses and situations. Studies involving patients showed that antibiotics were prescribed to more than half of the patients with pericoronitis, and pericoronitis was among the top 2 in the frequency of antibiotic use within the monitored diagnoses and situations. The most prescribed antibiotics for pericoronitis were amoxicillin and metronidazole. The systematic review results show abundant and unnecessary use of antibiotics for pericoronitis and are in strong contrast to evidence-based recommendations summarized in the narrative review. Adherence of dental professionals to the recommendations presented in this work can help rapidly reduce the duration of pericoronitis, prevent its complications, and reduce the use of antibiotics and thus reduce its impact on patients' quality of life, healthcare costs, and antimicrobial resistance development.

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Evidence-based use of clinical examination, ultrasonography, and MRI for diagnosing ulnar collateral ligament tears of the metacarpophalangeal joint of the thumb: systematic review and meta-analysis

European Radiology ◽

10.1007/s00330-020-07666-z ◽

2021 ◽

Author(s):

Ali Rashidi ◽

Arya Haj-Mirzaian ◽

Danoob Dalili ◽

Benjamin Fritz ◽

Jan Fritz

Keyword(s):

Systematic Review ◽

Clinical Examination ◽

Meta Analysis ◽

Ulnar Collateral Ligament ◽

Metacarpophalangeal Joint ◽

Evidence Based ◽

Collateral Ligament

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Commentary: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on Neuroablative Procedures for Patients With Cancer Pain

Neurosurgery ◽

10.1093/neuros/nyaa528 ◽

2020 ◽

Author(s):

Marc Sindou

Keyword(s):

Systematic Review ◽

Cancer Pain ◽

Evidence Based ◽

Patients With Cancer ◽

Evidence Based Guideline

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Acute experimentally-induced pain replicates the distribution but not the quality or behaviour of clinical appendicular musculoskeletal pain. A systematic review

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0076 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Brendon Ford ◽

Mark Halaki ◽

Joanna Diong ◽

Karen A Ginn

Keyword(s):

Systematic Review ◽

Musculoskeletal Pain ◽

Full Text ◽

Experimental Pain ◽

Common Mechanism ◽

Mcgill Pain Questionnaire ◽

Pain Response ◽

Provocation Testing ◽

Experimentally Induced

AbstractObjectivesExperimental pain is a commonly used method to draw conclusions about the motor response to clinical musculoskeletal pain. A systematic review was performed to determine if current models of acute experimental pain validly replicate the clinical experience of appendicular musculoskeletal pain with respect to the distribution and quality of pain and the pain response to provocation testing.MethodsA structured search of Medline, Scopus and Embase databases was conducted from database inception to August 2020 using the following key terms: “experimental muscle pain” OR “experimental pain” OR “pain induced” OR “induced pain” OR “muscle hyperalgesia“ OR (“Pain model” AND “muscle”). Studies in English were included if investigators induced experimental musculoskeletal pain into a limb (including the sacroiliac joint) in humans, and if they measured and reported the distribution of pain, quality of pain or response to a provocation manoeuvre performed passively or actively. Studies were excluded if they involved prolonged or delayed experimental pain, if temporomandibular, orofacial, lumbar, thoracic or cervical spine pain were investigated, if a full text of the study was not available or if they were systematic reviews. Two investigators independently screened each title and abstract and each full text paper to determine inclusion in the review. Disagreements were resolved by consensus with a third investigator.ResultsData from 57 experimental pain studies were included in this review. Forty-six of these studies reported pain distribution, 41 reported pain quality and six detailed the pain response to provocation testing. Hypertonic saline injection was the most common mechanism used to induce pain with 43 studies employing this method. The next most common methods were capsaicin injection (5 studies) and electrical stimulation, injection of acidic solution and ischaemia with three studies each. The distribution of experimental pain was similar to the area of pain reported in clinical appendicular musculoskeletal conditions. The quality of appendicular musculoskeletal pain was not replicated with the affective component of the McGill Pain Questionnaire consistently lower than that typically reported by musculoskeletal pain patients. The response to provocation testing was rarely investigated following experimental pain induction. Based on the limited available data, the increase in pain experienced in clinical populations during provocative maneuvers was not consistently replicated.ConclusionsCurrent acute experimental pain models replicate the distribution but not the quality of chronic clinical appendicular musculoskeletal pain. Limited evidence also indicates that experimentally induced acute pain does not consistently increase with tests known to provoke pain in patients with appendicular musculoskeletal pain. The results of this review question the validity of conclusions drawn from acute experimental pain studies regarding changes in muscle behaviour in response to pain in the clinical setting.

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Do Guidelines for the Diagnosis and Monitoring of Diabetes Mellitus Fulfill the Criteria of Evidence-Based Guideline Development?

Clinical Chemistry ◽

10.1373/clinchem.2008.109082 ◽

2008 ◽

Vol 54 (11) ◽

pp. 1872-1882 ◽

Cited By ~ 17

Author(s):

Eva Nagy ◽

Joseph Watine ◽

Peter S Bunting ◽

Rita Onody ◽

Wytze P Oosterhuis ◽

...

Keyword(s):

Diabetes Mellitus ◽

Methodological Quality ◽

Guideline Development ◽

Evidence Based ◽

Test Results ◽

Time Period ◽

Therapeutic Guidelines ◽

Therapeutic Recommendations ◽

Evidence Based Guideline

Abstract Background: Although the methodological quality of therapeutic guidelines (GLs) has been criticized, little is known regarding the quality of GLs that make diagnostic recommendations. Therefore, we assessed the methodological quality of GLs providing diagnostic recommendations for managing diabetes mellitus (DM) and explored several reasons for differences in quality across these GLs. Methods: After systematic searches of published and electronic resources dated between 1999 and 2007, 26 DM GLs, published in English, were selected and scored for methodological quality using the AGREE Instrument. Subgroup analyses were performed based on the source, scope, length, origin, and date and type of publication of GLs. Using a checklist, we collected laboratory-specific items within GLs thought to be important for interpretation of test results. Results: The 26 diagnostic GLs had significant shortcomings in methodological quality according to the AGREE criteria. GLs from agencies that had clear procedures for GL development, were longer than 50 pages, or were published in electronic databases were of higher quality. Diagnostic GLs contained more preanalytical or analytical information than combined (i.e., diagnostic and therapeutic) recommendations, but the overall quality was not significantly different. The quality of GLs did not show much improvement over the time period investigated. Conclusions: The methodological shortcomings of diagnostic GLs in DM raise questions regarding the validity of recommendations in these documents that may affect their implementation in practice. Our results suggest the need for standardization of GL terminology and for higher-quality, systematically developed recommendations based on explicit guideline development and reporting standards in laboratory medicine.

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