Clinical guidelines

Perceptions of advice for acute low back pain: a content analysis of qualitative data collected in a randomised experiment – Lidiya Augustine et al.

2024-07-31T11:27:39+10:00Back pain, Clinical guidelines, Health professionals, Low back pain, Musculoskeletal, Pain, Publications|

Guidelines commonly recommend healthcare professionals to provide advice to people with acute LBP that explains the nature of LBP, its typically favourable prognosis, and also recommend that people are advised to stay active, avoid bed rest and remain at work. Two other approaches, advice based [...]

Improving how we determine who should take blood pressure and lipid-lowering medications – Jenny Doust

2024-07-30T11:37:55+10:00Cardiovascular disease, Clinical guidelines, Hypertension, Publications, Risk, Treatment|

Cardiovascular disease (CVD) risk equations are useful to guide treatment decisions for blood pressure and lipid-lowering medications because they identify patients who are at high risk of CVD but do not have either blood pressure or cholesterol measurements above the levels when considering treatment as [...]

Anti-inflammatories as adjunct treatment for cellulitis: a systematic review and meta-analysis – Laura Hamill et al.

2024-06-12T17:57:34+10:00Clinical guidelines, Emergency Department, Placebos, Prescribing, Publications, Randomised Control Trial (RCT), Treatment|

Existing guideline recommendations suggest considering corticosteroids for adjunct treatment of cellulitis, but this is based on a single trial with low certainty of evidence. The objective was to determine if anti-inflammatory medication (non-steroidal anti-inflammatory drugs [NSAIDs], corticosteroids) as adjunct cellulitis treatment improves clinical response and [...]

Lifestyle advice from general practitioners and changes in health-related behaviour in Australia: secondary analysis of 2020–21 National Health Survey data – Loai Albarqouni et al.

2024-06-12T17:42:22+10:00Clinical guidelines, Health professionals, Primary Care, Publications, Risk|

Lifestyle factors — smoking, alcohol consumption, inadequate dietary levels of fruit and vegetables — are major risk factors for chronic medical conditions. The importance of clinicians encouraging people to modify their lifestyles is emphasised in many guidelines. A study that included 4716 American adults found that patient-reported [...]

How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey – Matthew H. Anstey et al.

2024-06-12T17:30:59+10:00Carbon footprint, Carbon neutral, Clinical guidelines, Low-value care, Publications, Sustainable health care|

Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters [...]

A summary of the 2023 Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) hypertension in pregnancy guideline – Renuka Shanmugalingam et al.

2024-06-05T15:54:34+10:00Cardiovascular disease, Clinical guidelines, Hypertension, Pregnancy, Publications, Risk, Screening, Women's health|

Hypertensive disorders of pregnancy (HDP) affect up to 10% of all pregnancies annually and are associated with an increased risk of maternal and fetal morbidity and mortality. This guideline represents an update of the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) guidelines for [...]

Common barriers and enablers to the use of non-drug interventions for managing common chronic conditions in primary care: an overview of reviews – Hannah Greenwood et al.

2024-06-04T13:54:45+10:00Clinical guidelines, Deprescribing, Prescribing, Primary Care, Publications, Treatment|

Non-drug interventions are recommended for chronic condition prevention and management yet are underused in clinical practice. Understanding barriers and enablers to using non-drug interventions may help implement non-drug interventions in primary care. We aimed to conduct an overview of reviews to identify and summarise common [...]

Effectiveness of implementation strategies for increasing clinicians’ use of five validated imaging decision rules for musculoskeletal injuries: a systematic review – Priti Kharel et al.

2024-08-09T15:49:31+10:00Audit and feedback, Choosing Wisely, Clinical guidelines, Decision aids, Health professionals, Imaging, Musculoskeletal, Overuse, Publications|

Strategies to enhance clinicians’ adherence to validated imaging decision rules and increase the appropriateness of imaging remain unclear. The objective of this study is to evaluate the effectiveness of various implementation strategies for increasing clinicians’ use of five validated imaging decision rules (Ottawa Ankle Rules, [...]

Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study – Andrew R Gamble et al.

2024-06-04T12:31:31+10:00Clinical guidelines, Decision aids, Health literacy, Knee, Musculoskeletal, Publications, Shared decision making, Surgery, Treatment|

Our aim was to develop and user-test a patient decision aid for children and adolescents following ACL rupture to be used with parents and health professionals that presents evidence-based information on treatment options. Patient decision aids are resources that present balanced information on the benefits [...]

Aspirin as Venous Thromboembolism Prophylaxis in Arthroplasty Patients: An Analysis of Clinical Practice Guidelines Recommendations – Kimberley K. Lun et al.

2024-06-04T12:16:58+10:00Cardiovascular disease, Clinical guidelines, Hip, Knee, Musculoskeletal, Publications, Surgery|

Venous thromboembolism (VTE) is a recognized postoperative complication of hip or knee arthroplasty and incurs major morbidity and mortality. While anticoagulants are the mainstay of chemoprophylaxis, aspirin has recently emerged as a popular prophylactic agent. However, there is a lack of high-quality evidence comparing aspirin [...]

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