Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Payment for a service or for a commodity such as a body part.
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.
The study, based on direct observation, use of statistical records, interviews, or experimental methods, of actual practices or the actual impact of practices or policies.
Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Artificial introduction of SEMEN or SPERMATOZOA into the VAGINA to facilitate FERTILIZATION.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Voluntary cooperation of the patient in following a prescribed regimen.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity.
An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)
All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.
A publication issued at stated, more or less regular, intervals.
A bibliographic database that includes MEDLINE as its primary subset. It is produced by the National Center for Biotechnology Information (NCBI), part of the NATIONAL LIBRARY OF MEDICINE. PubMed, which is searchable through NLM's Web site, also includes access to additional citations to selected life sciences journals not in MEDLINE, and links to other resources such as the full-text of articles at participating publishers' Web sites, NCBI's molecular biology databases, and PubMed Central.
Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.
Activities associated with the disposition of the dead. It excludes cultural practices such as funeral rites.
Infection of the lung often accompanied by inflammation.
Measurement of the temperature of a material, or of the body or an organ by various temperature sensing devices which measure changes in properties of the material that vary with temperature, such as ELASTICITY; MAGNETIC FIELDS; or LUMINESCENCE.
Inflammation of the lung parenchyma that is caused by bacterial infections.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
A voluntary organization concerned with the prevention and treatment of heart and vascular diseases.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
The hollow, muscular organ that maintains the circulation of the blood.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
The veins and arteries of the HEART.
Facilities for the preparation and dispensing of drugs.
A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
Measuring and weighing systems and processes.
A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.
Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.
A benign epithelial tumor with a glandular organization.
Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.
Endoscopic examination, therapy or surgery of the luminal surface of the colon.
Discrete tissue masses that protrude into the lumen of the COLON. These POLYPS are connected to the wall of the colon either by a stalk, pedunculus, or by a broad base.
Tumors or cancer of the COLON or the RECTUM or both. Risk factors for colorectal cancer include chronic ULCERATIVE COLITIS; FAMILIAL POLYPOSIS COLI; exposure to ASBESTOS; and irradiation of the CERVIX UTERI.
Monitoring of rate of occurrence of specific conditions to assess the stability or change in health levels of a population. It is also the study of disease rates in a specific cohort such as in a geographic area or population subgroup to estimate trends in a larger population. (From Last, Dictionary of Epidemiology, 2d ed)
Jimmy, B; Jose, J (2011). "Patient medication adherence: Measures in daily practice". Oman Medical Journal. 26 (3): 155-159. ... CDC (17 September 2020). "Walking: The Physical Activity Guidelines for Americans". Centers for Disease Control and Prevention ... For example, a patient with asthma may recognize the symptom of shortness of breath. This patient can manage the symptom by ... The patient may need to contact their healthcare team for advice. Red is the danger zone, meaning the patient's signs and ...
Perfect use indicates complete adherence to medication schedules and guidelines. Typical use describes effectiveness in real- ... They are the most effective reversible methods of contraception because their efficacy is not reliant on patient compliance. ... For those under 21, who typically have lower adherence to drug regimens, the risk is twice as high as the risk among older ... world conditions, where patients may not fully adhere to medication regimens. LARC methods require little to no user action ...
However, prescription of and adherence to these guideline-concordant therapies is lacking, particularly among young patients ... is recommended by multi-society guidelines for all patients with history of ASCVD (atherosclerotic cardiovascular disease) to ... WS patients develop a considerable burden of atherosclerotic plaques in their coronary arteries and aorta: calcification of the ... Most of the time, patients realize that they have the disease only when they experience other cardiovascular disorders such as ...
... failure to offer all management options to a patient; and non-adherence to clinical guidelines related to the prompt and ... It is recommended that such guidelines be developed for such patients as a matter of urgency and they should be explicit in the ... RCOG Green-top Guideline No.44 2006 amended 2010). The patient was commenced on erythromycin at 22.00hrs on the 22nd of October ... "not robust enough to ensure adherence to this guideline". Partly in response to the protest movement after the death of Savita ...
... and encourage psychologists to consider issues about patient adherence and concerns about medications. *Intervention and ... and encourage psychologists to consider the patient's interpersonal behaviors. *Relationships Guidelines 16 and 17 expect that ... Psychologists may express concerns about treatment, refer patients for medication consultations, direct patients to referral or ... The following list summarizes the guidelines by section. *General Guidelines 1 through 3 encourage psychologists to act within ...
Careful adherence to the administration and monitoring guidelines is therefore essential; this includes obtaining an ... for patients who have the relapsing-remitting subtype, for patients who have the progressive subtypes, for patients without a ... Clinical guidelines: clinical guidelines are documents with the aim of guiding decisions and criteria in specific areas of ... February 2008). "Intense immunosuppression in patients with rapidly worsening multiple sclerosis: treatment guidelines for the ...
Goodman asserts that empowering both patients and caregivers to control healthcare decisions produces greater patient ... The dominant view at the time was adherence to managed care, under which decisions are made by experts, typically following ... formal practice guidelines. In Priceless (2013), Goodman's approach to health economics was even more radical. He portrayed the ... Its thesis: patients should be empowered in the medical marketplace the way consumers are empowered in other markets. This ran ...
Adherence to behavioral treatments is also poor. For example, no more than 30% of patients quit smoking at their provider's ... Nonadherence issues include failure to administer medications as prescribed, failure to follow dietary guidelines, defiance of ... Nonadherence or poor adherence to medical regimens may adversely affect the health of the pediatric patient, resulting in ... Several methods might be employed the help patients and their families monitor adherence, including direct observations of the ...
There is not one guideline for how to best formulate auxiliary labels on a prescription, but the label should be as simple as ... It is further recommended that labels are placed in a manner obvious to the patient without having to turn or rotate the ... All auxiliary labels contain information important to proper medication adherence, or to avoid adverse drug reactions. ... When auxilary labels are used as a reminder to the patient of important information, failure to understand and follow the ...
NWH gains this accreditation by reducing cancer risk in its patients by following a list of guidelines from the CEO Roundtable ... accreditation process is designed to review individual rehabilitation programs for adherence to standards and guidelines. ... Therapies available to patients include hyperbaric oxygen therapy (HBOT), provided in a multi-seat hyperbaric chamber. HBOT is ... The opening of the DeWitt Wallace Pavilion added 259 new beds, allowing NWH to enter a new age of patient-centered care. ...
... adherence to guidelines and standard of care; but lacked evidence to determine whether or not this actually impacted patient ... Patient satisfaction surveys are the main qualitative measure of the patient perspective. Patients may not have the clinical ... In addition, patient satisfaction often correlates with patient involvement in decision making and can improve patient-centered ... In response to the patient safety concerns discussed in To Err is Human, the United States enacted the Patient Safety and ...
Leading to Better Guideline Adherence and Disease Control, Fewer Acute Episodes". Agency for Healthcare Research and Quality. ... The percentage of patients at participating practices with well-controlled asthma (as defined by the National Heart, Lung, and ... "New car seat guidelines for rear-facing seats are designed to save lives". All the Moms - A USA Today Publication. August 31, ... In response to updated crash test, simulation, and field data, the AAP revised their guidance to exclude the age guideline ...
"Health officials follow up new COVID-19 positive case, urges adherence to health guidelines". Department of Foreign Affairs. 14 ... By 22 July all six local patients had recovered. By the end of the month the number of confirmed cases had risen to 114, up by ... All 13 patients were foreign nationals. The following day six locals tested positive, bringing the number of confirmed cases to ... The number of recovered patients grew from 11 to 39, leaving 75 active cases at the end of the month: an increase by 7% from ...
... and is likely to involve measuring adherence to healthcare processes that have been shown to produce best outcomes for patients ... Selection of an audit topic is influenced by factors including: where national standards and guidelines exist; where there is ... was to follow every patient's case history after surgery to identify errors made by individual surgeons on specific patients. ... If the patient dies, his parents go to the chief doctor, they present the prescriptions written by the physician. If the chief ...
... advance directive adherence MeSH N04.761.337 - guideline adherence MeSH N04.761.380 - medical audit MeSH N04.761.380.100 - ... patient care team MeSH N04.590.715.571 - team nursing MeSH N04.590.720 - patient-centered care MeSH N04.590.731 - patient ... continuity of patient care MeSH N04.590.233.727.407 - patient-centered care MeSH N04.590.233.727.605 - refusal to treat MeSH ... guidelines MeSH N04.761.700.350.324 - codes of ethics MeSH N04.761.700.350.650 - practice guidelines MeSH N04.761.700.675 - ...
... adherence to guidelines, achieving better clinical outcomes, giving better patient experience and lowering the total cost of ... In 2001, a Patients' Bill of Rights was debated in Congress, which would have provided patients with an explicit list of rights ... This would promote ongoing comprehensive care management, optimizes patients' health status and assist patients in navigating ... It was undertaken in an effort to ensure the quality of care of all patients by preserving the integrity of the processes that ...
... is a patient advocacy organization that seeks to promote adherence to injection safety guidelines and increase governmental ... for every patient. In February 2008, the largest patient notification of its kind occurred when 40,000 patients of the ... Stokes was accused of reusing on patients syringes and sutures intended for one-time use in one patient. Stokes is currently in ... HONOReform was founded by patients and families impacted by a Nebraska outbreak of hepatitis C in which 99 cancer patients were ...
... involvement and physician engagement though standardization of clinical care with a focus on adherence to care guidelines and ... When we do this, we can work to improve access to care and effectively treat as many patients as possible. As a field, health ... This sector is often the initial point of contact for patients. The human services sector consists of social service agencies ... Clearly, the government must impose stronger regulations that focus on patient well-being. Access to care and Rationing are ...
... of depressed patients were referred) along with improved adherence to evidence-based guidelines for the care of depression and ... 1995) found improved medication adherence, increased patient satisfaction with treatment, and overall greater improvements in ... Appointment times are short, with the goal of seeing a large number of patients in a day. Many patients present with behavioral ... Typically this makes it more difficult for patients to access services readily, if at all. For uninsured patients the United ...
... demonstrated improvements in adherence to practice guidelines and reductions in the need for emergency department and hospital ... If patient identifiers can be matched, a chronological record of each patient's laboratory results can be analyzed as well as ... Since the data contained each patient's name and address, the system was also used to communicate directly with patients when ... reminders and alerts with guideline-based advice for the practice as well as a periodic roster of each provider's patients and ...
Adherence to oral appliance is strongly associated with patient reservations regarding the effects of the device on teeth, ... According to the current American Academy of Sleep Medicine treatment guidelines, Oral appliances should be considered for ... Some patients can find these devices somewhat uncomfortable, although many patients find them less bothersome than CPAP mask ... In a survey study of patients, many discontinued use because of discomfort, lack of efficacy or switching to CPAP and frequent ...
See the 2006 HICPAC/CDC MDRO guideline for discussion of possible criteria to discontinue contact precautions for patients ... and increases in preventable adverse events in order to improve acceptance by the patients and adherence by health care workers ... A single-patient room is preferred for patients who require contact precautions. When a single-patient room is not available, ... A single patient room is preferred for patients who require droplet precautions. When a single-patient room is not available, ...
Safe Harbors for Adherence to Practice Guidelines: This approach provides a defense for physicians if they follow pre approved ... The plaintiff is/ was the patient, or a legally designated party acting on behalf of the patient, or - in the case of a ... Failure to warn: a medical professional is alleged to have treated the patient without first warning the patient of known risks ... lawyers say that the Texas law prevents patients from getting compensation or damages even in cases where the patient clearly ...
2009). "Patients' attitudes to medicines and adherence to maintenance treatment in inflammatory bowel disease". Inflamm Bowel ... Horne and his research team regularly contribute to UK and international reports and guidelines on adherence, and to ... 2001). "Haemodialysis patients' beliefs about treatment: implications for adherence to medication and fluid-diet restrictions ... Horne, R; Weinman J (1999). "Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic ...
... advance directive adherence MeSH N05.715.360.335 - evaluation studies MeSH N05.715.360.395 - guideline adherence MeSH N05.715. ... patient acceptance of health care MeSH N05.300.150.600.600 - patient compliance MeSH N05.300.150.600.620 - patient ... professional-patient relations MeSH N05.300.660.325 - dentist-patient relations MeSH N05.300.660.560 - nurse-patient relations ... guidelines MeSH N05.700.350.324 - codes of ethics MeSH N05.700.350.650 - practice guidelines MeSH N05.700.500 - medical audit ...
Patient Preference and Adherence. 9: 1549-1560. doi:10.2147/PPA.S87659. ISSN 1177-889X. PMC 4631419. PMID 26604708. Ushiyama, ... "Guidelines for the management of hemophilia". Haemophilia. 19 (1): e1-e47. doi:10.1111/j.1365-2516.2012.02909.x. PMID 22776238 ... patients on Vioxx were observed to have a four to five fold increase in myocardial infarctions (MIs) compared to patients on ... in rofecoxib patients when compared with naproxen patients (0.4% vs 0.1%, RR 0.25) over a mean duration of 9-months. The ...
... medicine and patient groups suggests this could increase further with a reduction in patient adherence due to Automatic Generic ... "Guideline on the investigation of bioequivalence" (PDF). London: European Medicines Agency. 2008.[permanent dead link] " ... Bainbridge JL, Ruscin JM (2009). "Challenges of treatment adherence in older patients with Parkinson's disease". Drugs & Aging ... A study of patients registered with 201 UK general practices showed that patients aged 65-69 years received repeat ...
Nyaho Medical Center decided to refer all non-COVID-19 patients to other hospitals. Some male patients were said to have ... Government assured guidelines to be given to the Ghana Police Service on the mandatory wearing of face masks enforcement. ... The Director of NMIMR claimed the rise in COVID-19 infections was due to the non-adherence of the safety protocols. Accra was ... The number of recovered patients grew by 10,867 to 42,963, leaving 1,059 active cases at the end of the month. A new COVID-19 ...
Ammendolia C, Taylor JA, Pennick V, Côté P, Hogg-Johnson S, Bombardier C (2008). "Adherence to radiography guidelines for low ... some chiropractors may still X-ray a patient several times a year.[6] Practice guidelines aim to reduce unnecessary radiation ... Utilization of chiropractic care is sensitive to the costs incurred by the co-payment by the patient.[1] The use of ... Practice guidelines. Reviews of research studies within the chiropractic community have been used to generate practice ...
For example, when adherence is defined as greater than four hours of nightly use, 46% to 83% of patients with obstructive sleep ... "Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society ... Whereas the vast majority of patients with obstructive sleep apnea exhibit snoring, a minority (20-25%) of patients with ... In patients who are at high likelihood of having OSA, a randomized controlled trial found that home oximetry (a non-invasive ...
6 and even with excellent dietary adherence, histology and coeliac antibodies can take several years to normalize.7. ... how to reconcile nutritional and technological properties of wheat proteins with safety for celiac disease patients". Nutrients ... "Can J Gastroenterol (Guideline). 21 (10): 649-51. PMC 2658132. PMID 17948135.. ... "Biomarkers to Monitor Gluten-Free Diet Compliance in Celiac Patients". Nutrients (Review). 9 (1): 46. doi:10.3390/nu9010046 ...
"Limited Patient Adherence to Highly Active Antiretroviral Therapy for HIV-1 Infection in an Observational Cohort Study". Arch. ... 2002). "Guidelines for using antiretroviral agents among HIV-infected adults and adolescents". Ann. Intern. Med. 137 (5 Pt 2): ... "Module 5/Guidelines for Educators" (Microsoft Word). Durex. பார்த்த நாள் 2006-04-17.[dead link] ... "Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents" (PDF). Department of Health and Human ...
Panel on Antiretroviral Guidelines for Adults and Adolescents (2009-12-01). Guidelines for the use of antiretroviral agents in ... Care of the adult patient after sexual assault". The New England Journal of Medicine 365 (9): 834-41. PMID 21879901. doi: ... Orrell, C (2005 Nov). "Antiretroviral adherence in a resource-poor setting". Current HIV/AIDS reports 2 (4): 171-6. PMID ... "Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection" (PDF). The Panel on Antiretroviral Therapy and ...
Adherence[edit]. It has been repeatedly found that in the long-term, all diets with the same calorific value perform the same ... Suyoto PST (2018). "Effect of low-carbohydrate diet on markers of renal function in patients with type 2 diabetes: A meta- ... Low-carbohydrate diets are not an option recommended in the 2015-2020 edition of Dietary Guidelines for Americans, which ... 2018). "Comparative effects of different dietary approaches on blood pressure in hypertensive and pre-hypertensive patients: A ...
... giving it to the patient, and observing the patient for signs or symptoms of an allergic reaction.[medical citation needed] ... 2014). "Japanese Guideline for Food Allergy 2014". Allergol Int. 63 (3): 399-419. doi:10.2332/allergolint.14-RAI-0770. PMID ... the potential presence of allergen due to cross-contamination through a documented risk assessment and despite adherence to ... If a person's RAST score is higher than the predictive value for that food, over a 95% chance exists that patients will have an ...
Should pharmaceutical forms suitable for daily supplementation become available, patients displaying good treatment adherence ... In another proposed cholecalciferol loading dose guideline for vitamin D-deficient adults, a weekly dosage is given, up to a ... but also to patients with primary hyperparathyroidism) or with hypoparathyroidism.[65] Patients with chronic liver disease or ... to patients who have had their parathyroid glands removed (most commonly kidney dialysis patients who have had tertiary ...
Specialized team probably reduces poor adherence to treatment. Data are based on moderate quality evidence. RR 0.2 (0.1 to 0.42 ... International Early Psychosis Association Writing Group (2005). "International clinical practice guidelines for early psychosis ... largely through reduced in-patient costs, and also save other costs to society.[44][45] However, the claimed savings have been ... they were significantly higher after 2 years for those patients who met the COGDIS criteria.[32] The COGDIS criteria measure ...
Furthermore, up to 30% of patients continue to have gastrointestinal symptoms despite a strict GFD.122,124 If adherence is ... "European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease". J ... "Support for patients with celiac disease: A literature review". United European Gastroenterol J 3 (2): 146-59. Apr 2015. doi: ... Patients with celiac disease are at increased risk of cancer, including a twofold to fourfold increased risk of non-Hodgkin's ...
This can be floss, flosset, pikster or what is preferred by patient. Without patient compliance and constant removal of plaque ... "Guidelines for scope of practice". Dental Board of Australia. Retrieved 8 May 2019.. ... It is this adherence to non-shedding surface that allows bacteria in a dental biofilm to have unique characteristics of ... It is crucial for the clinician to encourage patient changes and to educate the patient appropriately. Motivational ...
Robert I. Simon (20 May 2008). Assessing and Managing Suicide Risk: Guidelines for Clinically Based Risk Management. American ... Felker B, Yazel JJ, Short D (December 1996). "Mortality and medical comorbidity among psychiatric patients: a review". ... Hospitalization for those with low adherence to collaboration for help and those who require monitoring & secondary symptom ... Stallman, H. M. (2017). Meeting the needs of patients who have suicidal thoughts presenting to Emergency Departments. Emergency ...
In these patients with duodenal lymphocytosis, and following the consensus guidelines from the European Society of Pediatric ... Whereas celiac disease requires adherence to a strict lifelong gluten-free diet, it is not yet known whether NCGS is a ... Some NCGS patients may indeed have celiac disease. A 2015 systematic review showed that 20% of NCGS patients who presented with ... Studies indicate that AGA IgG is high in slightly more than half of NCGS patients and that, unlike for celiac disease patients ...
In fact, the Health Ministry issued guidelines in 1999 according to which ob-gyns have no obligation to inform patients of ... Total adherence exceeds 100% because many identify with both Shintoism and Buddhism. Shinto shrines, honoring gods and ... Engel 1989) Patients who ask too many questions risk seeming offensive or irritating, and a good patient is a passive one. ... rarely initiate open discussion of the possibility of undergoing amniocentesis or triple marker tests with pregnant patients. ...
... rather than the number of years the medication extends a patient's life.[75] However, QALY is subjective to each patient and ... "Specialty Drug Coupons Lower Out-of-pocket Costs and May Improve Adherence at the Risk of Increasing Premiums". Health Affairs ... which had the purpose of establishing review guidelines of individual drug prices, conduct investigations for allegations of ... Schoonveld, Ed (2015). The Price of Global Health: Drug Pricing Strategies to Balance Patient Access and the Funding of ...
The guidelines have been evaluated and individuals that have higher guideline adherence scores substantially reduce cancer risk ... In patients suffering from schizophrenia, physical fitness has been shown to improve their quality of life and decrease the ... Activity guidelinesEdit. The Physical Activity Guidelines for Americans was created by the Office of Disease Prevention and ... "Physical Activity Guidelines for Americans". Office of Disease Prevention and Health Promotion. 2008.. ...
In most cases, patients pay less for more.[45] Reasons for high prices[edit]. Variability and non-transparency[edit]. As of ... The number of Americans who reported cost-related non-adherence to their prescriptions was more than double the number of ... which had the purpose of establishing review guidelines of individual drug prices, conduct investigations for allegations of ... rather than the number of years the medication extends a patient's life.[93] However, QALY is subjective to each patient and ...
The guideline says that articles should not be changed unnecessarily. Obviously if you want articles to be up to date they ... I.e. the NHS system might be controversial due to the fact that 30% of the patients or unsatisfied with their health services ... "Not indefinitely, but for one month; not for incivility & disruptive editing, but for simple adherence to the rules..." and so ... so you might need to be patient.. Your article is actually rather good, but it sounds a bit like a scientific journal. You'll ...
Furthermore, up to 30% of patients continue to have gastrointestinal symptoms despite a strict GFD.122,124 If adherence is ... Clinical guideline 86: Recognition and assessment of coeliac disease. London, 2015. *^ a b Matthias T, Pfeiffer S, Selmi C, ... Clinical guideline 53: Chronic fatigue syndrome/myalgic encephalomyelitis. London, 2007. *^ Murch S, Jenkins H, Auth M, Bremner ... Clinical guideline 61: Irritable bowel syndrome. London, 2008. *^ Freeman HJ (December 2009). "Adult Celiac Disease and Its ...
"Patient Preference and Adherence. 8: 331-8. doi:10.2147/PPA.S41565. PMC 3964161. PMID 24672227.. ... "Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition". Journal of Neurogastroenterology ... Rifaximin may also be a useful addition to vancomycin when treating patients with relapsing C. difficile infection.[8][9] ... It has minimal side effects, prevents reoccurring encephalopathy, and is associated with high patient satisfaction. People are ...
Moreover, patients may be able to make, when they are considered well, an advance directive stipulating how they wish to be ... Current diagnostic guidelines, namely the DSM and to some extent the ICD, have been criticized as having a fundamentally Euro- ... There can be problems with adverse effects of medication and adherence to them, and there is also criticism of pharmaceutical ... The nervous patients of yesteryear are the depressives of today. That is the bad news. ... There is a deeper illness that ...
After 64 patient deaths and 750 harmed patients from a 2012 meningitis outbreak due to contaminated steroid injections, ... "ACOG Revises Guidelines on Treating Menopause Symptoms". Medscape. Retrieved 4 March 2019.. ... the WHI trial was limited by low adherence, high attrition, inadequate power to detect risks for some outcomes, and evaluation ... In older patients, there was an apparent increased incidence of breast cancer, heart attacks, venous thrombosis, and stroke, ...
Rates of adherence to DOACs are only modestly higher than adherence to warfarin among patients prescribed these drugs, and thus ... Therefore, there comes the need for certain guidelines for the dental care of patients taking these drugs. ... In patients deemed to be at higher risk of bleeding (e.g., patients with other medical conditions or undergoing more extensive ... if the patient has another medical condition or taking other medication that may increase bleeding risk, consult the patient's ...
The recent guidelines suggest that any patient with a BMI of more than 30 with comorbidities is a candidate for bariatric ... A factor in the success of any bariatric surgery is strict post-surgical adherence to a healthy pattern of eating. ... The surgery is contraindicated in patients who have end stage disease and also in patients not committed to make lifestyle ... It is very common, within the first month post-surgery, for a patient to undergo volume depletion and dehydration. Patients ...
The adherence rate to mediated agreements is much higher than that of adherence to court orders. ... For example, federal welfare reform mandated the creation of child support guidelines in all 50 states in the 1980s. ERISA ... Pregnant patients' rights. *Gender pay gap. *Women's suffrage. *LGBT rights *Same-sex marriage ...
Impact of Guideline Adherence on Urologic Cancer Diagnosis". The American Journal of Medicine. 127 (7): 625-632. doi:10.1016/j. ... If source is glomerular patients should be referred to a nephrologist for further evaluation. Non-glomerular source of bleeding ... Guideline "Archived copy" (PDF). Archived from the original (PDF) on 2012-12-24. Retrieved 2012-10-27.. CS1 maint: Archived ... "Guideline for the management of nonmuscle invasive bladder cancer (stages Ta, T1, and Tis): 2007 update". The Journal of ...
"Guidelines for Congregational, District, and Synodical Communion Statements" Retrieved 2016-12-28. ... The only treatment for CD, dermatitis herpetiformis (DH) and gluten ataxia is lifelong adherence to a GFD.. ... safe amounts of gluten for patients with wheat allergy or coeliac disease". Aliment Pharmacol Ther. 23 (5): 559-75. doi:10.1111 ... patients are advized to start with a GFD [49].. ...
Since patients often do not know how severe their conditions are, nurses were originally supposed to review a patient's chart ... Miller M.D., Towers A. Manual of Guidelines for Scoring the Cumulative Illness Rating Scale for Geriatrics (CIRS-G) // ... Simultaneous treatment of multiple disorders requires strict consideration of compatibility of drugs and detailed adherence of ... Patients who are more seriously ill tend to require more hospital resources than patients who are less seriously ill, even ...
For patients diagnosed with MCI, clinicians should recommend regular exercise (twice/week) as part of an overall approach to ... A 2015 review of clinical evidence which included a medical guideline for the treatment of depression with exercise noted that ... Research in 2015 indicates integrating mindfulness to physical exercise interventions increases exercise adherence, self- ... In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve ...
"National guideline for the management of bacterial vaginosis (2006)". Clinical Effectiveness Group, British Association for ... "Analysis of adherence, biofilm formation and cytotoxicity suggests a greater virulence potential of Gardnerella vaginalis ... "Sexually transmitted diseases treatment guidelines, 2015". MMWR Recomm Rep. 64 (RR-03): 1-137. PMC 5885289. PMID 26042815 ...
Compliance with practice guideline-recommended treatment for cirrhosis is associated with a reduction in first esophageal ... "Bleeding In Cirrhosis Patients May Be Reduced By Adherence To Practice Guidelines." Medical News Today. MediLexicon, Intl., 30 ... 2010, August 30). "Bleeding In Cirrhosis Patients May Be Reduced By Adherence To Practice Guidelines." Medical News Today. ... Bleeding In Cirrhosis Patients May Be Reduced By Adherence To Practice Guidelines. ...
Our study is the first to show low rates of adherence to JNC VII guidelines among nursing home patients. Adherence, defined as ... adherence to JNC VII guidelines was defined as the use of a thiazide diuretic in patients with hypertension. Adherence was ... Hypertension Guideline Adherence Among Nursing Home Patients. Paul E. Drawz, MD, MHS,. 1,2 Cristina Bocirnea, MD,1,3 Katarina B ... adherence to guidelines is poor, with clinicians often overestimating their own adherence.18,19 Poor adherence to hypertension ...
Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving ... Guidelines for antibiotic prophylaxis were followed in 70.7% of the cases.. CONCLUSIONS: The study revealed that many patients ... The aim of this study was to evaluate feasibility of involving PIs in monitoring adherence to the guidelines for antibiotic ... This is the first time that PIs were involved in monitoring antibiotic prophylaxis guidelines. A total of 6,167 patients were ...
Can CAP guideline adherence improve patient outcome in internal medicine departments?. F. Blasi, I. Iori, A. Bulfoni, S. Corrao ... Can CAP guideline adherence improve patient outcome in internal medicine departments?. F. Blasi, I. Iori, A. Bulfoni, S. Corrao ... Can CAP guideline adherence improve patient outcome in internal medicine departments?. F. Blasi, I. Iori, A. Bulfoni, S. Corrao ... Can CAP guideline adherence improve patient outcome in internal medicine departments? Message Subject (Your Name) has sent you ...
Thus, patients with gout are becoming more common... ... Treatment Adherence And Compliance. Extent to which the patient ... Patient Characteristics and Adherence of Care Processes to Current Guidelines.". Gout or hyperuricemia are both well known and ... Acute Gout in Emergency Admissions - Patient Characteristics and Adherence of Care Processes to Current Guidelines.. 08:00 EDT ... Correction: Acute Gout in Emergency Admissions - Patient Characteristics and Adherence of Care Processes to Current Guidelines. ...
Evidence-based recommendations on involving patients in decisions about prescribed medicines and supporting adherence for ... Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence Clinical guideline [ ... Appendix B: The Guideline Review Panel Appendix B: The Guideline Review Panel The Guideline Review Panel is an independent ... panel that oversees the development of the guideline and takes responsibility for monitoring adherence to NICE guideline ...
... guideline adherence in patients with breast cancer - results from a German prospective multicentre observational study (PROTECT ... Data from breast cancer patients only are reported, and prophylaxis in high-risk patients was determined to evaluate guideline ... guideline adherence in patients with breast cancer - results from a German prospective multicentre observational study (PROTECT ... guideline adherence in patients with breast cancer - results from a German prospective multicentre observational study (PROTECT ...
... intervention to improve physical activity and medication adherence in patients with both chronic heart failure and diabetes ... Heart failure and Diabetes share a common set of risk factors and both require ongoing lifestyle modification and adherence to ... Technology to improve drug Adherence and Reinforce Guideline based Exercise Targets in patients with Heart Failure and Diabetes ... Technology to improve drug Adherence and Reinforce Guideline based Exercise Targets in patients with Heart Failure and Diabetes ...
... a short food frequency questionnaire assessing adherence to the Norwegian dietary guidelines among colorectal cancer patients. ... Henriksen, Hege Berg (2018) Design of a dietary intervention study in colorectal cancer patients. Evaluation of dietary and ...
There was guideline adherence in 242 patients (47.3%) and non-adherence in 270 patients (52.7%). The rate of 6-month major ... Of those, there were 242 patients (47.3%) in the guideline adherence group and 270 patients (52.3%) in the non-adherence group ... Guideline adherence. Guideline adherence was defined as prescribing all guideline-recommended medications at both hospital ... and patient record not being available (1). There were 328 included patients (53.8%) in the guideline non-adherence group and ...
Guideline adherence was quite low: about 70% of all patients received a biannual hemoglobin A1c measurement and 19.8% had ... Guideline adherence was quite low: about 70% of all patients received a biannual hemoglobin A1c measurement and 19.8% had ... The link between guideline adherence and outcomes is a highly demanded issue in diabetes care. We aimed to assess the adherence ... The link between guideline adherence and outcomes is a highly demanded issue in diabetes care. We aimed to assess the adherence ...
... patients, manufacturers, regulators, distributors, and evaluators. Directly or indirectly, all parties to healthcare benefits ... Suboptimal Adherence to Guideline-Recommended Molecular Testing in Patients with Newly Diagnosed AML: Data from the Connect MDS ... Younger patients, patients treated at academic versus community sites, patients with normal versus abnormal karyotype, and ... Abstract 3548) showed suboptimal adherence to World Health Organization 2008 recommendations for AML in a cohort of patients ...
Evaluation of medication guidelines adherence in the prevention of coronary heart disease for patients with type 2 diabetes ... evaluation, medication guidelines, adherence, prevention, coronary heart disease, patients, type 2 diabetes mellitus, united ... Alozaibi, N. and Johnson, J.B. and Hudson, S.A. (2009) Evaluation of medication guidelines adherence in the prevention of ... To evaluate adherence of prescribed medication in UAE to internationally recognised guideline criteria. ...
Clinicians adherence versus non adherence to practice guidelines in the management of patients with sarcoma: a cost- ... Clinicians adherence versus non adherence to practice guidelines in the management of patients with sarcoma: a cost- ...
Hospital admission was indicated in 47.5 % of patients and was found to be related to the patients age, the severity of ... Adherence to inpatient care guidelines was evaluated with a focus on indication of hospitalization, initial antibiotic choice, ... Adherence to guidelines regarding inpatient care was evaluated with the main focus on the indication of hospitalization, ... Conclusions: The choice of antimicrobial therapy was found to be consistent with recommendations but adherence to guidelines ...
Patients. The population included 24 268 children who had at least one immunization recorded in the health plan tracking system ... Would Better Adherence to Guidelines Improve Childhood Immunization Rates?. Tracy A. Lieu, Steven B. Black, Michael E. Sorel, ... Would Better Adherence to Guidelines Improve Childhood Immunization Rates?. Tracy A. Lieu, Steven B. Black, Michael E. Sorel, ... Would Better Adherence to Guidelines Improve Childhood Immunization Rates? Message Subject (Your Name) has sent you a message ...
Adherence of healthcare professionals to American diabetes association 2004 guidelines for the care of patients with type 2 ... Clinical practice guidelines: necessary but not sufficient for evidence-based patient education and counseling. Patient Educ ... Patient factors including patient literacy, their beliefs and financial resources also impact the adherence to diabetic ... knowledge and adherence according to the ADA guidelines. All the respondents attended 1-day workshop about the guidelines. The ...
... patients utilized all four guideline-recommended therapies. Adherence to four guideline-recommended therapies was lowest among ... patients utilized all four guideline-recommended therapies. Adherence to four guideline-recommended therapies was lowest among ... patients utilized all four guideline-recommended therapies. Adherence to four guideline-recommended therapies was lowest among ... patients utilized all four guideline-recommended therapies. Adherence to four guideline-recommended therapies was lowest among ...
Appropriate adherence to surveillance guidelines was somewhat higher for patients with three or more adenomas than for patients ... In total, 2303 patients had a first adenoma diagnosis before 2002 and 694 patients in 2002. Most patients with adenoma (70%) ... 37 The revised guideline recommended patients with three or more adenomas to have surveillance after 3 years, and patients with ... Follow up of patients with colorectal polyps: are the BSG guidelines being adhered to? Colorectal Dis 2007;9:203-6. ...
Association between adherence to physical activity guidelines and health-related quality of life among people with physician- ... Our results indicate that health care providers should be aware of the effect of their recommendations on patients adherence ... Also, in our model, having a personal physician was not a significant predictor of adherence to physical activity guidelines. ... Seventh, other factors that may play a role in adherence to physical activity guidelines are past exercise behavior, time, ...
Patient Experience Insight Summit: Demonstrating Responsiveness .... 20 Sep 2019. De Vere West One Conference Centre ... This conference focuses on improving Dementia Care in Hospital, ensuring adherence to the 2018 NICE Guidelines and learning ... This conference focuses on improving Dementia Care in Hospital, ensuring adherence to the 2018 NICE Guidelines and learning ... This conference focuses on improving Dementia Care in Hospital, ensuring adherence to the 2018 NICE Guidelines and learning ...
The use of this decision support system in patients presenting to emergency with asthma was associated with improvements in ... A systematic data abstraction process was used to compare patient records. Results: A total of 50 patients were enrolled in the ... Improving adherence to asthma clinical guidelines and discharge documentation from emergency departments: implementation of a ... Conclusion: The use of this decision support system in patients presenting to emergency with asthma was associated with ...
Adherence to treatment guidelines for patients with chest pain varies in a nurse-led prehospital ambulance system.. ... Studies have shown that adherence to prehospital treatment guidelines, for patients with non-traumatic chest pain is incomplete ... patient gender and time of day. Results were presented using descriptive statistics and adherence to present guidelines was ... The aim of this study was to examine adherence to guidelines in a nurse-led ambulance system in southern Sweden.. METHOD:. ...
Contrary to current guidelines, children with inflammatory bowel disease (IBD) often dont receive required vaccines and are ... At the start of immunosuppressive therapy, 22% of children were tested for EBV status, whereas 96.2% of EBV-naïve patients ... Cite this: Poor Adherence to Immunization, Screening Guidelines for Pediatric IBD - Medscape - Nov 20, 2019. ... increase adherence to the current guidelines and improve the overall vaccination rate in this subset of medical fragile ...
One every 10 patients received higher prophylaxis than suggested by guidelines and two out of ten received deficient or no ... Thromboprophylaxis was in accordance with local and International guidelines (ACCP 2008) in 72.7% and 86% of the patients ... The worst 2 groups of patients were those with moderate/low risk of DVT and the group with a contraindication to pharmacologic ... No significant difference could be founded between clinical and surgical patients. ...
Regarding guideline adherences, 80% of patients were seen by a dietitian weekly during treatment and 62% of patients were seen ... Despite high adherence to evidenced-based guidelines, large discrepancies in weight loss and nutritional status between tumor ... The aim of this study was to assess adherence to evidenced-based guidelines and investigate nutrition outcomes during and post ... with skin cancer and laryngeal patients losing the least weight (4.8, 2.9%). Gastrostomy patients (n = 60) had their tube in- ...
Findings revealed poor compliance to treatment guidelines, with only 9.5% (n = 80) of patients receiving SAP as per guidelines ... However, we found poor treatment adherence to antibiotic prophylaxis guidelines.. Keywords: abdominal surgery, adherence, ... The importance of evidence-based treatment guidelines cannot be denied. Prescribers scored highly for the guideline adherence ... patients. Seven hundred and sixty-five (90.5%) patients received the wrong antibiotics with respect to guidelines, and they ...
Patients who do not undergo routine oncologic care at the chosen Partners site or Fox Chase Cancer Center ... Adherence to Survivorship Care Guidelines in Health Care Providers for Non-Small Cell Lung Cancer and Colorectal Cancer ... Adherence to NCCN Survivorship Care Guidelines in Non-Small Cell Lung Cancer and Colorectal Cancer Survivor Care. ... I. To evaluate adherence of oncology health care providers to National Comprehensive Cancer Network (NCCN) guidelines for ...
This paper describes these patient characteristics at baseline. Eligible patients would be randomized subsequently to a 2-year ... Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program.. ... Nonadherence to guidelines at baseline was defined as the absence of a dilated eye examination during the year before ... Of the 2308 persons interviewed, 813 (35%) did not follow the vision care guidelines; two thirds of this group reported no eye ...
The researchers found that a considerable proportion of patients adhered to all or nearly all guideline metrics (35 and 34 ... "The associated benefit continued to accrue all the way to full adherence of the examined guideline metrics, without significant ... THURSDAY, March 5, 2020 (HealthDay News) - Adherence to secondary prevention guidelines for acute myocardial infarction (AMI) ... The authors assessed the association between all-cause death and adherence to six or seven secondary prevention guidelines, ...
  • Conclusions In-hospital guideline adherence was associated with a significant decrease in major adverse outcomes up to 6 months after discharge. (
  • Conclusions: Adherence to ED CPGs for ACS, STEMI and AIS differs significantly between cardiovascular and cerebrovascular diseases and is more likely to occur when the diagnosis is highly suggested by the patient's complaint and acknowledged as the primary diagnosis by the treating ED physician. (
  • Conclusions: Incomplete adherence to CPGs for loco-regional treatment of sarcomas was associated with worse prognosis in patients with non-metastatic tumors. (
  • This high mortality rate makes primary prevention of bleeding the best approach to improving outcomes for these patients. (
  • 1 Given the high prevalence, morbidity, and mortality, numerous large randomized controlled trials have been conducted and provide evidence for optimal treatment of patients with hypertension. (
  • Adherence to hypertension guidelines among nursing home patients is important given the high prevalence of hypertension among the elderly and a recent study showing reduced mortality with treatment of hypertension in a group of patients over 80 years of age. (
  • Analysis of outcome in the overall population (2,847 patients) showed a statistically significant advantage for compliant versus noncompliant therapies in terms of failure rate (OR 0.74, 95% CI 0.60-0.90) and an advantage in terms of mortality (OR 0.77, 95% CI 0.58-1.04). (
  • THURSDAY, March 5, 2020 (HealthDay News) - Adherence to secondary prevention guidelines for acute myocardial infarction (AMI) is associated with reduced mortality, according to a study published online March 5 in the Journal of the American Heart Association . (
  • Mortality was significantly lower with each additional guideline recommendation achieved (hazard ratios, 0.89 and 0.92 for 30- and 90-day models, respectively). (
  • Adjusting for severity of illness at presentation using the Pediatric Index of Mortality score, version 2 (PIM2), 16 we observed in previous work that patients who received 60 mL/kg of IV fluid within 60 minutes had a 57% shorter hospital length of stay (LOS), and a 42% shorter ICU LOS. (
  • We analyzed adherence rates to contemporary guidelines regarding inguinal lymph node dissection (ILND) for squamous cell carcinoma of the penis, as well as ILND association with cancer specific mortality (CSM), and complication rates. (
  • Medication adherence directly influences the extent to which statins prevent CVD events, including mortality ( Table 1 ). (
  • 30-day-mortality and in-hospital mortality were lower (OR = 0.48, p = 0.003 and OR = 0.46, p = 0.001) in the guideline adherent group, compared to the non-adherent group. (
  • Adhering to antibiotic guidelines when treating infections in hospital inpatients was associated with favourable patient outcomes in terms of mortality and LOS. (
  • We evaluated hospital variability in the composite use of American College of Cardiology/American Heart Association guideline-recommended therapies (adherence) and the proportion of treated patients with the recommended dose of heparins or a glycoprotein IIb/IIIa antagonist (safety), and its association with risk-adjusted in-hospital mortality and bleeding. (
  • Guideline adherence and dosing safety appeared to provide independent and complementary information on hospital bleeding and mortality, supporting the need for broader metrics of quality that should include measures of both guideline-based care and safety. (
  • Shorter mean length of hospital stay was compatible with the Tokyo guidelines, but no significant differences in outcomes, including incidences of survival, post-surgery complications and mortality, were found between the two subgroups. (
  • The actuarial 7-year cardiac mortality was 0% in the surgery group and 5 ± 2% in the conventional treatment group (p = 0.0008), and actuarial 7-year event-free survival in 127 propensity score-matched patients was 99 ± 1% in the surgery group and 84 ± 4% in the conventional treatment group (p = 0.007) ( Fig. 1 ). (
  • Receiving adjuvant radiation conferred a significant reduction in overall mortality among patients with borderline or malignant spinal meningiomas (HR 2.12, 95% CI 1.02-4.1, p = 0.02). (
  • Detailed findings of this study are reported and discussed in "Marked reduction in mortality in patients with severe traumatic brain injury. (
  • Evaluation of dietary and physical activity assessment methods in colorectal cancer patients. (
  • METHODS: We performed a retrospective cohort study, using health care claims data for adult patients with treated diabetes (2011-2013). (
  • Methods: We analyzed a comprehensive database of all patients with critical limb ischemia, claudication, acute limb ischemia, carotid artery stenosis, subclavian artery stenosis, renal artery stenosis, or mesenteric ischemia who underwent angiography between 2006 and 2013 at a multidisciplinary vascular center. (
  • This was a retrospective cohort mixed methods study of HIV patients who had at least one high viral load from a sample taken between 1st April 2016 and 30th March 2017 while attending any health facility in Kiboga and Kyankwanzi districts. (
  • Background: The impact of adherence to clinical practice guidelines (CPGs) for loco-regional treatment (i.e. surgery and radiotherapy) and chemotherapy on local disease control and survival in sarcoma patients was investigated in a European study conducted in an Italian region (Veneto).Patients and methods: The completeness of the adherence to the Italian CPGs for sarcomas treatment was assessed by comparing the patient's charts and the CPGs. (
  • METHODS To help define these attributes, we analyzed 2009 to 2011 commercial health insurance claims data for more than 40 million preferred provider organization patients attributed to over 53,000 primary care practice sites. (
  • A combination of methods is recommended to measure adherence, with electronic monitoring and drug measurement being the most accurate. (
  • Methods: We used the Sixth Joint National Committee's (JNC VI) guidelines on hypertension to evaluate our hypothesis. (
  • METHODS: The records of patients admitted due to acute calculous cholecystitis were collected between January 2007 and June 2008. (
  • yet, many healthcare delivery organizations are interested in less resource-intensive methods to increase provider adherence to guidelines and guideline-concordant practices. (
  • They are the most effective reversible methods of contraception because their efficacy is not reliant on patient compliance. (
  • Abstract 3548) showed suboptimal adherence to World Health Organization 2008 recommendations for AML in a cohort of patients with newly diagnosed AML. (
  • The use of such inexpensive training modalities for GI, general pediatricians and primary care (will) increase adherence to the current guidelines and improve the overall vaccination rate in this subset of medical fragile populations. (
  • In 2010, our Cochrane review identified some evidence that interventions to increase uptake of cardiac rehabilitation can be effective but there was insufficient evidence to provide recommendations on intervention to increase adherence. (
  • The updated search identified seven new studies (880 participants) of interventions to improve uptake of cardiac rehabilitation and one new study (260 participants) of interventions to increase adherence. (
  • When added to the previous version of this review, we included 18 studies (2505 participants), 10 studies (1338 participants) of interventions to improve uptake of cardiac rehabilitation and eight studies (1167 participants) of interventions to increase adherence. (
  • These interventions were shown to increase adherence to antimalarial drugs (median relative risk = 1.4, interquartile range 1.2-2.0). (
  • The objective of this systematic review was to assess the effectiveness of healthcare provider interventions that aim to increase adherence to evidence-based treatment of depression in routine clinical practice. (
  • We searched five databases through August 2017 using a comprehensive search strategy to identify English-language randomized controlled trials (RCTs) in the quality improvement, implementation science, and behavior change literature that evaluated outpatient provider interventions, in the absence of practice redesign efforts, to increase adherence to treatment guidelines or guideline-concordant practices for depression. (
  • Existing RCTs describe a range of provider interventions to increase adherence to depression guidelines. (
  • Henriksen, Hege Berg (2018) Design of a dietary intervention study in colorectal cancer patients. (
  • This conference focuses on improving Dementia Care in Hospital, ensuring adherence to the 2018 NICE Guidelines and learning from the National Dementia Audit. (
  • Information regarding intensive adherence counselling, repeat viral load testing and ART switching was extracted from patients' records using a pre-designed extraction tool between 27th December 2017 and 25th January 2018. (
  • Despite the increased use of statins as a result of expanding indications and guideline recommendations, lack of adherence remains a pervasive issue in medication management. (
  • Failing of completely taking into account the clinical characteristics of the patients may be partly responsible for this lack of adherence. (
  • A lack of adherence to medical advice or the onset of a mental disorder make the practise of self-care difficult. (
  • Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving pharmacy interns. (
  • The aim of this study was to evaluate feasibility of involving PIs in monitoring adherence to the guidelines for antibiotic prophylaxis in surgery patients. (
  • PIs documented the antibiotic prophylaxis and checked the adherence with the hospital ward's PAP guidelines taking both the choice of antibiotic drug and the duration of PAP into account. (
  • This is the first time that PIs were involved in monitoring antibiotic prophylaxis guidelines. (
  • Guidelines for antibiotic prophylaxis were followed in 70.7% of the cases. (
  • The study revealed that many patients do not receive the appropriate antibiotic prophylaxis despite the fact that guidelines are in place. (
  • We evaluated risk assessment and guideline adherence (prophylaxis in high-risk pts) in clinical practice among breast cancer patients. (
  • Cross-sectional study of adherence to venous thromboembolism prophylaxis guidelines in hospitalized patients. (
  • To investigate adherence to and surgeons' perception of antibiotic prophylaxis guidelines. (
  • However, we found poor treatment adherence to antibiotic prophylaxis guidelines. (
  • The most common cause of hospital-acquired infections in surgical patients is surgical site infections (SSIs), and surgical antibiotic prophylaxis (SAP) is used as standard practice to combat SSIs (4). (
  • Oncology nurses, as part of a multidisciplinary team, are in a unique position to promote and reinforce guideline-recommended antiemetic prophylaxis and to improve health care providers' adherence to evidence-based guideline recommendations. (
  • International guidelines on recommended durations of secondary prophylaxis differ, with scope for clinician discretion. (
  • Concordance with guidelines on timely cessation of prophylaxis is unknown. (
  • Guideline concordance was 39% according to national guidelines, 68% when documented reasons for departures from guidelines were included and 82% if patients with severe RHD were deemed to need lifelong prophylaxis. (
  • Adults with myocardial infarction, coronary artery bypass graft, percutaneous transluminal coronary angioplasty, heart failure, angina, or coronary heart disease eligible for cardiac rehabilitation and RCTs or quasi-randomized trials of interventions to increase uptake or adherence to cardiac rehabilitation or any of its component parts. (
  • Moreover, difficulty in engaging with PCPs, daily fluctuations in symptoms, overuse of rescue medications, use of multiple inhalers, poor inhaler technique, and poor understanding of COPD also contribute to suboptimal adherence. (
  • A number of registry studies have reported suboptimal adherence to guidelines for cardiovascular prevention during the first year after acute myocardial infarction (AMI). (
  • During the past decades, several studies have repeatedly demonstrated suboptimal adherence to guidelines in patients after AMI. (
  • CONCLUSION: Our study showed that measures to reflect physicians' guideline adherence in diabetes care can easily be calculated based on already available datasets. (
  • Furthermore, these measures are clearly linked with the probability of hospitalization suggesting that a better guideline adherence by physicians could help to prevent a large number of hospitalizations. (
  • Objective To check if mobile health (m-Health) short message service (SMS) can improve the knowledge and practice of the American Diabetic Association preventive care guidelines (ADA guidelines) recommendations among physicians. (
  • Pretested questionnaire was used to collect baseline information about physicians' knowledge and adherence according to the ADA guidelines. (
  • Objective The aim of the study was to determine whether an approach of introducing an educational programme for prescribers in the hospital combined with audit and feedback by the hospital pharmacist reduces non-adherence of prescribing physicians to key pharmacotherapeutic guidelines. (
  • Hospital pharmacists performed medication safety consultations, combining medication review of patients who are at risk for drug related problems with visits to ward physicians. (
  • any hospital staff with direct patient care who are affiliated with a single unit (includes physicians, nurses, nursing assistants, physiotherapists, dieticians. (
  • In 1998, the US Department of Health and Human Services created a panel of physicians, researchers, and consumers to develop treatment guidelines. (
  • Improving pediatric emergency department physicians' adherence to clinical practice guidelines on the diagnosis and management of group A beta-hemolytic streptococcal pharyngitis-a cross-sectional study. (
  • Many fibromyalgia patients see an average of four physicians-over a duration of five to eight years after the onset of the disease-before an accurate diagnosis of fibromyalgia is achieved. (
  • The Fibromyalgia Circle of Care Initiative will result in improved patient care by minimizing the lack of awareness among physicians which has been responsible for the inability or reluctance to accurately diagnose, contributing to the fragmentation of care. (
  • Recent efforts, such as the patient-centered medical home recognition, designed to help physicians improve quality, have not reliably improved quality and lowered spending. (
  • 2016). Despite NCCN guidelines, physicians in community oncology practices may face challenges optimizing outcomes for ABVD patients utilizing the interim PET2 adaptive approach. (
  • Generalizability of guidelines and physicians' adherence. (
  • Physicians' adherence to guidelines is reported to be poor. (
  • We evaluated the relationship between generalizability of guidelines on hypertension and physicians' adherence to guidelines' recommendations for pharmacological treatment. (
  • We found a weak association between generalizability and physicians' adherence to guidelines. (
  • Patients whose self-reported prescription was different from total daily doses of physicians' prescription were considered as non-adherent. (
  • We conducted this study to evaluate the adherence and Prevention (CDC) issued several guidances for of physicians to contemporaneous national guidelines for healthcare providers for the identifi cation and treatment diagnosis and use of oseltamivir among patients with of patients with suspected infl uenza A(H1N1)pdm09 suspected or confi rmed A(H1N1)pdm09 virus infection in disease (Figure 1). (
  • doctors assessed actual compliance rates of gastroenterologists with current practice guidelines, which recommend screening and intervention for high-risk esophageal varices. (
  • The impact of compliance with Italian guidelines on the outcome of hospitalised community-acquired pneumonia (CAP) in internal medicine departments was evaluated. (
  • Overall, a low compliance with guidelines in the prospective phase (44%) was obtained, indicating the need for future more aggressive and proactive approaches. (
  • In the present study, the primary objective was to evaluate the impact of compliance to a new set of Italian guidelines on the management of patients with CAP, hospitalised in internal medicine (IM) departments. (
  • Providers' lack of agreement with, familiarity with, awareness of, and low outcome expectancy of compliance with the guidelines are reported reasons for not recommending health promoting behavior changes (14). (
  • Electronic decision support systems developed collaboratively with clinicians should play an important part of system-wide efforts to improve guideline adherence and compliance in ED. (
  • The completion of an educational intervention by health care providers may increase compliance and adherence to National Comprehensive Cancer Network guidelines for survivorship care. (
  • I. To develop and assess a targeted educational initiative to improve compliance with NCCN CRC and NSCLC survivorship guidelines for oncology health care providers in academic and community practice. (
  • To evaluate the impact of this educational initiative on documented adherence and compliance with NCCN guidelines for NSCLC and CRC survivorship care by oncology health care providers. (
  • Improved compliance could potentially improve care of patients with asthma. (
  • These findings underscore the need to document the utility of clinical practice guidelines which may improve physician compliance. (
  • Traditionally, "compliance" and its negative counterpart "non-compliance" have described the level or extent to which a patient followed a recommended treatment plan. (
  • Further divided into primary and secondary categories, primary non-compliance refers to a scenario in which a patient fails to have medication dispensed whereas secondary non-compliance occurs when the pharmacy dispenses the medication, but the patient does not take it as directed. (
  • Intentional non-compliance occurs when a patient rejects a doctor's diagnosis or treatment plan. (
  • Furthermore, compliance may correlate with the belief that patients must comply, without any recourse or alternative, and that non-compliance is exclusively the fault of the patient. (
  • 5 This is in contrast to compliance, which is based on an assumption of "joint responsibility for health outcomes" between patients and their health care teams. (
  • The prepared agenda should include a discussion on safety issues and guidelines on how to meet compliance standards. (
  • The objective is to test the efficacy of a patient-centered, culturally relevant narrative intervention, or "storytelling," based on the solid conceptual foundation of the narrative commun. (
  • Objective We aimed to determine the association between physician adherence to prescribing guideline-recommended medications during hospitalisation and 6-month major adverse outcomes of patients with acute coronary syndrome in Vietnam. (
  • published in the journal Pharmacy World & Science, (2009) 31:40-141 Background and objective: To evaluate adherence of prescribed medication in UAE to internationally recognised guideline criteria. (
  • Objective To determine adherence to recommended surveillance intervals in clinical practice. (
  • The first objective of our study was to examine the association between health care providers' recommendations for physical activity and adherence to physical activity guidelines. (
  • Our second objective was to examine whether adults' age influenced the association between providers' recommendations for physical activity and adherence to physical activity guidelines in the arthritis population. (
  • Objective: To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. (
  • Objective: To identify patient characteristics and quality of care (QoC) in CKD patients with whom consultation and referral recommendations were not followed. (
  • 5 The objective was to study whether rheumatologists' guideline adherence had an influence on the efficacy and toxicity of treatment with methotrexate. (
  • Objective To perform a systematic review of studies that assessed the potential of patient decision support interventions (decision aids) to generate savings. (
  • Our objective was to investigate the association between adherence to national antibiotic prescribing guidelines and patient outcomes across a wide range of infectious diseases in hospital inpatients. (
  • The study evaluates the utility of an mHealth (a mobile support of health related behaviors) intervention to improve physical activity and medication adherence in patients with both chronic heart failure and diabetes mellitus. (
  • The intervention group received regular reminders by SMS about the ADA guidelines for the next 5 months. (
  • Observational study using a pre- and post-intervention design, comparing patients managed using ACAFE after its implementation with historical controls. (
  • Eligible patients would be randomized subsequently to a 2-year diabetes educational intervention arm, which included mailed packets and newsletters focused on vision care, or to a control nonintervention arm. (
  • Setting This prospective intervention study with a before-after design evaluated patients at surgical, urological and orthopaedic wards. (
  • Results 1435 Admissions of 1378 patients during the usual care period and 1195 admissions of 1090 patients during the intervention period were included. (
  • This cluster-randomized trial will evaluate the impact of a multifaceted intervention (including electronic medical alerts) coordinated by a Nutritional Support Team, on adherence to recommended practices for care of starved children, among health personnel of a large university hospital. (
  • The purpose of this study is to analyze the clinical impact of an educational intervention on adherence to Clinical Practice Guidelines in an Emergency Department (ED), by using a standard. (
  • This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement. (
  • The intervention focused on IV fluid delivery as a key driver impacting bundle adherence, and adherence was measured using statistical process control methodology. (
  • Two-hundred forty-two patients were included: 126 subjects before the intervention (November 2009 to March 2011), and 116 patients during the QI intervention (October 2011 to May 2013). (
  • There have been 2 studies in a tertiary care pediatric ED that examined adherence to national guidelines for patients with sepsis after a quality improvement (QI) intervention. (
  • Although a most effective intervention did not emerge, community education and visual media/verbal information combinations may well have most potential to improve adherence to antimalarial medication. (
  • This means the associated barriers, intervention and outcome measures (BIM) for improving adherence will vary based on the nature of the treatment recommendations from the HCP. (
  • EUROASPIRE (European Action on Secondary and Primary Prevention by Intervention to Reduce Events) I-IV surveys showed that a large majority of coronary artery disease patients did not achieve the standard of secondary prevention stipulated by the guidelines (1-5). (
  • Patient Preference and Adherence, 2016(10):223-231. (
  • examined rheumatologists' adherence to the hydroxychloroquine (HCQ) dosing guidelines published by the American Academy of Ophthalmology in 2011 and revised in 2016. (
  • The researchers used electronic medical records (EMR) to identify all patients in the system who had an order for HCQ between 2009 and 2016 and who had been evaluated by a NorthShore staff ophthalmologist during that time period (N = 554). (
  • Recommended maximum starting doses were calculated using 2 formulas based on either ideal body weight (per 2011 guidelines) or actual weight (per 2016 guidelines). (
  • Further, on the basis of the 2016 dosing guidelines, 56% of patients currently on HCQ continue to receive higher- than-recommended doses. (
  • This fact sheet reflects the guidelines as of April 2016. (
  • The concept of percentage adherence is misleading as it does not reflect these three components ( Vrijens, 2016 ). (
  • The better guideline adherence has been observed in urban (foot exam, ECG exam), multimorbidity (eye, ECG, creatinine exams), controlled by means of BP patients (serum creatinine test). (
  • Conclusion: The majority of patients with diverse manifestations of vascular disease take aspirin and abstain from smoking while fewer patients are prescribed ACEIs and statins. (
  • Conclusion m-Health technology can be a useful educational tool to help with improving knowledge and practice of diabetic guidelines. (
  • Conclusion: Adherence to guidelines has improved since prior studies but is still suboptimal particularly with regards to medication dosage. (
  • Conclusion: Patients remaining in primary care despite nephrologists' co-management recommendations were inadequately monitored, and BP targets were insufficiently met. (
  • Conclusion This study shows that education and support of the prescribing physician can reduce guideline non-adherence at surgical wards. (
  • Conclusion Adherence to viral load management guideline for patients with high viral loads was very low in Kiboga and Kyankwanzi districts. (
  • Conclusion Although there is evidence to show that patients choose more conservative approaches when they become better informed, there is insufficient evidence, as yet, to be confident that the implementation of patient decision support interventions leads to system-wide savings. (
  • Conclusion: JNC VI guidelines may not be generalizable to their target population. (
  • Conclusion: Patient preferences only play a role if the guideline provides room to take preferences into account. (
  • CONCLUSION: No significant benefit of the application of the Tokyo guidelines in the management of patients was found between the two subgroups except for reduced mean length of hospital stay. (
  • Conclusion Approximately, one-third of the patients were non-adherent, and males and increased daily number of administration were associated with non-adherence. (
  • Our study suggests that the significant reduction in observed bleeding rates may be related to adherence to practice guideline-recommended care. (
  • After excluding patients with a potential contraindication to a diuretic, such as hospice care or incontinence, only 18% were prescribed a thiazide. (
  • Patient Characteristics and Adherence of Care Processes to Current Guidelines. (
  • Timing of emergency interhospital transfers from subacute to acute care and patient outcomes: A prospective cohort study. (
  • Australian and international data show that transfer from inpatient rehabilitation to acute care hospitals occurs in one in ten patients. (
  • The purpose of this study is to improve patient care while decreasing rates of hospital re-admissions and emergency department (ED) visits by sending specific information about hospital ad. (
  • It implies active responsibility shared by patient and health care providers. (
  • Subsequent admissions of a patient to a hospital or other health care institution for treatment. (
  • Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient. (
  • Health care provided to a critically ill patient during a medical emergency or crisis. (
  • BACKGROUND: The link between guideline adherence and outcomes is a highly demanded issue in diabetes care. (
  • Performance measures were based on international established guidelines for diabetes care. (
  • To evaluate adherence to guidelines for inpatient care of pediatric patients with community-acquired pneumonia (CAP). (
  • Adherence to inpatient care guidelines was evaluated with a focus on indication of hospitalization, initial antibiotic choice, treatment duration, and hospital stay. (
  • Scientific guidelines were established to optimize and standardize medical care yet, several authors reported discrepancies between recommendations and actual management ( 4 - 8 ), leading to overuse of antibiotics, a higher resistance rate in community-acquired pathogens ( 9 ), and longer hospitalizations ( 7 ). (
  • Chart review of randomly sampled patients showed no obstacle or contraindication to immunization at 79% of urgent visits and at 71% of well care visits at which vaccines were withheld. (
  • Adherence to individual 13 ADA preventive care guidelines level was noted to be suboptimal at baseline. (
  • We used a multivariable logistic regression model to examine the association between health care providers' recommendations and adherence to physical activity guidelines among adults with arthritis. (
  • Health care providers' recommendations act as a catalyst for adherence to health-promoting behaviors (7,8). (
  • These guidelines include care pathways for HNC patients based on proposed treatments and severity of malnutrition and dysphagia at diagnosis, and provide recommendations for frequency of dietetic care, goals and nutrition interventions. (
  • Main outcome measures: Adherence to recommended diagnostic tests and pharmacological treatment by the European Society of Cardiology guidelines and self-care behaviour, using the European Heart Failure Self-care Behaviour Scale (EHFScBS-9). (
  • There is also room for improvement in patient education and self-care behaviour. (
  • I. To evaluate adherence of oncology health care providers to National Comprehensive Cancer Network (NCCN) guidelines for cancer survivorship care in colorectal cancer (CRC) and non-small cell lung cancer (NSCLC) cancers. (
  • Method: A 14 month prospective observational cohort study of primary care patients with CKD stage 3-5. (
  • Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program. (
  • 1) To describe baseline patterns of adherence to American Diabetes Association and American Academy of Ophthalmology vision care guidelines for diabetes in the Diabetic Retinopathy Awareness Program, and (2) to evaluate factors associated with nonadherence. (
  • Within this population, more than one third of participants had not been following vision care guidelines. (
  • For definite proof, a randomised controlled trial comparing guideline supported dosing with usual care is needed. (
  • The third factor impacting medication adherence, according to authors, is the health care system and the type of care patients receive. (
  • Patients that have a strong understanding of their condition and treatment plan and have a supportive care team are more likely to adhere to prescribed therapy. (
  • However, education and support are often lacking in today's health care system, leaving many patients unaware of the importance of medication adherence. (
  • They performed a review of rec-ords at a single integrated health care entity (NorthShore, Glenview, Ill.) and found that about half of the patients on HCQ were prescribed higher doses than those recommended in the guidelines. (
  • Such deficiencies in patient care pose substantial medicolegal risk. (
  • any hospital staff with direct patient care who are not affiliated with a single unit. (
  • Patients should receive individualized care from a health care provider with experience treating HIV infection. (
  • The Effect of Peer Support on Colorectal Cancer Patients' Adherence to Guideline-Concordant Multidisciplinary Care. (
  • 1 , 2 The American Heart Association, in 2010, updated the Pediatric Advanced Life Support (PALS) septic shock guidelines, although the standards for sepsis care have remained essentially unchanged for more than a decade. (
  • 9 - 12 Three recent studies conducted in tertiary pediatric emergency department (ED) settings have demonstrated barriers to the care of children with sepsis, resulting in poor adherence to the rapid administration of IV fluids, vasoactive agents, and antibiotics. (
  • This combination of known benefits and potential savings has led to prominence in healthcare policy: shared decision making and the use of decision support interventions for patients are cited as promising developments in the Affordable Care Act (ACA). (
  • Assessors agreed that 20 patients were well managed (group 1) and 54 patients received suboptimal care (group 2). (
  • Admission to intensive care was considered late in 37 (69%) patients in group 2. (
  • The management of airway, breathing, and circulation, and oxygen therapy and monitoring in severely ill patients before admission to intensive care units may frequently be suboptimal. (
  • Suboptimal management of oxygen therapy, airway, breathing, circulation, and monitoring before admission to intensive care occurred in over half of a consecutive cohort of acute adult emergency patients. (
  • American Heart Association ) In evaluating the quality of inpatient heart failure care, patients and policy makers should consider how well a hospital meets clinical care guidelines. (
  • When patients presented with atypical chief complaints, the odds of receiving adherent care was 0.6 (95% CI 0.4-0.9). (
  • Type 2 diabetes mellitus is one of the most common chronic conditions, which requires appropriate management and care at PHC level, which is described in guidelines. (
  • The aim of the survey was to analyse to what extent the Lithuanian family practitioners adhere to diabetes guidelines in order to compare to international data and to discover the factors associated with better diabetes care. (
  • To rank US primary care practice sites on average annual health care spending per patient, we used claims from 2009 through 2011 from the PharmetricsPlus data set that includes over 40 million US commercial health insurance plan enrollees. (
  • This guideline covers the clinical care of adults (18 years and over) who are dying during the last 2 to 3 days of life. (
  • This guideline covers care and support for people with advanced (stage 4) breast cancer. (
  • As defined by the World Health Organization (WHO), adherence refers to "the extent to which a person's behaviour … corresponds with agreed recommendations from (the) health care provider. (
  • These data were combined with a questionnaire among members of NIVEL's Dutch Health Care Consumer Panel to examine patient preferences. (
  • Treatment guideline adherence has been proposed as a potential measure of the quality of cancer care. (
  • Given that guideline-based care, however, does not necessarily translate into improved survival and patient-reported outcomes, the impact of nonadherence on the quality of cancer care needs to be further elucidated," he concluded. (
  • The 2009 literature in cardiovascular surgery was characterized by several pivotal reports that will affect patient care and future trial design for years to come. (
  • Our goal as always is to provide readers of the Journal with a succinct summary of specific studies organized around general categories, with pointed comments to highlight special significance or methodological limitations that cardiologists should consider in their pursuit of state-of-the-art care for their patients. (
  • U.S. hospitals participating in the American Heart Association's Get With The Guidelines®-Heart Failure quality improvement program provided improved and equitable care for black, Hispanic and white heart failure patients. (
  • DALLAS , April 6, 2011 /PRNewswire-USNewswire/ -- U.S. hospitals participating in the American Heart Association's Get With The Guidelines®-Heart Failure quality improvement program provided equitable care for blacks, Hispanics and whites, according to a new study. (
  • In the study, published in the April 2011 issue of American Heart Journal , care for heart failure patients of all racial/ethnic groups also improved over time in participating hospitals. (
  • Yet, there have been insufficient data characterizing the clinical presentation, quality of care, and outcomes of patients hospitalized with heart failure as a function of race and ethnicity,' said Kevin L. Thomas , M.D., the study's lead author and assistant professor of medicine, department of medicine/division of cardiology at Duke University Medical Center in Durham, N.C. 'That's why we did this study. (
  • With few exceptions, the hospitals studied provided equitable guidelines-based care for black, Hispanic and white heart failure patients, and the consistent use of the quality care guidelines for all patients improved over time. (
  • Nonadherence to treatment remains high among patients with musculoskeletal conditions with negative impact on the treatment outcomes, use of personal and cost of care. (
  • The report highlights the need to assess the reasons underlying the apparent underuse of guideline-based OAC prescription in AF patients with higher stroke-risk scores and to find ways for improving quality of care in outpatient practices. (
  • Patient education allows patients to play a bigger role in their own care. (
  • It also aligns with the growing movement toward patient- and family-centered care. (
  • Teachers and health care providers need to be able to assess patient needs and communicate clearly. (
  • Talk to the health care team members and observe the patient. (
  • Ask if the patient wants other people involved with the care process. (
  • It is possible that the person who volunteers to be involved in your patient's care may not be the person your patient prefers to be involved. (
  • Self-care is considered to be a primary form of care for patients with self-managed chronic illness. (
  • Self-management education complements traditional patient education in primary care to increase the quality of life for patients with chronic conditions. (
  • The autonomous performance of self-care duties is thought to aid elderly patients. (
  • 7) Herein, we review ways in which primary care providers (PCPs) can help patients meet treatment goals, including making use of technological advancements in inhaler design and monitoring, which can improve patient adherence. (
  • An initiative to prevent catheter-associated urinary tract infections provided the nursing staff with the best evidence for the care of the oncology patient with an indwelling urinary catheter, found research presented at the ONS 38th Annual Congress. (
  • 4MAT" education can help individualize and optimize patient use of an evidence-based skin care protocol based on the ONS Putting Evidence into Practice guidelines for radiation dermatitis, found research presented at the ONS 38th Annual Congress. (
  • Can be used by all disciplines involved in the care of older patients (primary care, specialists, pharmacists) to assess appropriateness of drug treatment, minimise the risk of ADRs and related morbidity. (
  • This NICE guideline covers preventing and controlling healthcare-associated infections in children, young people and adults in primary and community care settings. (
  • Medical malpractice is professional negligence by act or omission by a health care provider in which the treatment provided falls below the accepted standard of practice in the medical community and causes injury or death to the patient, with most cases involving medical error. (
  • For example, the Centers for Disease Control and Prevention currently says that 75,000 patients die annually, in hospitals alone, from infections alone - just one cause of harm in just one kind of care setting. (
  • From all causes there have been numerous other studies, including "A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care" by John T. James, PhD that estimates 400,000 unnecessary deaths annually in hospitals alone. (
  • Thus, when a patient claims injury as the result of a medical professional's care, a malpractice case will most often be based upon one of three theories: Failure to diagnose: a medical professional is alleged to have failed to diagnose an existing medical condition, or to have provided an incorrect diagnoses for the patient's medical condition. (
  • A duty was owed: a legal duty exists whenever a hospital or health care provider undertakes care or treatment of a patient. (
  • The aim of this study was to assess adherence to evidenced-based guidelines and investigate nutrition outcomes during and post radiation treatment in head and neck cancer patients. (
  • The guidelines recommend involving the patient in ART selection, to assess adherence at every clinic visit, to identify the type and reasons for non-adherence. (
  • To evaluate adherence to JNC VII guidelines in nursing home patients. (
  • This is the first prospective cohort study to evaluate the association between physician performance and patients' adverse outcomes in Vietnam, a lower middle-income country in Asia. (
  • This study aims to evaluate our local inpatient practices in children with CAP and to identify clinical parameters likely to influence adherence to guidelines, in order to better understand eventual gaps in our medical approaches. (
  • The purpose of the study was to evaluate vaccinations, immunization status, and consequent therapeutic management in children with IBD diagnosed before and after June 2012, when the European Society of Pediatric Gastroenterology, Hepatology and Nutrition published a commentary on risk and prevention of infections in children with IBD and adapted the 2009 European Crohn's and Colitis Organization adult guidelines for children. (
  • From November 2009 to March 2011, we conducted a prospective cohort study at Boston Children's Hospital ED to evaluate adherence rates to the PALS guidelines for children with septic shock. (
  • The authors sought to evaluate national utilization trends in radiotherapy (including radiosurgery), investigate possible factors associated with its use in patients with spinal meningioma, and its impact on survival for atypical tumors. (
  • The main objectives of the current study were therefore to evaluate adherence to secondary prevention guidelines and outcome 2 years after AMI. (
  • Between January 2014 and January 2017, all patients aged from 1 month to 15 years, and hospitalized for CAP at the Saint Joseph university teaching Hospital, Hotel Dieu de France were retrospectively reviewed and included in this study. (
  • This retrospective observational study included adult patients diagnosed with stage III or IV cHL and treated with 1L ABVD, A+AVD, or eBEACOPP within the US Oncology Network (USON) between 01 January 2017 and 31 January 2020. (
  • 1 , 2 Based in part on the results of the ALLHAT trial, JNC VII recommends thiazide and thiazide-like diuretics, hereafter referred to as "thiazides," as the first-line antihypertensive agent in all patients without a compelling indication for another medication, such as diabetes, chronic kidney disease, coronary artery disease, congestive heart failure, or a history of stroke. (
  • Results Overall, 512 patients were included. (
  • RESULTS: A total of 40,285 patients with diabetes were enrolled in 2011. (
  • Results Surveillance was inappropriate in 76% and 89% of patients diagnosed before 2002 and in 2002, respectively. (
  • Drs. Martinelli and Miele said, "On the basis of the study results, the overall impact of the current guidelines on vaccination and immunization status in children with IBD appears unsatisfactory, highlighting an urgent need for further educational efforts in order to widespread the available recommendations and to promote their correct application. (
  • Results: Forty-five of the 564 patients enrolled in the study were lost to follow up and only 519 patients were included in analysis. (
  • That poor adherence has diverse causes and might be contributing to chemotherapy regimen modifications and emergency room visits, survey results suggested. (
  • Results: A total of 151 patients were included. (
  • Within the Surveillance, Epidemiology, and End Results and the National Inpatient Sample databases, 943 and 317 nonmetastatic penile cancer patients (1998-2015) were respectively identified. (
  • Within the Surveillance, Epidemiology, and End Results database, ILND was performed in 233 (24.7%) patients. (
  • Results were consistent in the sensitivity analysis of patients with both baseline PET-CT and interim PET-CT. (
  • These results suggest that albeit interim PET-CT is utilized, the Deauville scores to inform escalation or de-escalation of treatment decisions in stage III or IV cHL patients is missing and not universally reported in the community oncology setting. (
  • The article reports on Great Britain general practitioners challenging plans to change the National Institute of Clinical Excellence hypertension guidelines following results from the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT). (
  • Results: Patient preferences do play a role in GPs' prescribing of antibiotics only in situations where, in accordance with the guideline, their use is an option which could be considered (interaction between indication and preference: p=0.049). (
  • Therefore, our results do not suggest a conflict between applying guidelines and including patient preferences. (
  • RESULTS: Lower levels of platelets, lower blood pressure, higher levels of C-reactive protein, blood urine nitrogen, prothrombin time, bilirubin, alkaline phosphatase, and more incidences of positive microorganisms cultured in bile or blood, were found in patients as the severity of disease progressed. (
  • Long-term results in 161 patients who underwent early surgery were compared with 286 patients who received conventional medical follow-up for asymptomatic severe mitral valve regurgitation in the setting of preserved left ventricular function ( 1 ). (
  • Results indicated that 46.8% of respondents explored barriers including the use of behaviour change strategies and 45.7% reported that they measured adherence but none reported the use of validated outcomes. (
  • Results A total of 1050 patients included, and medication adherence rate was evaluated in 1046 patients whose verification of adherence was available. (
  • 3) Unintentional non-adherence results from factors outside patients' control, most commonly complex medication regimens and polypharmacy. (
  • remaining patients received oseltamivir despite negative Variations between practice and national recommendations or no results. (
  • Results were heterogeneous and analyses comparing provider interventions with usual clinical practice did not indicate a statistically significant difference in guideline adherence across studies. (
  • Within these two groups, many were ultimately deemed non-adherent to the guidelines due to over-screening with other tests. (
  • In total, 31 (69%) participants were considered over-screening for cancer, leaving only seven (16%) participants fully adherent to the guidelines. (
  • Daily transition probabilities for adherent, under-treated, and overtreated patients admitted to the ICU for CAP. (
  • Antibiotic prescriptions were classified as adherent or non-adherent to national guidelines according to documented indication for treatment. (
  • Studying the association between antibiotic use and patient outcomes is of great importance and can imply whether guideline-adherent prescribing practice is safe and secures equal - or better patient outcome. (
  • The patients were then restaged from pathological variables according to the American Joint Committee on Cancer 6th edition staging manual, and grouped according to whether their treatment was adherent with NCCN guidelines. (
  • Interestingly, for stage I and low-risk stage II disease, increasing age as well as increasing Charlson-Deyo Comorbidity Index was associated with a greater likelihood of receiving adherent treatment, whereas for higher-risk disease, older patients as well as those with a greater number of comorbidities were less likely to receive guideline-based treatment, Dr. Chagpar said. (
  • Of the total, 27.4% were non-adherent, and the medication adherence rates of the total, the adherent, and the non-adherent were 90.6±17.8%, 96.8±5.5% and 56.6±24.7%, respectively. (
  • 10) In a study involving more than 14,000 COPD patients, only 21% were adherent to maintenance COPD medications. (
  • To help bring this issue to light, a team of experts summarized key challenges and opportunities related to medication adherence in patients with heart disease. (
  • ART stock-outs, lack of confidence in the second-high viral load as an accurate measure of virologic failure, challenges in convening the switch committee, lack of counselling space, poor documentation and long waiting hours were the most common health system barriers to adherence to the guideline. (
  • Stigma, lack of transport, not being empowered to demand, representation, and fear of the second-line regimen were some of the patient-related barriers to adherence to the management guideline for patients with high viral loads. (
  • Interventions targeting patient-identified barriers may increase the likelihood of success. (
  • The survey revealed an opportunity to increase awareness of antiemetic guidelines and a critical need to address barriers interfering with utilization of guideline-recommended antiemetic agents in order to optimize CINV control for patients undergoing emetogenic chemotherapy," the authors concluded. (
  • Clinical adherence to guidelines: barriers and facilitators. (
  • The purpose of this study was to deliver a brief, interactive, multifaceted and targeted KT program to improve physiotherapist knowledge and confidence in performing adherence enhancing activities related to risk, barriers, assessment and interventions. (
  • A questionnaire was used to measure knowledge of evidence-based treatment adherence barriers, interventions and measures and confidence to perform evidence-based adherence practice activities. (
  • Barriers and facilitators of adherence were identified under three domains (therapist, patient, health system) in phase 1. (
  • You may perceive barriers to education, and the patient may confirm them. (
  • Studies evaluated diverse provider interventions, including distributing guidelines to providers, education/training such as academic detailing, and combinations of education with other components such as targeting implementation barriers. (
  • The aim of our study was to show which patients present to the emergency department and to record how treatment and clinical diagnostic testing of gout patients is performed in the emergency department of a university hospital in Germany. (
  • Exposures Guideline adherence was defined as prescribing all guideline-recommended medications at both hospital admission and discharge for eligible patients. (
  • It supports the need for improving adherence to guidelines in hospital practice in low-income and middle-income countries like Vietnam. (
  • Estimation of the sample size was not possible because previous studies identifying the association between in-hospital guideline adherence and postdischarge major adverse outcomes in low-income and middle-income countries like Vietnam were not available. (
  • Hospital admission was indicated in 47.5% of patients and was driven by the value of serum CRP as well as prolonged fever. (
  • Median hospital stay was 4 days and was justified in 23.8% of patients. (
  • This was a two-year retrospective cohort study of 209 head and neck cancer patients (85% male) treated with ≥20 fractions of radiation (mean dose = 64.8 Gy delivered over 31.9 fractions) at an Australian tertiary hospital. (
  • To assist clinicians in achieving the best possible outcomes for HNC patients, both the Clinical Oncology Society of Australia (COSA) and the Royal Brisbane Women's Hospital (RBWH) have developed evidenced-based guidelines [ 12 , 13 ]. (
  • A cross-sectional study was conducted among Lynch syndrome patients from the St Vincent's Hospital Cancer Genetics Unit, Sydney. (
  • Davies EC, Green CF, Taylor S, Williamson PR, Mottram DR, Pirmohamed M. Adverse drug reactions in hospital in-patients: a prospective analysis of 3695 patient-episodes. (
  • 39% reported between 6% and 20% of patients have an alteration in their chemotherapy due to CINV, and reports of emergency department [and] hospital visits due to poorly controlled CINV were high," the study authors reported. (
  • Inter-Hospital Variability in Time to Discharge to Rehabilitation Among Insured Trauma Patients. (
  • We also observed that adherence to the 5-step bundle was associated with a 57% shorter hospital LOS and a 59% shorter ICU LOS. (
  • However, death and hospital readmission rates can be just as good at hospitals with small numbers of heart failure patients whose treatment adheres to guideline recommendations. (
  • Two cohorts were defined patients diagnosed with AF prior to the stroke event (admission cohort) and patients diagnosed with AF at discharge from hospital (discharge cohort). (
  • However, hospital stay may be longer in LNI patients. (
  • Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome. (
  • Correlation between hospital composite adherence and safety metrics was significant but low (r=0.16, P=0.008). (
  • Patients in this group are provided with in-hospital supervised exercises with a kinesiologist post surgery until discharge. (
  • The researchers then performed hierarchical regression modeling that controlled for heterogeneity at both the hospital level and patient level to determine factors associated with adherence. (
  • However, at Get With The Guidelines-Heart Failure hospitals, Hispanics and blacks were less likely to die in the hospital than white heart failure patients. (
  • Black patients had a 31 percent lower in-hospital death rate than whites and Hispanics had a 19 percent lower death rate than whites. (
  • Adherence to the Guidelines' recommendations concerning avoidance of steroid medications was high throughout the time period, and hospital rates of systemic hypotension in patients with severe TBI remained low. (
  • Patients aged 18-85 years at the time of their index AMI were consecutively identified from hospital discharge records between July 2010 and December 2011 in Gothenburg, Sweden. (
  • Several guidelines exist for the treatment of hypertension, but the most widely accepted is the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII). (
  • Canakinumab in the Treatment of Acute Gout Flares and Prevention of New Flares in Patients Unable to Use NSAIDs and/or Colchicines. (
  • The authors assessed the association between all-cause death and adherence to six or seven secondary prevention guidelines, including medical treatment, cardiovascular risk factor control, and lifestyle approaches. (
  • Dental trauma professionals, IADT, AAE and AAPD all have been working to increase the knowledge of not only the guidelines, but equally important the prevention of such injuries. (
  • In addition, the most recent guidelines from the International Working Group on the Diabetic Foot stress patient education and communication as key tenets in the prevention of DFUs and their recurrence. (
  • The underutilization of guideline-recommended oral anticoagulant (OAC) therapy for stroke prevention in eligible patients with atrial fibrillation (AF) remains a major ongoing problem. (
  • This study evaluates prevention guideline adherence and outcome of guideline-directed secondary prevention in patients surviving 2 years after AMI. (
  • Antiretroviral regimens are complex, have serious side effects, pose difficulty with adherence, and carry serious potential consequences from the development of viral resistance because of nonadherence to the drug regimen or suboptimal levels of antiretroviral agents. (
  • Fifty-eight percent of the asthma patients used asthma medication regimens that were not consistent with the BTS guidelines published 1 year earlier. (
  • The guidelines recommended 6 ART regimens for people starting anti-HIV treatment. (
  • Adherence to antiemetic regimens for patients undergoing emetogenic cancer chemotherapy is poor, according to an online survey of oncology nurses in the United States. (
  • Prophylactic antiemetic regimens described in the American Society of Clinical Oncology (ASCO) and National Comprehensive Cancer Network (NCCN) treatment guidelines are effective against chemotherapy-induced nausea and vomiting (CINV), preventing an estimated 85% and 65% of cases, respectively, the study authors noted. (
  • For those under 21, who typically have lower adherence to drug regimens, the risk is twice as high as the risk among older participants. (
  • Typical use describes effectiveness in real-world conditions, where patients may not fully adhere to medication regimens. (
  • Variation in Emergency Department Adherence to Treatment Guidelines for Inpatient Pneumonia and Sepsis: A Retrospective Cohort Study. (
  • With fibromyalgia affecting up to ten million people in the United States, or up to six percent of patients seen in general medical practices, the impact to the U.S. economy is significant. (
  • We aimed to investigate if appropriate prescribing practices for hospitalised patients with a broad spectrum of infectious diseases were associated with patient outcomes when adjusted for major confounding factors. (
  • Boots pharmacies have begun offering free diabetes risk assessments in all stores, in a scheme GPs warn could see an 'enormous influx' of patients into practices. (
  • Further testing of SIMPLE TIPS on long-term adherence practices could help advance best practices specific to treatment adherence in MSK practice. (
  • Twenty-two RCTs promoting adherence to clinical practice guidelines or guideline-concordant practices met inclusion criteria. (
  • A 3-level framework (15) was used to ensure that all relevant factors associated with adherence to physical activity from the BRFSS data set were considered in the analysis. (
  • Our objectives were to estimate variation in ED adherence across CPGs for pneumonia and sepsis, and identify patient, provider, and environmental factors associated with adherence. (
  • The objectives are to (1) examine adherence to a. (
  • Objectives: Myocardial infarction and stroke are two of the leading causes of death in the U.S. Both diseases have clinical practice guidelines (CPGs) specific to the emergency department (ED) that improve patient outcomes. (
  • Objectives: One perceived barrier to guideline adherence is the existence of conflicting patient preferences. (
  • Seriously ill patients may be identified by the clinical signs of life threatening dysfunction of the airway, breathing, or circulation, but these may be missed, misinterpreted, or mismanaged by clinicians of all grades. (
  • To investigate clinicians' adherence to cardiac function monitoring before and after starting AP, we performed a retrospective assessment of 434 AP-treated SMI patients longitudinally followed-up for 5 years at an academic community mental health center. (
  • One cornerstone of the program was an evidence-based, 4-step hypertension control practice guideline for clinicians. (
  • This optimized the workflow for clinicians and gave patients greater scheduling flexibility. (
  • Clinicians treating patients with musculoskeletal conditions were recruited from two Physiotherapy and Occupational therapy national conferences in Canada. (
  • In fact, studies suggest that patients with poor medication adherence have up to four times greater risk of stroke and death than those who take medications as prescribed. (
  • 1) Poor medication adherence among COPD patients is one of the key factors preventing patients from reaching treatment goals. (
  • 5,6) Major consequences of poor medication adherence in COPD patients include poor disease control and increased number of hospitalizations and deaths due to acute exacerbations. (
  • We sought to improve adherence to national guidelines for children with septic shock in a pediatric emergency department with poor guideline adherence. (
  • A bivariate analysis was performed to identify clinical factors influencing adherence rates. (
  • Data relevant to treatment guidelines was obtained e.g. the provision of oxygen, acetylsalicylic acid, glycerin trinitrate, electrocardiogram recorded, pain assessment, patient gender and time of day. (
  • Adherence to guidelines for the referral of patients with colorectal cancer and abnormal tumour tissue testing for assessment of Lynch syndrome. (
  • Keep your assessment of the patient in mind. (
  • Likewise, measuring attendance to treatment sessions may be sufficient to track clinic exercise adherence as compared to assessment of the patient's unsupervised completion of home exercise. (
  • An Oral Chemotherapy Nursing Practice Protocol increases documentation of patient education, follow-up calls and early symptom assessment, and adherence monitoring, found research presented at the ONS 38th Annual Congress. (
  • A neurologic assessment tool resulted in holding the dose of cytosine arabinoside for three separate patients, with no significant neurologic, cerebellar toxicity observed, found research presented at the ONS 38th Annual Congress. (
  • Despite the availability of JNC VII and other well-defined guidelines, only 40-60% of patients are prescribed antihypertensive medications in accordance with these recommendations. (
  • Participants Patients who survived during hospitalisation with a discharge diagnosis of acute coronary syndrome and who were eligible for receiving at least one of the four guideline-recommended medications. (
  • Despite the availability of effective medications to control high blood pressure, only half of the patients with hypertension under treatment are meeting their blood pressure goals. (
  • Authors also note that experts are working towards a "polypill"-multiple heart medications in a single pill-to make it easier for patients to take essential medications. (
  • Experts hope these efforts will help ensure that patients adhere to potentially life-saving medications and improve outcomes. (
  • Patients can help improve adherence by understanding how their medications work, taking their medications at the same time(s) each day, using notes or alarms as reminders to take medications, and allowing family or friends to help support them. (
  • The purpose of this study was to determine if patients managed in a general practice with an associated asthma clinic are more likely to use asthma medications according to clinical practice guidelines than patients managed in the general surgery of the practice. (
  • Resistance testing is recommended for patients starting therapy, when viral load is not controlled by new medications, or when it 'breaks through' a regimen that used to work. (
  • Help the patient take medications correctly. (
  • A quarter of respondents reported that guideline-recommended medications were not on their institutions' formulary. (
  • Respondents reported that challenges and unmet needs for managing CINV included control of delayed CINV, patient adherence, lack of access to effective antiemetics, and medications controlling only nausea. (
  • Performance metrics currently focus on the measurement of the application of guideline-indicated medications without considering the appropriate dosing of these drugs. (
  • 11) Further, a positive association was observed between nonadherence to maintenance COPD medications and nonadherence to medications for other chronic diseases, implying that the need to take medications for comorbid conditions does not negatively affect adherence to COPD medications. (
  • 12) Patients with COPD are generally older adults who require medications for various comorbidities. (
  • Evidence-based clinical practice guidelines (CPGs) for the treatment of pneumonia and sepsis have existed for many years with multiple studies suggesting improved patient outcomes. (
  • Background Despite the potential of clinical practice guidelines to improve patient outcomes, adherence to guidelines by prescribers is inconsistent. (
  • Adherence to asthma practice guidelines is low. (
  • Background: Clinical practice guidelines (CPG) are thought to be an effective tool in improving efficiency and outcomes of clinical practice. (
  • Depression is a common mental health disorder for which clinical practice guidelines have been developed. (
  • Although some of the guidelines were evidence based, there is limited evidence to support the recommendations regarding antimicrobial therapy and only a few studies have addressed the validation of guidelines 6 , 7 . (
  • Antimicrobial therapy lasted for a median of 10 days and was in accordance with recommendations in 58.3% of patients. (
  • Among the current recommendations, statins have the widest variation in adherence. (
  • We examined the association between providers' recommendations for physical activity and adherence to physical activity guidelines for adults with arthritis and whether adults' age influenced this association. (
  • Arthritis literature has limited information on the association between providers' recommendations for physical activity and people's adherence to physical activity guidelines. (
  • Most surgeons perceive that poor adherence to treatment guidelines is due to poor awareness, underestimation of infection, lack of consensus, and disagreement with guidelines recommendations. (
  • Surgeons have positive perception that antibiotics should be used according to guidelines recommendations. (
  • adjusted hazard ratios, 0.57 and 0.69, respectively, for those meeting seven and six versus zero to three guideline recommendations in 90-day models). (
  • Recommendations for offering antiretroviral therapy among asymptomatic patients require analysis of real and potential risks and benefits. (
  • Practice recommendations for increasing adherence to cardiac rehabilitation cannot be made. (
  • While the American Association of Endodontics (AAE) and American Association of Pediatric Dentistry (AAPD) established their own set of guidelines, today all three organizations are using the same guidelines, based on the original IADT recommendations. (
  • Dental trauma guidelines provide specific recommendations and protocols to ensure the best positive patient outcomes. (
  • While most (77%) felt that antiemetics prescribed were consistent with guideline recommendations, practice patterns of antiemetic use revealed low adherence to those guidelines, particularly during the delayed (25-120 hour) phase following highly emetogenic chemotherapy, where only 25% of nurses reported administration of guideline-recommended agents," reported lead study author Rebecca Clark-Snow, RN, BSN, OCN, of the University of Kansas Cancer Center in Westwood, and coauthors. (
  • Adherence to guideline recommendations for lymph node dissection in squamous cell carcinoma of the penis: Effect on survival and complication rates. (
  • Recommendations for managing hypertension in nonconcordant patients are included. (
  • Right now, the document displays the contradictions of WHO's position on ARVs: it offers recommendations for scale-up and [recommendations for] individualized patient management, which frankly will be confusing to Ministries of Health [MOHs] and individual doctors. (
  • Nonadherence for stage I and low-risk patients was largely attributable to overtreatment in the form of recommendations for adjuvant chemotherapy, particularly in young, healthy patients and those with private insurance, Dr. Chagpar said. (
  • The WHO defines adherence as "the extent to which a person's behaviour, corresponds with recommendations from a healthcare professional" (HCP) [ 10 ]. (
  • Despite the availability of effective pharmacologic treatments and comprehensive treatment recommendations such as those from the Global Initiative for Chronic Obstructive Lung Disease (GOLD), (1) the prevalence of inadequately controlled COPD (assessed by control of symptoms, decline of pulmonary function, levels of physical activity, exacerbations, and quality of life) (8) is high, largely because of inadequate medication adherence. (
  • The reduction in deaths at the trauma centers between 2001 and 2009 corresponded to increased adherence to tenets of the Guidelines, particularly recommendations on monitoring of brain pressure and management of brain perfusion pressure. (
  • 0.0001), support for recommendations on nutrition increasing from 41% to 50% (p = 0.005), and the proportion of patients with elevated intracranial pressure (greater than 25 mm Hg) decreasing from 42% to 29% (p = 0.0001). (
  • The researchers found that the rates of intracranial hypertension and death in patients with severe TBI decreased significantly over the 9-year period, and these decreases were concurrent with increased monitoring of intracranial pressure and management of cerebral perfusion pressure-two major recommendations of the Guidelines. (
  • Gerber and colleagues conclude that adherence to the Guidelines' recommendations on increased monitoring of intracranial pressure and management of cerebral perfusion pressure improved outcomes in patients with severe TBI. (
  • In this study, doctors conducted an Institutional Review Board-approved retrospective chart review on 179 adult patients selected by computerized randomization, newly evaluated for cirrhosis at the Cleveland Clinic from 2003 to 2006. (
  • The study authors reported that 94 percent of the patients had a screening endoscopy (EGD), with 80 percent having one within six months of the initial visit. (
  • No study has evaluated adherence to hypertension guidelines or blood pressure control rates among nursing home residents. (
  • All patients with CAP classified as Fine class IV or V (excluding those in Fine V directly admitted to the ICU) were included in the study 5 . (
  • The study was approved by the local ethic committee/review board and informed consent was obtained for each eligible subject prior to entry into the prospective phase (PP). Patients did not receive any new investigational drug or innovative diagnostic procedure and disease management was performed according to the usual clinical practice of the centre. (
  • The purpose of this study is to demonstrate that canakinumab given upon acute gout flares relieves the signs and symptoms and prevents recurrence of gout flares in patients with frequent f. (
  • During the 3-year study period, 259 patients with AML were enrolled at 86 sites. (
  • Other guidelines, such as immunizing at urgent visits, are potentially effective but their costs and logistics need further study. (
  • The study looked only at the process variables and not patient outcomes, and self reporting may overestimate the actual adherence to the guidelines due to social desirability bias. (
  • In a study done in Karachi, Pakistan, it was noted that only 44% patients with diabetes had examination of their lower legs and only 30% had eye examination. (
  • The aim of this study was to examine adherence to guidelines in a nurse-led ambulance system in southern Sweden. (
  • A total of 50 patients were enrolled in the study group. (
  • Hence, this study aimed to determine the adherence rate of patients to these guidelines, assess their knowledge of the guidelines and determine potential factors hindering regular colonoscopies in these patients. (
  • Design: A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal questionnaire. (
  • NEW YORK (Reuters Health) - Contrary to current guidelines, children with inflammatory bowel disease (IBD) often don't receive required vaccines and are not properly screened before initiation of biologics, a multicenter study from Europe reveals. (
  • Nonadherence to guidelines at baseline was defined as the absence of a dilated eye examination during the year before recruitment into the study. (
  • This study compared real-world treatment patterns of patients with extensive disease small-cell lung cancer (ED-SCLC) across regions and by platinum resistance/platinum sensitivity (PR/PS) and established if these patterns were in line with published guidelines. (
  • This study highlights a lack of a consistent paradigm for 2L ED-SCLC treatment, limited therapeutic options, and an unmet need among SCLC patients. (
  • To study the influence of rheumatologists' adherence to a methotrexate guideline on efficacy and toxicity in the treatment of rheumatoid arthritis. (
  • In 51% of the 411 study patients the guidelines were always followed. (
  • 4 In the case of rheumatoid arthritis, we had the opportunity to study the influence of guideline adherence on outcome in a randomised controlled trial reflecting daily practice. (
  • A key component of the study is to assess whether improved adherence to guidelines leads to a reduction in rates of complications. (
  • Quality improvement (QI) interventions, including repeated plan-do-study-act cycles, were used to improve adherence to a 5-component sepsis bundle, including timely (1) recognition of septic shock, (2) vascular access, (3) administration of intravenous (IV) fluid, (4) antibiotics, and (5) vasoactive agents. (
  • This study shows that antithrombotic use in AIS patients with AF might be not optimal before and after stroke in Korea. (
  • In total, 1756 patients were included in the study. (
  • This study aimed to explore the effectiveness of existing interventions promoting adherence to antimalarial drugs by systematic review. (
  • This study evaluated interim PET2 utilization and reported Deauville scores (DS) in patients with stage III or IV cHL treated in the 1L setting. (
  • Findings from this retrospective, observational, community oncology study found that Deauville scores were reported for only 1/3 of interim PET-CT in patients treated with 1L ABVD patients with stage III or IV cHL. (
  • The aim of this retrospective study was to assess the impact of the Tokyo guidelines on management of patients with acute cholecystitis. (
  • We conducted a population-based cross-sectional study within the Kaiser Permanente Northern California population, comparing 317 GERD patients to 182 asymptomatic population controls. (
  • In another study of 192 patients with asymptomatic severe degenerative mitral valve regurgitation, overall, cardiovascular, and event-free survival were evaluated in 67 patients managed by a "conservative approach" of waiting for surgical indications to develop compared with 125 patients subjected to "early" surgery ( 2 ). (
  • However, less than 50% of AF patients in any stroke-risk group, even those considered at highest risk (ie, with a CHDS2 score greater than 3 or CHA2DS2-VASc score greater than 4), were prescribed OACs during the study period. (
  • Background/aims This study aimed to investigate treatment patterns and medication adherence of glaucoma. (
  • The study population consisted of 16,098 patients who had undergone elective or emergent neurosurgical procedures. (
  • All patients who agreed to participate in the study (16.2%) were invited for a structured interview, physical examinations and laboratory analysis 2 years after AMI. (
  • Another study notes that about 1.14 million patient-safety incidents occurred among the 37 million hospitalizations in the Medicare population over the years 2000-2002. (
  • Furthermore, the study found that the most common result of this negligence was death of the patient. (
  • The appropriate use of thiazide diuretics could reduce costs and improve blood pressure control and patient outcomes. (
  • Can CAP guideline adherence improve patient outcome in internal medicine departments? (
  • and strategies to improve patient adherence to hypertensive therapy. (
  • Would Better Adherence to Guidelines Improve Childhood Immunization Rates? (
  • Of the three guidelines evaluated, simultaneous administration of all possible vaccines has the greatest potential effectiveness to improve coverage rates in this population. (
  • Training of health workers and patients is required to improve adherence to this guideline. (
  • Authors hope their findings will ultimately help improve medication adherence and improve outcomes for patients with heart disease-the leading killer of Americans. (
  • The U.S. Food and Drug Administration, often referred to as the FDA, has teamed up with many health organizations to improve medication adherence. (
  • Together, these organizations have come up with a number of strategies to improve medication adherence, such as making generic drugs more readily available, increasing health literacy among patients and addressing health disparities in minorities and low-income populations. (
  • How can patients help improve medication adherence on their own? (
  • Successful interventions to improve uptake of cardiac rehabilitation included: structured nurse- or therapist-led contacts, early appointments after discharge, motivational letters, gender-specific programs, and intermediate phase programs for older patients. (
  • The Johns Hopkins University School of Medicine, The Institute for Johns Hopkins Nursing and the National Fibromyalgia Association are collaborating on this unique program to improve fibromyalgia patient outcomes. (
  • Patient Perspectives of Surgical Residents' Communication: Do Skills Improve Over Time With a Communication Curriculum? (
  • Single-pill fixed-dose combinations simplify the habit of medication taking and improve medication adherence. (
  • Optimizing Adherence to Improve Clinical Outcomes in Patients with Chronic Obstructive Pulmonary Disease. (
  • Developing evidence-based guidelines and putting them into practice to improve outcomes are key priorities for the Brain Trauma Foundation. (
  • Overall, 406 patients were enrolled in the admission cohort and 518 in the discharge cohort. (
  • Only 3.5% of the cohort achieved all six guideline-directed secondary preventive goals 2 years after infarction. (
  • Adherence to JNC VII guidelines was defined as the use of a thiazide diuretic in patients without a compelling indication for a different class of antihypertensive medication, such as diabetes, chronic kidney disease, coronary artery disease, congestive heart failure, or a history of stroke. (
  • Background: GPs insufficiently follow guidelines regarding consultation and referral for chronic kidney disease (CKD). (
  • We investigated the adherence to guidelines for therapy in AF patients hospitalized with acute ischemic stroke (AIS) before stroke onset and at discharge, with the aim of identifying the factors associated with inappropriate therapy. (
  • We studied 39 291 patients from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the ACC/AHA Guidelines (CRUSADE) registry with non-ST-segment elevation acute coronary syndromes. (
  • This guideline covers diagnosing, managing and referring infants and young children younger than 5 years who present with acute diarrhoea (lasting up to 14 days) with or without vomiting. (
  • We included three guidelines: acute cough, acute rhinosinusitis, and urinary tract infections. (
  • Impact of the Tokyo guidelines on the management of patients with acute calculous cholecystitis. (
  • grade I, grade II and grade III, according to the severity grading in the Tokyo guidelines for acute cholecystitis. (
  • The application of the Tokyo guidelines for improving the outcomes of patients with acute cholecystitis needs further investigation and evaluation. (
  • Poor adherence to treatments for chronic diseases is a worldwide problem and was highlighted as a problem of striking magnitude by the World Health Organization [WHO] (2003) . (
  • In order to better understand factors contributing to patient non-adherence, the World Health Organization proposed five dimensions of adherence that should factor into the treatment strategy. (
  • Twenty-one years into the HIV pandemic the World Health Organization (WHO) has loosened itself from its slothlike lethargy and bureaucratic torpor to produce, seemingly with great reluctance and certainly with great confusion, a draft document on " Antiretroviral Guidelines for Resource Limited Settings . (
  • Clinical judgment was clearly a key factor in 2009, the World Health Organization (WHO) declared a the clinical management of patients with possible A(H1N1) global pandemic. (
  • We conclude that adherence to treatment guidelines varies greatly among the variables studied, ranging from fair (⩾10L/min of oxygen) to very good (obtaining electrocardiogram). (
  • Hispanic and black patients were more likely than white patients to present with heart disease risk factors, such as a decreased ejection fraction or pumping function of the heart, diabetes mellitus and high blood pressure. (
  • Design 2997 successive patients with a first adenoma diagnosis (57% male, mean age 59 years) from 10 hospitals, who underwent colonoscopy between 1998 and 2002, were identified via Pathologisch Anatomisch Landelijk Geautomatiseerd Archief: Dutch Pathology Registry. (
  • Subjects: Patients with a CHF diagnosis registered in their medical record. (
  • Patients enrolled in therapeutic clinical trials or received treatment for another primary cancer diagnosis were excluded. (
  • Also, a later year of diagnosis (2007 vs. 2003) was associated with greater likelihood of receiving guideline-based treatment regardless of disease stage. (
  • The diagnosis and management of splenic trauma has evolved has been a longtime norm and overwhelming post-splenectomy firm clinical guidelines. (
  • This guideline covers assessing chest pain of recent onset in people aged 18 and over, and diagnosis of the conditions that cause it. (
  • The associated benefit continued to accrue all the way to full adherence of the examined guideline metrics, without significant diminishing returns," the authors write. (
  • Three of eight studies demonstrated improvement in adherence to cardiac rehabilitation. (
  • Few studies have demonstrated improvement in adherence to Pediatric Advanced Life Support guidelines for severe sepsis and septic shock. (
  • Adherence to treatment guidelines for patients with chest pain varies in a nurse-led prehospital ambulance system. (
  • Start Forskningsoutput Adherence to treatment guidelines for patients with chest pa. (
  • Studies have shown that adherence to prehospital treatment guidelines, for patients with non-traumatic chest pain is incomplete and that there is a gender difference in treatment provided. (
  • In contrast to treatment guidelines, a significant proportion of real-world PR patients were re-challenged with a 2L platinum-based therapy, while conversely, many PS patients did not receive platinum-based therapies in 2L. (
  • The importance of treatment guidelines is to provide guidance on what to expect, what the expected outcomes are based on the injury, the different factors related to that injury, along with a clear recommendation about the immediate treatment specifically to the type of injury. (
  • In cases where litigation enters the scene, it's important that proper treatment guidelines are followed. (
  • Although adherence [to stage-specific treatment guidelines] has increased over the past 5 years, significant variability still exists," Dr. Ryaz B. Chagpar said during a plenary session at a symposium sponsored by the Society of Surgical Oncology. (
  • It is generally recognised that patients who fall into the upper spectrum of severity (Fine classes IV and V) require hospitalisation. (
  • The severity of the disease was assessed according to the British guidelines ( 10 , 11 ). (
  • We aimed to examine whether GERD patients follow recommended dietary guidelines, and if adherence is associated with the severity and frequency of reflux symptoms. (
  • Despite their importance, little is known about variation in emergency department (ED) adherence to these CPGs. (
  • Propensity score-adjusted multivariate survival analysis was used to assess the impact of CPGs adherence on patient clinical outcomes. (
  • Adherence to CPGs for loco-regional therapy and chemotherapy was observed in 106 out of 147 (70.2%) and 129 out of 139 (85.4%) patients, respectively. (
  • Non-adherence to CPGs for loco-regional treatment was independently associated with AJCC stage III disease [odds ratio (OR) 1.77, P = 0.011] and tumor-positive excision margin (OR 3.55, P = 0.003). (
  • Gastrostomy patients ( n = 60) had their tube in-situ for an average of 150 days and lost an average of 7.7 kg (9.4%) during treatment and 11.5 kg (13.5%) from baseline to three-months post treatment. (
  • The number of malnourished patients increased from 15% at baseline to 56% at the end of treatment, decreasing to 30% three-months post treatment. (
  • This paper describes these patient characteristics at baseline. (
  • Almost all patients (98.5%) had at least one documented PET-CT of which 87.6% had one at baseline (≤90 days prior to treatment initiation) and 79% had an interim PET-CT (Figure). (
  • This analysis of the Connect MDS/AML Disease Registry evaluated patterns of molecular genetic testing in a similar patient population in community and academic settings. (
  • The researchers concluded that the published ophthalmology screening guidelines have had no appreciable impact on rheumatologists' prescribing patterns, as approximately half of all patients started on HCQ at NorthShore received doses above the recommended maximum, and more than half of all patients currently on treatment are receiving excessive doses. (
  • Patient-related factors contributing to medication nonadherence can be grouped into 2 distinct patterns of behaviors: intentional and unintentional. (
  • Patient responses were analysed to determine adherence to the guidelines. (
  • Despite high adherence to evidenced-based guidelines, large discrepancies in weight loss and nutritional status between tumor sites was seen. (
  • We compared characteristics of patients managed by GPs with patients receiving nephrologist co-management. (
  • There was no significant association found between appropriate asthma medication and asthma clinic attendance or other patient characteristics. (
  • Descriptive statistics were generated for all patient characteristics. (
  • Extent to which the patient follows prescribed treatment such as keeping APPOINTMENTS AND SCHEDULES and MEDICATION ADHERENCE for desired therapeutic outcome. (
  • Patient education and involvement in therapeutic decisions is critical. (
  • This guidance is about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines. (
  • There is little data on the variation in adherence to guideline-recommended therapies among patients with different clinical manifestations of vascular disease. (
  • A total of 335 (30%) patients utilized all four guideline-recommended therapies. (
  • Less than one-third of patients with diverse manifestations of vascular disease are prescribed all four guideline-recommended therapies. (
  • Supreme Court of Canada): This ruling found that restrictions limiting authorized patients to dried cannabis under the MMAR and MMPR were unconstitutional, leading to the introduction of cannabis derivative therapies. (
  • Main outcome measure The outcome measure was the proportion of the admissions of patients in which the physician did not adhere to one or more of the included guidelines. (
  • The researchers determined the proportion of AF patients who were prescribed OAC therapy, antiplatelet therapy with aspirin only, dual antiplatelet therapy with aspirin plus a thienopyridine, or no antithrombotic therapy according to stroke risk, as measured by the traditional CHADS2 score and the CHA2DS2-VASc score. (
  • This guideline covers managing diabetes and its complications in women who are planning pregnancy or are already pregnant. (
  • Epidural steroid injections are relatively safe procedures, although the risk of hemorrhagic complications in patients undergoing long-term anticoagulation therapy is higher. (