PCN133 Effects of Trial Population Selection on Modeled Incremental Quality of Life and Healthcare Decision-Making: A Systematic Review and Example in Selective Internal Radiation Therapy for the Treatment of Hepatocellular Carcinoma

2021 ◽  
Vol 24 ◽  
pp. S43-S44
Author(s):  
R. Pollock ◽  
F. Colaone ◽  
S. Shergill ◽  
I. Agirrezabal
Keyword(s):  
Quality Of Life ◽  
Hepatocellular Carcinoma ◽  
Systematic Review ◽  
Decision Making ◽  
Selective Internal Radiation Therapy ◽  
Healthcare Decision ◽  
Internal Radiation ◽  
Healthcare Decision Making ◽  
Population Selection

scholarly journals Analysis of the Status and Trends of Chinese Clinical Practice Guideline Development Between 2010 and 2020: A Systematic Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Rong Zhang ◽  
Si-yu Yan ◽  
Yun-yun Wang ◽  
Qiao Huang ◽  
Xiang-ying Ren ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Methodological Quality ◽  
Evidence Based ◽  
Healthcare Decision ◽  
Inclusion Criteria ◽  
Healthcare Decision Making ◽  
Status And Trends ◽  
The Status

Objective: This study aimed to systematically review the status and trends of Chinese clinical practice guidelines (CPGs) during the time period 2010–2020 and explore their methodological characteristics. Then, based on the strengths and weaknesses in development, offer several recommendations for the quality improvement which will serve as a reference for the users and developers of CPG.Introduction: With the development of evidence-based medicine (EBM), the CPGs play an increasingly important role in healthcare decision-making both in China and worldwide.Inclusion criteria: The CPGs that have been used to help the health professionals in the healthcare decision-making were included.Methodology: The China National Knowledge Infrastructure (CNKI) and WanFang databases were searched from 2010 to 2020 for the studies describing the general and methodological characteristics of Chinese CPGs. Comparisons of the methodological characteristics between the groups were conducted using the chi-square test or Fisher's exact test. The M-K test was adopted to identify the monotonically increasing or decreasing trends of methodological characteristics over the timespan.Results: A total of 2,654 CPGs fulfilled the inclusion criteria. The quantity and quality of the guidelines developed in China have improved over the time span. From 2010 to 2020,the guidelines had differing characteristics and covered a wide range of subjects. In total, 2,318(87.34%) guidelines focused on Western Medicine. Eight (0.30%) had been developed for patient versions of guidelines, 10(0.38%) were tentative guidelines, and 16(0.60%) were rapid advice guidelines. Medical specialty societies (including their branches) (71.1%) were the main guideline makers. The most addressed diseases were neoplasms (14.43%). The target population is mainly adults (84.97%). The methodological quality of consensus-based (CB)-CPGs was obviously lower than evidence-based (EB)-CPGs. Except for the item, “recommendations were based on evidence of systematic reviews,” there were statistical differences in all other methodological items between the EB-CPGS and CB-CPGS (P < 0.01). Higher methodological quality has been observed in EB-CPGs. All the data relating to the methodological characteristics indicated that higher methodological quality was present in the guidelines using GRADE (P < 0.01).Conclusion: The quantity and quality of the guidelines developed in China have improved between 2010 and 2020. CB-CPGs have also paid attention to the methodology quality, but obviously, this is lower than that in the EB-CPGs.

scholarly journals VALUE AND APPLICABILITY OF LARGE ADMINISTRATIVE HEALTHCARE DATABASES IN PROSTHETICS AND ORTHOTICS OUTCOMES RESEARCH

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Taavy Miller ◽  
Shane Wurdeman
Keyword(s):  
Decision Making ◽  
Data Analysis ◽  
Health Economics ◽  
Clinical Data ◽  
Outcomes Research ◽  
Healthcare Decision ◽  
Healthcare Data ◽  
Healthcare Decision Making

The goal of health economics and outcomes research is to improve healthcare decision making. In the absence of high-value clinical data, the availability and quality of administrative healthcare data could be vital in the generation of evidence for orthotics and prosthetics services. The purpose of this article is to provide a stronger understanding of administrative healthcare data analysis, an area that has been scarcely examined within prosthetics and orthotics despite the wealth of information available within such data. Examples of common datasets in this arena currently available are provided, as well as an overview of the limitations and advantages of studies utilizing such datasets. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/35958/28315 How To Cite: Miller TA, Wurdeman S. Value and applicability of large administrative healthcare databases in prosthetics and orthotics outcomes research. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.4. https://doi.org/10.33137/cpoj.v4i2.35958 Corresponding Author: Taavy A Miller, PhD, CPODepartment of Clinical and Scientific Affairs, Hanger Clinic, Austin, Texas, USA.E-Mail: [email protected] ID: https://orcid.org/0000-0001-7117-6124

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