Clinical guidelines

Introducing Australia’s clinical care standard for low back pain – Christopher G Maher et al – Med J Aus

2023-07-03T15:48:56+10:00Clinical guidelines, Health policy, Low back pain, Low-value care, Musculoskeletal, Pain, Publications|

The Low Back Pain Clinical Care Standard provides an excellent guide for how each of the professions can contribute to better care of low back pain. The Standard points to the key areas of care where the need for quality improvement is greatest, by describing [...]

Ethical issues in big data: A qualitative study comparing responses in the health and higher education sectors – Annette Braunack-Mayer et al

2023-06-27T17:34:56+10:00Clinical guidelines, Health professionals, Publications, Research ethics, Risk|

The health and higher education sectors are increasingly using large administrative datasets for secondary purposes. Both sectors experience ethical challenges in the use of big data. This study identifies and explores how these two sectors are responding to these ethical challenges.

Global prevalence of hospital admissions for low back pain: a systematic review with meta-analysis – Alla Melman et al

2023-06-27T17:22:43+10:00Clinical guidelines, Low back pain, Musculoskeletal, Pain, Publications|

This is the first systematic review with meta-analysis summarising the global prevalence of hospital admissions and hospital LOS for low back pain. There was relatively sparse data from rural and regional regions and low-income countries, as well as high heterogeneity in the results.

The paradox of using SDM for de-implementation of low-value care in the clinical encounter – Paula Riganti et al

2023-06-27T17:20:45+10:00Clinical guidelines, Low-value care, Overuse, Publications, Shared decision making|

Different studies showed that when patients are better informed about the benefits and harms of interventions (eg, surgeries, screening tests, medications), they tend to decline low-value care. These findings might explain why SDM has been promoted to reduce low-value care. Focusing on the conversations between [...]

How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment – Joshua R Zadro et al

2023-06-27T17:06:59+10:00Clinical guidelines, Disease labels, Imaging, Musculoskeletal, Publications, Risk, Shoulder, Surgery|

Words/feelings evoked by advice for rotator cuff disease and perceived treatment needs may explain why guideline-based advice reduces perceived need for unnecessary care compared to a treatment recommendation.

Has the degree of outcome reporting bias in surgical randomized trials changed? A meta-regression analysis – Andy Wang et. al

2023-01-27T11:30:18+11:00Clinical guidelines, Publications, Research, Research ethics, Surgery|

Outcome reporting bias in individual trials can compromise the validity of pooled estimates within systematic reviews. Recent strategies have attempted to address outcome reporting bias, which favours the full reporting of statistically significant outcomes over non-significant outcomes. We examined whether the association between full outcome [...]

Methods for living guidelines: Early Guidance based on practical experience. Paper 2: Consumer engagement in living guidelines – Anneliese Synnot et. al

2023-01-25T15:14:59+11:00Clinical guidelines, Clinical quality, Health policy, Health system, Publications|

Consumer engagement in living guidelines should follow established principles of consumer engagement in guidelines. Conceiving the engagement as living, underpinned by a living process evaluation, allows the approach to be developed with consumers over time.

Approaches to prioritising research for clinical trial networks: a scoping review – Rachael L. Morton et. al

2023-01-25T14:50:14+11:00Clinical guidelines, Ethical considerations, Health policy, Health professionals, Publications, Research|

Prioritisation of clinical trials ensures that the research conducted meets the needs of stakeholders, makes the best use of resources and avoids duplication. The aim of this review was to identify and critically appraise approaches to research prioritisation applicable to clinical trials, to inform best [...]

Patient and public involvement in the development of clinical practice guidelines: a scoping review – Elizabeth Ann Bryant et. al

2023-01-11T14:30:47+11:00Clinical guidelines, Publications, Shared decision making|

Organisations that develop clinical practice guidelines (CPGs) encourage involvement of patients and the publics in their development, however, there are no standard methodologies for doing so. To examine how CPGs report patient and public involvement (PPI), we conducted a scoping review of the evidence addressing [...]

Which strategies support the effective use of clinical practice guidelines and clinical quality registry data to inform health service delivery? A systematic review – Kathy Dempsey et. al

2023-01-11T14:20:23+11:00Clinical guidelines, Publications, Research|

Empirical evidence suggests data and insights from the clinical practice guidelines and clinical quality registries are not being fully utilised, leaving health service managers, clinicians and providers without clear guidance on how best to improve healthcare delivery. This lack of uptake of existing research knowledge [...]

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