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Displaying 21 - 40 of 220 Index
Poster Active management of the third stage of labour
1997 Amsterdam
Prendiville, Elbourne, McDonald, Elbourne
Objective: To determine whether or not active management is superior to expectant management in the prevention of postpartum haemorrhage (blood loss > 500 ml) during the third stage of labour.
Methods: A structured review of all randomised controlled trials (RCTs) of active management versus…
Poster After MEDLINE? Dividend from other potential sources of randomised controlled trials
1997 Amsterdam
Wallace, Daly, Campbell, Cody, Grant, Vale, Donaldson, Khan, Lawrence, MacLeod
Introduction: Searching MEDLINE for randomised controlled trials (RCTs) is tried and tested but identifies only about 50% (30% - 80%) of relevant reports. The most efficient way to find the other 50% is uncertain (Dickersin et al, 1994).
Objective: To assess, in the context of 6 systematic reviews…
Oral An educational package for the management of menorrhagia in the East Anglian region
1997 Amsterdam
Fender, Prentice, Duffy, Gorst, Day, Smith
Introduction/Objective: Menorrhagia is a significant health care problem. There is a lack of evidence-based management of menorrhagia in both primary and secondary care. A research-practice gap hinders the introduction of 'best practice'. This paper describes an evidence-based package…
Poster An overview of randomized controlled trials in non-insulin dependent diabetes mellitus
1997 Amsterdam
Dinneen, McIver
Objective: The randomized controlled trial (RCT) represents the highest level of evidence used to assess an intervention. An RCT's ability to influence clinical practice depends on: 1) its size, 2) the outcomes measured, and 3) the methodologic quality of the trial. To assess these factors in…
Oral Analysing systematic reviews of different types of diagnostic studies
1997 Amsterdam
Buntinx, Kester, De Meyer, Teugels, De Vet, Knottnerus, Van der Weyden
Introduction: In the field of diagnostic and screening tests, trials are only part of relevant research. Other diagnostic studies are estimating the diagnostic value of signs, symptoms and tests by comparison to a gold standard.
Objective: We intended to test methods for analysing reviews of…
Oral Analysis of randomized controlled trials on the effects of exercise training on the bone mass in pre- and post-menopausal women
1997 Amsterdam
Wolff, van Croonenborg, Kemper, Kostense
Introduction/Objective: The spate of literature on the topic of osteoporosis reflects the impact of this disease nowadays. With the ageing of the population, the medical and social costs of skeletal fragility leading to fractures is certain to grow, unless effective prophylactic and therapeutic…
Poster Antilibidinal managements of disorders of sexual preference and those who have been convicted of sexual offences
1997 Amsterdam
White, Bradley
Introduction: Sex offences and disorders of sexual preference are common. There is little reliable prevalence data on many of these problems but studies of victims suggest that up to one third of women will suffer some form of sexual assault during their lives. It is likely that although the number…
Oral Applying research evidence in real life: using epidemiologists as change agents in hospitals
1997 Amsterdam
Hill, Ayres, Wright
Introduction/Objective: To promote clinical effectiveness and evidence based health care in a hospital setting.
Methods: A single English regional health authority funded public health specialists in a number of hospitals. The backgrounds of these staff and the environments in which they…
Oral Are criteria to evaluate the appropriateness of performing colonoscopy evidence based?
1997 Amsterdam
Fahrni, Burnand, Pache, Froehlich, Vader, Gonvers, Burnand
Introduction/Objective: To assess the agreement between appropriateness criteria for the use of colonoscopy developed according to the RAND-UCLA method and evidence from published studies.
Methods: In 1994, a national multidisciplinary panel of 9 experts used the RAND-UCLA method to develop…
Poster Assessment of dialysis technology:- a Cochrane systematic review comparing bicarbonate with acetate haemodialysis in ESRD
1997 Amsterdam
Daly, Campbell, Cody, Donaldson, Grant, Khan, Lawrence, Vale, Wallace, MacLeod.
Introduction/Objective: Comparison of bicarbonate with acetate dialysate in the haemodialysis of patients with ESRD to determine the extra benefits and cost (if any) of bicarbonate dialysis.
Methods: Systematic Literature Review of all possible randomised or quasi-randomised controlled trials…
Poster Blinded assessment of the methodological quality
1997 Amsterdam
van Tulder, Scholten, Koes, Bouter
Objective: Although it has been suggested for over a decade that the methodological quality of trials should be assessed blinded, only recently some scientific evidence has been provided that blinding leads to lower and more consistent scores than open assessment. Our objective was to evaluate the…
Oral Breast cancer screening: effective and efficient as well as efficacious
1997 Amsterdam
Bonfill, Marzo, Bare, Serra
Introduction/Objective: To describe the changes observed in the practice of breast cancer screening in a Spanish city (Sabadell) after 2 years of a structured screening program activity.
Methods: 1. Analysis of the previous situation, and identification of its weak points and means for overcoming…
Oral Breast cancer screening: effective and efficient as well as efficacious
1997 Amsterdam
Bonfill, Marzo, Bare, Serra
Introduction/Objective: To describe the changes observed in the practice of breast cancer screening in a Spanish city (Sabadell) after 2 years of a structured screening program activity.
Methods: 1. Analysis of the previous situation, and identification of its weak points and means for overcoming…
Oral Changing practice: encouraging the use of ECV for women with a breech presentation at term
1997 Amsterdam
Burr, Johanson, Watt, Wyatt, Jones
Introduction/Objective: In 1993, 69% of breech presentations in the UK were delivered by caesarean section (CS) (RCOG Annual Statistical Return 1993). External cephalic version (ECV) reduces the incidence of breech presentation at term, and thus that of CS.
Methods: 20 hospitals with obstetric…
Oral Chinese involvement in the Cochrane Collaboration
1997 Amsterdam
Li, He, Liu, Wang
Introduction: One of the fundamental elements of the Cochrane Collaboration is international participation, to find reports of RCTs in different countries, (irrespective of the language used) preparing and maintaining systematic reviews at a local and/or national level. China makes an important…
Poster Chronic pain: systematic review of cognitive behavioural treatments
1997 Amsterdam
Morley, Williams, Eccleston
Introduction/Objective: Systematic review of data from RCTs of cognitive and behavioural treatments used in chronic pain management.
Methods: Thirty controlled trials of cognitive and/or behavioural treatments for chronic pain (including 2 osteoarthritis and 4 rheumatoid arthritis) were found…
Oral Clinical practice guidelines in oncology: two guideline development programs in France and Canada
1997 Amsterdam
Fervers, Browman, Newman, Lehmann, Sebban, Philip
Introduction/Objective: There is an increasing number of practice guideline development programs, using different organisational and methodological approaches. We reviewed the operations of two programs for practice guideline development in oncology, the Standards, Options and Recommendations (SOR…
Poster Clinical studies in German health care journals: publication quality and assessment
1997 Amsterdam
Rüther, Galandi, Antes
Introduction: Identification of all relevant randomised controlled trials (RCT) is crucial for unbiased reviews. Studies published in General health care journals, especially in those being not listed in Medline or Embase, may be overlooked by specific review groups (CRG) more concentrating on…
Poster Collaboration to identify controlled trials in general health care journals in Europe
1997 Amsterdam
McDonald, Lefebvre
Objective: As part of the European Union BIOMED Programme, six partners (Denmark, France, Germany, Italy, Netherlands and UK) are collaborating in a Project, co-ordinated by the UK Cochrane Centre, to identify reports of controlled trials, by handsearching European general health care journals. The…
Poster Combining GP and hospital care for patients with rheumatoid arthritis (RA) - a randomised controlled trial
1997 Amsterdam
Hogg, Hewlett, Kirwan, Kirwan
Objective: (i) There will be an improvement in the clinical and psychological outcome, (ii) GPs, patients and multidisciplinary teams will find the service more satisfactory, (iii) overall use of health care resources will be reduced.
Methods: 200 patients were randomised to routine 4-6 monthly…