Summary: Diagnostic, therapeutic, and investigative procedures prescribed and performed by health professionals, the results of which do not justify the benefits or hazards and costs to the patient.
Publications259 found, 100 shown here
- Effect of a practice-based strategy on test ordering performance of primary care physicians: a randomized trialWim H J M Verstappen
Center for Quality of Care Research, Department of General Practice, Maastricht University, Maastricht, The Netherlands
JAMA 289:2407-12. 2003..An innovative strategy that focused on clinical problems and associated tests was developed...
- Disclosing doubtful indications for emergency cesarean sections in rural hospitals in Tanzania: a retrospective criterion-based auditNanna Maaløe
Department of International Health, Immunology, and Microbiology, University of Copenhagen, Øster Farimagsgade 5, Copenhagen, Denmark
Acta Obstet Gynecol Scand 91:1069-76. 2012..To investigate in depth to what extent indications for emergency cesarean sections followed evidence-based audit criteria for realistic best practice...
- Caesarean section: the paradoxFernando Althabe
Perinatal Research Unit, Montevideo, Uruguay
Lancet 368:1472-3. 2006
- Unsafe injections in the developing world and transmission of bloodborne pathogens: a reviewL Simonsen
World Health Organization, Geneva, Switzerland
Bull World Health Organ 77:789-800. 1999..This situation needs to be addressed immediately, as a political and policy issue, with responsibilities clearly defined at the global, country and community levels...
- Prostate-specific antigen levels in the United States: implications of various definitions for abnormalH Gilbert Welch
VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
J Natl Cancer Inst 97:1132-7. 2005..5 ng/mL. We examined the effect of this lower threshold on the number of American men who would be labeled abnormal by a single PSA test...
- Is additional testing necessary in men with prostate-specific antigen levels of 1.0 ng/mL or less in a population-based screening setting? (ERSPC, section Rotterdam)Monique J Roobol
Department of Urology, Erasmus Medical Centre, Rotterdam, The Netherlands
Urology 65:343-6. 2005..Recently, it has been proposed to determine the rescreening interval relative to the initial prostate-specific antigen (PSA) level and possibly to extend the rescreening interval up to 5 years...
- Overuse of imaging for staging low risk prostate cancerWesley W Choi
Division of Urologic Surgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02130, USA
J Urol 185:1645-9. 2011..Routine imaging for staging low risk prostate cancer is not recommended according to current guidelines. We characterized patterns of care and factors associated with imaging overuse...
- Appropriate and inappropriate imaging rates for prostate cancer go hand in hand by region, as if set by thermostatDanil V Makarov
New York University School of Medicine, New York City, USA
Health Aff (Millwood) 31:730-40. 2012..Health care organizations need clearly defined quality metrics and supportive systems to encourage appropriate treatment for patients and to ensure that cost containment does not occur at the expense of quality...
- "Covering our backs": ambulance crews' attitudes towards clinical documentation when emergency (999) patients are not conveyed to hospitalA Porter
CHIRAL, School of Medicine, Swansea University, Swansea, SA2 8PP, UK
Emerg Med J 25:292-5. 2008..However, studies have suggested that documentation does not get completed for a large proportion of non-conveyed patients...
- Physician interpretation of electrocardiographic artifact that mimics ventricular tachycardiaB P Knight
Department of Internal Medicine, Division of Cardiology, University of Michigan Health System, Ann Arbor, Michigan 48109-0022, USA
Am J Med 110:335-8. 2001..are misdiagnosed with ventricular tachycardia because of electrocardiographic artifact may be subjected to unnecessary procedures. The purpose of this study was to determine how often electrocardiographic artifact is misdiagnosed as ..
- Influence of watchful waiting on satisfaction and anxiety among patients seeking care for unexplained complaintsMarloes A van Bokhoven
Department of General Practice Centre for Quality of Care Research, Maastricht University, School for Public Health and Primary Care CAPHRI, Maastricht, The Netherlands
Ann Fam Med 7:112-20. 2009..We undertook a study to determine whether test-ordering strategy and other consultation-related factors influence satisfaction with and anxiety after a consultation among patients seeking care for unexplained complaints...
- Screening panoramic radiology of adults in general dental practice: radiological findingsV E Rushton
Department of Dental Medicine and Surgery, University Dental Hospital of Manchester
Br Dent J 190:495-501. 2001..To identify the radiological findings from routine screening panoramic radiographs taken of adult (> or = 18 years) patients in general dental practice...
- Unnecessary imaging for the staging of low-risk prostate cancer is commonHugh J Lavery
Department of Urology, Mount Sinai Medical Center, New York, New York 10022, USA
Urology 77:274-8. 2011..International evidence-based best practice guidelines discourage routine imaging for staging purposes in low-risk patients with newly diagnosed prostate cancer...
- Effect of enhanced feedback and brief educational reminder messages on laboratory test requesting in primary care: a cluster randomised trialRuth E Thomas
Health Services Research Unit, University of Aberdeen, Aberdeen, UK
Lancet 367:1990-6. 2006..However, unnecessary use of laboratory tests is increasing. Our aim was to assess the effect of two interventions on the number of laboratory tests requested by primary-care physicians...
- The impact of peer management on test-ordering behaviorEric G Neilson
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA
Ann Intern Med 141:196-204. 2004..Laboratory testing of hospitalized patients, although essential, can be expensive and sometimes excessive. Attempts to reduce unnecessary testing have often been difficult to implement or sustain...
- Turf wars in radiology: the overutilization of imaging resulting from self-referralDavid C Levin
Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
J Am Coll Radiol 1:169-72. 2004..The authors estimate that the cost to the American health care system of unnecessary imaging resulting from self-referral by nonradiologists is $16 billion per year...
- Use of thoracic computed tomography by general practitionersGraham Simpson
Thoracic Medicine and Regional TB Control Unit, Cairns Base Hospital, Cairns, Queensland, Australia
Med J Aust 187:43-6. 2007..To audit requests for computed tomography (CT) examination of the chest emanating from general practitioners and assess the appropriateness and usefulness of these requests...
- Turf wars in radiology: other causes of overutilization and what can be done about itDavid C Levin
Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
J Am Coll Radiol 1:317-21. 2004..It is important for radiologists to be familiar with these issues and to support efforts to control overutilization...
- Interstitial cystitis in persistent posthysterectomy chronic pelvic painMaurice K Chung
Midwest Regional Center for Chronic Pelvic Pain, The Medical Park of Lima Memorial Hospital, Lima, Ohio, USA
JSLS 8:329-33. 2004..The objectives of this study were to investigate the prevalence of interstitial cystitis in patients with posthysterectomy chronic pelvic pain and to evaluate the efficacy of various therapies for interstitial cystitis...
- Understanding laboratory testing in diagnostic uncertainty: a qualitative study in general practiceTrudy van der Weijden
Department of General Practice, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
Br J Gen Pract 52:974-80. 2002..Better knowledge of the professional's motives for ordering laboratory tests in the case of diagnostic uncertainty may lead to interventions directed at reducing unnecessary testing...
- Blood test ordering for unexplained complaints in general practice: the VAMPIRE randomised clinical trial protocol. [ISRCTN55755886]Marloes A van Bokhoven
University of Maastricht, Care and Public Health Research Institute Caphri, Department of General Practice Centre for Quality of Care Research, PO Box 616, 6200 MD, Maastricht, The Netherlands
BMC Fam Pract 7:20. 2006....
- Quality of care for patients hospitalized for acute exacerbations of chronic obstructive pulmonary diseasePeter K Lindenauer
Division of Healthcare Quality, Baystate Medical Center and Tufts University School of Medicine, Springfield, Massachusetts 01199, USA
Ann Intern Med 144:894-903. 2006..Acute exacerbation of chronic obstructive pulmonary disease (COPD) is 1 of the 10 leading causes of hospitalization among adults in the United States...
- What makes general practitioners order blood tests for patients with unexplained complaints? A cross-sectional studyHelen Koch
Division of Clinical Methods and Public Health, Department of General Practice, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
Eur J Gen Pract 15:22-8. 2009..Approximately 13% of consultations in general practice involve patients with unexplained complaints (UCs). These consultations often end with general practitioners (GPs) ordering blood tests of questionable diagnostic informativeness...
- Are rural general practitioner--obstetricians performing too many prenatal ultrasound examinations? Evidence from western LabradorE Thompson
University of Alberta, Edmonton
CMAJ 158:307-13. 1998....
- Is the KUB radiograph redundant for investigating acute ureteric colic in the non-contrast enhanced computed tomography era?S J Kennish
Department of Radiology, St James University Hospital, Leeds, UK
Clin Radiol 63:1131-5. 2008..To establish whether non-contrast enhanced computed tomography (NCCT) renders the kidneys-ureters-bladder (KUB) radiograph redundant as the initial imaging investigation for suspected acute ureteric colic...
- Assessment of mandibular invasion of squamous cell carcinoma by various modes of imaging: constructing a diagnostic algorithmE M van Cann
Department of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands
Int J Oral Maxillofac Surg 37:535-41. 2008..The suggested, preferred, diagnostic algorithm shortens the preoperative screening process, avoiding unnecessary costs, as well as considerably reducing the number of unnecessary mandibular resections...
- [The value of ultrasound diagnosis in "acute appendicitis" patient admission]S Sidler
Medizinische Klinik, Spital Frutigen, Frutigen
Swiss Surg 9:297-306. 2003..The rate of unnecessary appendectomy is frequently criticized. Today, sonography and CT-scan are helpful tools to minimize this rate. Which value has the ultrasonography in the decision making today?..
- Clinical utility of antinuclear antibody tests in childrenJulie L McGhee
Department of Pediatrics, University of Oklahoma College of Medicine, Oklahoma City, OK, USA
BMC Pediatr 4:13. 2004..We sought to determine the clinical utility of ANA tests in screening children for rheumatic disease and to determine whether there are specific signs or symptoms that enhance the clinical utility of ANA tests in children...
- Influence of imaging on the negative appendectomy rate in pregnancyCarmelita A Wallace
Department of Surgery, Brigham and Women s Hospital Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
J Gastrointest Surg 12:46-50. 2008..05). Our data documents a very high negative appendectomy rate in the pregnant patient. We recommend an ultrasound followed by a CT scan in patients with a normal or inconclusive ultrasound...
- Measurement of serum antinuclear antibody titer in dogs with and without systemic lupus erythematosus: 120 cases (1997-2005)Nicole M Smee
Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS 66506 5701, USA
J Am Vet Med Assoc 230:1180-3. 2007..To determine serum antinuclear antibody (ANA) titers in dogs with systemic lupus erythematosus (SLE) and in dogs with related clinical and clinicopathologic findings...
- Are routine cranial ultrasounds necessary in premature infants greater than 30 weeks gestation?N Ja Neice Harris
Division of Neonatology, University of Texas Medical Branch, Galveston, Texas, USA
Am J Perinatol 24:17-21. 2007..04). Our study supports the recommendation by the American Academy of Neurology and the Child Neurology Society that screening US can be limited but suggests that the gestational age cut off should be 30 weeks or less...
- A utilization management intervention to reduce unnecessary testing in the coronary care unitThomas J Wang
Massachusetts General Hospital, Wang Ambulatory Care Center 478, 15 Parkman St, Boston, MA 02114, USA
Arch Intern Med 162:1885-90. 2002..There have been no studies of interventions to reduce test utilization in the coronary care unit...
- An audit of electroencephalography requests: use and misuseK M Pearce
St George s, University of London, Cranmer Terrace, London SW17 ORE, UK
Seizure 15:184-9. 2006..To investigate whether electroencephalogram (EEG) requests at St George's Hospital (SGH) are being made according to clinical guideline recommendations...
- Emergency department evaluation of ventricular shunt malfunction: is the shunt series really necessary?Raymond Pitetti
Division of Pediatric Emergency Medicine, Children s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA
Pediatr Emerg Care 23:137-41. 2007..We hypothesized, however, that in the context of a cranial CT scan that did not demonstrate a shunt malfunction, obtaining the shunt series would not prove to be clinically useful...
- Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosisJayashri Srinivasan
Department of Neurology, Lahey Clinic, 41 Mall Road, Burlington, Massachusetts 01805, USA
Muscle Nerve 34:359-60. 2006..Misdiagnosis of early ALS may lead to unnecessary surgeries with their attendant potential complications...
- Routine interval computed tomography to detect new soft-tissue disease might be unnecessary in patients with androgen-independent prostate cancer and metastasis only to boneShenhong L Wu
Medical Oncology Branch, Center for Cancer Research, National Cancer Institute NIH, 10 Center Drive, Bethesda, MD 20892, USA
BJU Int 99:525-8. 2007....
- Can ophthalmic requests for neuroimaging be improved?J P Mathews
Department of Ophthalmology, Bolton Hospitals NHS Trust, Bolton, UK
Eye (Lond) 18:290-2. 2004..To review and set guidelines for all neuroradiological referrals from the ophthalmic service in a typical UK district general hospital...
- [Evaluation of efficacy and clinical impact of FDG-PET on patients with suspicion of recurrent cutaneous melanoma]I Borrego Dorado
Unidad de Diagnóstico de Medicina Nuclear, Hospital Universitario Virgen del Rocio, Sevilla, Espana
Rev Esp Med Nucl 25:301-11. 2006..To evaluate the efficacy and clinical impact of positron emission tomography with 18F-FDG (FDG-PET) in patients with suspected recurrent melanoma...
- Do ASGE guidelines for the appropriate use of colonoscopy enhance the probability of finding relevant pathologies in an open access service?G Bersani
Gastrointestinal Endoscopy Service of Malatesta Novello Hospital, Cesena, Italy Post graduate School of Gastroenterology, University of Ferrara, Ferrara, Italy
Dig Liver Dis 37:609-14. 2005....
- Appropriateness of colonoscopy using the ASGE guidelines: experience in a large Asian hospitalT H Chan
Division of Gastroenterology and Hepatology, Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia
Chin J Dig Dis 7:24-32. 2006....
- Predictive value of preoperative transthoracic echocardiography in patients undergoing adrenalectomy for pheochromocytomaB Devaux
Department of Anaesthesia and Critical Care, université Paris V René Descartes, Hopital Cochin, Assistance Publique, Hopitaux de Paris, Paris, France
Acta Anaesthesiol Scand 48:711-5. 2004..Adrenalectomy for pheochromocytoma is a life-threatening procedure. Few echocardiographic assessments have been reported in patients undergoing adrenalectomy for pheochromocytoma...
- [Early use of CT in the management of acute diverticulitis of the colon]J Martín Arévalo
Departamento de Cirugia General y Digestiva, Unidad de Coloproctologia, Hospital Clinico de Valencia, Universidad de Valencia
Rev Esp Enferm Dig 99:320-4. 2007..To assess the early use of CT for the diagnosis, staging, and management of acute diverticulitis...
- Repeat needle biopsies combined with clinical observation are safe and accurate in the management of a solitary pulmonary noduleJames A Welker
Hospitalist Section, Department of Internal Medicine, Harbor Hospital Center, Baltimore, Maryland, USA
Cancer 103:599-607. 2005..Sixty percent of removed solitary pulmonary nodules (SPNs) are benign. An approach that reduces the unnecessary excision of benign nodules is consistent with the oncologic objective of organ preservation...
- Routine pouchograms are not necessary after continent urinary diversionMurali K Ankem
Division of Urology, Department of Surgery, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Urology 63:435-7. 2004..Pouchograms are routinely performed before catheter removal after continent urinary diversion at our institution. Our aim was to determine the necessity of pouchograms based on a review of our experience...
- Is the routine check nephrostogram following percutaneous antegrade ureteric stent placement necessary?Keng Chuan Soh
Yong Loo Lin School of Medicine MD11, National University of Singapore, 10 Medical Drive, Singapore 117597, Singapore
Cardiovasc Intervent Radiol 31:604-9. 2008..Percutaneous antegrade ureteric stent placement is a safe and effective means of relief for ureteric obstruction. The check nephrostogram following ureteric stent placement was unnecessary in the majority of patients...
- Routine testing for IgG antibodies against hepatitis A virus in IsraelNoah Samuels
Maccabi Healthcare Services, 130 Rachmilevich Street, Jerusalem 97791, Israel
BMC Public Health 5:60. 2005..This study examines the benefits of routine testing for anti-HAV IgG in high-risk population...
- [An analysis of avoidable admissions to a neurology service]G Més-Sesé
Servicio de Neurologia, Hospital General Universitario de Elche, 03203 Elche, Espana
Rev Neurol 43:714-8. 2006..Most admissions to a hospital service come from the emergency department. The presence of a neurologist to attend hospital emergencies would be an important factor allowing admission criteria to be streamlined...
- Is there still an indication for nursing patients with prolonged neutropenia in protective isolation?. An evidence-based nursing and medical study of 4 years experience for nursing patients with neutropenia without isolationArno Mank
Dutch Study Group of Bone Marrow Transplantation Nurses LOVesT, Academic Medical Centre, University of Amsterdam, 1100 DE Amsterdam, The Netherlands
Eur J Oncol Nurs 7:17-23. 2003....
- Is direct large loop electric excision for the transformation zone reasonable in the investigation of high-grade squamous intraepithelial lesions in cervical smears?K Y Ng
Department of Obstetrics and Gynecology, Cardinal Tien Hospital and Fu Jen Catholic University School of Medicine, Hsin Tien City, Taipei Hsien, Taiwan, ROC
Eur J Gynaecol Oncol 25:61-5. 2004....
- [Is adrenalectomy an indispensable part of nephrectomy? Results of a multivariate statistical analysis]M Kuczyk
Klinik für Urologie, Medizinische Hochschule Hannover
Urologe A 42:366-73. 2003..As we believe and as the current investigation demonstrates, routine adrenalectomy should not be recommended in cases of preoperatively normal radiological examinations...
- CT scans may not reduce the negative appendectomy rate in childrenAbigail E Martin
Division of Pediatric Surgery, Department of Surgery, The Ohio State University College of Medicine and Public Health, Columbus, OH, USA
J Pediatr Surg 39:886-90; discussion 886-90. 2004..Concern about an increased lifetime risk of cancer in children who have undergone a single computed tomography (CT) scan prompted us to review utilization of this diagnostic test in our appendicitis population...
- Role of fiberscopic transbronchial needle aspiration in the staging of N2 disease due to non-small cell lung cancerMarco Patelli
Department of Thoracic Diseases, Maggiore Bellaria Hospitals, Bologna, Italy
Ann Thorac Surg 73:407-11. 2002..The aim of this study was to assess the yield of TBNA performed with either histology or cytology needles in mediastinal staging of N2 disease due to non-small cell lung cancer (NSCLC)...
- Are negative appendectomies still acceptable?Kory Jones
Department of Surgery, Methodist Hospitals of Dallas, PO Box 655999, 1441 North Beckley Avenue, Dallas, TX 75265 5999, USA
Am J Surg 188:748-54. 2004..The goal was to ascertain if there was a significant change in the negative appendectomy (NA) rate in our community hospital with the increased use of computed tomography (CT)...
- [Superfluous computed tomography utilization for the evaluation of the pelvis and spinal column in an orthopedic emergency department]Bulent Daglar
Department of Orthopedics and Traumatology 4 Ortopedi ve Travmatoloji Kliniği, Ankara Numune Training and Research Hospital, Ankara, Turkey
Acta Orthop Traumatol Turc 42:59-63. 2008....
- CT scan in patients with suspected appendicitis: clinical implications for the acute care surgeonM Petrosyan
Division of Emergency Surgery, Department of Surgery, Keck School of Medicine of University of Southern California and Los Angeles County USC Medical Center, Los Angeles, Calif, USA
Eur Surg Res 40:211-9. 2008..To determine the influence of computed tomography (CT) scans on diagnosis and management of patients with suspected appendicitis...
- MRI is unnecessary to clear the cervical spine in obtunded/comatose trauma patients: the four-year experience of a level I trauma centerNestor D Tomycz
Departments of Neurological Surgery, University of Pittsburgh Medical Center, PA, USA
J Trauma 64:1258-63. 2008..However, currently available data are inconclusive as to the necessity of MRI in the C-spine clearance of obtunded or comatose trauma patients with a normal CT...
- Scanning beyond anatomic limits of the thorax in chest CT: findings, radiation dose, and automatic tube current modulationJustin Campbell
Department of Radiology, Massachusetts General Hospital, Boston, MA 02114, USA
AJR Am J Roentgenol 185:1525-30. 2005....
- Appendicitis: selective use of abdominal CT reduces negative appendectomy rateGregory M DeArmond
University of Texas Health Sciences Center, San Antonio 78229 3900, USA
Surg Infect (Larchmt) 4:213-8. 2003....
- [Screening for bacteriuria in diabetic patients. Is it possible to stop systematic urine cytobacteriological testing?]R Girard
Unité d Hygiène et Epidémiologie, Centre Hospitalier Lyon Sud, 69495 Pierre Benite Cedex, France
Med Mal Infect 36:219-22. 2006..Bacteriuria was considered significant if the laboratory test result gave, at least 10(5) bacteria per mL, (one strain), and at least 10(4) leucocytes. The out point was the dipstick negative predictive value (NPV)...
- Requests for electroencephalography in a district general hospital: retrospective and prospective auditD Smith
Department of Neurology, Walton Centre for Neurology and Neurosurgery, Fazakerley, Liverpool L9 7LJ, UK
BMJ 322:954-7. 2001..Systematic replication of this project, possibly on a regional basis, could result in financial savings, which would allow development of accessible local neurophysiology services...
- [Evaluation of an internal guideline for the diagnostics of deep vein thrombosis]Andreas Waltering
DIeM Institut für evidenzbasierte Medizin, Koln
Med Klin (Munich) 102:612-6. 2007....
- Focal asymmetric breast density: mammographic, sonographic and pathological correlation in 97 lesions--a call to restrain biopsiesFani Sperber
Department of Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Isr Med Assoc J 9:720-3. 2007..The imaging parameters that mandate further diagnostic workup in focal asymmetric breast densities are not clearly defined...
- Impact of the cardiac troponin testing algorithm on excessive and inappropriate troponin test requestsQing H Meng
Department of Pathology and Laboratory Medicine, College of Medicine, University of Saskatchewan, and Saskatoon Health Region, Saskatoon, Canada
Am J Clin Pathol 126:195-9. 2006..The cTnI testing algorithm reduced unnecessary orders for cTnI tests with no reduction in meeting patients'critical needs. Reduction in unnecessary and inappropriate requests reduces labor and test costs...
- Routine pre-operative blood testing: is it necessary?R K Johnson
Departments of Surgery and Anaesthesia, Wythenshawe Hospital, South Manchester University Hospitals Trust, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK
Anaesthesia 57:914-7. 2002..In only 57% of cases were the results present in the medical notes at the time of surgery. It is conservatively estimated that a saving of pound 50 000 per year could be made in our hospital alone by selective ordering of tests...
- [Effect of new technologies on diagnosis and therapy of acute appendicitis]D Gianom
Chirurgische Klinik, Kantonsspital Winterthur, Winterthur
Praxis (Bern 1994) 91:275-84. 2002..In the case where ultrasonography reveals no appendicitis, negative appendectomy rate is 31%. In this situation further abdominal exploration and thus diagnostic laparoscopy and laparoscopic appendectomy is indicated...
- Odontoid lateral mass asymmetry: do we over-investigate?J A Harty
Department of Orthopaedics, St Vincent s University Hospital, Dublin, Ireland
Emerg Med J 22:625-7. 2005....
- Appropriateness of urea breath test: a prospective observational study based on Maastricht 2000 guidelinesF Perri
Division of Gastroenterology, CSS Hospital, IRCCS, San Giovanni Rotondo, Italy
Aliment Pharmacol Ther 16:1443-7. 2002..The urea breath test is routinely used for diagnosing or confirming the eradication of Helicobacter pylori...
- Inductionless or limited shock testing is possible in most patients with implantable cardioverter- defibrillators/cardiac resynchronization therapy defibrillators: results of the multicenter ASSURE Study (Arrhythmia Single Shock Defibrillation Threshold TJohn D Day
Utah Heart Clinic Arrhythmia Service, LDS Hospital, 324 10th Ave, 206, Salt Lake City, UT 84103, USA
Circulation 115:2382-9. 2007....
- Which children could benefit from additional diagnostic tools in case of suspected appendicitis?W T Van den Broek
Department of Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands
J Pediatr Surg 39:570-4. 2004..The aim of this study was to develop a scoring system to identify this subgroup of children...
- A parallel approach: the impact of schuss radiography of the degenerate knee on clinical managementJ F S Ritchie
Department of Orthopaedics, Kent and Sussex Hospital, Royal Tunbridge Wells, UK
Knee 11:283-7. 2004..By reducing non-therapeutic arthroscopies it may significantly reduce total number of operations to be performed in this patient group...
- Screening for abdominal injury prior to emergent extra-abdominal trauma surgery: a prospective studyRichard P Gonzalez
University of South Alabama, Department of Surgery, 2451 Fillingim St, Mobile AL 36695, USA
J Trauma 57:739-41. 2004..To prospectively evaluate the necessity of abdominal screening with computed tomography (CT) in awake and alert blunt trauma patients that require emergent extra-abdominal trauma surgery...
- Is antibody screening in Rh (D)-positive pregnant women necessary?S Lurie
Women s Health Center, Netka, Tel Aviv, Israel
J Matern Fetal Neonatal Med 14:404-6. 2003..The purpose of this study was to assess the incidence of blood type antibodies other than Rh (D) in pregnant women attending for prenatal care in a typical urban population...
- Should we continue screening rhesus D positive women for the development of atypical antibodies in late pregnancy?A A Adeniji
Hull and East Yorkshire Hospitals, Hull Royal Infirmary, Hull, UK
J Matern Fetal Neonatal Med 20:59-61. 2007....
- Value of routine urine culture in the assessment of preterm laborAndrew F Hundley
Departments of Obstetrics, Gynecology and Reproductive Biology and of Microbiology, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
J Reprod Med 48:853-7. 2003..To assess the utility and expense of routine urine culture in women evaluated for preterm labor...
- Inflammatory pseudotumor of the liver: demographics, diagnosis, and the case for nonoperative managementJonathan B Koea
Upper Gastrointestinal Hepatobiliary Unit, Department of Surgery, Auckland Hospital, Auckland, New Zealand
J Am Coll Surg 196:226-35. 2003..Inflammatory pseudotumor of the liver (IPL) is an unusual tumor-like condition that is becoming recognized as an important differential diagnosis in the patient presenting with liver masses. This report describes six cases of IPL...
- Negative appendectomy and imaging accuracy in the Washington State Surgical Care and Outcomes Assessment ProgramJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, WA, USA
Ann Surg 248:557-63. 2008..The Surgical Care and Outcomes Assessment Program (SCOAP) gathers chart-abstracted process of care data (such as CT/US accuracy) for general surgical procedures (including appendectomy) at most Washington State hospitals...
- Actual versus instructed fasting times and associated discomforts in women having scheduled cesarean birthJeannette T Crenshaw
Texas Health Resources, The Center for Learning Dallas, Presbyterian Hospital of Dallas, Dallas, TX 75231 4496, USA
J Obstet Gynecol Neonatal Nurs 35:257-64. 2006....
- Diagnosis and treatment of acute otitis media: an assessmentJane Garbutt
Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri, USA
Pediatrics 112:143-9. 2003..To assess compliance with the Centers for Disease Control and Prevention (CDC) evidence-based guidelines for the judicious use of antimicrobials in children with acute otitis media (AOM)...
- Blood transfusion requirements in bimaxillary osteotomiesD K Dhariwal
Maxillofacial Unit, Morriston Hospital, Swansea SA6 6NL, Wales, UK
Br J Oral Maxillofac Surg 42:231-5. 2004..We recommend that the tariff for ordering blood for bimaxillary osteotomies should be revised to a "group and save" with antibody screen, providing that a 30-min indirect antibody cross-match is available...
- [Pictorial essay. Infarction of the greater omentum: can US and CT findings help to avoid surgery?]B Coulier
Département d Imagerie Médicale, Clinique Saint Luc, Bouge, Namur, Belgique
JBR-BTR 85:193-9. 2002..Even though US may be efficient if performed by a well-trained echographist, CT appears to be the procedure of choice as it is operator independent and reliable for excluding mimicking surgical conditions or associated pathology...
- Lipomatous hypertrophy of the interatrial septum: a commonly misdiagnosed mass often leading to unnecessary cardiac surgeryI Nadra
Department of Cardiology, National Heart and Lung Institute, Imperial College, Hammersmith Hospital, Du Cane Road, London W12 0HS, UK
Heart 90:e66. 2004..In such cases an increased awareness of this lesion along with the opinion of a specialist echocardiologist would help to avoid a misdiagnosis and unnecessary intervention...
- Diagnostics in assisted human reproductionJuan Manuel Montoya
Unidad de Fertilidad del Country, Conceptum, Bogota, Colombia Carrera 16 82 29 Piso 7, Italy
Reprod Biomed Online 5:198-210. 2002..usually anxious and eager and will do almost anything to have a child, care must be taken to avoid exploitation of their hopes with unnecessary procedures. This text now reviews and updates the procedures used to investigate infertility.
- Role of magnetic resonance in characterising extrahepatic cholangiocarcinomasA Guarise
Istituto di Radiologia, Ospedale Ca Foncello, Treviso, Italy
Radiol Med 111:526-38. 2006....
- Focal pancreatitis mimicking pancreatic mass: magnetic resonance imaging (MRI)/magnetic resonance cholangiopancreatography (MRCP) findings including diffusion-weighted MRIA J Momtahen
Department of Radiology, St Louis University Hospitals, St Louis, Missouri 63110, USA
Acta Radiol 49:490-7. 2008Focal pancreatitis (FP) is a confined inflammation that mimics a pancreatic mass. Its imaging diagnosis is important to avoid unnecessary procedures.
- Spontaneous intracranial hypotension: clinical and neuroimaging findings in six cases with literature reviewA Haritanti
Department of Radiology, Aristotele s University School of Medicine, AHEPA University Hospital, 54636 Thessaloniki, Greece
Eur J Radiol 69:253-9. 2009..Delayed diagnosis of this condition may subject patients to unnecessary procedures and prolong morbidity...
- Long-term results of a second endoscopic third ventriculostomy in children: retrospective analysis of 40 casesPaola Peretta
Department of Pediatric Neurosurgery, Regina Margherita Children s Hospital, Turin, Italy
Neurosurgery 65:539-47; discussion 547. 2009....
- Neuromuscular evaluation of post-orthodontic stability: an experimental protocolVirgilio F Ferrario
Functional Anatomy Research Center FARC, Dipartimento di Anatomia Umana Facoltà di Medicina e Chirurgia, Facoltà di Scienze Motorie Università degli Studi di Milano, Italy
Int J Adult Orthodon Orthognath Surg 17:307-13. 2002..To quantify the influence of masticatory muscles on post-treatment relapse, and in an attempt to avoid unnecessary procedures, 2 male orthodontic patients (13 and 30 years old at debonding) were followed up...
- Out-of-hospital intravenous access: unnecessary procedures and excessive costM Gausche
Department of Emergency Medicine, UCLA School of Medicine, Harbor UCLA Medical Center, Torrance, CA 90509 2910, USA
Acad Emerg Med 5:878-82. 1998..To evaluate the concordance with criteria developed by the study investigators and supply costs associated with placement of i.v. lines and saline locks by paramedics in the out-of-hospital setting...
- Thoracoscopic application of a topical sealant for the management of persistent posttraumatic pneumothoraxEddy H Carrillo
Division of Trauma Services, Memorial Regional Hospital, 3501 Johnson Street, Hollywood, FL 33021, USA
J Trauma 60:111-4. 2006..Currently, most patients are managed with pleural chest tube(s) and suction drainage. Prolonged hospital stay and added cost of care are not uncommon...
- Hospital and long-term outcome after percutaneous endoscopic gastrostomyBrian M Smith
Department of Surgery, University of Toledo College of Medicine, Toledo, OH, USA
Surg Endosc 22:74-80. 2008..The objective of the study was to determine hospital and long-term survival in patients who receive PEG while hospitalized for medical or surgical reasons...
- Association of cervical cryotherapy with inadequate follow-up colposcopyRhonda A Sparks
Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th St, Oklahoma City, OK 73104, USA
J Fam Pract 51:526-9. 2002..We studied the anatomic changes that occur in the ectocervix after cryotherapy and the role these changes play in the adequacy of follow-up colposcopic examination...
- Intraoperative assessment of endoscopic third ventriculostomy successJeffrey P Greenfield
Department of Neurological Surgery, New York Presbyterian Hospital Cornell Medical Center, New York, NY 10021, USA
J Neurosurg Pediatr 2:298-303. 2008..The creation of a uniform scale with predictive outcomes may reduce returns to the operating room for shunt treatment and reliance on postoperative externalized ventricular monitoring and MR imaging...
- Tissue harmonic sonography in the diagnosis of common bile duct stones: a comparison with endoscopic retrograde cholangiographyTomás Ripollés
Department of Radiology, Hospital Universitario Dr Peset, 90 Gapar Aguilar Avenue, Valencia 46017, Spain
J Clin Ultrasound 37:501-6. 2009....
- The diagnosis and treatment of Munchausen's syndromeJeff C Huffman
Department of Psychiatry, Massachusetts General Hospital and McLean Hospital, Harvard Medical School, Boston, MA 02114, USA
Gen Hosp Psychiatry 25:358-63. 2003..Such management includes avoiding unnecessary procedures, preventing further self-harm, and avoiding angry or threatening interactions with the patient...
- Imaging characteristics of malignant lesions of the male breastLina Chen
Department of Radiology, University of California, 200 UCLA Medical Plaza, Room 165 47, Los Angeles, CA 90095 6952, USA
Radiographics 26:993-1006. 2006..between benign and malignant masses is critical because it alleviates patient anxiety and allows unnecessary procedures to be avoided...
- Macro-amylasemia in a patient with selective IgA deficiency and antiphospholipid antibodiesNuran Turkcapar
Department of Clinical Immunology, Ankara University, School of Medicine, Ankara, Turkey
Turk J Gastroenterol 17:140-3. 2006..It is important that clinicians be aware of their existence in order to avoid unnecessary procedures and that the patient is informed of the macro-amylasemia; moreover, it should be stated in the patient's ..
- Immunohistochemical detection of p16INK4a in liquid-based cytology specimens on cell block sectionsHaiyan Liu
Department of Pathology, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
Cancer 111:74-82. 2007..To further improve the diagnostic accuracy of the ASC-H Papanicolaou smear and to reduce unnecessary procedures, the authors evaluated the utility of immunodetection of p16 in liquid-based cytology specimens on cell ..
- Anorectal cytology as a screening tool for anal squamous lesions: cytologic, anoscopic, and histologic correlationMaria A Friedlander
Memorial Sloan Kettering Cancer Center, New York, New York 10021, USA
Cancer 102:19-26. 2004..It is important to recognize these differences because they can lead to an erroneous diagnosis of dysplasia and unnecessary procedures.
- Validation of a brief self-administered questionnaire for cluster headache screening in a tertiary centerVirginie Dousset
Centre douleur chronique, Hopital Pellegrin, Bordeaux, France
Headache 49:64-70. 2009..Early neurologic referral is indicated in patients with a suspected diagnosis of cluster headache (CH) so that management can be optimized and unnecessary procedures avoided.
- Systematic extended and saturation prostate biopsy: when and howV Scattoni
Department of Urology, Vita Salute University, H San Raffaele Scientific Institute, Milan, Italy
Minerva Urol Nefrol 62:179-92. 2010..Complementary imaging methods might be adopted in order to reduce the number of unnecessary procedures ...
- SAPHO Syndrome Diagnosis and Treatment: Report of Five Cases and Review of the LiteratureCh Matzaroglou
Department of Orthopaedic Surgery, University of Patras Medical School, Patras, Greece
Open Orthop J 3:100-6. 2009..SAPHO diagnosis is even more difficult when atypical sites are involved and there are no skin lesions...
- Improving Antibiotic Use in Acute Care SettingsRalph Gonzales; Fiscal Year: 2006..Specific Aim 2: To evaluate the impact of a rapid diagnostic test for c-reactive protein on antibiotic use for adults with acute cough illness when added to a multidimensional intervention. ..
- PET/CT Imaging of Malignant Brain Tumors with 124I-NM404Jamey P Weichert; Fiscal Year: 2013..necrosis from tumor recurrence which can lead to false positive findings that may subject patients to unnecessary procedures and/or treatments. Clearly, new diagnostic and management strategies are needed for these patients...
- Quantitative Subharmonic Breast ImagingFlemming Forsberg; Fiscal Year: 2013..However, 80 % of all breast biopsies performed today are benign and these unnecessary procedures markedly increase healthcare costs, while causing immense anxiety to the women undergoing them...
- When Less is More: Changing Cervical Cancer Screening GuidelinesMichelle Silver; Fiscal Year: 2013..that test intervals can be safely extended and doing so would reduce false-positive results, harm from unnecessary procedures, and improve cost-effectiveness of care...
- Preventing ethical disasters in the practice of medicineJames M DuBois; Fiscal Year: 2013..of the more common forms of serious wrongdoing are abuse of prescription privileges (APPs), fraudulent unnecessary procedures (FUPs), and sexual abuse of patients (SAPs)...
- Novel Nanoscale Single-Cell Analysis of Exfoliative CytologyYang Liu; Fiscal Year: 2013..this technique could be used to support conventional cytology for accurate, quantitative, high-speed, comprehensive and cost-effective cytological analysis to improve the diagnostic accuracy and prevent costly unnecessary procedures.
- Low-Dose MRI-Compatible Molecular Breast Imaging DeviceIRVING WEINBERG; Fiscal Year: 2013..MRI may have a high false positive rate (with specificity reported as low as 81%), which can lead to many unnecessary procedures or even over-treatment...
- SPECIMEN BASED ACCURACY OF CAROTID STENOSIS EVALUATIONDavid Saloner; Fiscal Year: 1999..Improvements in the predictive value of diagnostic imaging will result in significant savings to the health care system by reducing unnecessary procedures, and by more appropriately selecting patients for surgery.
- Abnormal Megakaryocyte DevelopmentDIANA GILLIGAN; Fiscal Year: 2006..inherited thrombocytopenia, potentially leading to earlier identification, better therapies, and avoiding unnecessary procedures when an incorrect diagnosis is made...
- Surveillance Strategies Following Treatment for CINJoy Melnikow; Fiscal Year: 2007..To reduce further the incidence and mortality of cervical cancer in developed countries while avoiding unnecessary procedures and conserving resources is a challenge that confronts clinicians and health policy makers...
- Methodology of Phase I and II trials of anticancer CAMAndrew Vickers; Fiscal Year: 2004....
- Assessing Treatment-Related Harms in Prostate CancerH Welch; Fiscal Year: 2007..The entire process will be repeated on a cohort of men who receive a transurethral resection of the prostate. ..
- STAT3 in the Pathogenesis and Treatment of Pancreatic CancerDavid Frank; Fiscal Year: 2007..We will test these drugs to determine whether they can be prototypes for a novel targeted form of therapy for this disease. [unreadable] [unreadable] [unreadable]..
- Expired CO2/O2 Analysis to Diagnose Pulmonary EmbolismJEFFREY KLINE; Fiscal Year: 2008..This project will fund a clinical study designed to test the diagnostic accuracy of a hand- held breath device that detects the altered gas exchange physiology caused by PE in post-surgical and other patients at high risk for PE. ..
- RISK FACTORS AS PREDICTORS OF ECTOPIC PREGNANCYKurt T Barnhart; Fiscal Year: 2010....
- A Community-shared Clinical Abstract to Improve CareDONALD CONNELLY; Fiscal Year: 2007..abstract_text> ..
- HIGH ENERGY IONS AND GENOMIC INSTABILITYEric Hall; Fiscal Year: 2001....
- Detecting Axonal Damage After Mild Traumatic Brain InjuryJeffrey Bazarian; Fiscal Year: 2009....
- High Throughput Screening for Modulators of STAT5 (RMI)David Frank; Fiscal Year: 2004..The ultimate goal is the development of compounds that will act as targeted therapies for human cancers. ..
- The Impact of Outcomes on Transplant Center ChoiceDavid Howard; Fiscal Year: 2004..Using these estimates, we will simulate the impact of changes in survival rates on market shares for the groups of patients mentioned above. ..
- STAT SIGNALING IN CHRONIC LYMPHOCYTIC LEUKEMIADavid Frank; Fiscal Year: 2003..As a result of these experiments, we plan to discern the role of STATs in the abnormal growth of CLL cells, and to identify targets for novel and specific therapies. ..
- Surgical Care and Outcomes Assessment Program Comparative Effectiveness ResearchDavid R Flum; Fiscal Year: 2010..Surgical and interventional services span the continuum of healthcare conditions and SCOAP CERTN will have immediate capacity for investigators interested in almost any of AHRQ's priority conditions. ..
- Surrogate markers for Severe Pulmonary EmbolismJEFFREY KLINE; Fiscal Year: 2005..This study will determine if criteria that are widely and immediately available in most hospitals can be used to risk-stratify severity of PE and to clarify the role of nonmalignant thrombophilias on the prognosis of PE. ..
- A RANDOMIZED CONTROLLED TRIAL OF ECHINACEA IN CHILDRENJames Taylor; Fiscal Year: 2001..abstract_text> ..
- Vessel Remodeling During Ductus Arteriosus ClosureRonald I Clyman; Fiscal Year: 2010..These studies should increase our understanding of the mechanisms that prevent the preterm DA from closing and remodeling after birth. ..
- The Feasibility of Assessing the Prevalence of RicketsJames Taylor; Fiscal Year: 2006..In addition to assessing possible methodologies for the larger project, the preliminary study is designed to yield standalone results with important implications. [unreadable] [unreadable] [unreadable]..
- Pretest Probability Assessment for Pulmonary EmbolismJEFFREY KLINE; Fiscal Year: 2005..In phase III, we will test the validity of the PE PREtest Consult TM and determine if the use of the PE PREtest ConsultTM will decrease unnecessary testing for PE. ..
- Epidemiology of Traumatic Brain InjuryJeffrey Bazarian; Fiscal Year: 2005....
- RCT to evaluate guidelines for acute rhinosinusitisJane Garbutt; Fiscal Year: 2008..In addition, knowledge gained from this research could be used to decrease the inappropriate use of antibiotics. [unreadable] [unreadable]..
- Osteopuncture for OA-Associated Knee Pain & DisabilityDebra Weiner; Fiscal Year: 2005..In addition, mechanisms of action will be explored, and the impact of osteopuncture on health care costs determined. ..
- Socio-Technical Probabilistic Risk Assessment in Home Health CareMichael Silver; Fiscal Year: 2007..Home health providers will be able to use this information to develop better care processes and to keep more people at home and out of the hospital. [unreadable] [unreadable] [unreadable]..
- Global Summit on International Breast Health-ImplementationBenjamin Anderson; Fiscal Year: 2007..The resulting 2007 Implementation Guidelines will serve as a practical medical tool providing functional real world examples of "how to implement" best practices with limited health care resources. [unreadable] [unreadable] [unreadable]..
- UW Multidisciplinary Clinical Research Training (RMI)Richard Deyo; Fiscal Year: 2004....
- Ventricular Size and Valve Calcification Measures by CTMatthew J Budoff; Fiscal Year: 2010..abstract_text> ..
- Complications of Surgery for Spinal Stenosis: A Clinical Prediction RuleRichard A Deyo; Fiscal Year: 2010..PUBLIC HEALTH RELEVANCE: A new method for estimating surgical risk will improve patient safety and assist in surgical decision-making, informed consent, monitoring surgical products, &improving quality assessment. ..
- Local Therapy of Breast Cancer in Community PopulationsNancy Keating; Fiscal Year: 2007..Moreover, the work will provide insight into different techniques for the analysis of observational data. ..
- COMPARING THREE ELECTRODE PLACEMENTS TO OPTIMIZE ECTKeith Rasmussen; Fiscal Year: 2005..The results of this study will promote more effective and safer treatment of the most severely ill depressed patients. ..
- MOLECULAR MECHANISMS OF RENAL FIBROSISERIC NEILSON; Fiscal Year: 2007..This understanding may be key to learning how we can further manipulate their participation in renal fibrosis. ..
- Minimizing Antibiotic Resistance in Colorado (MARC)Ralph Gonzales; Fiscal Year: 2004..pneumoniae infections in and outside the intervention communities. Specific Aim IIIC: Conduct a net-cost analysis of the different levels of community education. ..
- NIAMS Muiltidisciplinary Clinical Research Center in...Richard Deyo; Fiscal Year: 2006..It will require computer modeling, based on precedents in MR-PET scanning. We will determine if surgeons will accept the synthesized images as a replacement for CT-myelography for purposes of surgical planning. ..
- Burden of Malaria in Pregnancy in IndiaDavidson Hamer; Fiscal Year: 2007..The information generated by the study will also be instrumental in the development of new programs for preventing and mitigating the impact of MIP in India. [unreadable] [unreadable] [unreadable]..
- High Stability Accelerator for Sub-Cellular MicrobeamDavid Brenner; Fiscal Year: 2003..We have considerably more demand for microbeam time than we can cope with, primarily because of limited physicist manpower. ..
- Bariatric Surgery Outcome/Cost in Medicare BeneficiariesDavid Flum; Fiscal Year: 2006..3. Perform a modeled cost effectiveness analysis of bariatric procedures compared to non-surgical approaches. ..
- Cancer Risks Attributable To Radiation from Pediatric CTDavid Brenner; Fiscal Year: 2006..The target audiences will be radiologists, pediatricians, family physicians, and the CT industry. We will use telephone interviews supplemented with survey questions, to aid in web content decisions. ..
- Functional Impact of PENS for 65+ Chronic Low Back PainDebra Weiner; Fiscal Year: 2006....
- Fractures, Heart Disease, and Stroke on Aromatase InhibitorsNancy L Keating; Fiscal Year: 2010....
- RADIOLOGICAL RESEARCH ACCELERATOR FACILITY (RARAF)David Brenner; Fiscal Year: 2002..abstract_text> ..
- Ethical Issues for Emergency Nurses during Resuscitation of Injured PatientsMINDY ZEITZER; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Prediciting Severe Neonatal HyperbilirubinemiaRon Keren; Fiscal Year: 2007....
- A randomized trial of influenza vaccination of Hutterite childrenMark Loeb; Fiscal Year: 2006..We believe that the trial we propose will lead to important data that can inform policy on influenza immunization strategy. [unreadable] [unreadable] [unreadable]..
- Managed Care Penetration and Cancer CareNancy Keating; Fiscal Year: 2003..If managed care penetration is negatively associated with the delivery of care, interventions targeted toward policy-makers, providers, and patients will be needed to counteract the effects of market forces. ..
- Improving Transfusion Practices Using Decision SupportJeffrey Rothschild; Fiscal Year: 2004..We will also examine whether improvements in appropriate transfusion ordering behavior among clinicians using decision support tools will be greater than improvements achieved by educational programs alone. ..