Motivational interviewing to improve weight loss in overweight and/or obese patients: a systematic review and meta-analysis of randomized controlled trials

2011 ◽  
pp. no-no ◽  
Author(s):  
M. J. Armstrong ◽  
T. A. Mottershead ◽  
P. E. Ronksley ◽  
R. J. Sigal ◽  
T. S. Campbell ◽  
...  
Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 479
Author(s):  
Tatiana Sidiropoulou ◽  
Kalliopi Christodoulaki ◽  
Charalampos Siristatidis

A pre-procedural ultrasound of the lumbar spine is frequently used to facilitate neuraxial procedures. The aim of this review is to examine the evidence sustaining the utilization of pre-procedural neuraxial ultrasound compared to conventional methods. We perform a systematic review of randomized controlled trials with meta-analyses. We search the electronic databases Medline, Cochrane Central, Science Direct and Scopus up to 1 June 2019. We include trials comparing a pre-procedural lumbar spine ultrasound to a non-ultrasound-assisted method. The primary endpoints are technical failure rate, first-attempt success rate, number of needle redirections and procedure time. We retrieve 32 trials (3439 patients) comparing pre-procedural lumbar ultrasounds to palpations for neuraxial procedures in various clinical settings. Pre-procedural ultrasounds decrease the overall risk of technical failure (Risk Ratio (RR) 0.69 (99% CI, 0.43 to 1.10), p = 0.04) but not in obese and difficult spinal patients (RR 0.53, p = 0.06) and increase the first-attempt success rate (RR 1.5 (99% CI, 1.22 to 1.86), p < 0.0001, NNT = 5). In difficult spines and obese patients, the RR is 1.84 (99% CI, 1.44 to 2.3; p < 0.0001, NNT = 3). The number of needle redirections is lower with pre-procedural ultrasounds (SMD = −0.55 (99% CI, −0.81 to −0.29), p < 0.0001), as is the case in difficult spines and obese patients (SMD = −0.85 (99% CI, −1.08 to −0.61), p < 0.0001). No differences are observed in procedural times. Ιn conclusion, a pre-procedural ultrasound provides significant benefit in terms of technical failure, number of needle redirections and first attempt-success rate. Τhe effect of pre-procedural ultrasound scanning of the lumbar spine is more significant in a subgroup analysis of difficult spines and obese patients.


2013 ◽  
Vol 93 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Brad Lundahl ◽  
Teena Moleni ◽  
Brian L. Burke ◽  
Robert Butters ◽  
Derrik Tollefson ◽  
...  

2016 ◽  
Vol 27 (2) ◽  
pp. 277-287 ◽  
Author(s):  
Alan A. Saber ◽  
Saeed Shoar ◽  
Mahmoud W. Almadani ◽  
Natan Zundel ◽  
Mohammed J. Alkuwari ◽  
...  

2011 ◽  
Vol 124 (8) ◽  
pp. 747-755 ◽  
Author(s):  
Adrian Thorogood ◽  
Salvatore Mottillo ◽  
Avi Shimony ◽  
Kristian B. Filion ◽  
Lawrence Joseph ◽  
...  

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