A Case for Clarity, Consistency, and Helpfulness: State-of-the-Art Clinical Practice Guidelines in Endocrinology Using the Grading of Recommendations, Assessment, Development, and Evaluation System

Swiglo, Brian A.; Murad, M. Hassan; Schünemann, Holger J.; Kunz, Regina; Vigersky, Robert A.; Guyatt, Gordon; Montori, Víctor M.

doi:10.1210/jc.2007-1907

Cited by 266 publications

(207 citation statements)

References 20 publications

Supporting

Mentioning

196

Contrasting

Unclassified

Order By: Relevance

“…We assessed blinding at three different levels (participants, personnel/care providers, and assessors), and added three items that may have acted as potential sources of bias (patient baseline characteristics, surgical characteristics, and standardized anesthesia/oral analgesic protocol). The quality of evidence was judged using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework [60].…”

Section: Quality Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Jiménez-Almonte

Wyles

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Local infiltration analgesia and peripheral nerve blocks are common methods for pain management in patients after THA but direct head-to-head, randomized controlled trials (RCTs) have not been performed. A network meta-analysis allows indirect comparison of individual treatments relative to a common comparator; in this case placebo (or no intervention), epidural analgesia, and intrathecal morphine, yielding an estimate of comparative efficacy. Questions/purposes We asked, when compared with a placebo, (1) does use of local infiltration analgesia reduce patient pain scores and opioid consumption, (2) does use of peripheral nerve blocks reduce patient pain scores and opioid consumption, and (3) is local infiltration analgesia favored over peripheral nerve blocks for postoperative pain management after THA? Methods We searched six databases, from inception through June 30, 2014, to identify RCTs comparing local infiltration analgesia or peripheral nerve block use in patients after THA. A total of 35 RCTs at low risk of bias based on the recommended Cochrane Collaboration risk assessment tool were included in the network meta-analysis (2296 patients). Primary outcomes for this review were patient pain scores at rest and cumulative opioid consumption, both assessed at 24 hours after THA. Because of substantial heterogeneity (variation of outcomes between studies) across included trials, a random effect model for meta-analysis was used to estimate the weighted mean difference (WMD) and 95% CI. The gray literature was searched with the same inclusion criteria as published One of the authors certifies that he (RJS), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000-USD 100,000, from Biomet Inc (Warsaw, IN, USA 123Clin Orthop Relat Res (2016) 474:495-516 DOI 10.1007 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® trials. Only one unpublished trial (published abstract) fulfilled our criteria and was included in this review. All other studies included in this systematic review were full published articles. Bayesian network meta-analysis included all RCTs that compared local infiltration analgesia or peripheral nerve blocks with placebo (or no intervention), epidural analgesia, and intrathecal morphine. Results Compared with placebo, local infiltration analgesia reduced patient pain scores (WMD, À0.61; 95% CI, À0.97 to À0.24; p = 0.001) and opioid consumption (WMD, À7.16 mg; 95% CI, À11.98 to À2.35; p = 0.004). Peripheral nerve blocks did not result in lower pain scores or reduced opioid consumption compared with placebo (WMD, À0.43; 95% CI, À0.99 to 0.12; p = 0.12 and WMD, À3.14 mg, 95% CI, À11.30 to 5.02; p = 0.45). However, network meta-analysis comparing local infiltration analgesia with peripheral nerve blocks through common comparators showed no differences between postoperative pain scores (WMD, À0.36; 95% CI, À1.06 to 0.31) and opioid consumption (WMD, À4....

show abstract

Section: Quality Assessmentmentioning

confidence: 99%

“…However, in this network meta-analysis, most of the evidence is derived from indirect comparisons. The quality of evidence was judged using GRADE [60].…”

Section: Quality Of Evidencementioning

confidence: 99%

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Jiménez-Almonte

Wyles

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Метаанализы рандомизированных контролируемых исследований II (2) Проспективные рандомизированные исследования с ограниченным количеством данных. Метаанализы исследований с небольшим количеством пациентов.…”

Section: уровеньunclassified

“…Результат влиял на уровень доказа-тельств, присваиваемый публикации, что в свою очередь влияло на силу вытекающих из нее реко-мендаций [1,2].…”

unclassified

Pituitary incidentalomas: the clinical picture, diagnostics, differential diagnostics, and methods of treatment

Дедов¹,

Мельниченко²,

Рожинская³

et al. 2015

Probl Endokrinol (Mosk)

View full text Add to dashboard Cite

Incidentalomas are the most common neoplasms in the hypothalamic-pituitary region. Diagnostics, treatment strategy, and indications for the surgical intervention on the patients with these tumours pose a serious challenge for a wide circle of specialists. The diagnostic problems arise from the absence of the specific clinical signs and symptoms as well as the reliable biochemical markers of the disease. The modern laboratory methods do not allow to reveal the pathological hormonal secretion during the diagnostic study, predisposition of the neoplasm to the invasive and infiltrative growth, and signs of its «aggressiveness». This considerably complicates the choice of the optimal surgical strategy and the evaluation of the long-term results of the treatment. Bearing in mind the importance of the problem under consideration, the working group was set up for the development of federal recommendations on the treatment of pituitary incidentalomas based on the principles of evidence-based medicine. The experience accumulated by the domestic and international experts was summarized in the federal clinical guidelines on pituitary incidentalomas containing the available information about these neoplasms.

show abstract

“…For adults over 18 years of age an intake of at least 600 UI/day of vitamin D 2 or D 3 was recommended in order to maximise bone and muscle function. However, optimum levels of 25OH vitamin D were considered to be those above 30 ng/ml, for which an intake of at least 1,500-2,000 UI/day of vitamin D would be necessary 10 . From the age of 70, the Endocrine Society would recommend at least 800 UI/day, recognising that to reach its objective of 25OH vitamin D above 30 ng/ml, 1,500 to 2,000 UI/day of vitamin D 2 or D 3 could be required.…”

Section: Recommendations and Guide To Clinical Practice Of The North mentioning

confidence: 99%

Recomendaciones sobre cómo administrar la vitamina D: guías internacionales y nacionales

Gimeno

2014

Rev Osteoporos Metab Miner

View full text Add to dashboard Cite

A Case for Clarity, Consistency, and Helpfulness: State-of-the-Art Clinical Practice Guidelines in Endocrinology Using the Grading of Recommendations, Assessment, Development, and Evaluation System

Cited by 266 publications

References 20 publications

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Pituitary incidentalomas: the clinical picture, diagnostics, differential diagnostics, and methods of treatment

Recomendaciones sobre cómo administrar la vitamina D: guías internacionales y nacionales

Contact Info

Product

Resources

About