Poor guideline adherence. Medical search. Frequent questions

Guideline adherence was determined by auditing the records using 12 guideline-based performance indicators (PI), grouped into 5 PIs: process diagnosis, problem orientation, interventions/treatment, relapse prevention, and continuity of care. (biomedcentral.com)
An implementation strategy which addressed key barriers for change and tailor-made interventions improves adherence to an occupational health guideline for mental health problems compared to traditional guideline dissemination. (biomedcentral.com)
Therefore, targeted interventions to improve adherence to PA among cancer survivors are needed. (cdc.gov)
Our aim is to place the findings of recent Cochrane musculoskeletal reviews in a context immediately relevant to general practi-tioners (GPs) by summarising the findings of a review of interventions to improve adherence to exercise for adults with chronic musculoskeletal pain (CMP). (racgp.org.au)
12,13 Therefore, interventions that improve adherence to exercise and physical activity are extremely important for optimising the clinical benefits of these interventions for people with CMP. (racgp.org.au)
This paper summarises the findings from a systematic review by Jordan et al 14 of randomised controlled trials (RCTs) or quasi-RCTs, which assessed the effectiveness of different interventions to improve adherence to exercise therapy in people with CMP. (racgp.org.au)
This review assessed the effectiveness of different interventions to improve adherence to exercise therapy in people with chronic musculoskeletal pain. (racgp.org.au)
Interventions to improve adherence varied widely between trials, which differed in the types of exercise therapy, methods of delivery, exercise adherence-enhancing strategies, self-management programs and cognitive and/or behavioural therapy. (racgp.org.au)

The term "microalbuminuria" is still popular among clinicians as it was used in 39 % of the articles included in the study, though all official guidelines recommend discouraging its use. (degruyter.com)
Background We explored who actually provides most admission care in hospitals offering supervised experiential training to graduating clinicians in a high mortality setting where practices deviate from guideline recommendations. (bmj.com)
Efforts to assess clinicians' adherence to guidelines often evaluate care as isolated components rather than as correctly conducted, sequential steps for each individual. (bmj.com)
Clinicians should pay more attention to treatment adherence, particularly in younger patients," the authors conclude. (medscape.com)
There are guidelines developed by expert clinicians and educators which are used to teach clinicians good communication techniques. (unc.edu)
This guideline recommends that clinicians use only validated questionnaires for risk assessment in patients who have a positive screening result or a history of SUD or overdose. (hivguidelines.org)
In addition, clinicians at all sites were requested to follow national or World Health Organization (WHO) blood transfusion guidelines for children who had severe anemia (a hemoglobin below 5g/dl). (biomedcentral.com)

It is considered by many to be treatment of choice for C trachomatis genitourinary infection because it may be administered as a single dose, which improves adherence to treatment. (medscape.com)

The value of good communication skills and the building of an effective relationship with the patient is supported by several medical studies that show that these skills can lead to improved patient and physician satisfaction, better disclosure of important information, greater adherence to treatment, reduced emotional distress, improved physiological parameters and overall better clinical outcomes(1),(2),(3),(4),(5),(6). (unc.edu)

Paediatric hospital care in many LMICs can be of poor quality with limited adherence to guidelines and this may contribute to poor outcomes. (bmj.com)
Lack of guideline adherence can lead to refraining from essential care, suboptimal patient outcomes and wasted resources [ 3 ]. (biomedcentral.com)
Using a link sent by mail, participants completed the online Medication Adherence Rating Scale, along with several other questionnaires, such as the Beliefs about Medicine Questionnaire, to measure secondary outcomes, including a patient's view of how necessary or disruptive maintenance therapy is in their life. (medscape.com)
The necessity of treatment should be actively discussed, and efforts should be done to take doubts away, as this may improve treatment adherence and subsequently may improve treatment effects and long-term outcomes. (medscape.com)
To test the effectiveness of a dementia guideline-based disease management program on quality of care and outcomes for patients with dementia. (nih.gov)
Adherence to 23 guideline recommendations (primary outcome) and receipt of community resources and patient and caregiver health and quality-of-care measures (secondary outcomes). (nih.gov)
Under the State Actions to Improve Oral Health Outcomes (DP-1810), CDC funds 20 state health departments to assist their efforts to decrease dental caries, oral health disparities, and other chronic diseases co-morbid with poor oral health. (cdc.gov)
Regular physical activity (PA) can improve health outcomes in cancer survivors, but the rate of adherence to PA recommendations among middle-aged survivors is unclear. (cdc.gov)
It has been shown that the better outcomes of chronic obstructive pulmonary disease (COPD) are closely associated with adherence to drug therapy, independent of the treatment administered. (mdpi.com)
Up to one-fifth of patients with chronic low back pain may be prescribed opioids in a manner that is not adherent to CPGs, thereby placing them at risk for poor outcomes. (jabfm.org)
However, adherence to these medications is often suboptimal, which places patients at increased risk for poor health outcomes, including hospitalization. (cdc.gov)
WP4 will generate key Supporting LIFE evidence for the HSA adherence to IMIC/e-IMCI and its effect on other process measures and patient outcomes as well as an implementation strategy will be developed. (lu.se)

Almost half of adult patients with eosinophilic esophagitis (EoE) reported poor adherence to long-term medical and dietary therapy, with age younger than 40 years and low necessity beliefs being the strongest predictors, a new study finds. (medscape.com)

The aims were 1) to assess adherence to a mental health guideline in occupational health care and 2) to evaluate the effect of a tailored implementation strategy on guideline adherence compared to traditional guideline dissemination. (biomedcentral.com)
Objectives: The objective of this study was to find out the extent to which the antiretroviral therapy (ART) switching guidelines were complied with and to assess whether immediate switching from first- to second-line ART would have been appropriate than attempting to comply with the guidelines. (strath.ac.uk)
We used multinomial logistic regression to assess associations between PA adherence and demographic, psychosocial, and clinical factors, and multivariable linear regression to assess the relationship between PA adherence and HRQOL of cancer survivors. (cdc.gov)

We explored guideline adherence after creating a cumulative correctness of Paediatric Admission Quality of Care (cPAQC) score on a 5-point scale (0-4) in which points represent correct, sequential progress in providing care perfectly adherent to guidelines comprising admission assessment, diagnosis and treatment. (bmj.com)
To improve the quality of patient treatment and decrease variability in care, it is important to improve implementation of and adherence to practice guidelines [ 4 ]. (biomedcentral.com)
It is uncertain to what degree limited adherence to treatment [plays] a role in the limited long-term effects of treatment," they write. (medscape.com)
According to Jennifer L. Horsley-Silva, MD, of Mayo Clinic, Scottsdale, Arizona, "This study is important, as it is one of the first studies to investigate the rate of treatment adherence in EoE patients, and [it] attempts to identify factors associated with adherence both in medically and dietary treated patients. (medscape.com)
Antibiotic resistance is a natural phenomenon but it is exacerbated by inappropriate treatment practices, poor regulation of access to medicines, and lack of infection control programs. (cdc.gov)
Public awareness of the appropriate uses of antibiotics is low, and many countries lack standard treatment guidelines for healthcare workers. (cdc.gov)
Even though methotrexate has been proven effective in treating psoriatic arthritis (PsA)-and thus has been included in treatment guidelines for the condition-adherence to this therapy has been poor in both its oral and injectable (subcutaneous and intramuscular) forms. (medpagetoday.com)
Though preferred in the treatment of PsA, methotrexate is often associated with poor adherence rates. (medpagetoday.com)
Therefore, adherence to treatment should be evaluated and reinforced in Bangui, CAR. (scirp.org)
The clinical trial Towards a Revolution in COPD Health (TORCH) study clearly showed in a three year follow up that patients with good adherence to their inhaler treatment presented a longer time before the first exacerbation, a lower susceptibility to exacerbation and lower all-cause mortality. (mdpi.com)
1 The clinical practice guidelines (CPGs) developed to address this issue often promote a biopsychosocial approach to pain management, including patient self-management, nonpharmacological treatments, and avoiding opioids as first-line pharmacological treatment. (jabfm.org)
2 Two major guidelines in the United States address the treatment of chronic pain, including low back pain. (jabfm.org)
The new guidelines , from the AHA and American College of Cardiology (ACC) in partnership with nine other professional societies, include several significant changes to previous recommendations, including lower thresholds for hypertension diagnosis and lower treatment targets, which will greatly increase the number of people classified as having hypertension and eligible for drug therapy. (medscape.com)

A recently published paper confirms the poor adherence to clinical practice guidelines and recommendations on albuminuria, particularly in patients with type 2 diabetes (T2D). (degruyter.com)
Also external barriers can obstruct guideline use, such as patient factors (i.e. preferences of patients), guideline factors (i.e. not clearly written), and environmental factors like lack of time or resource, or organizational constraints hindering guideline use. (biomedcentral.com)
Other factors linked to poor adherence were patients with longer disease duration and more severe symptoms. (medscape.com)
Gary W. Falk, MD, of Penn Medicine, Philadelphia, said that patients with EoE may be poorly adherent because therapies tend to be complicated and people often forget to take their medications, especially when their symptoms improve, even though this is a poor indicator of underlying disease. (medscape.com)
Adherence to dementia guidelines is poor despite evidence that some guideline recommendations can improve symptoms and delay institutionalization of patients. (nih.gov)
A dementia guideline-based disease management program led to substantial improvements in quality of care for patients with dementia. (nih.gov)
Adherence to infection control means fewer patients with hospital-acquired infections, and poor adherence means more infected patients. (assignmenthelp.net)
The findings indicate that there are various strategies that may be effective in increasing adherence to exercise and physical activity in patients suffering from CMP. (racgp.org.au)
To evaluate patients' adherence rates, the investigators calculated the drug amount that was prescribed and the time between prescriptions. (medpagetoday.com)
Non-adherence was seen with both the oral and parenteral formulations of methotrexate, totaling 38% of patients. (medpagetoday.com)
The Latin American Study of 24-h Symptoms in Chronic Obstructive Pulmonary Disease (LASSYC), a real-life study, evaluated the self-reported inhaler adherence in COPD patients in seven countries in a cross-sectional non-interventional study and found that approximately 50% of the patients had good adherence, 30% moderate adherence and 20% poor adherence. (mdpi.com)
This study measured the prevalence and impact of nonadherence to clinical practice guidelines (CPGs) that recommend using nonpharmacological and nonopioid treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) before considering opioids in patients with chronic low back pain. (jabfm.org)
3 The American College of Physicians Clinical Practice Guideline, which addresses low back pain, also recommends nonpharmacological treatments and nonsteroidal anti-inflammatory drugs (NSAIDs) before considering opioids in patients with chronic low back pain. (jabfm.org)
BACKGROUND: Five guideline-recommended medication categories are available to treat patients who have heart failure (HF) with reduced ejection fraction. (cdc.gov)

The overall prevalence of poor adherence to therapy was high (41.8%), including a nonsignificant difference in adherence between medical and dietary therapies. (medscape.com)
Since data are generally lacking on the prevalence, clinical features, timing of blood transfusion and adherence to WHO guidelines, we used the data from the FEAST trial to provide a detailed description of these aspects. (biomedcentral.com)

GNB) have important infection control implications that either have not been addressed or received only limited consideration in previous isolation guidelines. (cdc.gov)
It is estimated that about 61% of newborn deaths and half of maternal deaths are due to poor quality of care,3 a situation that is likely to be further aggravated by COVID-19 infection. (who.int)
It is important to note that the implementation of control measures for HIV and HBV does not obviate the need for continued adherence to general infection-control principles and general hygiene measures (e.g., hand washing) for preventing transmission of other infectious diseases to both worker and client. (cdc.gov)

To improve guideline adherence, passive implementation strategies, such as guideline dissemination, are found to be ineffective. (biomedcentral.com)
However, poor protocol dissemination and training, limited infrastructure, and inadequate human resources challenge adherence to VAC guidelines. (bvsalud.org)

OPs in the intervention group received multiple-session peer group training which focused on identifying and addressing barriers to using the guideline, using a Plan-Do-Check-Act approach. (biomedcentral.com)
barriers might be knowledge-related like a lack of awareness with the guideline, or attitude-related such as a lack of agreement with specific recommendations, lack of self-efficacy and skills to apply recommendations, or lack of motivation to change physician routine. (biomedcentral.com)
Conversations should also address the discordance between symptoms and histologic disease, patient doubts and concerns, and other barriers to adherence, she noted. (medscape.com)

The review concludes that there is a general lack of interventional studies investigating the impact of poor dietary patterns on semen parameters, presumably because it is not ethically justifiable to cause harm to participants through adherence to an unhealthy diet. (nutraingredients-usa.com)

Overall, 18 of the 42 trials reported that the studied intervention improved adherence to exercise or physical activity. (racgp.org.au)

At the point where guideline adherence declined the most we dichotomised the cPAQC score and used multilevel logistic regression models to explore whether clinician and patient-level factors influence adherence. (bmj.com)
Poor integration of TB into general health services, weak laboratory capacity, withdrawal of subsidies to community volunteers and patent medicine vendors, poorly funded patient tracking systems, and ineffectual TB/HIV collaboration resulted in weak organisation of TB service delivery. (biomedcentral.com)
Conversely ineffective communication skills and a poor patient provider relationship are associated with low patient satisfaction and even an increase in malpractice claims. (unc.edu)
Patient adherence has improved during the study period, but it remains poor. (bmj.com)

Guidelines from the US Centers for Disease Control and Prevention, National Institutes of Health, and the Infectious Diseases Society of America (CDC/NIH/IDSA) emphasize early HIV detection and the supervised administration of ART to maintain cellular immunity before reaching advanced stages of disease. (medscape.com)
Newswise - The most recent guidelines for primary prevention recommend aspirin use for individuals ages 40 to 70 years who are at higher risk of a first cardiovascular event, but not for those over 70. (newswise.com)
There has been considerable confusion from recently reported results of three large-scale randomized trials of aspirin in high risk primary prevention subjects, one of which showed a significant result, but the other two, based possibly on poor adherence and follow up, did not. (newswise.com)
General guidelines for aspirin in primary prevention do not seem to be justified," said Hennekens. (newswise.com)
The Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain, which addresses chronic, noncancer pain, recommends that both nonpharmacological and nonopioid treatments be initiated before using opioids. (jabfm.org)
This online archive of the CDC Prevention Guidelines Database is being maintained for historical purposes, and has had no new entries since October 1998. (cdc.gov)

Guidelines recommend postoperative imaging surveillance, but adherence is uncertain. (ices.on.ca)

To improve adherence to guideline recommendations on mental health problems, an implementation strategy was developed for Dutch occupational physicians (OPs). (biomedcentral.com)
To optimize adherence, it is recommended that implementation strategies focus on the workers level, organizational level, and the professional level. (biomedcentral.com)
Guidelines will be developed for implementation into clinical care. (who.int)
Guidelines will be developed for implementation in clinical care. (who.int)

From January 2017 to January 2020, we conducted serial semi-structured in-depth interviews 50 purposively selected young women (18-24 years old) who were participating in the MPYA (Monitoring PrEP for Young Adult women) study-a randomized controlled trial in Thika and Kisumu, Kenya, assessing the impact of SMS reminders on PrEP adherence. (frontiersin.org)

Adherence by MOI with 6 years' training is better than COI with 3 years' training, performance does not seem to improve during their 3 months of paediatric rotations. (bmj.com)
In my opinion, the new hypertension guidelines will greatly improve the precision for diagnosing hypertension and will reduce the incidence of stroke , myocardial infarction , congestive heart failure , and death due to cardiovascular causes. (medscape.com)

2015-2020 Dietary Guidelines for Americans. (potatogoodness.com)
Poor adherence to US dietary guidelines for children and adolescents in the National Health and Nutrition Examination Survey population. (potatogoodness.com)

Unfortunately, the data reported by Mussap and colleagues provide evidence of the poor adherence to and compliance with these recommendations for albuminuria harmonization. (degruyter.com)
Clinical assessment is good but classifying severity of illness in accordance with guideline recommendations is a challenge. (bmj.com)
However, adherence to the guideline recommendations is still far from optimal. (biomedcentral.com)
We examined adherence to PA recommendations among cancer survivors and controls. (cdc.gov)
This study describes adherence to PA recommendations among cancer survivors compared with control subjects without cancer and the association between survivor adherence to PA guidelines and demographic, psychosocial, and clinical factors, as well as health-related quality of life (HRQOL). (cdc.gov)
Method PCPs' responses to five clinical vignettes presenting symptoms and signs of lung (n = 2), colorectal (n = 2), and ovarian cancer (n = 1) were compared with investigation and referral recommendations in cancer guidelines. (ox.ac.uk)

Accuracy of exercise performance (ie the extent to which participants perform the exercises correctly) and adherence may be improved by refresher or follow-up sessions and supplementing face-to-face instruction with other material such as an audiotape or videotape of the exercises (low-level evidence, two studies). (racgp.org.au)
Based on the examination of the glycated hemoglobin, participants were divided into Group A (adequate glycemic control) and Group B (poor glycemic control). (bvsalud.org)

Conclusions - Adherence to GDIS following ATAAD repair is poor, while long-term mortality and reinterventions remain substantial. (ices.on.ca)

Nevertheless, a substantial gap exists between evidence-based guidelines and clinical practice. (jabfm.org)

MOIs were more adherent to guidelines than COI (adjusted OR 1.19 (95% CI 1.07 to 1.34)) but multimorbidity was significantly associated with lower guideline adherence. (bmj.com)

One journal ( Annals of Emergency Medicine ) updated its guidelines during the study period. (bmj.com)
HEADSpAcE is a unique study that aims to investigate multiple reasons for poor prognosis of head and neck cancers, with a particular focus on Europe and South America. (who.int)
Was there adherence to the WHO transfusion guidelines in your study? (biomedcentral.com)

This guideline recommends substance use screening for all adults seen by primary care providers. (hivguidelines.org)
We aimed to examine the association between adherence to these medications and potentially preventable HF hospitalizations among younger insured adults with newly diagnosed HF. (cdc.gov)

Guidelines developed by WHO encourage the rational use of blood transfusion to treat severe anemia in order protect the limited supplies of blood. (biomedcentral.com)

8-11 However, poor adherence to exercise and physical activity has been shown to compromise their effectiveness in usual care. (racgp.org.au)

We sought to identify correlates of adherence to PA and to determine whether PA adherence is associated with health-related quality of life (HRQOL) among cancer survivors. (cdc.gov)
We examined PA adherence among 8,655 cancer survivors and 144,213 control subjects aged 45-64 years who were respondents to the 2009 Behavior Risk Factor Surveillance System survey. (cdc.gov)
Cancer survivors and control subjects had similar rates of PA adherence. (cdc.gov)

In an interesting minireview published in the Journal some years ago, Barth and colleagues have tried to answer the very intriguing question "why are clinical practice guidelines not followed? (degruyter.com)

Short-term, single meal randomized crossover studies done in small groups of children and adolescents aged 9-14, a group linked with poor-quality eating patterns and nutrient inadequacies, (6) also suggest students might be more satiated by meals with potatoes versus meals without potatoes when appetite is self-reported (7, 8). (potatogoodness.com)

Poor human resources management practices hindered TB service delivery. (biomedcentral.com)

Usage was poorer in the absence of specific safety handling procedures. (cdc.gov)

We obtained health sectors guidelines/protocols related to VAC from 22 of 43 (51 %) countries and reviewed 97 published articles/reports that met the review inclusion criteria. (bvsalud.org)

Aim To explore whether cancer guidelines, and adherence to them, differ between jurisdictions and impacts on PCPs' propensity to take definitive action on cancer-related symptoms. (ox.ac.uk)
Only the UK and Denmark had an ovarian cancer guideline. (ox.ac.uk)
Conclusion Cancer guideline content is variable between similarly developed nations and poor guideline adherence does not explain differential survival. (ox.ac.uk)

The authors and HICPAC gratefully acknowlege Dr. Larry Strausbaugh for his many contributions and valued guidance in the preparation of this guideline. (cdc.gov)

Seven trials were judged to be high quality, 29 moderate quality, six poor quality. (racgp.org.au)
Moderate-level* evidence from 17 trials suggests exercise type (eg aerobic versus resistance exercise, water-based versus land-based exercise, back-specific stabilisation versus general exercise, high- versus low-intensity exercise) does not affect adherence. (racgp.org.au)
Supervised exercise was found to be more effective than unsupervised/home exercise at increasing exercise adherence (moderate-level evidence, two studies). (racgp.org.au)

In this guest blog, Maitland discusses anemia in Africa, the WHO guidelines, and how fluid boluses cause harm. (biomedcentral.com)

Failure to adhere to guidelines was found to be predominant in the pre-analytical phase, as no article reported any data on pre-analytical variables potentially influencing albumin excretion such as posture, physical activity, and fever. (degruyter.com)
The cPAQC scores suggest that perfect guideline adherence is found in ≤12% of children with malaria, pneumonia or diarrhoea with dehydration. (bmj.com)
In one out of 12 PIs adherence was found adequate (53% of the medical records), in 6 PIs adherence was found minimal, and in 5 PIs the majority of the records showed no adherence. (biomedcentral.com)
The bihar governments doortodoor screening campaign for covid19 is marred by poor adherence to guidelines about data collection, indiaspend found in its investigations across four districts. (jonathancharlesfurniture.com)

Background Identifying common factors that affect public adherence to COVID-19 containment measures can directly inform the development of official public health communication strategies. (researchgate.net)

The new US hypertension guidelines, released at the recent American Heart Association (AHA) 2017 Scientific Sessions, have been generally well received by the hypertension and cardiology communities, albeit with a few caveats from some. (medscape.com)

and lack of adherence counseling (aHR = 3.8 p = 0.024). (strath.ac.uk)
RF interference is caused by human error, bad installation, lack of training, poor equipment or system design and a lack of adherence to industry standards and guidelines. (apscc.or.kr)

As compliance to guidelines is generally low among health care providers, little is known about the impact of guidelines on the quality of delivery of care. (biomedcentral.com)

Only a few papers (15 %) reported data on other important variables of the pre-analytical phase such as sample shipping, storage, and centrifugation, reflecting the poor awareness of the impact of pre-analytical steps on the accuracy of laboratory results. (degruyter.com)

There was no association between jurisdictional guideline adherence and 1-year survival. (ox.ac.uk)

TB service providers have poor capacity for data management because changes in recording and reporting tools were not matched with training of service providers. (biomedcentral.com)
Poor record keeping and data entry. (workforce.com)
Errors in data entry and poor recordkeeping of employee hours can result in costly government penalties. (workforce.com)

Guideline-directed imaging surveillance (GDIS) was defined as undergoing a computed tomographic or magnetic resonance imaging scan at 6 and 12 months postoperatively and then annually thereafter. (ices.on.ca)
The final core work package (WP5) will develop design guidelines for how the e-IMCI solution can become part of a national disease surveillance and management policy. (lu.se)

The guidelines committee reviewed the latest clinical trial evidence with particular emphasis on the National Institutes of Health-sponsored SPRINT trial . (medscape.com)

Analytical, Diagnostic and Therapeutic Techniques and Equipment5

Psychiatry and Psychology3

Phenomena and Processes2

Disciplines and Occupations2

Information Science2

Health Care16

Geographicals2

Interventions8

Clinicians7

Improves adherence1

Greater adherence1

Outcomes12

Predictors1

Assess3

Treatment13

Patients14

Prevalence2

Infection3

Dissemination2

Barriers3

Unhealthy1

Intervention1

Patient4

Prevention6

Uncertain1

Implementation4

Reminders1

Improve2

Dietary2

Recommendations6

Participants2

Conclusions1

Substantial1

Adherent1

Study3

Adults2

Severe1

Effectiveness1

Survivors3

Practice guidelines1

Patterns1

Practices1

Absence1

Protocols1

Cancer3

HICPAC1

Moderate3

Cause harm1

Found4

Factors1

Albeit1

Lack2

Compliance1

Awareness1

Survival1

Data3

Surveillance2

Evidence1