Evidence-based Healthcare最新文献_第8页

Nurse-led intervention increases smoking cessation among people with coronary heart disease $ 护士主导的干预增加了冠心病患者的戒烟率

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.008

David W. Brown

引用次数: 3

High intensity counselling or behavioural interventions can result in moderate weight loss 高强度的咨询或行为干预可导致适度的体重减轻

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.006

E. Slevin

引用次数: 5

Healthcare quality improvement programme improves monitoring of people with diabetes 医疗保健质量改进方案改善了对糖尿病患者的监测

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.005

P. Denig

引用次数: 0

Ultraviolet germicidal irradiation of office ventilation systems reduces work-related mucosal and respiratory symptoms 办公室通风系统的紫外线杀菌照射可减少与工作有关的粘膜和呼吸道症状

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.022

K. Kühn, I. Chaberny

引用次数: 1

A community-based disease management program for postmyocardial infarction reduces hospital readmissions compared with usual care 与常规护理相比，以社区为基础的心肌梗死后疾病管理方案减少了再入院率

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.013

J. Ghali

引用次数: 4

Breast-feeding has little effect on blood pressure in later life☆ 母乳喂养对以后的血压几乎没有影响

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.011

U. Das

引用次数: 3

Do For-profit health plans restrict access to high-cost procedures? 营利性医疗计划是否会限制高成本的医疗程序?

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/j.ehbc.2004.03.021

Antonio J Trujillo PhD (Commentary Author)

{"title":"Do For-profit health plans restrict access to high-cost procedures?","authors":"Antonio J Trujillo PhD (Commentary Author)","doi":"10.1016/j.ehbc.2004.03.021","DOIUrl":"https://doi.org/10.1016/j.ehbc.2004.03.021","url":null,"abstract":"<div><h3>Question</h3><p>Do for-profit health plans restrict access to high-cost procedures compared with not-for-profit health plans?</p></div><div><h3>Study design</h3><p>Cohort study.</p></div><div><h3>Main results</h3><p>In unadjusted analyses, for-profit health plan beneficiaries had higher rates of all high-cost procedures than not-for-profit health plan beneficiaries; the difference was significant for 4 out of 12 procedures (see Table 1). Rates of usage remained higher in for-profit plans after adjustment for participants’ sociodemographic factors, county of residence, and health plan characteristics (see Table 1).<span><div><div><table><tbody><tr><td><strong>Table 1</strong> Difference in rates of high-cost procedures between for-profit plans and not-for-profit plans.</td></tr><tr><td>Procedure</td><td>Difference per 10,000 beneficiaries (95% CI)</td></tr><tr><td></td><td>Unadjusted</td><td>Adjusted for sociodemographic factors<sup>∗</sup></td><td>Adjusted for health plan characteristics<sup>†</sup>, sociodemographic</td><td>Adjusted for county of residence<sup>‡</sup>, sociodemographic factors, health plan characteristics</td></tr><tr><td>Hysterectomy</td><td>2.6 (−0.3 to 5.5)</td><td>2.7 (−0.2 to 5.6)</td><td>2.2 (−1.0 to 5.4)</td><td>2.5 (0.6 to 4.3)<sup>§</sup></td></tr><tr><td>Prostatectomy</td><td>4.3 (−1.4 to 10.1)</td><td>3.8 (−1.9 to 9.6)</td><td>3.3 (−3.1 to 9.8)</td><td>6.3 (0.2 to 12.3)<sup>§</sup></td></tr><tr><td>Closed cholecystectomy</td><td>5.8 (−0.2 to 11.9)</td><td>6.1 (0.1 to 12.1)<sup>§</sup></td><td>7.0 (0.4 to 13.6)<sup>§</sup></td><td>7.7 (3.4 to 11.9)<sup>§</sup></td></tr><tr><td>Open cholecystectomy</td><td>0.8 (−1.6 to 3.1)</td><td>0.8 (−1.5 to 3.2)</td><td>0.6 (−2.1 to 3.3)</td><td>1.9 (−0.1 to 3.8)</td></tr><tr><td>Partial colectomy</td><td>4.0 (−1.0 to 9.0)</td><td>4.4 (−0.6 to 9.4)</td><td>6.0 (0.3 to 11.6)<sup>§</sup></td><td>8.4 (4.8 to 12.0)<sup>§</sup></td></tr><tr><td>Reduction of femur fracture</td><td>2.6 (−2.9 to 8.2)</td><td>6.0 (0.5 to 11.4)<sup>§</sup></td><td>5.3 (−0.9 to 11.4)</td><td>6.4 (1.1 to 11.6)<sup>§</sup></td></tr><tr><td>Total knee replacement</td><td>5.1 (−1.0 to 11.2)</td><td>5.1 (−0.9 to 11.2)</td><td>5.7 (−0.9 to 12.4)</td><td>8.3 (3.1 to 13.6)<sup>§</sup></td></tr><tr><td>Total hip replacement</td><td>2.4 (−5.1 to 10.0)</td><td>3.0 (−4.5 to 10.5)</td><td>2.3 (−6.2 to 10.9)</td><td>5.4 (0.8 to 9.9)<sup>§</sup></td></tr><tr><td>Cardiac catheterisation</td><td>31.6 (9.0 to 54.2)<sup>§</sup></td><td>31.0 (8.7 to 53.3)<sup>§</sup></td><td>15.2 (−9.2 to 39.5)</td><td>26.5 (14.1 to 38.9)<sup>§</sup></td></tr><tr><td>Coronary artery bypass grafting</td><td>10.3 (2.5 to 15.1)<sup>§</sup></td><td>10.7 (3.1 to 18.3)<sup>§</sup></td><td>7.6 (−1.0 to 16.2)</td><td>6.3 (0 to 12.7)<sup>§</sup></td></tr><tr><td>Percutaneous transluminal coronary angioplasty</td><td>8.5 (1.0 to 16.1)<sup>§</sup></td><td>9.0 (1.6 to 16.4)<sup>§</sup></td><td>6.0 (−2.3 to 14.3)</td><td>2.6 (−2.8 to 8.0)</td></tr><t","PeriodicalId":100512,"journal":{"name":"Evidence-based Healthcare","volume":"8 3","pages":"Pages 116-118"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.03.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71829092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Risk of AIDS increases in children aged 2 years and older with CD4 T cell percentage less than 15% CD4 T细胞百分比低于15%的2岁及以上儿童患艾滋病的风险增加

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/j.ehbc.2004.03.019

William J Moss MD,MPH (Commentary Author) , Deborah Persaud MD (Commentary Author)

{"title":"Risk of AIDS increases in children aged 2 years and older with CD4 T cell percentage less than 15%","authors":"William J Moss MD,MPH (Commentary Author) , Deborah Persaud MD (Commentary Author)","doi":"10.1016/j.ehbc.2004.03.019","DOIUrl":"https://doi.org/10.1016/j.ehbc.2004.03.019","url":null,"abstract":"<div><h3>Question</h3><p>What is the short-term risk of disease progression in children infected perinatally with HIV-1?</p></div><div><h3>Study design</h3><p>Meta-analysis.</p></div><div><h3>Main results</h3><p>Eight cohort studies and nine randomized controlled trials in 3941 children infected perinatally with HIV-1 were identified. The risk of AIDS or death increased across all age groups with decreasing CD4 T cell percentage (CD4%). Children aged ≤2 years had the most pronounced increase in risk within 12 months with decreasing CD4% compared with children aged 5 to 10 years (CD4%<span><sup>1</sup></span> at which probability of death increases: 20% to 25% for children aged 6 months to 2 years vs. 10% to 15% for children aged 5 to 10 years; CD4% at which probability of AIDS increases: 25% to 30% for children aged 6 months to 2 years vs. 12% to 20% for children aged 5 to 10 years). Risk of disease progression increased with increasing viral load although the correlation was more gradual compared with CD4%.</p></div><div><h3>Authors’ conclusions</h3><p>Risk of disease progression in children infected with HIV-1 is strongly associated with low CD4%, particularly in children aged ≤2 years.</p></div>","PeriodicalId":100512,"journal":{"name":"Evidence-based Healthcare","volume":"8 3","pages":"Pages 168-170"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.03.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71829103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of venous thromboembolism greatest within two weeks of long-haul flight☆ 长途飞行两周内静脉血栓栓塞的风险最大

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/J.EHBC.2004.03.017

F. Paganin

引用次数: 1

Healthcare quality improvement programme improves monitoring of people with diabetes 医疗保健质量改进方案改善了对糖尿病患者的监测

Evidence-based Healthcare Pub Date : 2004-06-01 DOI: 10.1016/j.ehbc.2004.03.005

Petra Denig PhD (Commentary Author)

{"title":"Healthcare quality improvement programme improves monitoring of people with diabetes","authors":"Petra Denig PhD (Commentary Author)","doi":"10.1016/j.ehbc.2004.03.005","DOIUrl":"https://doi.org/10.1016/j.ehbc.2004.03.005","url":null,"abstract":"<div><h3>Question</h3><p>Does a healthcare quality improvement programme, incorporating education and claims-based feedback about practice-specific models of monitoring diabetes care, increase the regularity with which primary care physicians assess people with diabetes mellitus receiving Medicare benefits?</p></div><div><h3>Study design</h3><p>Cluster randomised controlled trial.</p></div><div><h3>Main results</h3><p>22, 971 Medicare recipients with diabetes who could be linked with one of 477 study physicians in 123 non-urban counties were identified. The health care quality improvement programme significantly improved monitoring of circulating glycosylated haemoglobin (HbA1c) levels in people with diabetes compared with a no-intervention comparison group (see Table 1). There was no significant difference in number of eye exams or monitoring of urine protein levels between groups.<span><div><div><table><tbody><tr><td><strong>Table 1</strong> Proportion of people tested with quality indicators at baseline and follow-up.</td></tr><tr><td>Quality indicator test</td><td>Health care quality improvement programme</td><td>Comparison Group</td><td>Difference in change from baseline between intervention and control groups (95% CI)</td></tr><tr><td></td><td>Proportion of people tested at baseline (%)</td><td>Proportion of people tested at follow up (%)</td><td>Change from baseline to follow up</td><td>Proportion of people tested at baseline (%)</td><td>Proportion of people tested at follow up (%)</td><td>Change from baseline to follow up</td><td></td></tr><tr><td>HbA1c</td><td>34.3</td><td>51.1</td><td>16.8</td><td>37.2</td><td>50.2</td><td>13.0</td><td>4.0 (0.7 to 7.3)</td></tr><tr><td>Eye exams</td><td>38.9</td><td>39.4</td><td>0.5</td><td>39.3</td><td>39.5</td><td>0.2</td><td>1.0 (-1.1 to 3.1)</td></tr><tr><td>Quantitative urine protein</td><td>2.8</td><td>4.6</td><td>1.8</td><td>2.7</td><td>4.4</td><td>1.7</td><td>0.1 (-2.1 to 3.0)</td></tr></tbody></table></div></div></span></p></div><div><h3>Authors’ conclusions</h3><p>The population-based health care quality improvement programme, incorporating education and claims-based feedback about practice-specific models of monitoring diabetes care, improved care of people with diabetes.</p></div>","PeriodicalId":100512,"journal":{"name":"Evidence-based Healthcare","volume":"8 3","pages":"Pages 122-124"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71829091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0