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| G H GuyattSummaryAffiliation: McMaster University Country: Canada Publications
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GRADE guidelines: 13. Preparing summary of findings tables and evidence profiles-continuous outcomesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 66:173-83. 2013..We outline the merits and limitations of each alternative and provide guidance for meta-analysts and guideline developers...
GRADE guidelines: 12. Preparing summary of findings tables-binary outcomesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, West Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 66:158-72. 2013....
GRADE guidelines: 11. Making an overall rating of confidence in effect estimates for a single outcome and for all outcomesGordon Guyatt
Departments of Clinical Epidemiology and Biostatistics and Medicine, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 66:151-7. 2013..An overall rating of confidence in estimates of effect is only relevant in settings when recommendations are being made. In general, it is based on the critical outcome that provides the lowest confidence...
Evaluating patient values and preferences for thromboprophylaxis decision making during pregnancy: a study protocolPablo Alonso-Coello
Iberoamerican Cochrane Centre, CIBERESP IIB Sant Pau, Barcelona, 08041, Spain
BMC Pregnancy Childbirth 12:40. 2012..The values and treatment preferences of pregnant women, crucial when making recommendations for prophylaxis, are currently unknown. The objective of this study is to address this gap in knowledge...
Approach to outcome measurement in the prevention of thrombosis in surgical and medical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice GuidelinesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
Chest 141:e185S-94S. 2012..All approaches have their limitations. The optimal choice of approach depends on the nature of the evidence available...
Introduction to the ninth edition: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice GuidelinesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University Faculty of Health Sciences, Hamilton, ON, Canada
Chest 141:48S-52S. 2012..In this introduction, we describe some of the differences and the rationale for the changes...
Methodology for the development of antithrombotic therapy and prevention of thrombosis guidelines: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice GuidelinesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University Faculty of Health Sciences, Hamilton, ON, Canada
Chest 141:53S-70S. 2012....
LOST to follow-up Information in Trials (LOST-IT): a protocol on the potential impactElie A Akl
Department of Medicine, State University of New York at Buffalo, Buffalo, USA
Trials 10:40. 2009..The secondary objectives are to describe, for published RCTs, (1) the reporting of loss to follow-up information, (2) the analytic methods used for handling loss to follow-up information, and (3) the extent of reported loss to follow-up...
Design, analysis, and presentation of crossover trialsEdward J Mills
Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada
Trials 10:27. 2009..Although crossover trials enjoy wide use, standards for analysis and reporting have not been established. We reviewed methodological aspects and quality of reporting in a representative sample of published crossover trials...
Incorporating multiple interventions in meta-analysis: an evaluation of the mixed treatment comparison with the adjusted indirect comparisonChristopher O'Regan
Department of Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
Trials 10:86. 2009..Several methodological options are now available. We aimed to determine the comparative validity of the adjusted indirect comparisons of RCTs with the mixed treatment comparison approach...
Subgroup Analysis of Trials Is Rarely Easy (SATIRE): a study protocol for a systematic review to characterize the analysis, reporting, and claim of subgroup effects in randomized trialsXin Sun
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
Trials 10:101. 2009....
Stopping randomized trials early for benefit: a protocol of the Study Of Trial Policy Of Interim Truncation-2 (STOPIT-2)Matthias Briel
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
Trials 10:49. 2009..The aim of STOPIT-2 is to determine the magnitude and determinants of possible bias introduced by stopping RCTs early for benefit...
An instrument to assess quality of life in relation to nutrition: item generation, item reduction and initial validationHolger J Schunemann
Department of Medicine, University at Buffalo, State University of New York, Buffalo, New York, USA
Health Qual Life Outcomes 8:26. 2010..Therefore, the aim of this project was to develop an instrument for measuring QoL related to nutrition in the general population...
Interpreting the results of patient reported outcome measures in clinical trials: the clinician's perspectiveHolger J Schunemann
Division of Clinical Research Development and INFORMAtion Translation, Department of Epidemiology, Istituto Regina Elena Italian National Cancer Institute Rome, Rome, Italy
Health Qual Life Outcomes 4:62. 2006..Thus, there are several steps investigators can take to facilitate this process to help bringing HRQL information closer to the bedside...
Internal consistency reliability is a poor predictor of responsivenessMilo A Puhan
Horten Centre, University Hospital, Postfach Nord, 8091 Zurich, Switzerland
Health Qual Life Outcomes 3:33. 2005..We addressed the claims of a recent study, which suggested that investigators could rely on internal consistency to reflect instrument responsiveness...
Self-administration and interviewer-administration of the German Chronic Respiratory Questionnaire: instrument development and assessment of validity and reliability in two randomised studiesMilo A Puhan
Horten Centre, University Hospital of Zurich, Postfach Nord CH 8091 Zurich, Switzerland
Health Qual Life Outcomes 2:1. 2004....
Combining scores from different patient reported outcome measures in meta-analyses: when is it justified?Milo A Puhan
Horten Centre, University of Zurich, Switzerland
Health Qual Life Outcomes 4:94. 2006....
The MacNew Heart Disease health-related quality of life instrument: a summaryStefan Hofer
Department of Medical Psychology and Psychotherapy, University of Innsbruck, Austria, Dublin, Ireland
Health Qual Life Outcomes 2:3. 2004..This has lead to the development of instruments to quantify the patients' perception of their health status before and after treatment...
Improving the interpretation of quality of life evidence in meta-analyses: the application of minimal important difference unitsBradley C Johnston
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Health Qual Life Outcomes 8:116. 2010..This approach provides a potential solution to both the statistical and interpretational problems of existing methods...
The influence of demographic factors and health-related quality of life on treatment satisfaction in patients with gastroesophageal reflux disease treated with esomeprazoleAlessio Degl' Innocenti
AstraZeneca R and D, 431 83 Mölndal, Sweden
Health Qual Life Outcomes 3:4. 2005..The objective of this study was to assess correlates of treatment satisfaction in patients with GERD receiving a proton pump inhibitor, esomeprazole...
Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluationAleksandra Jokovic
Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, Ontario, M5G 1G6, Canada
Health Qual Life Outcomes 4:4. 2006..This paper describes the developmental process, compares the discriminative properties of the resulting four short-forms and evaluates their precision relative to the original CPQ11-14...
How a well-grounded minimal important difference can enhance transparency of labelling claims and improve interpretation of a patient reported outcome measureJan L Brozek
Department of Medicine, Jagiellonian University School of Medicine, Krakow, Poland
Health Qual Life Outcomes 4:69. 2006....
Venous thromboembolism and bleeding in critically ill patients with severe renal insufficiency receiving dalteparin thromboprophylaxis: prevalence, incidence and risk factorsDeborah Cook
Department of Medicine, 1200 Main Street, McMaster University, Hamilton, Canada
Crit Care 12:R32. 2008..The objective of the present study was to evaluate the prevalence, incidence and predictors of DVT and the incidence of bleeding in intensive care unit (ICU) patients with estimated creatinine clearance <30 ml/min...
Milk allergy and bottles over the back fence: two single patient trialsBruce Arroll
Department of General Practice and Primary Health Care, Faculty of Medical and Health Sciences, University of Auckland, New Zealand
Cases J 1:77. 2008..abstract:..
A decision aid for COPD patients considering inhaled steroid therapy: development and before and after pilot testingElie A Akl
Department of Medicine, University at Buffalo, Buffalo, NY, USA
BMC Med Inform Decis Mak 7:12. 2007..An area not covered by a DA is the decision of a patient with chronic obstructive pulmonary disease (COPD) to use inhaled steroids which requires balancing the benefits and downsides of therapy...
Values and preferences in oral anticoagulation in patients with atrial fibrillation, physicians' and patients' perspectives: protocol for a two-phase studyPablo Alonso-Coello
Iberoamerican Cochrane Center, Hospital Sant Pau, Sant Antoni Maria Claret 171, Barcelona, Spain
BMC Health Serv Res 8:221. 2008..The literature postulates that patient and clinician preferences may explain this low utilization...
Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new systemDavid Atkins
Center for Practice and Technology Assessment, Agency for Healthcare Research and Quality, 540 Gaither Rd Rokville, MD 20852, USA
BMC Health Serv Res 5:25. 2005..The GRADE Working Group has developed an approach that addresses key shortcomings in these systems. The aim of this study was to pilot test and further develop the GRADE approach to grading evidence and recommendations...
Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches The GRADE Working GroupDavid Atkins
Center for Practice and Technology Assessment, Agency for Healthcare Research and Quality, 540 Gaither Rd Rockville, MD 20852, USA
BMC Health Serv Res 4:38. 2004....
Impact of quality of evidence on the strength of recommendations: an empirical studyBenjamin Djulbegovic
Center for Evidence based Medicine and Health Outcome Research, Clinical Translational Science Institute, Florida, USA
BMC Health Serv Res 9:120. 2009..Surprisingly, and despite the widespread penetration of EBM in health care, there has been no empirical research to date investigating the impact of quality of evidence on the strength of recommendations made by guidelines panels...
The impact of illness in patients with moderate to severe gastro-esophageal reflux diseaseSamer El-Dika
Division of Gastroenterology, Veterans Affairs Medical Center, Salem, Virginia, USA
BMC Gastroenterol 5:23. 2005..Gastro-esophageal reflux disease (GERD) is a common disease. It impairs health related quality of life (HRQL). However, the impact on utility scores and work productivity in patients with moderate to severe GERD is not well known...
Attitudes towards fibromyalgia: a survey of Canadian chiropractic, naturopathic, physical therapy and occupational therapy studentsJason W Busse
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
BMC Complement Altern Med 8:24. 2008....
Exploration of the value of health-related quality-of-life information from clinical research and into clinical practiceGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University and Health Sciences Center, Hamilton, ON L8N 3Z5, Canada
Mayo Clin Proc 82:1229-39. 2007..Further investigation is warranted to confirm these observations and to define the particular combination of methods and settings most likely to yield important benefits...
Health-related quality of life in women with polycystic ovary syndrome, a self-administered questionnaire, was validatedGordon Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Clin Epidemiol 57:1279-87. 2004..We examined the measurement properties of a questionnaire (PCOSQ) measuring health-related quality of life (HRQOL) in women with the polycystic ovary syndrome (PCOS)...
Grading strength of recommendations and quality of evidence in clinical guidelines: report from an american college of chest physicians task forceGordon Guyatt
Department of Medicine, HSC 2C12, McMaster University, 1200 Main St West, Hamilton, ON, Canada L8N 3Z5
Chest 129:174-81. 2006..The trend toward uniformity of approaches to grading will enhance the usefulness of practice guidelines for clinicians...
GRADE: an emerging consensus on rating quality of evidence and strength of recommendationsGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada L8N 3Z5
BMJ 336:924-6. 2008
Grades of recommendation for antithrombotic agents: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)Gordon H Guyatt
Health Sciences Centre, McMaster University, Hamilton, Ontario, Canada
Chest 133:123S-131S. 2008..Weak (Grade 2) suggestions require more judicious application, particularly considering patient values and preferences and, when resource limitations play an important role, issues of cost...
In the era of systematic reviews, does the size of an individual trial still matterGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
PLoS Med 5:e4. 2008..Others point out that small trials can still be potentially misleading...
Applying the grades of recommendation for antithrombotic and thrombolytic therapy: the Seventh ACCP Conference on Antithrombotic and Thrombolytic TherapyGordon Guyatt
McMaster University Health Sciences Centre, Room 2C12, Hamilton, ON L8N 3Z5, Canada
Chest 126:179S-187S. 2004..When we find the generalization from RCTs to be secure, or the data from observational studies overwhelmingly compelling, we choose a Grade C+. When that is not the case, we designate methodological quality as Grade C...
Addressing resource allocation issues in recommendations from clinical practice guideline panels: suggestions from an American College of Chest Physicians task forceGordon Guyatt
Department of Medicine, HSC 2C12, McMaster University, 1200 Main St West, Hamilton, ON, Canada L8N 3Z5
Chest 129:182-7. 2006....
Preparing a research protocol to improve chances for successGordon Guyatt
Department of Clinical Epidemiology and Biostatistics and Department of Medicine, McMaster University Faculty of Health Sciences, 1200 Main St West, Hamilton, ON L8N 3Z5, Canada
J Clin Epidemiol 59:893-9. 2006
What is "quality of evidence" and why is it important to clinicians?Gordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada L8N 3Z5
BMJ 336:995-8. 2008
Preparing reports for publication and responding to reviewers' commentsGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics and Department of Medicine, McMaster University Faculty of Health Sciences, 1200 Main St West, Hamilton, ON L8N 3Z5, Canada
J Clin Epidemiol 59:900-6. 2006
How can quality of life researchers make their work more useful to health workers and their patients?Gordon Guyatt
CLARITY Research Group, Department of Clinical Epidemiology and Biostatistics, Health Sciences Centre, McMaster University, 1200 Main Street West, Rm HSC 2C12, Hamilton, ON, Canada, L8N 3Z5
Qual Life Res 16:1097-105. 2007..These reporting approaches, as well as ensuring access to data from individual items, will also help those developing decision aids to use quality of life data...
Going from evidence to recommendationsGordon H Guyatt
CLARITY Research Group, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada L8N 3Z5
BMJ 336:1049-51. 2008
Influence of perceived functional and employment status on cardiopulmonary resuscitation directivesGordon Guyatt
Department of Medicine, Hamilton, Ontario Canada
J Crit Care 18:133-41. 2003..Perceptions about functional and employment status before admission to the intensive care unit (ICU) may influence how patients and clinicians make decisions about cardiopulmonary resuscitation...
A critical look at transition ratingsGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Room 2C12, 1200 Main Street West, Hamilton, Ontario, Canada
J Clin Epidemiol 55:900-8. 2002..Investigators using transition scores should ensure their validity by exploring relationships with pre and post scores of corresponding domain scores...
GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tablesGordon Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:383-94. 2011..Subsequent articles in this series will address GRADE's approach to formulating questions, assessing quality of evidence, and developing recommendations...
GRADE guidelines: 4. Rating the quality of evidence--study limitations (risk of bias)Gordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:407-15. 2011..Rather, for any individual outcome, when there are some studies with a high risk, and some with a low risk of bias, they should consider including only the studies with a lower risk of bias...
GRADE guidelines: 9. Rating up the quality of evidenceGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street, West Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:1311-6. 2011..Other considerations include the rapidity of the response, the underlying trajectory of the condition, and indirect evidence...
GRADE guidelines: 8. Rating the quality of evidence--indirectnessGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street, West Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:1303-10. 2011....
GRADE guidelines: a new series of articles in the Journal of Clinical EpidemiologyGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:380-2. 2011..gradeworkinggroup.org/), attests to the importance of this work. This article introduces a 20-part series providing guidance for the use of GRADE methodology that will appear in the Journal of Clinical Epidemiology...
GRADE guidelines: 5. Rating the quality of evidence--publication biasGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:1277-82. 2011..Publication bias is likely frequent, and caution in the face of early results, particularly with small sample size and number of events, is warranted...
GRADE guidelines: 7. Rating the quality of evidence--inconsistencyGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street, West Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:1294-302. 2011....
Incorporating considerations of resources use into grading recommendationsGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada L8N 3Z5
BMJ 336:1170-3. 2008
Commentary on Jack Dowie, "Decision validity should determine whether a generic or condition-specific HRQOL measure is used in health care decisions"Gordon Guyatt
Department of Clinical Epidemiology and Biostatistics, Health Sciences Center 2C12, McMaster University, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada
Health Econ 11:9-12; discussion 21-2. 2002
Summary of meta-analyses of therapies for postmenopausal osteoporosis and the relationship between bone density and fracturesGordon H Guyatt
Department of Medicine, Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street West, Hamilton, Ontario, Canada, L8N 3Z5
Endocrinol Metab Clin North Am 31:659-79, xii. 2002..We also outline other important facets of the decision-making process regarding osteoporosis therapy, including attitudes toward uncertainty, circumstances, and patients' and societal preferences...
GRADE guidelines 6. Rating the quality of evidence--imprecisionGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
J Clin Epidemiol 64:1283-93. 2011..If the 95% CI includes appreciable benefit or harm (we suggest an RR of under 0.75 or over 1.25 as a rough guide) rating down for imprecision may be appropriate even if OIS criteria are met...
Solving the public health care sustainability puzzleGordon Guyatt
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 167:36-8. 2002
GRADE guidelines: 2. Framing the question and deciding on important outcomesGordon H Guyatt
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Clin Epidemiol 64:395-400. 2011....
Incidence of and risk factors for ventilator-associated pneumonia in critically ill patientsD J Cook
McMaster University, Hamilton, Ontario, Canada
Ann Intern Med 129:433-40. 1998..Understanding the risk factors for ventilator-associated pneumonia can help to assess prognosis and devise and test preventive strategies...
Systematic implementation of an advance directive program in nursing homes: a randomized controlled trialD W Molloy
Department of Medicine, McMaster University, Ontario, Canada
JAMA 283:1437-44. 2000..Although advance directives are commonly used in the community, little is known about the effects of their systematic implementation...
The attributable mortality and length of intensive care unit stay of clinically important gastrointestinal bleeding in critically ill patientsD J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care 5:368-75. 2001..To estimate the mortality and length of stay in the intensive care unit (ICU) attributable to clinically important gastrointestinal bleeding in mechanically ventilated critically ill patients...
When should an effective treatment be used? Derivation of the threshold number needed to treat and the minimum event rate for treatmentJ C Sinclair
Department of Clinical Epidemiology and Biostatistics, McMaster University, Room 3N11F, 1200 Main Street West, Hamilton, L8N 3Z5, Ontario, Canada
J Clin Epidemiol 54:253-62. 2001..Quantification of the determinants of the threshold NNT and of the minimum event rate to justify treatment can assist clinicians and patients in the explicit use of underlying values when making treatment decisions...
Canadian physicians' attitudes about and preferences regarding clinical practice guidelinesR S Hayward
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 156:1715-23. 1997..To assess Canadian physicians' confidence in, attitudes about and preferences regarding clinical practice guidelines...
Measuring quality of life in children with asthmaE F Juniper
Department of Clinical Epidemiology and Biostatistics, McMaster University Medical Centre, Hamilton, Ontario, Canada
Qual Life Res 5:35-46. 1996..It captures aspects of asthma most important to the patient and adds additional information to conventional clinical outcomes...
Assessment of patient capacity to consent to treatmentE Etchells
Department of Medicine, The Toronto Hospital, University of Toronto, Toronto, Ont, Canada
J Gen Intern Med 14:27-34. 1999..Clinicians can use these practical, flexible, and evaluated measures as the initial step in the assessment of patient capacity to consent to treatment...
Physician interpretations and textbook definitions of blinding terminology in randomized controlled trialsP J Devereaux
Department of Medicine, McMaster University, 1200 Main St W, Room 2C12, Hamilton, Ontario, Canada L8N 3Z5
JAMA 285:2000-3. 2001..The terminology authors often use to convey blinding status (single, double, and triple blinding) may be open to various interpretations...
Economic analysis of respiratory rehabilitationR S Goldstein
Department of Medicine, University of Toronto, Ontario, Canada
Chest 112:370-9. 1997..We report on the incremental costs associated with improvements in health-related quality of life (HRQL) following 6 months of respiratory rehabilitation compared with conventional community care...
Relation of distribution- and anchor-based approaches in interpretation of changes in health-related quality of lifeG R Norman
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Med Care 39:1039-47. 2001....
A randomised trial to evaluate the self-administered standardised chronic respiratory questionnaireH J Schünemann
Department of Medicine, University Health Sciences Centre, Room 2C12, Hamilton, Ontario L8N 3Z5, Canada
Eur Respir J 25:31-40. 2005..These results challenge the assumption that interviewer-administered questionnaires are superior to self-administered questionnaires in older patients with chronic respiratory disease...
Agreement between alternative classifications of acute respiratory distress syndromeM O Meade
Department of Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 163:490-3. 2001..These discordant classifications had no prognostic importance...
Users' guides to the medical literature: XX. Integrating research evidence with the care of the individual patient. Evidence-Based Medicine Working GroupF A McAlister
Mount Sinai Hospital, Suite 431, 600 University Ave, Toronto, Ontario, Canada, M5G 1X5
JAMA 283:2829-36. 2000..jama. 2000;283:2829-2836..
Deep venous thrombosis: clinically silent in the intensive care unitMark A Crowther
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:334-40. 2005..42-0.75, P = .02). An AUC of 1.0 indicates an ideal test, and AUC of 0.50 indicates a test with no diagnostic utility. CONCLUSIONS: The history and physical examination for DVT are not useful in detecting lower limb DVT in the ICU...
Development and testing of formal protocols for oxygen prescribingG H Guyatt
Department of Clinical Epidemiology and Biostatistics and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 163:942-6. 2001..27 (95% CI -0.18 to 0.72). In conclusion, standardizing tests for the assessment of LTOT is important. We describe simple hospital and simulated home tests that are reproducible, easy to carry out, and correlate well with each other...
Weaning from mechanical ventilation: the evidence from clinical researchM O Meade
Department of Medicine and the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Respir Care 46:1408-15; discussion 1415-7. 2001....
Reviewing the reviewers: the quality of reporting in three secondary journalsP J Devereaux
Department of Medicine, Dalhousie University, Halifax, NS
CMAJ 164:1573-6. 2001..However, for clinicians to evaluate the validity and applicability of new findings, they need information on the study design, methodology and results...
Resolving controversies in hip fracture care: the need for large collaborative trials in hip fracturesMohit Bhandari
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada
J Orthop Trauma 23:479-84. 2009..This manuscript will describe the need, the information, the organization, and the accomplishments to date of the International Hip Fracture Research Collaborative...
Grading quality of evidence and strength of recommendations for diagnostic tests and strategiesHolger J Schunemann
Department of Epidemiology, Italian National Cancer Institute Regina Elena, 00144 Rome, Italy
BMJ 336:1106-10. 2008
Radiographs of hip fractures were digitally altered to mask surgeons to the type of implant without compromising the reliability of quality ratings or making the rating process more difficultPaul J Karanicolas
Department of Surgery, The University of Western Ontario, University Hospital, Room C8 114, 339 Windermere Rd, London, Ontario N6A 5A5, Canada
J Clin Epidemiol 62:214-223.e1. 2009..To devise and test techniques to blind outcome assessors in trials of hip fracture fixation...
Rationale, design, and organization of the PeriOperative ISchemic Evaluation (POISE) trial: a randomized controlled trial of metoprolol versus placebo in patients undergoing noncardiac surgeryP J Devereaux
Faculty of Health Sciences, Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
Am Heart J 152:223-30. 2006..We have initiated the POISE trial to definitively establish the effects of beta-blocker therapy in patients undergoing noncardiac surgery...
Epidemiology and reporting of randomized trials employing re-randomization of patient groups: a systematic surveyEdward J Mills
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street West, Hamilton, Ontario, Canada
Contemp Clin Trials 28:268-75. 2007....
Measurement properties and interpretability of the Chronic respiratory disease questionnaire (CRQ)Holger J Schunemann
Departments of Medicine, School of Medicine and Biomedical Sciences, University at Buffalo, State of New York, Buffalo, New York, USA
COPD 2:81-9. 2005..These objectives include the exploration of presentation of quality of life information and prospective anchor-based approaches...
Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysisNicole Simunovic
Department of Clinical Epidemiology and Biostatistics, McMasterUniversity, Hamilton, Ontario, Canada
CMAJ 182:1609-16. 2010..We conducted a systematic review and meta-analysis to determine the effect of early surgery on the risk of death and common postoperative complications among elderly patients with hip fracture...
A new 'mechanistic-practical" framework for designing and interpreting randomized trialsPaul J Karanicolas
Department of Clinical Epidemiology and Biostatistics, McMaster University, Ontario, Canada
J Clin Epidemiol 62:479-84. 2009..e., the conventional pragmatic trial. Instead we will design, implement, and apply the results of practical trials to our patients...
Blinding of outcomes in trials of orthopaedic trauma: an opportunity to enhance the validity of clinical trialsPaul J Karanicolas
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada
J Bone Joint Surg Am 90:1026-33. 2008..Trials of surgical interventions present blinding challenges not seen in drug trials. How often orthopaedic trauma investigators undertake blinding, and the frequency with which they could potentially utilize blinding, remains uncertain...
Application of generalizability theory confirmed lower reliability of the standard gamble than the feeling thermometerHolger J Schunemann
Department of Epidemiology, INFORMA Unit CLARITY Research Group, Italian National Cancer Institute Regina Elena, Via Elio Chianesi 53, 00144 Rome, Italy
J Clin Epidemiol 60:1256-62. 2007..Further, lack of interrater reliability may compromise the use of CMS in interpreting health state ratings. The aim of this study was to assess the reliability of CMS ratings for the SG and the FT...
Do clinical marker states improve responsiveness and construct validity of the standard gamble and feeling thermometer: a randomized multi-center trial in patients with chronic respiratory diseaseHolger J Schunemann
Division of Clinical Research Development and INFORMAtion Translation INFROMA, Italian National Cancer Institute Regina Elena, Rome, Italy
Qual Life Res 15:1-14. 2006..We evaluated the impact of clinical marker state (CMS) rating prior to patients' rating their own health on two utility instruments (feeling thermometer (FT) and standard gamble (SG)) in patients with chronic respiratory disease (CRD)...
Need for expertise based randomised controlled trialsP J Devereaux
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street, West Hamilton ON, Canada L8N 3Z5
BMJ 330:88. 2005
An observational study found that authors of randomized controlled trials frequently use concealment of randomization and blinding, despite the failure to report these methodsP J Devereaux
Department of Medicine, Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Room 2C8, 1200 Main Street West, Hamilton, ON, L8N 3Z5, Canada
J Clin Epidemiol 57:1232-6. 2004..We undertook an observational study to determine whether concealment of randomization or blinding was used in RCTs that failed to report these bias-reducing strategies...
A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitalsP J Devereaux
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 166:1399-406. 2002..To inform this debate, we undertook a systematic review and meta-analysis of studies comparing the mortality rates of private for-profit hospitals and those of private not-for-profit hospitals...
Are the recommendations to use perioperative beta-blocker therapy in patients undergoing noncardiac surgery based on reliable evidence?P J Devereaux
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 171:245-7. 2004
Effect of bisphosphonates on periprosthetic bone mineral density after total joint arthroplasty. A meta-analysisMohit Bhandari
Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Center, Room 2C9, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada
J Bone Joint Surg Am 87:293-301. 2005....
The 4Ts scoring system for heparin-induced thrombocytopenia in medical-surgical intensive care unit patientsMark Andrew Crowther
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
J Crit Care 25:287-93. 2010..The 4Ts score (Thrombocytopenia, Timing of thrombocytopenia, Thrombosis, and oTher reason) might identify individual patients at risk of having this disorder...
How to appraise a diagnostic testMohit Bhandari
Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Center, McMaster University, Room 2C12, 1200 Main Street West, L8N 3Z5, Hamilton, Ontario, Canada
World J Surg 29:561-6. 2005..Specificity denotes the proportion of people without the disorder in whom the test result is negative. Application of the guides presented in this article can allow surgeons to assess critically studies regarding a diagnostic test...
The reporting of methodological factors in randomized controlled trials and the association with a journal policy to promote adherence to the Consolidated Standards of Reporting Trials (CONSORT) checklistP J Devereaux
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Control Clin Trials 23:380-8. 2002..Until these inadequacies are resolved health-care providers will remain limited in their ability to make informed inferences about the validity of the studies upon which they base their clinical practice...
Payments for care at private for-profit and private not-for-profit hospitals: a systematic review and meta-analysisP J Devereaux
Department of Medicine, McMaster University, Hamilton
CMAJ 170:1817-24. 2004....
A comparison of narrative and table formats for presenting hypothetical health states to patients with gastrointestinal or pulmonary diseaseHolger J Schunemann
McMaster University Health Sciences Centre, Room 2C12, Hamilton, Ontario, L8N 3Z5, Canada
Med Decis Making 24:53-60. 2004..Investigators should consider using the table presentation for describing health states to subjects who are not familiar with these states of health...
Current practice in the intramedullary nailing of tibial shaft fractures: an international surveyMohit Bhandari
Department of Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Trauma 53:725-32. 2002....
How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trialsP J Devereaux
Department of Medicine, McMaster University, Hamilton, ON, Canada
BMJ 331:313-21. 2005..To determine the effect of perioperative beta blocker treatment in patients having non-cardiac surgery...
Operative management of displaced femoral neck fractures in elderly patients. An international surveyMohit Bhandari
Department of Surgery, Hamilton Health Sciences General Hospital, 237 Barton Street East, 7 North, Suite 727, Hamilton, Ontario L8L 2X2, Canada
J Bone Joint Surg Am 87:2122-30. 2005..Our objective was to clarify current opinion with regard to the operative treatment of displaced fractures of the femoral neck...
Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate riskP J Devereaux
Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont
CMAJ 173:627-34. 2005....
