R Chou

Summary

Affiliation: Oregon Health and Science University
Country: USA

Publications

  1. doi request reprint Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline
    Roger Chou
    Department of Medicine, Oregon Evidence Based Practice Center, OR Health and Science University, Portland, OR, USA
    Spine (Phila Pa 1976) 34:1094-109. 2009
  2. ncbi request reprint Comparative effectiveness of antiviral treatment for hepatitis C virus infection in adults: a systematic review
    Roger Chou
    Oregon Health and Science University, Portland, USA
    Ann Intern Med 158:114-23. 2013
  3. doi request reprint Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an american pain society and college on problems of drug dependence clinical practice guideline
    Roger Chou
    Department of Medicine, Oregon Health and Science University, Portland, Oregon Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon Pacific Northwest Evidence based Practice Center, Oregon Health and Science University, Portland, Oregon Electronic address
    J Pain 15:338-65. 2014
  4. doi request reprint Methadone safety: a clinical practice guideline from the american pain society and college on problems of drug dependence, in collaboration with the heart rhythm society
    Roger Chou
    Departments of Medicine and Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, and Pacific Northwest Evidence based Practice Center, Portland, Oregon Electronic address
    J Pain 15:321-37. 2014
  5. doi request reprint Pressure ulcer risk assessment and prevention: a systematic comparative effectiveness review
    Roger Chou
    Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 159:28-38. 2013
  6. doi request reprint Preventing dental caries in children <5 years: systematic review updating USPSTF recommendation
    Roger Chou
    Pacific Northwest Evidence based Practice Center, Oregon Health and Science University, Portland, Oregon 97239, USA
    Pediatrics 132:332-50. 2013
  7. doi request reprint Blood tests to diagnose fibrosis or cirrhosis in patients with chronic hepatitis C virus infection: a systematic review
    Roger Chou
    Oregon Health and Science University, Portland, OR 97239, USA
    Ann Intern Med 158:807-20. 2013
  8. doi request reprint Commentary: Successful spinal fusion surgery: can we improve the odds?
    Roger Chou
    Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Mail Code BICC, Portland, OR 97239, USA Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Mail Code BICC, Portland, OR 97239, USA Electronic address
    Spine J 13:110-2. 2013
  9. doi request reprint Screening for hepatitis C virus infection in adults: a systematic review for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science University, Portland, USA
    Ann Intern Med 158:101-8. 2013
  10. doi request reprint Screening for HIV: systematic review to update the 2005 U.S. Preventive Services Task Force recommendation
    Roger Chou
    Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239, USA
    Ann Intern Med 157:706-18. 2012

Detail Information

Publications51

  1. doi request reprint Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline
    Roger Chou
    Department of Medicine, Oregon Evidence Based Practice Center, OR Health and Science University, Portland, OR, USA
    Spine (Phila Pa 1976) 34:1094-109. 2009
    ..Systematic review...
  2. ncbi request reprint Comparative effectiveness of antiviral treatment for hepatitis C virus infection in adults: a systematic review
    Roger Chou
    Oregon Health and Science University, Portland, USA
    Ann Intern Med 158:114-23. 2013
    ..Multiple treatments are available for chronic hepatitis C virus (HCV) infection...
  3. doi request reprint Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an american pain society and college on problems of drug dependence clinical practice guideline
    Roger Chou
    Department of Medicine, Oregon Health and Science University, Portland, Oregon Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon Pacific Northwest Evidence based Practice Center, Oregon Health and Science University, Portland, Oregon Electronic address
    J Pain 15:338-65. 2014
    ..Research is needed to understand the effectiveness of dosing methods, electrocardiogram monitoring, and other risk mitigation strategies in patients prescribed methadone...
  4. doi request reprint Methadone safety: a clinical practice guideline from the american pain society and college on problems of drug dependence, in collaboration with the heart rhythm society
    Roger Chou
    Departments of Medicine and Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, and Pacific Northwest Evidence based Practice Center, Portland, Oregon Electronic address
    J Pain 15:321-37. 2014
    ..Although these guidelines are based on a systematic review, the panel identified numerous research gaps, most recommendations were based on low-quality evidence, and no recommendations were based on high-quality evidence...
  5. doi request reprint Pressure ulcer risk assessment and prevention: a systematic comparative effectiveness review
    Roger Chou
    Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 159:28-38. 2013
    ..Pressure ulcers are associated with substantial health burdens but may be preventable...
  6. doi request reprint Preventing dental caries in children <5 years: systematic review updating USPSTF recommendation
    Roger Chou
    Pacific Northwest Evidence based Practice Center, Oregon Health and Science University, Portland, Oregon 97239, USA
    Pediatrics 132:332-50. 2013
    ..The objective of this study was to update the 2004 US Preventive Services Task Force systematic review on prevention of caries in children younger than 5 years of age...
  7. doi request reprint Blood tests to diagnose fibrosis or cirrhosis in patients with chronic hepatitis C virus infection: a systematic review
    Roger Chou
    Oregon Health and Science University, Portland, OR 97239, USA
    Ann Intern Med 158:807-20. 2013
    ..Many blood tests have been proposed as alternatives to liver biopsy for identifying fibrosis or cirrhosis...
  8. doi request reprint Commentary: Successful spinal fusion surgery: can we improve the odds?
    Roger Chou
    Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Mail Code BICC, Portland, OR 97239, USA Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Mail Code BICC, Portland, OR 97239, USA Electronic address
    Spine J 13:110-2. 2013
    ..COMMENTARY ON: Willems PC, Staal JB, Walenkamp GHIM, de Bie RA. Spinal fusion for chronic low back pain: systematic review on the accuracy of tests for patient selection. Spine J 2013;13:99-109 (in this issue)...
  9. doi request reprint Screening for hepatitis C virus infection in adults: a systematic review for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science University, Portland, USA
    Ann Intern Med 158:101-8. 2013
    ..Identification of hepatitis C virus (HCV)-infected persons through screening could lead to interventions that improve clinical outcomes...
  10. doi request reprint Screening for HIV: systematic review to update the 2005 U.S. Preventive Services Task Force recommendation
    Roger Chou
    Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239, USA
    Ann Intern Med 157:706-18. 2012
    ....
  11. doi request reprint Screening for HIV in pregnant women: systematic review to update the 2005 U.S. Preventive Services Task Force recommendation
    Roger Chou
    Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239, USA
    Ann Intern Med 157:719-28. 2012
    ..A 2005 U.S. Preventive Services Task Force (USPSTF) review found good evidence that prenatal HIV screening is accurate and can lead to interventions that reduce the risk for mother-to-child transmission...
  12. doi request reprint Appropriate use of lumbar imaging for evaluation of low back pain
    Roger Chou
    Department of Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    Radiol Clin North Am 50:569-85. 2012
    ..This article reviews current trends and practice patterns in lumbar spine imaging, direct and downstream costs, benefits and harms, current recommendations, and potential strategies for reducing imaging overuse...
  13. doi request reprint Pegylated interferons for chronic hepatitis C virus infection: an indirect analysis of randomized trials
    R Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR, USA
    J Viral Hepat 15:551-70. 2008
    ..Head-to-head trials are needed to verify the results of indirect analyses and provide additional guidance on optimal treatment choices...
  14. doi request reprint Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline
    Roger Chou
    Department of Medicine, Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR, USA
    Spine (Phila Pa 1976) 34:1078-93. 2009
    ..Systematic review...
  15. doi request reprint Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society
    Roger Chou
    Department of Medicine, Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR, USA
    Spine (Phila Pa 1976) 34:1066-77. 2009
    ..Clinical practice guideline...
  16. ncbi request reprint Screening older adults for impaired visual acuity: a review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science Center, Portland, Oregon 97239, USA
    Ann Intern Med 151:44-58, W11-20. 2009
    ..Impaired visual acuity is common in older adults. Screening for impaired visual acuity could lead to interventions to improve vision, function, and quality of life...
  17. ncbi request reprint 2009 Clinical Guidelines from the American Pain Society and the American Academy of Pain Medicine on the use of chronic opioid therapy in chronic noncancer pain: what are the key messages for clinical practice?
    Roger Chou
    Department of Medicine, Oregon Health and Science University, Portland OR, United States
    Pol Arch Med Wewn 119:469-77. 2009
    ....
  18. doi request reprint Will this patient develop persistent disabling low back pain?
    Roger Chou
    Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, MC BICC, Portland, OR 97239, USA
    JAMA 303:1295-302. 2010
    ..Low back pain is extremely common. Early identification of patients more likely to develop persistent disabling symptoms could help guide decisions regarding follow-up and management...
  19. doi request reprint Screening adults for bladder cancer: a review of the evidence for the U.S. preventive services task force
    Roger Chou
    Oregon Health and Science University, Portland, 97239, USA
    Ann Intern Med 153:461-8. 2010
    ..Bladder cancer is 1 of the 10 most frequently diagnosed types of cancer. Screening could identify high-grade bladder cancer at earlier stages, when it may be more easily and effectively treated...
  20. doi request reprint Screening for visual impairment in children ages 1-5 years: update for the USPSTF
    Roger Chou
    Oregon Evidence Based Practice Center and Department of Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA
    Pediatrics 127:e442-79. 2011
    ..Screening could identify preschool-aged children with vision problems at a critical period of visual development and lead to treatments that could improve vision...
  21. doi request reprint Routine screening for chronic human immunodeficiency virus infection: why don't the guidelines agree?
    Roger Chou
    Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239, USA
    Epidemiol Rev 33:7-19. 2011
    ..The case of screening for human immunodeficiency virus illustrates how discrepancies between guidelines may be related to different guideline development methods as well as the different perspectives of the guideline development groups...
  22. doi request reprint Guideline warfare over interventional therapies for low back pain: can we raise the level of discourse?
    Roger Chou
    Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA
    J Pain 12:833-9. 2011
    ....
  23. doi request reprint Screening asymptomatic adults with resting or exercise electrocardiography: a review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science University, Portland, OR, USA
    Ann Intern Med 155:375-85. 2011
    ..Screening for abnormalities by using resting or exercise electrocardiography (ECG) might help identify persons who would benefit from interventions to reduce cardiovascular risk...
  24. doi request reprint Screening for prostate cancer: a review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 155:762-71. 2011
    ..Screening can detect prostate cancer at earlier, asymptomatic stages, when treatments might be more effective...
  25. ncbi request reprint Prenatal screening for HIV: A review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 143:38-54. 2005
    ..Each year in the United States, 6000 to 7000 women with HIV give birth. The management and outcomes of prenatal HIV infection have changed substantially since the U.S. Preventive Services Task Force issued recommendations in 1996...
  26. doi request reprint Research gaps on use of opioids for chronic noncancer pain: findings from a review of the evidence for an American Pain Society and American Academy of Pain Medicine clinical practice guideline
    Roger Chou
    The Oregon Evidence based Practice Center, Department of Medicine, Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
    J Pain 10:147-59. 2009
    ....
  27. ncbi request reprint Challenges in systematic reviews that assess treatment harms
    Roger Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, and Portland Veterans Affairs Medical Center, Portland, Oregon, USA
    Ann Intern Med 142:1090-9. 2005
    ..This article highlights examples of approaches to methodologic issues associated with performing systematic reviews of harms from 96 Evidence-based Practice Center evidence reports...
  28. ncbi request reprint Screening for HIV: a review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 143:55-73. 2005
    ..HIV infection affects 850,000 to 950,000 persons in the United States. The management and outcomes of HIV infection have changed substantially since the U.S. Preventive Services Task Force issued recommendations in 1996...
  29. ncbi request reprint Initial highly-active antiretroviral therapy with a protease inhibitor versus a non-nucleoside reverse transcriptase inhibitor: discrepancies between direct and indirect meta-analyses
    Roger Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR 97239, USA
    Lancet 368:1503-15. 2006
    ..However, direct evidence for competing interventions is deemed more reliable than indirect evidence for making treatment decisions. We did a meta-analysis of head-to-head trials and compared the results with those of indirect analyses...
  30. ncbi request reprint Methodological shortcomings predicted lower harm estimates in one of two sets of studies of clinical interventions
    Roger Chou
    Oregon Evidence Based Practice Center, Portland, OR, USA
    J Clin Epidemiol 60:18-28. 2007
    ..Little is known, however, about whether perceived methodological shortcomings are associated with lower estimates of harms...
  31. ncbi request reprint Recurrent thromboembolic disease following splenectomy for pyruvate kinase deficiency
    R Chou
    Department of Medicine, Portland Veteran s Affairs Medical Center, Oregon Health Sciences University, Portland, Oregon, USA
    Am J Hematol 67:197-9. 2001
    ....
  32. ncbi request reprint Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline
    Roger Chou
    Oregon Evidence based Practice Center and Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 147:492-504. 2007
    ..Many nonpharmacologic therapies are available for treatment of low back pain...
  33. ncbi request reprint Medications for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline
    Roger Chou
    Oregon Evidence based Practice Center and Oregon Health and Science University, Portland, Oregon 97239, USA
    Ann Intern Med 147:505-14. 2007
    ..Medications are the most frequently prescribed therapy for low back pain. A challenge in choosing pharmacologic therapy is that each class of medication is associated with a unique balance of risks and benefits...
  34. doi request reprint Opioids for chronic noncancer pain: prediction and identification of aberrant drug-related behaviors: a review of the evidence for an American Pain Society and American Academy of Pain Medicine clinical practice guideline
    Roger Chou
    The Oregon Evidence based Practice Center, Department of Medicine, Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
    J Pain 10:131-46. 2009
    ..No reliable evidence exists on accuracy of urine drug screening, pill counts, or prescription drug monitoring programs; or clinical outcomes associated with different assessment or monitoring strategies...
  35. doi request reprint Using evidence in pain practice: Part II: Interpreting and applying systematic reviews and clinical practice guidelines
    Roger Chou
    Oregon Evidence Based Practice Center, Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA
    Pain Med 9:531-41. 2008
    ..This article discusses how to evaluate applicability and clinical relevance of systematic reviews and clinical practice guidelines, and provides a framework for approaching clinical decisions when evidence is weak or conflicting...
  36. doi request reprint Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain
    Roger Chou
    Oregon Evidence Based Practice Center, Department of Medicine, Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
    J Pain 10:113-30. 2009
    ....
  37. doi request reprint Using evidence in pain practice: Part I: Assessing quality of systematic reviews and clinical practice guidelines
    Roger Chou
    Oregon Evidence Based Practice Center, Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA
    Pain Med 9:518-30. 2008
    ..A separate article discusses how to interpret and apply systematic reviews and clinical practice guidelines, particularly when evidence is weak or inconclusive, or when different systematic reviews or guidelines are discordant...
  38. pmc Gabapentin versus tricyclic antidepressants for diabetic neuropathy and post-herpetic neuralgia: discrepancies between direct and indirect meta-analyses of randomized controlled trials
    Roger Chou
    Oregon Evidence Based Practice Center, 3181 SW Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239, USA
    J Gen Intern Med 24:178-88. 2009
    ..Previous systematic reviews concluded that tricyclics antidepressants are superior to gabapentin for neuropathic pain, but were based on indirect comparisons from placebo-controlled trials...
  39. doi request reprint AHRQ series paper 4: assessing harms when comparing medical interventions: AHRQ and the effective health-care program
    Roger Chou
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Department of Medicine, 3181 SW Sam Jackson Park Road, Mail Code BICC, Portland, OR, USA
    J Clin Epidemiol 63:502-12. 2010
    ....
  40. doi request reprint Screening for osteoporosis: an update for the U.S. Preventive Services Task Force
    Heidi D Nelson
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR 97239 3098, USA
    Ann Intern Med 153:99-111. 2010
    ..This review updates evidence since the 2002 U.S. Preventive Services Task Force recommendation on osteoporosis screening...
  41. ncbi request reprint Rates of adverse events of long-acting opioids in a state Medicaid program
    Daniel M Hartung
    College of Pharmacy, Oregon State University, Oregon Health and Science University Campus, Portland, OR 97239, USA
    Ann Pharmacother 41:921-8. 2007
    ..Despite widespread use and emerging safety concerns, data on the comparative safety and effectiveness of long-acting opioid (LAO) analgesics are weak...
  42. ncbi request reprint Comparative efficacy and safety of long-acting oral opioids for chronic non-cancer pain: a systematic review
    Roger Chou
    Department of Medicine, Oregon Health and Science University, and Oregon Evidence Based Practice Center, Portland, Oregon, USA
    J Pain Symptom Manage 26:1026-48. 2003
    ..A subgroup of three studies on long-acting versus short-acting oxycodone was more homogeneous and provided fair evidence that these formulations are equally effective for pain control...
  43. ncbi request reprint Cost-effectiveness of echocardiography to identify intracardiac thrombus among patients with first stroke or transient ischemic attack
    Richard T Meenan
    Oregon Health and Science University Evidence based Practice Center, Portland, USA
    Med Decis Making 27:161-77. 2007
    ..The authors' objective was to evaluate the cost-effectiveness of imaging strategies that use transthoracic (TTE) and transesophageal (TEE) echocardiography for identifying intracardiac thrombus in new stroke patients...
  44. ncbi request reprint Screening for hepatitis C virus infection: a review of the evidence for the U.S. Preventive Services Task Force
    Roger Chou
    Oregon Health and Science University and the Veterans Affairs Medical Center, Portland, Oregon 97239, USA
    Ann Intern Med 140:465-79. 2004
    ..Hepatitis C virus (HCV) is the most common bloodborne pathogen in the United States and is an important cause of patient morbidity and mortality, but it is unclear whether screening to identify asymptomatic infected persons is appropriate...
  45. ncbi request reprint Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review
    Roger Chou
    Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA
    J Pain Symptom Manage 28:140-75. 2004
    ..Dantrolene, and to a lesser degree chlorzoxazone, have been associated with rare serious hepatotoxicity...
  46. doi request reprint Imaging strategies for low-back pain: systematic review and meta-analysis
    Roger Chou
    Oregon Health and Science University, Portland, OR, USA
    Lancet 373:463-72. 2009
    ..We investigated the effects of routine, immediate lumbar imaging versus usual clinical care without immediate imaging on clinical outcomes in patients with low-back pain and no indication of serious underlying conditions...
  47. doi request reprint Pharmacological management of low back pain
    Roger Chou
    Departments of Medicine, Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
    Drugs 70:387-402. 2010
    ....
  48. ncbi request reprint Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society
    Roger Chou
    Oregon Health and Science University, Portland, Oregon, USA
    Ann Intern Med 147:478-91. 2007
    ....
  49. ncbi request reprint Quality of adverse event assessment in randomized controlled trials and observational studies
    Roger Chou
    Mayo Clin Proc 78:119; author reply 119. 2003
  50. ncbi request reprint Correction: Diagnosis and treatment of low back pain
    Roger Chou
    Ann Intern Med 148:247-8. 2008
  51. ncbi request reprint Helical CT in the diagnosis of acute lower gastrointestinal haemorrhage
    Rohan Sabharwal
    Department of Radiology, Westmead Hospital, Sydney, NSW, Australia
    Eur J Radiol 58:273-9. 2006
    ..CT was compared to conventional angiography (CA) and colonoscopy for the diagnosis and detection of bleeding site in suspected cases of acute lower GIT bleeding...